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Articles
Breast Cancer and the Liver PDF Print E-mail

Breast Cancer and the Liver

May 2008
Mike Conway, ND

When it comes to breast cancer, its development and recovery, there may not be a more important organ in the body than the liver.   In terms of physical causes of this illness, whether hormonal imbalance, accumulation of toxins or the result of an unhealthy diet, the liver plays a primary role.  In this article I will help you to understand how a compromised liver may have led you or your loved one to struggle with breast cancer and how to gain back a healthy liver and enhance the chances of recovery.

THE ORIGINAL MULTI-TASKER   It is difficult to overestimate the importance of the liver in keeping us from developing chronic disease.  A major share of the entire discipline of biochemistry is devoted to the metabolic reactions of the liver. The largest solid organ in the body, the liver is located in the upper right section of the abdomen, protected under the lower part of the rib cage and extending slightly across the midline.  

The liver is the body’s primary filter or detoxification site for impurities coming from the
digestive tract.  The portal vein carries blood directly from the intestine to the liver to neutralize toxins, chemicals, bacteria or food allergens.  Toxins can also enter the blood through the lungs or the skin.  The cells of the liver perform a vast array of tasks including engulfing these toxins for breakdown and elimination into the lymph and bile fluid, also produced by liver cells. Enzyme systems, known as cytochrome P-450, in liver cells initiate biochemical reactions that lead to the detoxification and eventual urinary and intestinal excretions of potentially toxic compounds.  Along with harmful external substances, the liver enzyme systems also breakdown estrogen, progesterone, insulin, cortisol, and thyroid hormones.  Many cases of premenstrual syndrome are due to the liver’s inefficient breakdown of estrogen.

A RECIPE FOR BREAST CANCER   Today we face more challenges to our liver then any time in history.  From the chemicals in our food and environment to poor diet choices with shrinking nutritional values to the over use of synthetic drugs it’s a wonder the liver holds up as well as it does.  However, many common ailments such as chronic allergy symptoms, menstrual and uterine problems, high cholesterol and obesity are often directly related to a sluggish liver.  Pain in the liver area, especially after a fatty meal, might be a sign of gall bladder stones due to overeating of saturated fats, hydrogenated oils and food allergens.  This stems from the accumulation of cholesterol in bile fluid as it travels from the liver to the gall bladder.  Further, it is clear that the thousands of carcinogenic chemicals that our bodies are exposed to during a lifetime are contributing to the prevalence of cancer. These toxins include pesticides, herbicides, industrial chemicals, food additives, petroleum/plastic compounds, heavy metals and pharmaceutical medications. Many of these toxic compounds get stored in fat cells throughout the body, including breast tissue. Lymph fluid in this area can stagnate due to lack of exercise or a sluggish liver, promoting cancerous cell growth.  

ASSESSING LIVER DETOX CAPACITY   Most women diagnosed with breast cancer show no obvious liver damage on standard liver function blood tests, though it is wise to have your doctor run these tests to rule out problems, especially if undergoing chemotherapy.  Lab testing is available to determine how efficiently your liver is clearing toxins and metabolizing hormones.  Phase I (oxidation) can be measured by salivary caffeine clearance while Phase II (conjugation) detoxification can be measured by urinary acetaminophen and acetylsalicylic acid clearance. An estrogen fractionation test can determine whether your liver is detoxifying estrogen adequately or not.  These tests relate significantly to successful breast cancer prevention and treatment.  

RESTORING LIVER FUNCTION   Fortunately, the liver has a unique ability to reverse damage from a poor diet, chemical toxins, drugs etc.   Liver cells can actually regenerate.  Here are some steps to restore healthy liver function:

1.    Eat a healthy diet. You’ll want to avoid foods that stress the liver such as processed/junk foods, hydrogenated fats and oils, fried foods and processed meats fats, caffeine and sugar.  You will want to increase foods that improve liver function, such as broccoli, cabbage, artichoke, beets, radishes, watercress and green leafy vegetables. An organic, high fiber, low carbohydrate diet is ideal. Green tea is especially helpful along with at least 4-6 glasses of water.
2.    Nutrients and herbal support. Nutrients specific for activating or enhancing the liver’s detoxification capacity includes antioxidants-zinc, selenium, vitamin C and E, lipoic acid, B-Complex and the amino acids n-acetylcysteine, carnitine, methionine and glycine.  Certain herbs are effective in stimulating production of the liver’s primary antioxidant, glutathione.  These include milk thistle, turmeric, and globe artichoke.  Other herbs enhance phase I and II liver detoxification pathways including dandelion, burdock, Spanish black radish and phylanthus.  The nutrient calcium d-glucarate is particularly helpful for Phase II.  It is important to consult your oncologist before taking these supplements if you are undergoing treatment for breast cancer and to consult with a nutritionally oriented M.D. or Naturopathic Physician on dosing these herbs.  

For a more comprehensive program of liver cleansing and overall detoxification of the lymphatic system, colon and kidneys in a safe and effective manner, consult with a Naturopathic Physician.

Mike Conway, ND practices in Vanouver WA - 3606 Main Street, Suite 202, (360)695-7699 www.michaelconwaynd.com

 
Naturopathic and Chinese Medicine PDF Print E-mail

In Your Corner:  How Naturopathic and Chinese medicine can help

May 2008
by Kelly Jennings ND, MSOM

You may have seen it on Youtube.  Called ‘crazy sexy cancer’, it is a visual portrait of a woman in the prime of her life who has just discovered she has a rare and terminal cancer.  As she narrates, we see her refusal to accept the conventional medical prognosis she has been given.  She begins an exploration of various holistic therapies; yoga, Chinese medicine, acupuncture, diet and nutritional therapy, guided imagery.  We watch her seek and become a participant in her treatments, while allowing us to peek into the inner pain and despair she struggles with.  She admits to us that she is scared, and yet she also acknowledges that in this struggle to live her cancer diagnosis has become both teacher and guide.  It urges her to go deeper; to address both the physical and emotional aspects of her illness.  It empowers her with greater self-awareness.  It compels her to ask difficult questions and pushes her to find meaningful connection and stronger love for self, for family and for her greater community.  She confesses that while she doesn’t know how her story will end or if she will ever find the root cause of her cancer, she is discovering her greater purpose in life.  If you haven’t yet seen it, I urge you to do so.  It compels her to ask difficult questions and pushes her to find meaningful connection and stronger love for self, for family and for her greater community.  She confesses that while she doesn’t know how her story will end or if she will ever find the root cause of her cancer, she is discovering her greater purpose in life.  If you haven’t yet seen it, I urge you to do so.

We’ve all heard it in some way by now, that things happen for a reason, that there are no accidents, that we are all in some way engaged and involved in whatever happens to us.  Our level of consciousness and self-awareness is vital to our healing journey.  Unfortunately, these statements often lead to a personal sense of guilt, a feeling that somehow we are responsible for our state of health.  In order to truly understand and heal, we must address the physical, mental and emotional aspects of well-being, and do what we can to create healing in all areas.  In my clinical experience, this is especially true of the woman with breast cancer.  

Naturopathic and classical Chinese medicine can help.  Any diagnosis of cancer can carry with it a strong stigma of fear, despair, depression, anxiety or shame.  Conventional cancer treatment is usually necessary, but may not lead to a sense of empowerment or greater self-understanding.  Often, breast cancer patients feel helpless about what they can do for prevention, or how they can take better care of themselves.  Some want to understand how they got cancer in the first place.  A good naturopathic doctor can provide this kind of support.  Naturopaths have both the time and the training to address all aspects of well-being, encompassing physical, mental and emotional causes for disease.  They have the knowledge to educate patients on all of their treatment options, and be a bridge for the patient’s entire health care team.  They can create dietary plans for healing and recovery, provide supplemental support, offer counseling, and help to prevent recurrence and rebuild the body.  The goal of any good naturopath is to be an advocate for their patient, highlighting education, treating the whole person, customizing his or her treatment plan and developing a lifelong plan for health.

Chinese medicine, another truly holistic system of medicine, is the perfect adjunct to conventional cancer treatment.  From reducing common side effects of chemotherapy and radiation, such as pain, nausea, and fatigue, to building the body’s immune system and addressing the root cause of breast cancer, acupuncture and Chinese herbal formulas have no parallel.  Patients can rest and relax throughout their treatment session.  Focused pulse and tongue diagnosis allow Chinese medical practitioners to customize every treatment for each individual.  Clinical experience has shown that patients who receive continued acupuncture treatments feel better throughout their conventional cancer treatment, recover more quickly, and have a greater sense of well-being.  

As this woman’s story on Youtube depicts, integrating these different holistic therapies can provide incredible healing.  Chinese and naturopathic medicine pre-date conventional cancer care.  They have withstood the test of time and they work.  They can enhance the cancer care you are already receiving and help alleviate any possible side effects of conventional treatment.  These medical systems offer a sense of empowerment, that there is something you can do to prevent or treat your cancer. Even if all you want is to feel better these therapies can be your allies.   

Know your options.  For patient testimonials or to learn more about naturopathic, Chinese or holistic medicine you can direct your questions to Dr Kelly Jennings at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
Liver Testing PDF Print E-mail

Liver Testing

May 2008
Barbara MacDonald, ND, LAc

New genetic testing can tell us what toxins may play
a role in cancer development and what
you can do to protect yourself in the future!

Test name: Detoxigenomics Profile by Genovations
Who performs the test: some naturopathic physicians (any doctor can order it)
How it’s done: non-fasting blood draw
Cost: $400 + draw fee

The field of genomics has expanded our understanding of how toxins affect our bodies differently.  Why can some people smoke packs of cigarettes a day and never get lung cancer – while someone exposed to minimal second-hand smoke gets it at 40?  Why can some women take HRT and not get breast cancer and others do?  We all have some efficient detoxification pathways and others that are not efficient; some toxins we can render harmless and others are cleared from our bodies as slow as a congested Interstate-5 at rush hour.  This genetic blood test identifies your biochemical individuality.  By knowing how you detoxify each type of toxin (such as solvents, heavy metals, estrogens, medications, pesticides, etc.), you can make lifestyle choices to reduce your exposure.  You can learn what things you can take to improve your body’s ability to remove these toxins when exposed.

“What I have found is that there are very common patterns in genomic variations that most of my breast cancer patients have.  By knowing the answers to these questions, women are empowered to know what to change and what doesn’t need changing. They are able to stop blaming themselves for getting cancer and become excited to know there are things they can do to improve their health.”  Barbara MacDonald, N.D., L.Ac..

Once we identify the genetic variations, called single nucleotide polymorphisms (snp), we make recommendations in lifestyle, diet and nutritional supplements that should help their body to reduce the toxic load that may cause carcinogenic mutations.  For example those with CYP1B1 and COMT polymorphisms have a hard time eliminating estrogens from their body and they tend to make the more harmful form of estrogens (16-hydroxyestrone).  Estrogens come in many forms, from those in our water, from fossil fuels, to growth hormones in meat to those made by our bodies.  Once we know how someone deals with them, we can order a test to see how this estrogen ratio is doing.  Then, we can teach them how to avoid exposure and prescribe products that can improve this ratio and hopefully prevent future breast cancers.

To get a Detoxigenomics Profile, consult with a naturopathic physician to see if they are familiar with this testing, interpreting them and what to do with the results.  Share the results with your physician and pharmacist so they too can personalize your care.

Dr. Barbara MacDonald is Naturopathic and Chinese medicine physician practicing natural adjunctive cancer care at A Woman’s Time in N.W. Portland.