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AN INTEGRATIVE APPROACH TO CANCER: A DISCUSSION OF THE DEFINITIVE GUIDE TO CANCER Laura A. James, ND, FABNO

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Page 1: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

AN INTEGRATIVE APPROACH TO

CANCER: A DISCUSSION OF

THE DEFINITIVE GUIDE TO CANCER

Laura A. James, ND, FABNO

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The Definitive Guide to Cancer: An Integrative Approach to Prevention, Treatment, and Healing

Authors' Vision: An integrative approach to cancer prevention and treatment can positively transform cancer care.

Authors' Mission: By educating people with cancer, their loved ones, and their healthcare providers about integrative cancer prevention and treatment, we will reduce the suffering caused by this illness.

By Lise Alschuler, ND, and Karolyn Gazella

LAURA JAMES, ND, FABNO

Page 3: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Agenda

Introduction

What is Integrative Medicine?

Understanding Cancer

Preventing Cancer

Early Detection and Diagnosis

Conventional Treatment Overview

Integrative Approach to Cancer Treatment

LAURA JAMES, ND, FABNO

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LAURA JAMES, ND, FABNO

What is Integrated Medicine

for Cancer?

Science-based holistic approach treats body, mind, spirit

Use of body’s innate healing power

Use of natural substances to promote healing

Herbs, nutrition, supplements, physical therapies, natural drugs, counseling, homeopathy and biofeedback

Pharmaceutical drugs if needed

Complementary to and supportive of conventional treatment for cancer

Page 5: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

What is Integrated Medicine

for Cancer?

Symptom management during treatment

Nutritional and metabolic support

Restoration of health post active treatment

Provide the tools for proactive survivorship

Focus on prevention

LAURA JAMES, ND, FABNO

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Integrated Medicine Use by Oncology Patients

LAURA JAMES, ND, FABNO

Up to 83% of cancer patients use CAM nationally (1) Women more likely to use than men

Breast cancer patients more likely to use CAM therapies

70 .2% of cancer patients use CAM in western Washington (2)

Nutritional, massage, herbs, spiritual, relaxation, imagery, exercise, lifestyle, diet

(1) Richardson MA, Sanders T, Palmer JL, Greisinger A, et al. Complementary/alternative medicine use in a comprehensive cancer center and the

implications for oncology. Journal of Clinical Oncology 2000;18(13):2501-2504

(2) Patterson RE,Neuhouser ML et al. Types of Alternative Medicine Used by Patients with Breast. Colon, or Prostate Cancer: Predictors, Motives, and Costs. Journal of Alternative and Complementary Medicine 2002:8 (4):477-485.

Page 7: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: What is it?

Uncontrolled growth of abnormal cells

Virulent perpetuation

If left unchecked, can overwhelm the body’s

resources completely and lose ability to sustain life

Rapidly growing cancer cells mutate for survival

Carcinoma, Sarcoma, Myeloma, Leukemia,

Lymphoma

LAURA JAMES, ND, FABNO

Page 8: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: What is it?

NORMAL HYPERPLASIA MILD DYSPLASIA CARCINOMA IN SITU CANCER

LAURA JAMES, ND, FABNO

Page 9: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: What is it?

LAURA JAMES, ND, FABNO

http://www.youtube.com/watc

h?v=LEpTTolebqo

Page 10: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: Causes

Genetics and family history

Environmental and occupational influences

Obesity and dietary factors

Lifestyle factors

Confluence of factors working together over a long

period of time!

LAURA JAMES, ND, FABNO

Page 11: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: Prevention

Healthy diet

Moderate regular exercise

Quit smoking

Detoxification pathways and lymphatic support

Stress management

Quality sleep

Immune support

LAURA JAMES, ND, FABNO

Page 12: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Understanding Cancer: Early Detection

& Diagnosis

Signs and symptoms

Screening tests: sensitivity and specificity

Advanced imaging techniques for diagnosis

Bloodwork, tissue sampling

LAURA JAMES, ND, FABNO

Page 13: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Conventional Treatment Overview

Surgery

Chemotherapy

Radiation

Hormone inhibition

LAURA JAMES, ND, FABNO

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Integrative Treatment Overview

Diet and nutrition

Lifestyle factors

Supportive care during conventional treatment

Supportive care for key body functions

Immune system

Inflammation

Hormone balance

Insulin resistance

Digestion, detoxification, elimination

LAURA JAMES, ND, FABNO

Page 15: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Integrated Medicine Overview

During active treatment: emphasize QOL, decrease

side effects and disease symptoms, support recovery

Post active treatment: restore health, manage late

effects of treatment, prevent recurrence, reduce risk,

emphasize QOL

Utilize integrated medicine specialists, counselors,

nutritionists, physical therapists, fitness trainers, and

continue routine screenings and labs

Turn surviving into THRIVING

LAURA JAMES, ND, FABNO

Page 16: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Optimum Nutrition and Metabolism

Balanced, whole foods diet

Cancer-fighting foods

Mediterranean/low glycemic index foods

Greens drinks

Green tea

Limit alcohol

Improve digestion and elimination

Identify food sensitivities

Balance hormones, neurotransmitters, blood sugar

LAURA JAMES, ND, FABNO

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Exercise

Daily movement

Calming, restorative movement like yoga, Tai Chi

Cardiovascular benefits

Manage excess weight/abdominal fat

Helps to regulate hormones and neurotransmitters

Helps with quality sleep

Combats chronic health issues

Feels great!

LAURA JAMES, ND, FABNO

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Sleep

Lifestyle: good sleep hygiene, exercise, healthy diet, limit stimulants, stress management!

Eight hours nightly

Herbs: valerian, hops, passion flower, kava, skullcap, chamomile, lavender, lemon balm, oats

Supplements: calcium, magnesium, inositol

NT/Hormones: melatonin, 5HTP, GABA

LAURA JAMES, ND, FABNO

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Stress Management

Stress alters body’s

biochemical balance and

can alter prognosis

Stress hormones increase

systemic inflammation and

influence insulin balance,

which are cancer

promoters

Good practices can help

whatever phase you’re in!

LAURA JAMES, ND, FABNO

Page 20: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

LAURA JAMES, ND, FABNO

Benefits of Stress Management

Immune function

Mood & emotive capacity

Pain

Side effects of chemo

Anticipatory n/v

Anxiety

Faster recovery post op

Normalize cortisol rhythms

Better sleep

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Integrated Medicine: System Focus

Immune system: medicinal mushrooms, green tea,

antioxidants, vitamin D, vitamin E

Inflammation: curcumin, boswellia, bromelain, fish oil

Hormone balance: DIM, black cohosh, hesperidin

methyl chalcone, gamma oryzanol

Insulin resistance: chromium, momordica charantia

Digestion/Detoxification/Elimination: milk thistle,

alpha lipoic acid, taraxacum, digestive enzymes

LAURA JAMES, ND, FABNO

Page 22: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Integrated Medicine: Supportive Care

Manage side effects: n/v, PN, fatigue, hot flashes,

cachexia, post-op swelling, mucositis, chemo brain,

constipation, diarrhea

Cancer-fighting natural compounds

Curcumin

Green Tea

Resveratrol

Protect healthy tissue

LAURA JAMES, ND, FABNO

Page 23: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Curcumin

Curcuma longa; spice from ginger family used in

Eastern cuisines

Curcuminoids

LAURA JAMES, ND, FABNO

Page 24: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Curcumin

LAURA JAMES, ND, FABNO

Page 25: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Curcumin

Anti-tumor, anti-inflammatory, proapoptotic, inhibits

tumor cell proliferation, anti-angiogenic

Inhibits NFkB, EGFR activation, TK activity of

HER2/neu receptor, chemokines (IL-8)

Regulates NFkB gene products COX-2, cyclin D1,

adhesion molecules, MMPs, inducible nitric oxide

synthetase, Bcl-2, Bcl-XL, and TNF.

Radiosensitization of cancer cells and radioprotection

of normal cells

LAURA JAMES, ND, FABNO

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Summary

What is Integrative Medicine?

Understanding Cancer

Preventing Cancer

Early Detection and Diagnosis

Conventional Treatment Overview

Integrative Approach to Cancer Treatment

LAURA JAMES, ND, FABNO

Page 27: An Integrative Approach to Cancer: A Discussion of The Definitive Guide to Cancer · 2014-10-15 · Integrated Medicine Use by Oncology Patients LAURA JAMES, ND, FABNO Up to 83% of

Q & A Laura A. James, ND, FABNO

Bellingham Natural Family Medicine

www.bnfm.com

Red Cedar Wellness Center

www.redcedarwellness.com