16. CANCER SUPPORT Flashcards

1
Q

What is cancer?

A

The uncontrolled division of abnormal cells that grow beyond their usual boundaries.

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2
Q

What are the most common types of cancer?

A
  • Breast
  • Lung
  • Prostate
  • Colorectal
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3
Q

What is apoptosis?

A

Programmed cell death.

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4
Q

What is angiogenesis?

A

Formation of new blood vessels.

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5
Q

What are some traits of cancer cells?

A
  • Evasion of apoptosis
  • Insensitivity to anti-growth signals
  • Limitless replicative potential
  • Sustained angiogenesis
  • Ability to metastasise
  • Avoidance of immune destruction
  • Inflammatory tumour promoters
  • Genome instability and mutation
  • Reprogrammed energy metabolism (Warburg effect)
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6
Q

What does the stage of cancer refer to?

A

How far it has progressed and the level of invasiveness.

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7
Q

What is Stage 0 cancer?

A

Carcinoma ‘in situ’ — no spread to nearby tissues.

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8
Q

What is Stage IV cancer?

A

Spread to other organs or throughout the body.

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9
Q

What are key gene mutations associated with cancer?

A
  • Oncogenes
  • Tumour suppressor genes (e.g., BRCA1, BRCA2)
  • DNA repair genes
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10
Q

What percentage of cancers are linked with inherited mutations?

A

5–10%

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11
Q

What are some environmental factors that can increase cancer risk?

A
  • Exposure to carcinogens
  • Exposure to x-rays/other radiation
  • Infections
  • Poor diet/nutritional inadequacies
  • Overweight/obesity
  • Chronic inflammation
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12
Q

What is the Warburg effect?

A

Aerobic glycolysis in cancer cells where glucose is fermented to lactate even in the presence of oxygen.

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13
Q

What role does chronic inflammation play in cancer?

A

Supports proliferation, survival, migration of cancer cells, and angiogenesis.

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14
Q

What is NF-κB and its role in cancer?

A

A crucial link between inflammation and cancer, promoting every step of tumour progression.

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15
Q

What is the recommended omega-6:3 fatty acid intake ratio?

A

1:1 to 2:1

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16
Q

What is the effect of high omega-6 fatty acids on cancer?

A

Increases cancer risk and progression.

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17
Q

How does Vitamin D influence cancer risk?

A

Regulates cell cycle, induces apoptosis, promotes cell differentiation, and acts as an anti-inflammatory factor.

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18
Q

What is the carcinogenic classification of aspartame?

A

Group 2B carcinogen, particularly associated with liver cancer.

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19
Q

What food preparation methods increase cancer risk?

A
  • High temperatures (grilling/frying)
  • Formation of heterocyclic amines
  • Formation of polycyclic aromatic hydrocarbons (PAHs)
  • N-nitroso compounds from processed meats
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20
Q

What is acrylamide and its potential effects?

A

A chemical that can form in starchy foods during high-temperature cooking, potentially carcinogenic and neurotoxic.

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21
Q

What is the relationship between alcohol consumption and cancer?

A

Linked with cancers such as breast, pancreas, liver, and colon due to the formation of acetaldehyde.

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22
Q

What are the cancer risks associated with smoking?

A

Contains over 60 carcinogens and impairs detoxification, leading to increased DNA damage.

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23
Q

What is dysbiosis?

A

Alterations to gut microbiota linked to increased cancer risk through inflammation-mediated mechanisms.

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24
Q

How does stress influence cancer risk?

A

Promotes DNA damage, weakens immune surveillance, and increases risk of cancer invasion.

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25
Q

What is the effect of disrupted sleep on cancer?

A

Circadian rhythm disruption can affect cancer initiation and progression.

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26
Q

What is the impact of disrupted sleep on cancer?

A

Circadian rhythm affects cancer initiation and progression

Melatonin increases at night and acts as a powerful antioxidant, enhancing immune actions.

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27
Q

What is the Nocebo Effect in cancer?

A

Negative expectations can harm patients, leading to side effects and influencing perceptions of incurability

A misdiagnosis can lead to unnecessary patient distress and even death.

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28
Q

What are common cautions regarding cancer treatment claims?

A

Illegal to treat cancer without medical doctor approval; no exaggerated claims about cures

Support can be given through diet and lifestyle without interfering with conventional treatments.

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29
Q

What dietary practices can help prevent cancer?

A

Eliminate cancer promoters like refined carbohydrates and processed meats; focus on nutrient-dense foods

Mediterranean-style diets are linked to reduced cancer risk.

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30
Q

What are the benefits of polyphenols in cancer?

A

Improve antioxidant status and reduce DNA oxidative damage; have anti-tumour effects

Polyphenols support apoptosis, inhibit angiogenesis, and support p53 gene function.

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31
Q

List some key anti-cancer polyphenols.

A
  • Curcumin
  • EGCG
  • Resveratrol
  • Anthocyanins
  • Gallic acid
  • Lycopene
  • Quercetin
  • Carnosol
  • Apigenin

These compounds are found in various fruits, vegetables, and herbs.

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32
Q

What fats should be avoided to reduce cancer risk?

A

Refined vegetable oils and trans fats; moderate saturated fat intake

Focus on omega-3 fatty acids for their anti-inflammatory properties.

33
Q

How can food preparation methods influence cancer risk?

A

Avoid high heat and dry cooking methods; use steaming and lower heat cooking

Marinating red meat can reduce harmful compound formation.

34
Q

What role does stress play in cancer?

A

Stress can decrease treatment effectiveness and is a significant stressor upon diagnosis

Mindfulness exercises can alleviate anxiety and improve immune response.

35
Q

What is the macronutrient ratio of the Ketogenic diet?

A

75% fat, 20% protein, 5% carbohydrate

This diet can starve tumors of glucose and inhibit growth signaling.

36
Q

What are Fasting Mimicking Diets (FMDs)?

A

Low-calorie diets that mimic fasting effects, helping cancer patients thrive

FMDs can sensitize cancer cells to conventional treatments.

37
Q

What is cancer cachexia?

A

Affects up to 85% of cancer patients; characterized by weight loss and muscle wasting

It is linked to high expression of inflammatory cytokines.

38
Q

What are the functions of Vitamin D in cancer management?

A

Has anti-inflammatory effects, promotes cell differentiation, and inhibits cancer cell proliferation

Optimal levels are crucial for immune function.

39
Q

How does intravenous Vitamin C benefit cancer patients?

A

Enhances immune function and has pro-oxidant effects against cancer cells

High concentrations achieved through IV infusion can lead to cell death.

40
Q

What are the roles of Shiitake and Turkey Tail mushrooms in cancer treatment?

A

Immunomodulatory and anti-proliferative effects; reduce chemotherapy side effects

Lentinan from Shiitake is a licensed anticancer drug in Japan.

41
Q

What is the purpose of oxygen therapy in cancer treatment?

A

Controls tumor proliferation and increases sensitivity to treatments

Includes methods like hyperbaric oxygen and ozone therapy.

42
Q

What is the effect of oxygen therapy on tumor cells?

A

Controls or reduces tumor cell proliferation and increases sensitivity to conventional treatment.

43
Q

What is Hyperbaric oxygen therapy (HBOT)?

A

A pressurized hyperbaric oxygen chamber where the patient breathes pure O2.

44
Q

What is ozone therapy?

A

Uses ozone (O3) to increase the amount of oxygen in the body.

45
Q

What is Kaqun water?

A

Oxygenated water used for bathing or consumption.

46
Q

How does increased oxygen saturation benefit health?

A

Positively influences immune function, enhances NK cells, decreases tumor cell growth, promotes apoptosis.

47
Q

What role does folate play in tumor growth?

A

Can protect against and promote tumor growth through its regulating effects on the cell cycle.

48
Q

What are the risks associated with long-term folate deficiency?

A

Leads to DNA replication stress and double-strand DNA breaks, increasing tumor development risk.

49
Q

What caution should be taken with folate supplementation in cancer clients?

A

Determining and maintaining correct levels is crucial; if in doubt, prefer food sources.

50
Q

What common issue is associated with iron levels in cancer patients?

A

Depletion and anemia are common, but excess iron can drive tumor growth.

51
Q

What is the role of glutamine in cancer cell metabolism?

A

It is a source of carbon and nitrogen for the proliferation of cancer cells.

52
Q

What should be considered regarding glutamine supplementation?

A

Caution is advised; limiting glutamine in the diet is not recommended since the body can synthesize it.

53
Q

What is the breast cancer risk associated with BRCA1 and BRCA2 genes?

A

Inherited mutations in these genes account for 4-6% of cases in females and 11-12% in males.

54
Q

What percentage of breast cancer cases are considered preventable?

A

23% of cases in females.

55
Q

What factors contribute to breast cancer risk linked to hormonal exposure?

A

Increased levels of circulating estrogen, progesterone, or testosterone.

56
Q

What are the effects of estrogen dominance in breast cancer?

A

Induces overexpression of ERα and ERβ receptors.

57
Q

What dietary components can support healthy estrogen metabolism?

A

Cruciferous vegetables, glutathione, turmeric, resveratrol, berries, rooibos tea, and celery.

58
Q

What is the significance of 2-OH-E1 in estrogen metabolism?

A

It is a weaker-acting estrogen with anti-proliferative and anti-carcinogenic effects.

59
Q

What is the relationship between calcium intake and colorectal cancer risk?

A

Higher dietary calcium intake is associated with reduced risk.

60
Q

What role does quercetin play in cancer treatment?

A

Reduces inflammation, acts as an antioxidant, and may improve response to treatment.

61
Q

What is the effect of dietary fiber on colorectal cancer risk?

A

Low fiber intake increases risk; fiber helps dilute fecal carcinogens and reduces transit time.

62
Q

What are the potential benefits of naturopathic treatments in cancer care?

A

Reduced side effects, protection against damage to healthy tissues, and increased 5-year survival rates.

63
Q

What is a key consideration during chemotherapy regarding supplementation?

A

Caution must be applied; some supplements can improve response while others may decrease effectiveness.

64
Q

What are the advantages of standard cancer treatments?

A

Increased 5-year survival rates

Standard cancer treatments have shown significant improvements in survival rates.

65
Q

What are the disadvantages of standard cancer treatments?

A

Highly toxic and destructive; difficult return to full structural and functional normality

Many patients experience long-term side effects from these treatments.

66
Q

What is the general recommendation regarding supplements during chemotherapy?

A

Stop supplements 2 days prior to, and 2–3 days post chemotherapy administration

This includes both nutrient and plant compounds.

67
Q

How can diet change during chemotherapy?

A

Appetite and food preferences can shift greatly

This varies depending on type and stage of treatment.

68
Q

What types of foods should be avoided during chemotherapy?

A

Highly processed foods and foods that can harbor bacteria

Foods like delicatessen items and undercooked eggs or fish are risky.

69
Q

What dietary strategy can help with chemotherapy-induced nausea?

A

Consuming complex carbohydrates with protein and eating 2x hourly

This helps address negative effects on blood glucose and energy.

70
Q

What is Pgp in the context of chemotherapy?

A

A membrane transporter that can efflux drugs out of cancer cells, reducing chemotherapy efficiency

Pgp can diminish the effectiveness of cancer treatments.

71
Q

Which herb has shown to alleviate chemotherapy-induced nausea?

A

Ginger (Zingiber officinale)

Ginger promotes gastric emptying and has chemo-sensitizing effects.

72
Q

What acupressure point can help relieve nausea?

A

Pericardium 6 (P6)

Located on the forearm, stimulating this point can alleviate nausea.

73
Q

Which probiotics may alleviate chemotherapy-induced diarrhea?

A

Lactobacillus, Bifidobacterium, and Saccharomyces species

These probiotics modulate immune function and regulate intestinal microbiota.

74
Q

What role does physical activity play during chemotherapy?

A

It positively influences immune, metabolic, and neuroendocrine function

Exercise is associated with reduced treatment side effects.

75
Q

What is the importance of Vitamin D3 during radiotherapy?

A

Good vitamin D levels are essential to reduce side effects and the risk of osteoporosis

Oral supplementation may be considered during treatment.

76
Q

Which herb protects against radiotherapy-induced mucositis?

A

Deglycyrrhizinated liquorice

It stimulates healing of damaged mucosa and increases blood supply.

77
Q

What are key dietary considerations for stem cell therapy?

A

Increase protein intake and focus on polyphenol-rich foods

Avoid red or processed meat and be aware of potential food allergies.

78
Q

What should be avoided in terms of food preparation after a stem cell transplant?

A

Avoid eating food prepared more than 24 hours prior

This helps reduce the risk of infection, a common side effect.

79
Q

What should a practitioner remember when supporting a cancer patient?

A

Work within your scope of practice and support with health-promoting diet and lifestyle factors

It’s essential to stay informed about medical treatment and check interactions.