Thursday, May 9, 2019

Water Fasting Improving quality of life during chemotherapy

Some researchers believe that fasting improves people's response to chemotherapy because it does the following:

-promotes cellular regeneration,

-protects blood against the harmful effects of chemotherapy,

-reduces the impact of side effects, such as fatigue, nausea, headaches, and cramps.

A 2018 study found that fasting can improve quality of life in people undergoing chemotherapy for breast cancer or ovarian cancer. The study used a 60-hour fasting period starting 36 hours before the start of chemotherapy treatment.

The results show that participants fasting during chemotherapy reported higher tolerance to chemotherapy, fewer chemotherapy-related side effects, and higher energy levels when compared with those who did not fast.

Boosting the immune system to fight cancer
A 2014 study examined whether fasting produces any cancer-fighting effects in mice stem cells. Stem cells are important due to their regenerative abilities.

The researchers revealed that fasting for 2–4 days may protect stem cells against the negative effects of chemotherapy on the immune system.

Fasting also activates stem cells of the immune system to renew and repair themselves.

This study shows that fasting not only reduces damage to cells, it also replenishes white blood cells and replaces damaged ones.

White blood cells fight infection and destroy cells that may cause disease. When white blood cell levels drop as a result of chemotherapy, it affects the immune system negatively. This means that the body has a harder time fighting infections.

The number of white blood cells in the body decreases during fasting. However, when the fasting cycle concludes and the body receives food, white blood cell levels increase.

Is some aspect of mitochondrial damage behind cancer? If so, can this theory help us take control of cancer via tactics such as yearly or more frequent “7 day water fasts”.
When we think about death, cancer is often what we think of first. If you’re like me, most, if not all, of the deaths affecting you personally in your life may have been due to cancer.

Part of what makes a cancer diagnosis so devastating is that it’s mechanisms – how it works, where it comes from, how we can treat it effectively, how we can track it’s development, assess our risk and avoid it – continue to allude us. That makes us feel powerless against it.

Today’s episode is about the theory that mitochondrial damage is behind cancer, and how this theory may let us take control of cancer. We also hear our guest discuss the power of “water fasts” as a potential tactic to beat cancer.

If that’s true then tools that we have today such as ketogenic diets, fasting, lipid replacement therapy and other approaches to mitochondrial repair may help reduce or eliminate the risk of cancer, and even treat it when we have it.

We’ve already seen how important our mitochondria, and keeping them healthy, is in previous episodes, looking at longevity and aging with Aubrey de Grey, and autoimmune diseases with Terry Wahls. Today we add to that list the role they may be playing in the cancer diseases process.

“All cancers can be linked to impaired mitochondrial function and energy metabolism. It’s not a nuclear genetic disease. It’s a mitochondrial metabolic disease… therapeutic ketosis can enhance mitochondrial function for some conditions, and can kill tumor cells.”
– Dr. Thomas Seyfried

Today’s guest, Dr. Thomas Seyfried, is Professor of Biology at Boston College, where he leads a research program focused on the mechanisms by which metabolic therapies such as ketogenic diets and fasting can manage chronic disease and cancer. He sits on the editorial boards of four research journals, and has over 60 published papers on cancer and metabolism.

He is the author of the review paper Cancer as a Metabolic Disease, appearing in the Journal of Nutrition and Metabolism in 2010, and of the textbook in 2012 entitled Cancer as a Metabolic Disease: On the Origin, Management, and Prevention of Cancer.

He’s a frequent lecturer and speaker at conferences on the topic of cancer, impaired mitochondrial function, and using ketogenic diets and fasting tactics as therapy to treat and avoid cancer.


This was personally an important episode for me. I hope you feel more in control of your cancer risk after listening to it, as I do having followed Dr. Seyfried’s work.

Biomarkers
Blood Glucose: A measure of the level of glucose in the blood at one point in time. Dr. Seyfried’s therapies target reduction of blood glucose levels to limit cancer cell growth, and according to his theories high blood glucose is a biomarker of increased cancer risk.
Glucose – Ketone Index (GKI): The ratio between the concentration of glucose in the blood to ketone bodies in the blood. The calculation is Glucose (mmol)/ Ketone (mmol). Dr. Seyfried created the index as a better way to assess metabolic status. 

Therapeutic efficacy is considered best with index values approaching 1.0 or below. Patients with chronic disease like cancer have index values of 50 or more. Thomas’ paper on the use of GKI for cancer patients has just been accepted for publishing: The Glucose Ketone Index Calculator: A Simple Tool to Monitor Therapeutic Efficacy for Metabolic Management of Brain Cancer. It is on Nutrition & Metabolism journal here and you can download an excel sheet to calculate the Glucose Ketone index here.

Glucose Ketone Index - Thomas Seyfried
Glucose Ketone Index Tracking of a Water Fast as Therapy for Brain Tumors Trial – Thomas Seyfried

Lab Tests, Devices and Apps
Precision Xtra Blood Glucose and Ketone Monitoring System: A combined blood glucose-ketone meter for testing blood levels at home. It requires disposable Precision Xtra Ketone Strips and Precision Xtra Glucose Strips to take readings.
23andMe genetic testing: Damien mentioned using 23andMe as an approach to screen for your greatest cancer risks.

The Tactics

Treatments
3 – 5 Day Water Only Fasts: A water-only fast of at least 3 days and preferably 5 days is recommended by Dr. Seyfried as a tool to reduce cancer risk and to lower your glucose – ketone index to 1.0. He recommends doing this twice yearly. For cancer patients he recommends much more intensive use of the water fast.

Ketogenic Diets: The ketogenic diet is a low carb diet which also raises the level of ketone bodies in the blood. We discussed this in depth, as well as the Ketone biomarkers and devices in episode 7 with Jimmy Moore on Ketosis.

Intermittent Fasting: An approach to fasting where you fast for part of the day or certain days per week. There are many approaches to this, however in Dr. Seyfried’s research he has found this doesn’t have a significant enough impact on raising ketone bodies to be therapeutic. He has only seen this via the water-fast.

Hyperbaric Oxygen Therapy (HBOT): Another therapy Dr. Seyfried believes may be beneficial to fight cancer but is relatively non-toxic in comparison to current treatment modalities (chemo and immunotherapies), and would like to trial in conjunction with fasting protocols.

Supplements
Oxaloacetate: A support for the mitochondria, also dubbed as an anti-aging supplement as it has caloric restriction mimicking effects. It is sold by Dave Asprey in his “Upgraded Aging” formula.

3-Bromopyruvate (3BP): Dr. Seyfried would like to incorporate this non-toxic molecule in combination with fasting therapies to treat cancer patients.

PQQ (Pyrroloquinoline Quinone): Mentioned by Damien as a potential tool for mitochondrial biogenesis.

Other People, Resources and Books

People
Otto Warburg: A well known scientist who worked on cancer in the 1920s and 30s and discovered that cancer cells have different metabolism to normal cells.
Albert Szent-Györgyi: The oncogenic paradox was first coined by this nobel prize winner for his work with vitamin C and energy metabolism.

Valter Longo PhD.: Dr. Seyfried referred to Valter Longo’s work at the University of Southern California on the impacts of fasting on patients undergoing chemotherapy.
Angelina Jolie: The actress recently had her breast’s removed when she discovered she has the BRCA1 genetic mutation, that predisposes women to breast cancer.

Organizations
Calorie Restriction Society/ CR Society: Dr. Seyfried pointed out that members of this association that practice ketogenic state inducing low calorie diets have a very low rate of cancer.

Books

Tripping Over the Truth: The Metabolic Theory of Cancer: The book by Travis Christofferson on the mitochondrial damage / metabolic theory of cancer – written for the layman.

Takeaway
Fasting refers to not eating at all or consuming very few calories for a certain amount of time. Fasting cycles can last anywhere from 12 hours to 3 weeks.

Short and prolonged fasting periods have promising results in cancer treatment and prevention, according to multiple studies. It is currently unclear which fasting schedule produces the best results, however.

People who are curious about fasting and whether it would benefit them during their cancer treatment should consider speaking with their doctor.


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