Showing posts with label diet. Show all posts
Showing posts with label diet. Show all posts

Wednesday, 23 December 2020

Intranasal perillyl alcohol + low carbohydrate diet

 Adjuvant effect of low-carbohydrate diet on outcomes of patients with recurrent glioblastoma under intranasal perillyl alcohol therapy

"Results:

In the 1-year follow-up, the POH/LCD group showed a 4.4-fold decrease in the proportion of patients who needed treatment with corticosteroids, as well as a reduction in tumor size and peritumoral edema, as compared to the POH group. While 75% of patients undergoing POH treatment experienced seizures, this fraction was reduced to 56% in the POH/LCD group. A 2.07-fold increase in the proportion of patients with stable disease, along with a 2.8-fold decrease in the proportion of patients with TP, was seen in the POH/LCD group."


POH = intranasal perillyl alcohol

LCD = low carbohydrate diet

TP = tumor progression.


View full study here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710475/


Saturday, 4 July 2020

Reirradiation + ketogenic diet + intermittent fasting, randomized trial

ERGO2: A prospective randomized trial of calorie restricted ketogenic diet and fasting in addition to re-irradiation for malignant glioma
https://sci-hub.tw/https://www.redjournal.org/article/S0360-3016(20)31308-0/pdf    (full PDF from sci-hub)

https://www.redjournal.org/article/S0360-3016(20)31308-0/pdf   (link to journal abstract, full PDF requires a payment)

Half the patients were randomized to re-irradiation plus standard diet (SD), the other half were randomized to re-irradiation plus ketogenic diet plus intermittent fasting (KD-IF).


  • PFS6 was not significantly different between the two groups (KD-IF: 20%, SD: 16%). 
  • Similarly, no difference in PFS, local PFS6 and OS was observable.
  • Explorative analysis revealed that patients of the KD-IF group who had a glucose of less than the median (83.5 mg/dl) on day 6 had a significantly longer PFS and OS compared to those above the median





Monday, 24 December 2018

A New Diet to Fight GBM

Hello to everyone. We are fighting this disease (grade IV GBM) more than a year and trying to find methods to beat it. I would like to give you some information about the method i found and i hope we will discuss it in a proper way. Before we start, sorry for my bad English.


So, i was wondering what diet is the most effective for fighting GBM. Scientific researches are talking about benefits of a ketogenic diet (KD) - low proteins, low carbs & a lot of fat. First of all i will try to discuss why ketogenic diet has its benefits in curing GBM, and then i should mention its limitations and then i’ll tell you about the alternative diet that i’ve found.


Why KD is showing good results in curing GBM?


  1. Ketones instead of glucose.
    Its proven that our body in ketosis produces ketones out of fat and the brain use ketones instead of glucose. But the tumor can’t eat ketones, so it loses habitual food.
Also, besides simple carbohydrates, KD excludes ALL carbs - including complex carbohydrates. Simple carbs are known evil, that can feed a tumor very quickly. It lowers the blood sugar level - its known that the lower it is, the more is better for curing GBM.


2.  Less protein
The best type of KD for curing GBM is 4:1 - 80% of fat, 15% of proteins and 5% of carbs. There are a lot of researches, proving that lowering protein in the diet can stop the growth of tumors. See China Study: https://www.researchgate.net/publication/324023234_Protein_restriction_and_cancer


3. Less lactate
The level of lactate, glucose breakdown product, in blood is lowering on the ketogenic diet.  I’ve found some researches showing that “Rise in serum lactate can be used as a non-invasive biomarker that correlates with brain tumour grade.”: https://www.ncbi.nlm.nih.gov/pubmed/25172017


These are basic effects of KD, that can influence the growth of GBM. But basically, this diet only increases life expectancy. What if there is some alternative diet, that should have similar effects and should be even more effective?

Many studies have suggested a link between the consumption of cured foods and the development of many diseases - a team of researchers at the National Brain Tumor Foundation has added one more to the list of diseases linked to cured foods: Glioma :


“Avoiding cured foods is one of the primary ways we can use to reduce our risk of developing Glioma. So, if you are ever tempted to consume a seemingly delicious and sumptuous plate of cured meat, fish, or even cured vegetables, you should take a moment to consider that you might be increasing your chances of developing Glioma.”


The reasons of it can be explained in such ways:


  1. Nitrites
    Curing is a method of preserving of foods, such as meat, fish, and even vegetables. It involves the addition of salt, sugar, nitrate, and nitrite to raw foods for the purpose of preservation, coloring, and flavoring. In addition, many curing processes also make use of spicing, cooking, and smoking to preserve food items. The nitrite used in the curing process helps to inhibit the growth of clostridium botulinium, a species of gram negative bacteria that cause food poisoning. However, the high nitrite content of cured foods also contribute to the development and growth of cancerous cells in healthy human tissues and organs, including the brain and spinal cord.


  1. Carcinogens
    During the cooking process, the nitrites found in cured foods combines with amines present in meat and fish to form N-nitroso compound, a potent human carcinogen. N-nitroso compounds react with the DNA of healthy glial cells and induce the mutation of these cells into cancerous cells and tumors.
  1. Denaturated proteins
    Most proteins are denatured by heat treatment, and the process is usually irreversible. Denaturation does not break the peptide bonds of the constituent amino acids, but it does disrupt the normal alpha-helix and beta sheets in large proteins, causing them to uncoil and restructure in random shapes.
  2. Less nutrients
During thermal treatment food loses most amount of vitamins and minerals. The following nutrients are often almost fully reduced during cooking:
  • Water-soluble vitamins: Vitamin C and the B vitamins — thiamin (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), folic acid (B7) and cobalamin (B8).
  • Fat-soluble vitamins: Vitamins A, D, E and K.
  • Minerals: Primarily potassium, magnesium, sodium and calcium.
  1. Enzymes
    Processing and cooking destroy enzymes in food. In fact, any sustained heat of approximately 118-129 degrees F (48-54 C) destroys virtually all enzymes. This means that, for most of us, the food entering our stomachs is devoid of enzymes. Why is this important? Because enzyme rich foods actually "predigest" in your stomach through the action of their own enzymes in a process called autolytic digestion. Before stomach acid enters the process, you can actually break down as much as 75% of your meal. Without that "autolytic" digestion, you force the body to compensate by over producing stomach acid and digestive enzymes in the pancreas in an attempt to break down the "dead" food.


The bottom line is that eating a diet of cooked and processed food puts incredible stress on the body - particularly on the pancreas since it has to produce massive quantities of digestive enzymes since they did not come with the food itself. The less digestion that takes place before food reaches the small intestine, the greater the stress placed on the endocrine system. If your diet consists of predominantly cooked and processed foods, then supplemental digestive enzymes are the "sine qua non" of minimal good health.


For example, chewing a raw broccoli, with the help of the plant enzyme myrosinase, glucoraphanin is converted into sulforaphane. And during cooking this enzyme is destroying, reducing level of sulforaphane by 80%. https://pubs.acs.org/doi/abs/10.1021/jf062630b?prevSearch=myrosinase+AND+broccoli&searchHistoryKey=


As i mentioned here, there are 5 reasons not to eat cured, cooked food with GBM.
Is there a diet that avoids the consequences of eating processed foods? There is a diet, offerring the list of products with nutrients in their most digestible and natural form.


Let’s take a look at Raw Diet. Or Fruit diet, or Strict-vegan diet, or Plant-based diet (RD). It’s a diet that I find the only suitable and the most natural for a mankind. There are a lot of variations of this diet - I saw many opinions about what you can eat and what not, but the basis is the same:


  • Fruits
  • Vegetables
  • Nuts
  • Seeds
  • Berries
  • Bee products
  • Raw meat and fish (very rarely)


So, what if we compare KD and RD?


  1. Low blood sugar in Raw diet
Raw diet is using to cure diabet:
Too much fat slows everything down in the body including digestion and assimilation of the food you eat. Too much fat will hold sugar in your blood causing your blood sugar to rise. Also Raw diet excludes simple carbs - sugar, flour and so on. Fruit is a whole food - it has not been altered in any way. It contains all of its fiber. Because of this, when fruit with its fiber intact is consumed blood sugar rises at a moderate rate. It is not a problem for our body.
So it is a delusion to think that eating many fruit will cause high blood sugar - plant-based diet reduce blood sugar level.
You don’t need to be concerned about the glycemic index of a particular natural food if it is otherwise nutrient and fiber rich and is part of a healthful diet.
The present of fiber is more important than the glycemic index of a raw, whole, ripe, fresh food.
A low glycemic rating relates to slower digestion and absorption of a food carbohydrates.



2.  Less protein
Plant-based diet and KD have common great idea - limiting any source of protein. I haven’t heard if somebody asked people at ketogenic diet where do they get protein, like it seems to be a problem at vegan diet (only seems to).
In fact, even at using a RD you will get your protein, even animal protein!


In 2016 Nobel Prize in Physiology or Medicine got Yoshinori Ohsumi for discovering and elucidating mechanisms underlying autophagy, a fundamental process for degrading and recycling cellular components. In short, when the protein does not arrive with food, the body take it from dead cells and cells can “eat” themselves to be reborn in a new way.


“The word autophagy originates from the Greek words auto-, meaning “self”, and phagein, meaning “to eat”. Thus,autophagy denotes “self eating”. This concept emerged during the 1960’s, when researchers first observed that the cell could destroy its own contents by enclosing it in membranes, forming sack-like vesicles that were transported to a recycling compartment, called the lysosome, for degradation. Difficulties in studying the phenomenon meant that little was known until, in a series of brilliant experiments in the early 1990’s, Yoshinori Ohsumi used baker’s yeast to identify genes essential for autophagy. He then went on to elucidate the underlying mechanisms for autophagy in yeast and showed that similar sophisticated machinery is used in our cells.


Ohsumi’s discoveries led to a new paradigm in our understanding of how the cell recycles its content. His discoveries opened the path to understanding the fundamental importance of autophagy in many physiological processes, such as in the adaptation to starvation or response to infection. Mutations in autophagy genes can cause disease, and the autophagic process is involved in several conditions including cancer and neurological disease.


Thanks to Ohsumi and others following in his footsteps, we now know that autophagy controls important physiological functions where cellular components need to be degraded and recycled. Autophagy can rapidly provide fuel for energy and building blocks for renewal of cellular components, and is therefore essential for the cellular response to starvation and other types of stress. After infection, autophagy can eliminate invading intracellular bacteria and viruses. Autophagy contributes to embryo development and cell differentiation. Cells also use autophagy to eliminate damaged proteins and organelles, a quality control mechanism that is critical for counteracting the negative consequences of aging.
Disrupted autophagy has been linked to Parkinson’s disease, type 2 diabetes and other disorders that appear in the elderly. Mutations in autophagy genes can cause genetic disease. Disturbances in the autophagic machinery have also been linked to cancer.”


Autophagy is a process, wholly dependent on enzymes in the body - if they are not coming with food (cured food doesn’t contain enzymes) the body use enzymes to digest such food, not for autophagy. The fruits and germinated seeds are best sources of enzymes and body doesn’t spend its own enzymes to digest such food - but use them to recycle the body’s cells.


So, as you can see, KD has a great idea to lower the level of protein, but it doesn’t fill the body with nutrients, that are making possible to get the protein inside the body using autophagy.


Besides, autophagy is the main reason of healthy effect of starvation - its proven that starvation is useful in curing GBM:


3.  Less lactate
It is known, that as soon as lactic acid appears in blood, almost all of it (90%) become a fuel for brain, even faster than glucose (it means that tumor also use it as fuel - lactic acid increases the acidity of the microenvironment of the tumor and causing its growth). During vegan diet and RD all lactic acid is recycling by the liver and is NOT using by brain - it’s going to the muscles.


I need to mention that at the beginning of RD the level of lactic acid in blood will increase, because the body will get rid of lactic acid deposits through blood, but then its level will be very low.
So, as you can see, KD and RD is providing almost same effects - but RD is doing it much more effective. And still there are more of it benefits:


What else are the proven benefits of such diet for GBM?
  1. Chlorophyll
A impact study of Chlorophyll on GBM in plant-based diet. From this research: “Vegetable and dietary therapies are previously applied in advanced phases of cancer (Donaldson, 2004). Green vegetable juice is composed of fibers, vitamins, enzymes, and other nutritional elements. Chlorophylls are not only the green pigment of plant cells, but also a crucial requirement for the energy processes of life.
Chlorophyll and its derivatives are very effective in binding with polycyclic aromatic hydrocarbons, heterocyclic amines, aflatoxin, and other hydrophobic molecules. These chlorophyll-carcinogen complexes are much harder to absorb by the body (Donaldson, 2004). Therefore, when green vegetables are consumed, it can be questionable whether the chlorophyll components can affect the cancer cells, which are remote from the gastrointestinal tract. However, in sera of volunteers, who had been taking the supplement, the presence of chlorophyllin, a chlorophyll derivatives has also been detected (Egner et al., 2000), indicating that chlorophyll can function in places other than the digestive tract (Egner et al., 2000). This in-vitro culture model bears the possibility of screening the effect of chlorophyll on the cancerous cells that are remote from the gastrointestinal system.
In conclusion, chlorophylls inhibited the growth of cultured U87 glioblastoma cells with alteration in PTEN phosphorylation, implying their role as a cytostatic agent.”
http://www.nchpjournals.com/manuscript/uploads/article_515.pdf


2.  Good bacteries
Fermented foods are some of the healthiest things about eating a raw food diet. Fermented foods are raw and naturally develop probiotics during the period when they undergo fermentation, which happens when oxygen converts some of their nutrients. Probiotics supplied by fermented foods, which are “good bacteria” that reside in your gut, are responsible for nutrient absorption and supporting your immune system. They help you to repopulate your gut with beneficial microbiota after you’ve begun the process of clearing away built-up toxins and waste. Probiotic foods encourage a healthy microbiome, are great for your digestive system, improve immunity, help clear up your skin, and are even beneficial for maintaining hormonal balance and a healthy weight and to prevent digestive disorders, skin issues, candida, autoimmune disease and frequent infections.

3.  Fiber
A large body of literature suggests that eating a variety of foods containing high fiber has a protective effect against many kinds of cancer:
https://www.sciencedirect.com/science/article/pii/S0889858818304520

Real stories about curing brain cancer with Raw diet.


  1. “Within 1 year after I made the change to a plant-based diet I received the news that my tumor was shrinking. However slow, it lost its ability to thrive and that’s due to the nourishment my body was receiving from all of the plant foods I’ve been eating and taking away the tumor’s primary growth factor, animal protein! I must also mention how many other things in my life began to change: my ability to focus improved, my mood stabilized, my skin cleared, and I had much more energy. I felt so much better in all areas of my life.”
    https://nutritionstudies.org/in-control-of-cancer/
  2. “The raw food diet helped Megan Sherow overcome her terminal brain cancer, and she is completely cancer-free and healthy now.”
    http://sites.bu.edu/ombs/2013/10/24/overcoming-brain-cancer-with-the-raw-food-diet/
  3. “It started growing again a few months later. I got a lot of signs to start eating a whole food, plant based diet. It's basically raw vegetables & fruit, nuts/seeds, and absolutely no animal products (meat/eggs/dairy). The MRI in 09/2011 showed no growth and it has been stable since I started this diet.”


4.  “A year of strict whole foods, plant-based diet -  Matt’s most recent MRI scan showed a reduction in the size of his tumor.“ https://my.clevelandclinic.org/patient-stories/141-baseball-coach-battles-brain-tumor-with-lifestyle-change

More useful links:





Tuesday, 5 June 2018

Sulforaphane - an easy and potentially very useful dietary / supplement adjuvant treatment

 Hi everyone,

I thought I'd post a little comment on Sulforaphane today, as I've been spending some time recently studying it, and I'm growing quite convinced that it's a very beneficial compound which continues to be largely underutilized considering the strengthening evidence (for cancer in general) and ease of use.

Sulforaphane is a phytochemical compound which can be sourced especially well from Broccoli (but also from other cruciferous vegetables like cabbage, brussel sprouts, kale etc.) which seems to have a wide range of direct and indirect anti-cancer effects. I'm not going to recap everything here, but the following general video is quite exhaustive for anyone interested in the details:

https://www.youtube.com/watch?v=zz4YVJ4aRfg

One additional effect items not covered in the video is on the immune system, where in-vitro evidence seems to suggest that Sulforaphane may also have very significant immunomodulatory effects (e.g. lowers MDSC population, lowers PD-L1, increases mature dendritic cells...) which could have possible implications for immunotherapy. See study:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5493295/


Beyond the likely clinical effectiveness, an important merit of Sulforaphane is its general ease of use and strong bio-availability. Clinical evidence suggests that it is easily absorbed, and is thought to cross the BBB (at least in small quantities, based on animal studies). Sulforaphane can be easily used effectively in a variety of ways, as long as the phytochemical interactions are respected.

To produce Sulforaphane, basically an element in the plant called Glucosinolates needs to mix with an enzyme called Myrosinase (this usually happens when chewing, chopping, etc), which is however rather heat sensitive and therefore easily destroyed in a high temperature cooking process. As a consequence, the vegetables are best consumed raw or lightly heated / steamed. Myrosinase is also usually destroyed in the blanching process when mature Broccoli is frozen. So as you can see, it's possible to consume a lot of Broccoli (e.g. frozen, cooked...) without getting much Sulforaphane benefit at all...

Optimizing Sulforaphane production can get quite complicated, but the below gives some idea how to get a fairly good amount:

Broccoli seeds & sprouts
These have up to 100x the Glucosinolates content of mature Broccoli plants, so represent a much more efficient source of Sulforaphane. Seeds actually have the highest concentration (more than 4mg per gram of seeds), and can be crushed and consumed directly. However, most people sprout the seeds 3-5 days, which is very easily and cheaply done at home using a sprouting jar. Ca. 100g sprouts will yield 40mg+ of Sulforaphane. Studies indicate that freezing the sprouts before using them will enhance Sulforaphane content by an average of 1.8x. If you want to go all the way to max the output, heating the the sprouts at 70C for 10 minutes will provide a further significant boost to usable Sulforaphane.

Mature broccoli
As mentioned before, it's important not to cook the Broccoli as the Myrosinase will get destroyed and no Sulforaphane will be produced. Broccoli should be lightly steamed max. 3-4 minutes. Also, frozen broccoli should be avoided as the blanching process eliminates the Myrosinase. If you have frozen Broccoli or plan to cook the Broccoli, then an alternative method to maintain Sulforaphane output is to mix the Broccoli with some Daikon Radish or mustard seed powder after cooking - both of these also carry Myrosinase, which can be used to make up for the enzyme lost in the cooking process.

Supplements
An increasing number coming to market. Important here is that the supplement provides either finished Sulforaphane OR Glucosinalate + Myrosinase. Glucosinalates without the Myrosinase will not be converted into Sulforaphane, as explained above. Studies have shown a strong synergy combining supplements with actual sprouts, leading to 2x+ serum levels of Sulforaphane.
For some reason, I'm finding much stronger Sulforaphane supplements (e.g.40-50mg) in Germany than internationally, not sure why. Examples:

https://www.amazon.de/Sulforaphan-Hochdosierte-Brokkoli-Extrakt-Kapseln-Magnesiumstearat/dp/B07663XZL2/ref=sr_1_5?ie=UTF8&qid=1528199244&sr=8-5&keywords=sulforaphane

https://www.amazon.de/Nutri-Store-Sulforaphan-vegetarisch-120/dp/B0047BU8GE/ref=sr_1_6?ie=UTF8&qid=1528199244&sr=8-6&keywords=sulforaphane

https://hk.iherb.com/pr/Jarrow-Formulas-BroccoMax-Myrosinase-Activated-60-Veggie-Caps/4297

https://hk.iherb.com/pr/Source-Naturals-Broccoli-Sprouts-Extract-60-Tablets/2456


A note on dosage: optimal dosage is not known, but many studies (showing effect) have used ca. 40mg-90mg of Sulforaphane daily. However, I think there is fairly little toxicity risk of going too high, so in my case I'm taking around 100mg+ bid (sprouts + supplements), without any problems so far.


I hope this is helpful maybe to some of you. Good luck everyone!

John