At the completion of this presentation the attendee will be able to:
- Be provided with a comprehensive view of integrative modalities
- Review major processes that are safe and evidence-based
- Be provided with practical resources to offer patients
3. Objectives
• At completion of this presentation the
attendee will be able to:
• Be provided with a comprehensive view of
integrative modalities
• Review major processes that are safe and
evidence-based
• Be provided with practical resources to offer
patients
14. The “History of Medicine”
• 2000 B.C. Here, eat this root
• 1000 A.D. That root is heathen. Here, say this prayer
• 1850 A.D. That prayer is superstitious. Here, drink
this potion
• 1940 A.D. That potion is snake oil. Here, swallow this
pill
• 1985 A.D. That pill is ineffective. Here, take this
antibiotic
• 2001A.D. That antibiotic doesn’t work anymore.
Here, take this root!!
Author unknown
15. The Key is Self-Education
• Most people spend more time choosing
a wardrobe than what they choose to
put into their body
• Most people spend more time and
research choosing a car than what they
choose to put into their own body
You MUST be your own advocate and your
own teacher.
16. Let us Begin to eat
WELL
• Food is Power!
• Baseline of Nutrition
• Benefits of Well-Balanced and Colorful Meal
• Organic Discussion
• Snacks
• Small Meals
• Hydration!!!!!!!!
Kogut,V.J,Luthringer, S.L. 2005
17. The Basic Plan:
• Think first:
Fruits and vegetables
Studies have shown that eating an
abundance of fruits and
vegetables ~ especially those
high in anti-oxidants will be
protection against the free
radicals that can damage the
cell’s precious DNA*****
All plant foods are good but
the brighter varieties
contain more diverse
phytochemicals
Kogut,V.J, Luthringer,S.L. 2005
18. The Honor Roll
Oily fish
For Omega-3 fats, choose salmon, trout, black
cod, sardines, mackerel, and herring
Intact grains
Brown rice, quinoa, barley are better than
Whole wheat as an anti-inflammatory.
Plant proteins
Fill out your plate with beans, chickpeas, black
beans, pinto beans, lentils, soy (edamame,
miso nuts, plus seeds: chia, edamame, flax
Calton,J, Calton,M 2015
Kogut,VJ, Luthringer,SL, 2005
19. Choose Phytochemicals:
• Think “dark colored” leafy veggies:
Broccoli (always at least very slightly
cooked
Brussels sprouts (cook w/baking
soda to diffuse gas-producing
properties
Spinach/Kale/Collard greens
Fruits:
• Mangoes, cantaloupes, oranges,
kiwis
Berries:
Cranberries, strawberries, blueberries
Calton,J, Calton, M, 2015
Luthringer, SL, Kogut, VJ, 2011
20. Whole grains (read the label…)
• Complex carbs in whole
grains will boost energy,
take longer to digest
(thereby stabilizing blood
sugar) and may protect
against cancer cell
proliferation
• Brown rice, millet, kasha,
barley, quinoa, whole wheat
and organic corn pasta are
ALL good choices
• Kogut,VJ, Luthringer,SL, 2005
21. Protein Power!
• Proteins repair tissue,
prevent infection and help
with cellular energy
production
• Try to stick w/plant proteins
• Nuts, dried beans, lentils,
fermented dairy products
(yogurt and kefir)
• Can use whey or hemp
protein in smoothies.
Campbell, TC, Campbell,TM, 2005
Luthringer, SL, Kogut, VJ, 2011
22. Pros and Cons to consider:
Cancer Promoters: “Cons”
1. Energy dense foods
2. Sugary drinks
3. Salty and processed
foods
4. Red meats including
processed meats
5. >1-2 alcohol drinks
6. Oils:
soy/sunflower/corn/trans
fats
7. Omega-6 fatty acids
Moss, M, 2013
Cancer Blockers: “Pros”
1. Green tea/pomegranate juice
2. Herbs & spices (tumeric,
garlic)
3. Fish, vegetable proteins
(lentils, tofu)
4. Glass of red wine (Pinot noir)
5. Oils: olive/canola
6. Omega-3 fatty acids
Kogut,VJ, Luthringer,SL, 2005
23. Alcohol (a slightly ‘sore’
subject)
• Try to limit consumption to
beer and/or wine
The bioactive food compounds
in beer and wine are worth
noting
Red wine contains Resveretrol…a
glass is gracious plenty
(If you choose to drink
Alcohol, make sure your
diet is rich in B vitamins
especially folate)
CHOOSE ORGANIC
Buettner,D, 2015
24. Let’s talk about
“Excipients”
• Excipients are “inert” substances added to the
raw material (real food) to achieve a desired
consistency or form………..
AKA - - FILLERS – so how many bulking,
preserving, binding, gluing, coloring, coating
agents are in that “food”?????????????????
Fitzgerald,R, 2006.
25. Natural vs. Synthetic
• To food chemists – natural and synthetic nutrients are
basically the same elements. Their goal is to preserve food,
keep it attractive and make it saleable!
• HOWEVER!!The molecular structure of synthetic ingredients
does differ from natural ingredients – the elements are
arranged in a significantly different manner.
GUESSWHAT??? Yourbodycantellthedifference and
it responds by creating “Inflammation” to get these
synthetic ingredients processed…………..
Campbell,TC, Campbell,TM, 2004
26. Methylation…what??
What does methylation mean to us? (bear with me…)
• Cancer cells have low levels of DNA methylation – which
switches off tumor suppressor genes.
• What you eat affects the level of biochemicals – which in turn
affect methylation and gene suppression.
Foods that SUPPORT methylation:
Green tea, cruciferous and green leafy vegetables, beans, peas,
sunflower seeds, liver (oh well..), whole grains and natural
cereals: i.e: oatmeal
Graham,G, Kesten,D, Scherwitz, L, 2011
Boik, J, 2001
27. More methylation delicacies…..
• Spinach, garlic, brazil nuts, kidney
beans, tofu, chicken and fatty fish
(salmon, mackerel, sardines)
• Choline-rich foods: eggs, dark
lettuce, peanuts
• And then there’s ZINC – which
regulates the methylation
• process ……………
So – we either supplement with zinc
or enjoy oysters, clams – and
then there’s that one glass of red
wine to enjoy……..
Buettner,D, 2015
Decker, GM, 1999
Sound a little like the
Mediterranean diet???????
28. It’s time to talk about sugar
• Our genes developed in an environment where one person consumed – at
most – 24 kgs (4 lbs) honey/year
• We NOW consume 70 kgs(150 lbs) sugar/year
• So here’s the deal:
• 56% calories come from 3 sources that were non-existant as our genes
developed:
refined sugars (cane, beet, corn sugar) can you say GMO??
bleached flour (white bread, white pasta)
vegetable oils (soy, sunflower, trans fats)
These 3 sources contain NONE of the proteins, vitamins, minerals, omega-3
fatty acids needed for proper body functioning. They DIRECTLY fuel the
growth of cancer!
Buettner,D, 2015
29. Glucose ~ in it’s proper
perspective
• Glucose = the form of digested sugar in the body
• The metabolism of tumors is largely dependent upon glucose metabolism
Note: A PET scan simply measures the body area that absorbs the most
sugar………
• WHEN foods with a HIGH glycemic index (refined sugar, white flour,
anything containing high fructose corn syrup, etc) are eaten > levels of
glucose rise rapidly
• The body insulin production ramps up to get that excess glucose into the
cells > > > Insulin growth factor (IGF) then ramps up to process all the
insulin being secreted and that causes CELLULAR INFLAMMATION!
Today we know that peaks of insulin + secretion of IGF directly stimulate the
growth of cancer cells and their capacity to invade the neighboring
tissues……….
Buettner, D, 2015
30. And finally..Vit D
• We rarely consume enough Vit D – most natural sources include:
Sunlight – BOO HISS – wrinkles –melanoma – squamous cell ca . . And
more issues while in cancer treatment…
Note: great dietary sources of Vit D - fatty fish, fish oils
(remember that icky cod liver oil??), egg yolks, and cheese
(artisan cheese, please!)
Obesity: Vit D is extracted from the bloodstream by fat cells which alter its
release into the circulation. People with a BMI> 30 often have very low
levels of Vit D.
Dark skin – Melanin < skin’s ability to make Vit D
Age – older people can’t convert Vit D to its active form
ASK to be tested:
Most accurate test is the 25-hydroxy Vit D
Kogut, VJ, Luthringer, SL, 2005
Decker, GM, 1999
31. Vit D – More is More!
• MUST take Vit D”3” with Vit K – trust me!
• UNLESS you have a clotting problem and/or are on Coumadin
or another blood thinner – Ask your provider!!
– Vit K is synthesized in the GI tract and helps transport the Vit D to its
rightful place in the body
– Latest recommendation is 5000 iu/day..(with Vit K)
Kogut, VJ, Luthringer, SL, 2005
Decker,G, 1999.
33. ANYONE can produce and
SELL a dietary supplement….
Dietary supplements sold in this country do NOT
have to be FDA approved
There is considerable leeway in:
• manufacturing
• what ingredients are used
• what fillers are used
• how the product is labeled
• what claims are made about the product
Ades, t, Alteri, R, Gansler, T, Yeargin, P,, 2009
34. More of those “excipients”
• Excipients are “inert” substances added
to the raw materials to achieve a desired
consistency or form.
• Aka – fillers………………
How many bulking, binding, gluing, colorants,
disintergrants, coating agents are in that
pill/capsule??????
Fitzgerald,R. 2006.
35. Natural vs. Synthetic
• To Chemists natural and synthetic nutrients are
basically the same; their molecules contain
exactly the same elements
• However! The molecular structure of synthetic
nutrients does differ from natural ingredients –
the elements are arranged in a significantly
different manner.
Guess what?? The body can tell the
difference!
Case in point: Natural Vit E is 3X more absorbable
than it’s synthetic counterpart
Mindell, EL, Hopkins, VH, 2003
36. Factoids about Natural vs.
Synthetic…..
• Natural source nutrients may contain co-factors,
enzymes and myriad phytonutrients which
provide a synergistic effect
• One final concern is the ‘yeast base’ in
synthetic supplements – which may present
difficulties for people allergic to yeast or who
have Candida overgrowth
Mindell, EL, Hopkins, VH, 2003.
37. YES! You can judge a
book by its “cover”
Opaque/Dark colored containers avoid the
degradation of light and heat
The silica packet should remain in the bottle to
protect from moisture.
Packaging can influence potency
Vitamins/herbs gradually lose potency over time
so check the expiration date
Look for a “descriptive” label – Does the product
merely state “calcium..500mg” or does it state
“calcium citrate” or “calcium carbonate”??
An incomplete label is a RED FLAG! Never buy a
supplement that doesn’t clearly list the amount
of each ingredient on the label.
Fitzgerald, R, 2006
38. Select a product with a high level of absorption – fat soluble nutrients peak in
the blood stream at 4-6 hrs post ingestion and return to basal (level) 12 hrs
later while water solubles are rapidly degraded requiring ingestion at least 3X
daily.
• Chelation = the process whereby a mineral is bonded to an amino acid so
need to check out the form of the mineral. Products containing more
absorbable mineral chelates.
– Ex: Mg chelated to the amino acid Taurine will be a good choice for
someone with a history of heart disease whereas minerals chelated to
Kreb’s cycle intermediates are a good selection for someone with
fibromyalgia or chronic fatigue
• Staying power refers to the value of the “unabsorbed” nutrient.
– For example: Vit C and Calcium in the lumen of the large intestine offer
protection against cancer by enhancing the flora.
Pollan, M, 2006
Absorption ~ Chelation ~
Staying Power
41. For the Limbic* Lobe..
Aromatherapy – Use of plant essences
for therapeutic purposes
Smells become more pronounced during
chemo so combat this phenomena by
suggesting to patient to carry a sachet of
lavender and thyme – which have
soothing reputations.
A handkerchief scented with fresh
lemon/peppermint is also a handy remedy.
Decker, G, 1999.
42. More about Relaxation…
Meditation/Breathing exercise –
Works to calm the mind, slow the heart rate and increase
energy and positive sensory perception.
Easy form of meditation:
– The patient will turn off all distractions
– Find a comfortable position sitting or lying down
– Close eyes and bring awareness to the body
– Consciously instruct the body tor relax Jaw, Shoulder, Hips
Decker, G, 1999
43. And now - relax
Pay attention to breathing and slow your
breaths to 12-16/minute
Use the words “I breathe in” as you
breathe in; “I breathe out” as you breathe
out
Be aware of thoughts and return to your
breath over and over again.
Meditation is ideally practiced twice daily for
about
20 min each session.
Weil, A, 2007.
44. Breathing is essential
“In Sanskrit, pranayama is considered the
science of breath.
When we breathe more fully and deeply we
become more aware, more intuitive, calmer
and alert.
Breathing deeply massages the internal organs,
increasing circulation and bringing nutrients to
all parts of the body.”
Decker, G. 1999
45. Yoga Breathing
In Yoga, the 2 sides of the body are associated with different qualities:
Left side: introspection and darkness
Right side: heat, light, activity
Alternate nostril breathing can help balance the naturally occurring
imbalances and allow you to feel more whole:
Sooooo..sit up tall and begin:
Gently place the pads of your index fingers on your nose – right
finger on the right ~ left on the left nostril letting the heels of
your hands rest against each other
First-gently stroke your nose and sinus area decreasing facial
tension.
Leaving fingers in place exhale completely.
Mumber, M, Reed, H, 2012
46. • With your right finger pad press right nostril closed and inhale
only through the left slowly – for a count of 6
• Close the left with your left finger pad and lift the right finger
• Exhale through the right for a count of 6
• Repeat 2 more times and then reverse ~ inhaling through the
right nostril (count of 6) and exhaling through the left
• Do 3 rounds and observe your body and your thoughts
Cyndilee.com
51. The Power of Healing
Touch
Aka: Therapeutic
Touch
Derived from the ancient
“Laying-on of hands”- Based
on the premise that the
healing force of the
therapist affects and
connects with the patient’s
recovery; healing is
promoted when the body’
s energies are aligned and
then passing their hands
over the patient within the
electromagnetic field.
Decker, G, 1999.
56. Get a Plan
Support group Activites:
Laughter Yoga
Touch,Caring and Cancer program*
Sensuality programs
Couple-Specific Counseling session
Drum Circle Session
Labyrinth
Qi-Gong
Individual Counseling
Couples Therapy
Pelvic Floor rehab
Collinge, 2009
Katz, 2007
57. The Power of the Kind
Word…
Compliments are the helium that fills everyone’s balloon.
When you motivate others with words of kindness you
will receive a surge of creative energy as well.
Try dedicating at least one week to giving out 3 genuine
compliments a day and watch how this changes the level
of enthusiasm and love you feel toward others ….AND
yourself ♥
Mumber, M, Reed, H, 2012
60. The last Slide……………….
• No supplement, vitamin, herb or activity is the perfect
replacement for high quality nutrition and a truly positive
outlook but hopefully the considerations we’ve discussed
will help you select the highest quality supplements/
modalities – and choices in a better educated manner.
Namaste
61. No matter what your ribbon is we’re all in
this together
64. References for Presentation:
Slide 16:
Kogut, V. J., RD, LDN, & Luthringer, S. L., RD, LDN. (2005). Nutritional Issues in Cancer care (Vol. 1). P, PA: Oncology Nursing.
P.16
Luthringer, S. L., RD, LDN, & Kogut, V. J., MA, RD, LDN. (2011). Nutrition and cancer Practical Tips a Tasty Recipes for Suvivors.
Pittsburgh, PA: Oncology Nursing Society.
p.3.
Slide 18:
Calton, J., PhD, & Calton, M., CN. (2015). The Micronutrient Miracle (Vol. 1). New York, NY: Rodale.
p.135.
Kogut, V. J., RD, LDN, & Luthringer, S. L., RD, LDN. (2005). Nutritional Issues in Cancer care (Vol. 1). P, PA: Oncology Nursing.
P.135.
Slide 19:
Calton, J., PhD, & Calton, M., CN. (2015). The Micronutrient Miracle (Vol. 1). New York, NY: Rodale.
p20, 161.
Luthringer, S. L., RD, LDN, & Kogut, V. J., MA, RD, LDN. (2011). Nutrition and cancer Practical Tips a Tasty Recipes for Suvivors.
Pittsburgh, PA: Oncology Nursing Society. P.77.
Slide 20:
Campbell, T. C., PhD, & Campbell, T. M., II. (2004). The China Study (Vol. 1). Dallas, TX: BenBella Books.
p.30-31.
Slide 22:
Moss, M. (2013). Salt, sugar, fat: How the food giants hooked us (Vol. 1). New York, NY: Random House.
52-154.
Kogut, V. J., RD, LDN, & Luthringer, S. L., RD, LDN. (2005). Nutritional Issues in Cancer care (Vol. 1). P, PA: Oncology Nursing.
p.167.
Slide 23:
Buettner, D. (n.d.). The Blue Zones Solution ; eating and living like the world's healthiest people (Vol. 1). Washington, D.C.: National
Geographic Society. pp: 21, 37, 181
Slide 24:
Fitzgerald, R. (2006). The hundred year lie : How food and medicine are destroying your health (Vol. 1). New York, NY: PenguinGroup
(USA).
pp: 101-196.
Slide 25:
Buettner, D. (n.d.). The Blue Zones Solution ; eating and living like the world's healthiest people (Vol. 1). Washington, D.C.: National
Geographic Society. pp: 249-251
65. Slide 26:
Graham, G., N.T.P., Kestin, D., M.P.H, & Scherwtz, L., PhD. (2011). Pottenger's Prophecy How Food resets Genes for
welness or iess (Vol. 1). Amhearst, MA: White River pr.
pp: 45 – 47
Slide 27:
Buettner, D. (n.d.). The Blue Zones Solution ; eating and living like the world's healthiest people (Vol. 1). Washington, D.C.:
National Geographic Society. pp: 148-149.
Boik, J. (2001). Natural Compounds in Cancer Therapy (1st ed.). Princeton, MN: Quality Books.
p.21
Decker, G. M., M, RN, CS-ANP, AOCN. (1999). An Introduction to Complementary and Alternative Therapies (1st ed., Vol. 1).
Pittsburgh, PA: Oncology Nursing press.
p. 188.
Slide 28:
Buettner, D. (n.d.). The Blue Zones Solution ; eating and living like the world's healthiest people (Vol. 1). Washington, D.C.
: National Geographic Society. pp: 132-133
Slide 29
Buettner, D. (n.d.). The Blue Zones Solution ; eating and living like the world's healthiest people (Vol. 1). Washington, D.C.:
National Geographic Society. pp: 148-149.
Slide 30:
Kogut, V. J., RD, LDN, & Luthringer, S. L., RD, LDN. (2005). Nutritional Issues in Cancer care (Vol. 1). P, PA: Oncology Nursing.
pp.171-172.
Slide 31:
Kogut, V. J., RD, LDN, & Luthringer, S. L., RD, LDN. (2005). Nutritional Issues in Cancer care (Vol. 1). P, PA: Oncology Nursing.
pp.171-172.
Slide 33:
Ades, T., MS, FNP-BC, AOCN, Alteri, R., MD, Gansler, T., MD, Yeargin, P., MN, MPH, RN, Russell, J., & Rovere, A. (Eds.).
(2009). American cancer Society Complete Guide to Complementary and Alternative Cancer Therapies (1st ed., Vol. 1).
Atlanta, GA: American Society.
PP: 25, 45
66. Slide 33:
Ades, T., MS, FNP-BC, AOCN, Alteri, R., MD, Gansler, T., MD, Yeargin, P., MN, MPH, RN, Russell, J., & Rovere, A. (Eds.). (2009).
American cancer Society Complete Guide to Complementary and Alternative Cancer Therapies (1st ed., Vol. 1). Atlanta, GA: American
Society.
PP: 25, 45
Slide 34:
Fitzgerald, R. (2006). The hundred year lie : How food and medicine are destroying your health (Vol. 1). New York, NY: PenguinGroup
(USA).
pp: 106.
Slide 35:
Mindell, E. L., R.Ph, PhD, & Hopkins, V., M.A. (2003). Prescription Alternatives ; hundreds of safe, natural, prescription-free remedies to
restore and maintain your health (3rd ed.). New York, NY: McGraw-Hill.
p. 31, 243
Slide 36:
Mindell, E. L., R.Ph, PhD, & Hopkins, V., M.A. (2003). Prescription Alternatives ; hundreds of safe, natural, prescription-free remedies to
restore and maintain your health (3rd ed.). New York, NY: McGraw-Hill.
p. 167.
Slide 37:
Fitzgerald, R. (2006). The hundred year lie : How fod and medicine are distroying your health (Vol. 1). New York, NY: PenguinGroup
(USA).
pp: 26-27.
Slide 38:
Pollan, M. (2006.). The Omnivore's Dilemma A Natural History of Four Meals (Vol. 1). New York, NY: The penguin Group.
pp. 39, 40, 42-3.
Slide 43:
Weil, A., M.D. (2007). Healthy Aging A lifelong guide to your well-being. New York, NY: Anchor Books (Div of Random House,).
p.257-8.
Slide 44:
Weil, A., M.D. (2007). Healthy Aging A lifelong guide to your well-being. New York, NY: Anchor Books (Div of Random House,).
p. 11.
67. Slide 48:
Goodman, S. (1990). The Book of Shiatsu The Healing Art of Finger Pressure (Vol. 1). Garden City Park, NY:
Avery Publishing Group.
PP: 22-23.
Turner, K. A., Phd. (2014). Radical Remission Surviving Cancer Against All Odds (Vol. 1). New York, NY: Harper
Collins.
pp: 62-63, 67, 93-94.
Slide 51:
Decker, G. M., M, RN, CS-ANP, AOCN. (1999). An Introduction to Complementary and Alternative Therapies (1st
ed., Vol. 1). Pittsburgh, PA: Oncology Nursing press.
p. 188.
Slide 52:
Decker, G. M., M, RN, CS-ANP, AOCN. (1999). An Introduction to Complementary and Alternative Therapies (1st
ed., Vol. 1). Pittsburgh, PA: Oncology Nursing press.
p. 139.
Slide 56:
Katz, A. (2007). Breaking the silence on cancer and sexuality; a handbook for healthcare providers. (1 ed., Vol. 1, pp.
159-161, 161 - 166). Pittsburgh: Oncology Nursing Society.
Slide 57:
Mumber, M., MD., & Reed, H. (2012). Sustainable Wellness An Integrative Approach to transform Your Mind,
Body, and Spirit (Vol. 1). Pompton Plains, NJ: The Career Press.
PP: 198-199.
Clip Art:
All clip art: Courtesy of Photobucket.com
Boy in Fog: Courtesy of cool-animal-children-photography by Elena Shumilova
68. Books worth reading:
The Power of Touch - Phyllis R. Davis, PhD – Hay House
Touching – The Human Significance of the Skin 3rd ed - Ashley Montagu – (Harper & Row)
Women Cancer Sex - Anne Katz, RN, PhD ( Hygeia Media)
This Should Not Be Happening – Young Adults with Cancer -Anne Katz, PhD – (Hygeia
Media)
Breaking the Silence on Cancer and Sexuality -Anne Katz, RN, PhD ( Hygeia Media)
Women’s Mental Health -Joan C. Urbanicic/Carla J. Groh ( Lippincott Williams & Williams)
Contemporary Issues in Women’s Cancers - Suzanne Lockwood ( Jones and Bartlett)
After You Ring the Bell - Anne Katz ( Hygeia Media)
Difficult Conversation (Cure Media Group)
Whole Care for the Cancer Patient (Institute of Medicine)
The Complete Guide to Complementary Therapies in Cancer Care – Barrie R. Cassileth
(World Scientific)
Cancer – Step Outside the Box 5th ed – Ty Bolinger (Infinity 510 Partners)
The Full Catastrophe – David Carkeet (Washington Square PRESS)
Caring for Patients from Different Cultures 4th ed – Geri-Ann Galanti (Penn)
The Review of Natural Products – 6th ed – (Wolters Kluwer)
The Sexual Herbal – Brigitte Mars
Editor's Notes
We’re not a “local” hospital – especially for cancer patients.
We are truly a Cancer Institute and offer services that no other hospital can – GYN/ONC – Melanoma – Lung services
We see a shining city. Someone from a small town like Hahira sees the bottom picture
Both sides of the brain have exploded
So there’s no logic and no sensuality
Careful with the platelets
Careful with neutropenia
