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

Sunday, November 7, 2010

Diet and Lifestyle Habits: Decrease Colorectal Cancer Risk





Welcome to Weekly Health Update






"A critical weekly review of important new research findings for health-conscious readers..."






By, Robert A. Wascher, MD, FACS




Dr. Wascher



Updated: 10/28/2010


The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.



DIET AND LIFESTYLE HABITS THAT DECREASE COLORECTAL CANCER RISK

In the United States, approximately 106,000 people will be newly diagnosed with colorectal cancer in 2010, and nearly 50,000 people will die of this disease. Colorectal cancer remains the third most common cancer (excluding skin cancer) in both men and women, and the third most common cause of cancer death in men and women. Unlike many other types of cancer, an effective method of screening for colorectal cancer is available, in the form of colonoscopy. Fortunately, the incidence of this cancer has been gradually declining over the past 20 years, due in great part to the early detection, and removal, of precancerous polyps from the colon and rectum at the time of colonoscopy.


The links between specific lifestyle choices and the risk of developing certain types of cancer forms much of the basis of my new book, “A Cancer Prevention Guide for the Human Race.” The risk of developing colorectal cancer, in particular, has been strongly linked to multiple dietary and other lifestyle factors. Now, a newly published public health research study from Denmark puts a number on the effectiveness of commonly recommended cancer prevention lifestyle strategies in preventing colorectal cancer.


In this study, which appears in the current issue of the British Medical Journal, 55,487 men and women between the ages of 50 and 64 were prospectively followed for an average of 10 years. Each of these Diet, Cancer and Health Cohort Study volunteers completed validated surveys regarding their social status, health status, reproductive history, and daily lifestyle habits. They also completed a food frequency questionnaire that included, among its 193 items, foods known to be associated with colorectal cancer risk (including alcohol). All study participants also underwent physical examinations that included measurements of their height, weight, and waist circumference. During the course of this large prospective public health study, 678 participants were newly diagnosed with colorectal cancer.


All study volunteers were assessed in terms of 5 modifiable lifestyle and dietary factors that have repeatedly been linked to a reduction in colorectal cancer risk: Increased levels of regular physical activity, avoidance of obesity, abstention from tobacco use, minimal intake of alcohol, and the observance of healthy diet habits (including increased fiber intake, decreased dietary fat content, decreased red meat and processed meat consumption, and increased fresh fruit and vegetable intake). Based upon only these 5 simple colorectal cancer risk factors, the adoption of any one of these 5 colorectal cancer prevention factors was associated with a 13 percent decrease in the risk of developing colorectal cancer. Among participants who generally observed all 5 lifestyle and dietary prevention factors, the risk of developing colorectal cancer was reduced by 23 percent. (Of note, while this observed reduction in the risk of colorectal cancer was noted for both colon cancer and rectal cancer, this finding was only statistically significant for cancer of the colon, specifically.)


The results of this large prospectively conducted public health study reaffirm the findings of previous studies, in that the risk of colorectal cancer can be significantly reduced by: Engaging in regular moderate exercise, maintaining a healthy body weight, avoiding tobacco use, minimizing alcohol consumption, and by reducing the intake of red meat and processed meats and fat, while simultaneously increasing the consumption of fresh fruits, fresh vegetables, and whole grain foods. For a more detailed evidence-based guide to colorectal cancer prevention, order or download your copy of “A Cancer Prevention Guide for the Human Race” now.



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For a groundbreaking overview of cancer risks, and evidence-based strategies to reduce your risk of developing colorectal cancer, and other types of cancer, order your copy of my new book, “A Cancer Prevention Guide for the Human Race,” from Amazon, Barnes & Noble, Books-A-Million, Vroman’s Bookstore, and other fine bookstores!




I and the staff of Weekly Health Update would again like to take this opportunity to thank the more than 100,000 health-conscious people, from around the world, who visit our premier global health information website every month. (As of 9/16/2010, more than 1,000,000 health-conscious people have logged onto Weekly Health Update so far this year!) As always, we enjoy receiving your stimulating feedback and questions, and I will continue to try and personally answer as many of your inquiries as I possibly can.



Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity



Dr. Wascher is an oncologic surgeon, professor of surgery, cancer researcher, oncology consultant, and a widely published author



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Send your feedback to Dr. Wascher at:

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Copyright 2007 - 2010

Robert A. Wascher, MD, FACS

All rights reserved





Dr. Wascher's Archives:

10-28-2010: Diet and Lifestyle Habits that Decrease Colorectal Cancer Risk


10-21-2010: The Silent Epidemic of Surgeon Burnout and Depression


10-14-2010: Gum Disease (Gingivitis) and Breast Cancer Risk


10-7-2010: Hormone Replacement Therapy (HRT) and Breast Cancer Risk


10-3-2010: Mammograms Between 40 and 49 Years of Age


9-26-2010: Vitamin D, Cardiovascular Disease, Cancer, and Death


9-19-2010: Fruits and Vegetables Improve Memory


9-12-2010: Low-Carb Diet and Risk of Death


9-5-2010: Non-Compliance with Hormonal Therapy for Breast Cancer and Risk of Death


8-29-2010: New Treatment for Irritable Bowel Syndrome (IBS)


8-22-2010: Lactoferrin Reduces Abdominal (Visceral) Obesity


8-15-2010: Blueberries, Obesity, Diabetes and Metabolic Syndrome


8-8-2010: High LDL Cholesterol in Young Adults and Heart Disease Risk in Middle Age


8-1-2010: Physician Error


7-25-2010: Obesity and Cancer Risk


7-18-2010: Vitamin D Reduces Risk of Cognitive Decline & Dementia


7-11-2010: All Forms of Hormone Replacement Therapy (HRT) Increase Breast Cancer Risk


7-4-2010: Irritable Bowel Syndrome: Cause Discovered?


6-27-2010: Soy, Curcumin & Prostate Cancer Risk


6-20-2010: Green Tea Epicatechin Reduces Heart Damage & CHF


6-13-2010: Diacylglycerol (Diglyceride) Oil Reduces Obesity


6-6-2010: Important New Advance in the Breast Cancer Treatment: Intraoperative Radiation Therapy


5-30-2010: Medical Research Studies & “Spin”


5-23-2010: Soy & Curcumin Reduce Prostate-Specific Antigen (PSA)


5-16-2010: Coffee & the Risk of Death from Heart Disease & Cancer


5-9-2010: Soy Foods & Stomach Cancer Risk


5-2-2010: Chemotherapy for Breast Cancer & Memory Loss


4-25-2010: Smoking, Teenagers & Tobacco Company Advertising


4-18-2010: Coffee Improves HDL Cholesterol Levels


4-11-2010: Cruciferous Vegetables, Soy & Breast Cancer Risk


4-4-2010: Avodart (Dutasteride) & Prostate Cancer Prevention


3-28-2010: Aspirin & Breast Cancer Survival


3-21-2010: Obesity, Alcohol & Liver Disease


3-14-2010: Nuts, Diet & Obesity


3-7-2010: Walnuts, Cholesterol, LDL & Triglycerides


2-28-2010: Soy Isoflavones & Recurrent Prostate Cancer


2-21-2010: Testosterone Supplements in Frail Elderly Men


2-14-2010: Pancreatic Cancer Risk, Sodas & Juice


2-7-2010: Vitamin D, Cardiovascular Disease & Death


1-31-2010: Concord Grape Juice Improves Memory


1-24-2010: Mozart, Music, Babies & Health


1-17-2010: Breast Cancer, Physical Therapy & Lymphedema


1-10-2010: Prevention of Surgical Site Infections (SSIs) after Surgery


1-3-2010: Ginkgo Biloba, Memory & Cognitive Health


12-20-2009: CT Scans & Cancer Risk


12-13-2009: Soy Isoflavones Decrease Breast Cancer Recurrence Risk


12-6-2009: Salt (Sodium) Intake, Stroke & Cardiovascular Disease


11-29-2009: Exercise & Prostate Cancer Risk


11-22-2009: Genistein (Soy Isoflavone) & Prostate Cancer


11-15-2009: Breast Cancer Treatment & Chronic Pain


1-8-2009: Vitamin D & Breast Cancer Risk


11-1-2009: Exercise & Prostate Cancer Risk


10-25-2009: HPV Virus & Risk of Breast Cancer


10-18-2009: Post-Cholecystectomy Syndrome (Symptoms after Gallbladder Surgery)


10-11-2009: Vitamin D & Falls in the Elderly


10-4-2009: Surgery, NSQIP, Complications & Death


9-27-2009 Stress, Heart Disease, Exercise & Death


9-20-2009: Vitamin D & Colorectal Cancer Survival


9-13-2009: H1N1 Swine Flu Update


9-7-2009: Green Tea, Aging & Lifespan


8-30-2009: Irritable Bowel Syndrome (IBS), Diet & Fiber


8-23-2009: Update on Prostate Cancer and Cryotherapy


8-16-2009: Exercise Improves Lymphedema Symptoms in Breast Cancer Survivors


8-9-2009: Breast Cancer Recurrence, Death & Vitamin D


8-2-2009: Honesty, Dishonesty & Brain Function


7-26-2009: Coronary Artery CT Scans & Cancer Risk


7-19-2009: Hormone Replacement Therapy (HRT) & Ovarian Cancer


7-12-2009: Breast Cancer & Metformin (Glucophage)


7-5-2009: Prostate Cancer & Green Tea


6-28-2009: Air Pollution & the Risk of Deep Venous Thrombosis (DVT)


6-21-2009: Red Yeast Rice, Statins & Cholesterol


6-14-2009: Bone Marrow Stem Cell Transplant & Congestive Heart Failure (CHF)


6-7-2009: Diet, Soy & Breast Cancer Risk


5-31-2009: Diet and Prostate Cancer Risk


5-24-2009: Diabetes, Glucose Control & Death


5-17-2009: Drug Company Marketing & Physician Prescribing Bias


5-10-2009: Hemorrhoids & Surgery


5-3-2009: Statin Drugs & Blood Clots (Thromboembolism)


4-26-2009: Are We Really Losing the War on Cancer?


4-19-2009: Exercise in Middle Age & Risk of Death


4-12-2009: Can Chronic Stress Harm Your Heart?


4-5-2009: Does PSA Testing for Prostate Cancer Save Lives?


3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease


3-15-2009: Depression, Stress, Anger & Heart Disease


3-8-2009: Coronary Artery Disease: CABG vs. Stents?; Swimming Lessons & Drowning Risk in Children


3-1-2009: Aspirin & Colorectal Cancer Prevention; Fish Oil & Respiratory Infections in Children


2-22-2009: Health Differences Between Americans & Europeans; Lycopene & Prostate Cancer


2-15-2009: Statin Drugs & Death Rates; Physical Activity, Breast Cancer & Sex Hormones


2-8-2009: Hormone Replacement Therapy (HRT) & Breast Cancer; Stool DNA Testing & Cancer of the Colon & Rectum


2-1-2009: Obesity and the Complications of Diverticulosis (Diverticulitis & Bleeding); Obesity, Weight Loss & Urinary Incontinence


1-25-2009: Prostate Cancer, Fatigue & Exercise; Does your Surgeon “Warm-up” Before Surgery?


1-18-2009: Cancer and Vitamins; Teenagers, MySpace and Risky Behaviors


1-11-2009: Exercise Reverses Some Effects of Fatty Meals; Vitamin C and Blood Pressure


1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood


12-28-2008: Stress & Your Risk of Heart Attack; Vitamin D & the Prevention of Colon & Rectal Polyps


12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection


12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome


12-7-2008: Generic vs. Brand-Name Drugs, Stress & Breast Cancer Survival


11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk


11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk


11-16-2008: Vitamin E & Vitamin C: No Impact on Cardiovascular Disease Risk; Does Lack of Sleep Increase Stroke & Heart Attack Risk in Hypertensive Patients?


11-9-2008: Statins Cut Heart Attack Risk Even with Normal Cholesterol Levels; Statins & PSA Level


11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk


10-26-2008: Smoking & Quality of Life


10-19-2008: Agent Orange & Prostate Cancer


10-12-2008: Pomegranate Juice & Prostate Cancer


10-5-2008: Central Obesity & Dementia; Diet, Vitamin D, Calcium, & Colon Cancer


9-28-2008: Publication & Citation Bias in Favor of Industry-Funded Research?


9-21-2008: Does Tylenol® (Acetaminophen) Cause Asthma?


9-14-208: Arthroscopic Knee Surgery- No Better than Placebo?; A Healthy Lifestyle Prevents Stroke


8-23-2008: Alcohol Abuse Before & After Military Deployment; Running & Age; Running & Your Testicles


8-12-2008: Green Tea & Diabetes; Breastfeeding & Adult Cholesterol Levels; Fish Oil & Senile Macular Degeneration


8-3-2008: Exercise & Weight Loss; Green Tea, Folic Acid & Breast Cancer Risk; Foreign Language Interpreters & ICU Patients


7-26-2008: Viagra & Sexual Function in Women; Patient-Reported Adverse Hospital Events; Curcumin & Pancreatic Cancer


7-13-2008: Erectile Dysfunction & Frequency of Sex; Muscle Strength & Mortality in Men; Cryoablation for Prostate Cancer


7-6-2008: Sleep, Melatonin & Breast Cancer Risk; Mediterranean Diet & Cancer Risk; New Treatment for Varicose Veins


6-29-2008: Bone Marrow Stem Cells & Liver Failure; Vitamin D & Colorectal Cancer Survival; Green Tea & Colorectal Cancer


6-22-2008: Obesity, Lifestyle & Heart Disease; Effects of Lifestyle & Nutrition on Prostate Cancer; Ginkgo Biloba, Ulcerative Colitis & Colorectal Cancer


6-15-2008: Preventable Deaths after Coronary Artery Bypass Graft (CABG) Surgery; Green Tea & Colorectal Cancer; Attention-Deficit/Hyperactivity Disorder (ADHD) & St. John’s Wort


6-8-2008: Vitamin D & Prostate Cancer Risk; Radiofrequency Ablation (RFA) of Kidney (Renal) Cancer; Antisense Telomerase & Cancer


6-2-2008: Acute Coronary Syndrome- Do You Know the Symptoms?; Green Tea & Lung Cancer; Episiotomy & Subsequent Deliveries- An Unkind Cut


5-25-2008: Early Childhood Screening Predicts Later Behavioral Problems; Psychiatric Disorders Among Parents of Autistic Children; Social & Psychiatric Profiles of Young Adults Born Prematurely


5-18-2008: Can Statins Reverse Coronary Artery Disease?; Does Breast Ultrasound Improve Breast Cancer Detection?; Preventive Care Services at Veterans Administration (VA) Medical Centers


5-11-2008: Smoking Cessation & Risk of Death; Childhood Traumas & Adult Suicide Risk; “White Coat Hypertension” & Risk of Cardiovascular Disease


5-4-2008: Super-Size Me: Fast Food’s Effects on Your Liver; Exercise, Weight & Coronary Artery Disease; Contamination of Surgical Instruments in the Operating Room


4-27-2008: Stents vs. Bypass Surgery for Coronary Artery Disease; The “DASH” Hypertension Diet & Cardiovascular Disease Prevention; Testosterone Therapy for Women with Decreased Sexual Desire & Function


4-20-2008: BRCA Breast Cancer Mutations & MRI Scans; Bladder Cancer Prevention with Broccoli?; Diabetes: Risk of Death Due to Heart Attack & Stroke


4-13-2008: Breast Cancer Recurrence & Hormone Replacement Therapy (HRT); Carotid Artery Disease: Surgery vs. Stents?; Statin Drugs & Cancer Prevention


4-6-2008: Human Papilloma Virus (HPV), Pap Smear Results & Cervical Cancer; Human Papilloma Virus (HPV) Infection & Oral Cancer; Hormone Replacement Therapy (HRT) & the Risk of Gastroesophageal Reflux Disorder (GERD)


3-30-2008: Abdominal Obesity & the Risk of Death in Women; Folic Acid Pretreatment & Heart Attacks; Pancreatic Cancer Regression after Injections of Bacteria


3-23-2008: Age of Transfused Blood & Risk of Complications after Surgery; Obesity, Blood Pressure & Heart Size in Children


3-16-2008: Benefits of a Full Drug Coverage Plan for Medicare Patients?; Parent-Teen Conversations about Sex; Soy (Genistein) & Prostate Cancer


3-9-2008: Flat Colorectal Adenomas & Cancer; Health Risks after Stopping Hormone Replacement Therapy (HRT); Television, Children & Obesity


3-2-2008: Medication & Risk of Death After Heart Attack; Hormone Replacement Therapy (HRT) & Mammogram Results; Selenium: Cancer, Heart Disease & Death


2-23-2008: Universal Healthcare Insurance Study; Glucosamine & Arthritis


2-17-2008: Exceptional Longevity in Men; Testosterone & Risk of Prostate Cancer; Smoking & Pre-malignant Colorectal Polyps


2-10-2008: Thrombus Aspiration from Coronary Arteries; Intensive Management of Diabetes & Death; Possible Cure for Down's Syndrome?


2-3-2008: Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


1-27-2008: Colorectal Cancer, Esophageal Cancer & Pancreatic Cancer: Update from the 2008 American Society of Clinical Oncology's Gastrointestinal Cancers Symposium


1-20-2008: Testosterone Levels & Risk of Fractures in Elderly Men; Air Pollution & DNA Damage in Sperm; Statins & Trauma Survival in the Elderly


1-12-2008: Statins, Diabetes & Stroke and Obesity; GERD & Esophageal Cancer


1-7-2008: Testosterone Supplements in Elderly Men; Colorectal Cancer-- Reasons for Poor Compliance with Screening Recommendations


12-31-2007: Minority Women, Hormone Replacement Therapy & Breast Cancer; Does Health Insurance Improve Health?


12-23-2007: Is Coffee Safe After a Heart Attack?; Impact of Divorce on the Environment; Hypertension & the Risk of Dementia; Emotional Vitality & the Risk of Heart Disease


12-16-2007: Honey vs. Dextromethorphan vs. No Treatment for Kids with Night-Time Cough, Acupuncture & Hot Flashes in Women with Breast Cancer, Physical Activity & the Risk of Death, Mediterranean Diet & Mortality


12-11-2007: Bias in Medical Research; Carbon Nanotubes & Radiofrequency: A New Weapon Against Cancer?; Childhood Obesity & Risk of Adult Heart Disease


12-2-2007: Obesity & Risk of Cancer; Testosterone Level & Risk of Death; Drug Company Funding of Research & Results; Smoking & the Risk of Colon & Rectal Cancer




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Sunday, August 30, 2009

Irritable Bowel Syndrome (IBS), Diet & Fiber

Health Report:


Irritable Bowel Syndrome (IBS), Diet & Fiber






"A critical weekly review of important new research findings for health-conscious readers..."


By, Robert A. Wascher, MD, FACS




Photo of Dr. Wascher



Updated: 08/30/2009







The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.






IRRITABLE BOWEL SYNDROME (IBS), DIET & FIBER

An estimated 10 to 20 percent of the population suffers from a complex of gastrointestinal symptoms that are collectively referred to as irritable bowel syndrome (IBS). Irritable bowel syndrome affects women three times more commonly than men, and has historically been considered a “wastebasket” diagnosis for patients with functional gastrointestinal (GI) complaints when no other specific diagnosis can be found.

While the precise mechanisms underlying IBS are not well understood at this time, various theories have been proposed. These include abnormal responses to infections of the GI tract, abnormal hormonal and neurologic function of the intestines, hypersensitivity to certain types of foods, abnormal motility of the colon, a “hyper-awareness” of bodily functions, and certain psychiatric conditions, in addition to other hypotheses. (It is almost certain, however, that there is more than one cause for IBS.)

There are a variety of symptoms that have been associated with IBS, and the incidence, severity and frequency of each of these symptoms varies considerably from one IBS patient to another. Typically, however, IBS-associated symptoms include bloating, crampy abdominal pain, diarrhea alternating with periods of constipation, and the passage of clear or white mucus from the rectum. In many cases, IBS symptoms are more pronounced after eating, and patients with IBS often experience a powerful urge to move their bowels after meals. IBS symptoms are also more frequent and more severe during times of stress. In women with IBS, these distressing symptoms may become more intense around the time of patients’ menstrual periods. Other symptoms that have been commonly observed in patients with IBS include frequent heartburn, nausea and vomiting.


Because the true causes of IBS are poorly understood, there have been a wide range of treatments recommended for this syndrome. For example, exercise and other stress-reducing activities may be helpful for some IBS sufferers. Giving up tobacco, and reducing or eliminating alcohol consumption may also help to reduce IBS symptoms, while promoting improved overall health at the same time. Keeping a food diary can also help to identify foods that tend to provoke or worsen IBS symptoms in many patients. Finally, dietary fiber supplementation has been almost universally advocated by most IBS experts. Unfortunately, these and other recommended treatments for IBS are often ineffective in reducing the troubling GI symptoms of irritable bowel syndrome for many patients. Moreover, there have been only a handful of small, prospective, randomized clinical research studies, to date, looking at dietary interventions for IBS. Now, a newly published prospective, randomized, placebo-controlled fiber supplement study offers some helpful new clinical data regarding the treatment of IBS, and this data offers some hope for IBS sufferers.


This new clinical study, just published in the British Medical Journal, enrolled 275 adult patients with IBS. Patients were then randomized to one of three different groups within this study. A control group was given rice flour, which is a starch and contains no significant fiber. A second group of patients were given supplements of indigestible (insoluble) fiber in the form of bran. The third group received digestible (soluble) supplementation with psyllium powder (Metamucil). The type of supplement received by each patient wasn’t revealed until the end of the study.

Following 12 weeks of fiber (or placebo) treatment, the participants in this study were reassessed for the severity of their symptoms. Among the three treatment groups in this IBS fiber supplementation study, only supplementation with psyllium significantly improved IBS-related symptoms. When compared to the placebo group, IBS patients who had been randomized to receive psyllium were 22 percent more likely to report improved IBS symptoms. In comparison, there was no statistically significant improvement in IBS symptoms with bran fiber supplementation when compared to placebo, and, in fact, many IBS patients in this group actually dropped out of this clinical study because their IBS symptoms worsened while taking bran fiber supplements.

It should be noted there were two significant limitations of this study. First of all, nearly 40 percent of the patients who volunteered for this trial dropped out prematurely. However, this is a rather common phenomenon in clinical studies where the treatments are unpleasant, or when the response to such treatments is not immediate or dramatic. A second limitation is that, despite the researchers’ efforts to “blind” the patients as to which supplement they were actually receiving, three-fourths of the patients were still able to accurately guess the supplement that they had been randomized to receive. This finding, of course, introduces the possibility of bias in the perceptions and responses of these patients at the conclusion of the study. Moreover, to complicate matters further, and as prior studies have also shown, 35 percent of the control group of patients also reported an improvement in their IBS symptoms with a placebo supplement.

While there are significant limitations inherent in this study, it still represents one of only a very few existing prospective, randomized, placebo-controlled clinical research studies of fiber supplementation as a treatment for IBS. Based upon the findings of this study, despite its limitations, dietary supplementation with soluble (digestible) fiber appears to be a prudent and potentially helpful intervention for patients suffering from IBS-related symptoms; while insoluble (indigestible) fiber supplements, like bran, may actually worsen the symptoms of IBS.






Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity





Dr. Wascher is an oncologic surgeon, a professor of surgery, a widely published author, and a Surgical Oncologist at the Kaiser Permanente healthcare system in Orange County, California




'


(Anticipated Publication Date: March 2010)




Link to TV36 Interview with Dr. Wascher


(Click above image for TV36 interview of Dr. Wascher)






Send your feedback to Dr. Wascher at:

rwascher@doctorwascher.net





Dr. Wascher's Biography






Links to Other Health & Wellness Sites






http://doctorwascher.com/





Copyright 2007 - 2009

Robert A. Wascher, MD, FACS

All rights reserved




Dr. Wascher's Archives:


8-23-2009: Update on Prostate Cancer and Cryotherapy


8-16-2009: Exercise Improves Lymphedema Symptoms in Breast Cancer Survivors


8-9-2009: Breast Cancer Recurrence, Death & Vitamin D


8-2-2009: Honesty, Dishonesty & Brain Function


7-26-2009: Coronary Artery CT Scans & Cancer Risk


7-19-2009: Hormone Replacement Therapy (HRT) & Ovarian Cancer


7-12-2009: Breast Cancer & Metformin (Glucophage)


7-5-2009: Prostate Cancer & Green Tea


6-28-2009: Air Pollution & the Risk of Deep Venous Thrombosis (DVT)


6-21-2009: Red Yeast Rice, Statins & Cholesterol


6-14-2009: Bone Marrow Stem Cell Transplant & Congestive Heart Failure (CHF)


6-7-2009: Diet, Soy & Breast Cancer Risk


5-31-2009: Diet and Prostate Cancer Risk


5-24-2009: Diabetes, Glucose Control & Death


5-17-2009: Drug Company Marketing & Physician Prescribing Bias


5-10-2009: Hemorrhoids & Surgery


5-3-2009: Statin Drugs & Blood Clots (Thromboembolism)


4-26-2009: Are We Really Losing the War on Cancer?


4-19-2009: Exercise in Middle Age & Risk of Death


4-12-2009: Can Chronic Stress Harm Your Heart?


4-5-2009: Does PSA Testing for Prostate Cancer Save Lives?


3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease


3-15-2009: Depression, Stress, Anger & Heart Disease


3-8-2009: Coronary Artery Disease: CABG vs. Stents?; Swimming Lessons & Drowning Risk in Children


3-1-2009: Aspirin & Colorectal Cancer Prevention; Fish Oil & Respiratory Infections in Children


2-22-2009: Health Differences Between Americans & Europeans; Lycopene & Prostate Cancer


2-15-2009: Statin Drugs & Death Rates; Physical Activity, Breast Cancer & Sex Hormones


2-8-2009: Hormone Replacement Therapy (HRT) & Breast Cancer; Stool DNA Testing & Cancer of the Colon & Rectum


2-1-2009: Obesity and the Complications of Diverticulosis (Diverticulitis & Bleeding); Obesity, Weight Loss & Urinary Incontinence


1-25-2009: Prostate Cancer, Fatigue & Exercise; Does your Surgeon “Warm-up” Before Surgery?


1-18-2009: Cancer and Vitamins; Teenagers, MySpace and Risky Behaviors


1-11-2009: Exercise Reverses Some Effects of Fatty Meals; Vitamin C and Blood Pressure


1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood


12-28-2008: Stress & Your Risk of Heart Attack; Vitamin D & the Prevention of Colon & Rectal Polyps


12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection


12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome


12-7-2008: Generic vs. Brand-Name Drugs, Stress & Breast Cancer Survival


11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk


11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk


11-16-2008: Vitamin E & Vitamin C: No Impact on Cardiovascular Disease Risk; Does Lack of Sleep Increase Stroke & Heart Attack Risk in Hypertensive Patients?


11-9-2008: Statins Cut Heart Attack Risk Even with Normal Cholesterol Levels; Statins & PSA Level


11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk


10-26-2008: Smoking & Quality of Life


10-19-2008: Agent Orange & Prostate Cancer


10-12-2008: Pomegranate Juice & Prostate Cancer


10-5-2008: Central Obesity & Dementia; Diet, Vitamin D, Calcium, & Colon Cancer


9-28-2008: Publication & Citation Bias in Favor of Industry-Funded Research?


9-21-2008: Does Tylenol® (Acetaminophen) Cause Asthma?


9-14-208: Arthroscopic Knee Surgery- No Better than Placebo?; A Healthy Lifestyle Prevents Stroke


8-23-2008: Alcohol Abuse Before & After Military Deployment; Running & Age; Running & Your Testicles


8-12-2008: Green Tea & Diabetes; Breastfeeding & Adult Cholesterol Levels; Fish Oil & Senile Macular Degeneration


8-3-2008: Exercise & Weight Loss; Green Tea, Folic Acid & Breast Cancer Risk; Foreign Language Interpreters & ICU Patients


7-26-2008: Viagra & Sexual Function in Women; Patient-Reported Adverse Hospital Events; Curcumin & Pancreatic Cancer


7-13-2008: Erectile Dysfunction & Frequency of Sex; Muscle Strength & Mortality in Men; Cryoablation for Prostate Cancer


7-6-2008: Sleep, Melatonin & Breast Cancer Risk; Mediterranean Diet & Cancer Risk; New Treatment for Varicose Veins


6-29-2008: Bone Marrow Stem Cells & Liver Failure; Vitamin D & Colorectal Cancer Survival; Green Tea & Colorectal Cancer


6-22-2008: Obesity, Lifestyle & Heart Disease; Effects of Lifestyle & Nutrition on Prostate Cancer; Ginkgo Biloba, Ulcerative Colitis & Colorectal Cancer


6-15-2008: Preventable Deaths after Coronary Artery Bypass Graft (CABG) Surgery; Green Tea & Colorectal Cancer; Attention-Deficit/Hyperactivity Disorder (ADHD) & St. John’s Wort


6-8-2008: Vitamin D & Prostate Cancer Risk; Radiofrequency Ablation (RFA) of Kidney (Renal) Cancer; Antisense Telomerase & Cancer


6-2-2008: Acute Coronary Syndrome- Do You Know the Symptoms?; Green Tea & Lung Cancer; Episiotomy & Subsequent Deliveries- An Unkind Cut


5-25-2008: Early Childhood Screening Predicts Later Behavioral Problems; Psychiatric Disorders Among Parents of Autistic Children; Social & Psychiatric Profiles of Young Adults Born Prematurely


5-18-2008: Can Statins Reverse Coronary Artery Disease?; Does Breast Ultrasound Improve Breast Cancer Detection?; Preventive Care Services at Veterans Administration (VA) Medical Centers


5-11-2008: Smoking Cessation & Risk of Death; Childhood Traumas & Adult Suicide Risk; “White Coat Hypertension” & Risk of Cardiovascular Disease


5-4-2008: Super-Size Me: Fast Food’s Effects on Your Liver; Exercise, Weight & Coronary Artery Disease; Contamination of Surgical Instruments in the Operating Room


4-27-2008: Stents vs. Bypass Surgery for Coronary Artery Disease; The “DASH” Hypertension Diet & Cardiovascular Disease Prevention; Testosterone Therapy for Women with Decreased Sexual Desire & Function


4-20-2008: BRCA Breast Cancer Mutations & MRI Scans; Bladder Cancer Prevention with Broccoli?; Diabetes: Risk of Death Due to Heart Attack & Stroke


4-13-2008: Breast Cancer Recurrence & Hormone Replacement Therapy (HRT); Carotid Artery Disease: Surgery vs. Stents?; Statin Drugs & Cancer Prevention


4-6-2008: Human Papilloma Virus (HPV), Pap Smear Results & Cervical Cancer; Human Papilloma Virus (HPV) Infection & Oral Cancer; Hormone Replacement Therapy (HRT) & the Risk of Gastroesophageal Reflux Disorder (GERD)


3-30-2008: Abdominal Obesity & the Risk of Death in Women; Folic Acid Pretreatment & Heart Attacks; Pancreatic Cancer Regression after Injections of Bacteria


3-23-2008: Age of Transfused Blood & Risk of Complications after Surgery; Obesity, Blood Pressure & Heart Size in Children


3-16-2008: Benefits of a Full Drug Coverage Plan for Medicare Patients?; Parent-Teen Conversations about Sex; Soy (Genistein) & Prostate Cancer


3-9-2008: Flat Colorectal Adenomas & Cancer; Health Risks after Stopping Hormone Replacement Therapy (HRT); Television, Children & Obesity


3-2-2008: Medication & Risk of Death After Heart Attack; Hormone Replacement Therapy (HRT) & Mammogram Results; Selenium: Cancer, Heart Disease & Death


2-23-2008: Universal Healthcare Insurance Study; Glucosamine & Arthritis


2-17-2008: Exceptional Longevity in Men; Testosterone & Risk of Prostate Cancer; Smoking & Pre-malignant Colorectal Polyps


2-10-2008: Thrombus Aspiration from Coronary Arteries; Intensive Management of Diabetes & Death; Possible Cure for Down's Syndrome?


2-3-2008: Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


1-27-2008: Colorectal Cancer, Esophageal Cancer & Pancreatic Cancer: Update from the 2008 American Society of Clinical Oncology's Gastrointestinal Cancers Symposium


1-20-2008: Testosterone Levels & Risk of Fractures in Elderly Men; Air Pollution & DNA Damage in Sperm; Statins & Trauma Survival in the Elderly


1-12-2008: Statins, Diabetes & Stroke and Obesity; GERD & Esophageal Cancer


1-7-2008: Testosterone Supplements in Elderly Men; Colorectal Cancer-- Reasons for Poor Compliance with Screening Recommendations


12-31-2007: Minority Women, Hormone Replacement Therapy & Breast Cancer; Does Health Insurance Improve Health?


12-23-2007: Is Coffee Safe After a Heart Attack?; Impact of Divorce on the Environment; Hypertension & the Risk of Dementia; Emotional Vitality & the Risk of Heart Disease


12-16-2007: Honey vs. Dextromethorphan vs. No Treatment for Kids with Night-Time Cough, Acupuncture & Hot Flashes in Women with Breast Cancer, Physical Activity & the Risk of Death, Mediterranean Diet & Mortality


12-11-2007: Bias in Medical Research; Carbon Nanotubes & Radiofrequency: A New Weapon Against Cancer?; Childhood Obesity & Risk of Adult Heart Disease


12-2-2007: Obesity & Risk of Cancer; Testosterone Level & Risk of Death; Drug Company Funding of Research & Results; Smoking & the Risk of Colon & Rectal Cancer







Dr. Wascher's Home Page




Saturday, August 8, 2009

Breast Cancer Recurrence, Death & Vitamin D


Health Report:


Breast Cancer Recurrence, Death & Vitamin D







"A critical weekly review of important new research findings for health-conscious readers..."

By, Robert A. Wascher, MD, FACS



Photo of Dr. Wascher




Updated: 08/09/2009




The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.



BREAST CANCER RECURRENCE, DEATH & VITAMIN D

Based upon recent clinical research findings, Vitamin D is the only remaining vitamin that may have significant cancer and cardiovascular disease prevention properties. Recent large-scale prospective randomized clinical research trials have not only failed to identify a cancer prevention role (beyond a healthy balanced diet) for Vitamin E, Vitamin C, folate, and beta-carotene (a member of the Vitamin A family) supplements, but data from these trials have strongly suggested an increased risk of adverse health outcomes, at least in some sub-groups of patients, with supplements of several of these vitamins.


Alas, as is typically the case with public health studies, the clinical data regarding Vitamin D is not without inconsistency, and the data on Vitamin D and cancer incidence has not been uniformly positive, either. However, multiple recent epidemiological and prospective clinical research studies have at least suggested that low levels of Vitamin D in our bodies may, in fact, be associated with a higher risk of developing certain cancers (look for a more comprehensive review of the data on Vitamin D and cancer prevention in my forthcoming book, “A Cancer Prevention Guide for the Human Race”). Moreover, decreased blood levels of Vitamin D also appear to be linked to an increased risk of cardiovascular disease as well.


Now, a newly published prospective clinical research trial suggests that decreased levels of Vitamin D in the blood appears to be associated with an increased risk of breast cancer recurrence, and death due to breast cancer, in women previously diagnosed with early stage breast cancer. In this study, which has just been published in the Journal of Clinical Oncology, 512 women with early-stage breast cancer, diagnosed between 1989 and 1996, were prospectively followed for an average of nearly 12 years. Blood was routinely collected from all women following their diagnosis of breast cancer, as a part of this clinical research trial. The women were then closely followed for recurrence of their breast cancer, and for death due to breast cancer and other causes.


As with other similar studies, a surprisingly large number of these otherwise healthy women were discovered to have decreased levels of Vitamin D in their blood. In 38 percent of these women, Vitamin D levels were significantly below normal levels, while another 39 percent of these women had mildly decreased levels of circulating Vitamin D. Among these 512 women, 116 experienced metastatic recurrence of their breast cancer during the course of this prospective clinical study, while 87 women died with evidence of recurrent breast cancer.


The results of this prospective clinical study were rather compelling. The 10-year survival rates for these women with early-stage breast cancer varied significantly according to the level of Vitamin D in their blood. Survival at 10 years following breast cancer diagnosis was 74 percent, 85 percent, and 85 percent for women with significantly deficient, mildly deficient, and normal Vitamin D levels, respectively. Based upon the analysis of all of the data from this study, breast cancer patients with a significant deficiency of Vitamin D were observed to be almost twice as likely (71 percent increased risk) to experience a recurrence of their breast cancer, and they were 60 percent more likely to die, when compared to the patients who had normal levels of Vitamin D in their blood.


Although this clinical study included relatively few patients, it does, nonetheless, raise the possibility that a significant deficiency of Vitamin D may be associated with a worse prognosis in patients with early-stage breast cancer. Another related finding in this study was that very low levels of Vitamin D also appeared to be associated with breast tumors with more aggressive features when examined under the microscope, which is consistent with other studies that have suggested a link between “high grade” breast tumors and decreased blood levels of Vitamin D. At the same time, as I have already mentioned, the available data regarding Vitamin D levels (and the use of Vitamin D supplements) has not been consistent, and other clinical studies have failed to identify a link between Vitamin D and breast cancer risk. There is also some experimental data available suggesting that very high levels of Vitamin D in the blood may also be associated with poorer outcomes in women with breast cancer (similar findings have also been reported for excessive Vitamin D levels and cardiovascular disease outcomes). Taken together, the data from these various studies strongly suggest that there may be a fairly narrow “optimal range” of Vitamin D levels in the blood that are associated with a decreased risk of breast cancer, a decreased risk of breast cancer recurrence (and death), and a decreased risk of cardiovascular disease; and that excessively high or low levels of this vitamin may have adverse health effects in these areas.


The next obvious step is to conduct larger prospective clinical research trials that secretly randomize patient volunteers to receive various doses of Vitamin D, versus placebo (sugar) pills. There are several such studies already underway (or about to start), involving both cancer patients and patients without cancers. However, it will likely take another 10 years for mature data to emerge from these ongoing studies. Meanwhile, my advice is to eat a healthy and well-balanced diet. If you are a breast or prostate or colorectal cancer survivor, or if you have one or more risk factors for these cancers (or for cardiovascular disease), then you may also want to ask your physician to measure the level of active Vitamin D in your blood. If you are significantly deficient in Vitamin D, then your physician might consider the possibility of Vitamin D supplementation in conjunction with careful serial monitoring of your Vitamin D levels.







Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity





Dr. Wascher is an oncologic surgeon, a professor of surgery, a widely published author, and a Surgical Oncologist at the Kaiser Permanente healthcare system in Orange County, California





'


(Anticipated Publication Date: March 2010)




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Copyright 2009

Robert A. Wascher, MD, FACS

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Dr. Wascher's Archives:


8-2-2009: Honesty, Dishonesty & Brain Function


7-26-2009: Coronary Artery CT Scans & Cancer Risk


7-19-2009: Hormone Replacement Therapy (HRT) & Ovarian Cancer


7-12-2009: Breast Cancer & Metformin (Glucophage)


7-5-2009: Prostate Cancer & Green Tea


6-28-2009: Air Pollution & the Risk of Deep Venous Thrombosis (DVT)


6-21-2009: Red Yeast Rice, Statins & Cholesterol


6-14-2009: Bone Marrow Stem Cell Transplant & Congestive Heart Failure (CHF)


6-7-2009: Diet, Soy & Breast Cancer Risk


5-31-2009: Diet and Prostate Cancer Risk


5-24-2009: Diabetes, Glucose Control & Death


5-17-2009: Drug Company Marketing & Physician Prescribing Bias


5-10-2009: Hemorrhoids & Surgery


5-3-2009: Statin Drugs & Blood Clots (Thromboembolism)


4-26-2009: Are We Really Losing the War on Cancer?


4-19-2009: Exercise in Middle Age & Risk of Death


4-12-2009: Can Chronic Stress Harm Your Heart?


4-5-2009: Does PSA Testing for Prostate Cancer Save Lives?


3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease


3-15-2009: Depression, Stress, Anger & Heart Disease


3-8-2009: Coronary Artery Disease: CABG vs. Stents?; Swimming Lessons & Drowning Risk in Children


3-1-2009: Aspirin & Colorectal Cancer Prevention; Fish Oil & Respiratory Infections in Children


2-22-2009: Health Differences Between Americans & Europeans; Lycopene & Prostate Cancer


2-15-2009: Statin Drugs & Death Rates; Physical Activity, Breast Cancer & Sex Hormones


2-8-2009: Hormone Replacement Therapy (HRT) & Breast Cancer; Stool DNA Testing & Cancer of the Colon & Rectum


2-1-2009: Obesity and the Complications of Diverticulosis (Diverticulitis & Bleeding); Obesity, Weight Loss & Urinary Incontinence


1-25-2009: Prostate Cancer, Fatigue & Exercise; Does your Surgeon “Warm-up” Before Surgery?


1-18-2009: Cancer and Vitamins; Teenagers, MySpace and Risky Behaviors


1-11-2009: Exercise Reverses Some Effects of Fatty Meals; Vitamin C and Blood Pressure


1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood


12-28-2008: Stress & Your Risk of Heart Attack; Vitamin D & the Prevention of Colon & Rectal Polyps


12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection


12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome


12-7-2008: Generic vs. Brand-Name Drugs, Stress & Breast Cancer Survival


11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk


11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk


11-16-2008: Vitamin E & Vitamin C: No Impact on Cardiovascular Disease Risk; Does Lack of Sleep Increase Stroke & Heart Attack Risk in Hypertensive Patients?


11-9-2008: Statins Cut Heart Attack Risk Even with Normal Cholesterol Levels; Statins & PSA Level


11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk


10-26-2008: Smoking & Quality of Life


10-19-2008: Agent Orange & Prostate Cancer


10-12-2008: Pomegranate Juice & Prostate Cancer


10-5-2008: Central Obesity & Dementia; Diet, Vitamin D, Calcium, & Colon Cancer


9-28-2008: Publication & Citation Bias in Favor of Industry-Funded Research?


9-21-2008: Does Tylenol® (Acetaminophen) Cause Asthma?


9-14-208: Arthroscopic Knee Surgery- No Better than Placebo?; A Healthy Lifestyle Prevents Stroke


8-23-2008: Alcohol Abuse Before & After Military Deployment; Running & Age; Running & Your Testicles


8-12-2008: Green Tea & Diabetes; Breastfeeding & Adult Cholesterol Levels; Fish Oil & Senile Macular Degeneration


8-3-2008: Exercise & Weight Loss; Green Tea, Folic Acid & Breast Cancer Risk; Foreign Language Interpreters & ICU Patients


7-26-2008: Viagra & Sexual Function in Women; Patient-Reported Adverse Hospital Events; Curcumin & Pancreatic Cancer


7-13-2008: Erectile Dysfunction & Frequency of Sex; Muscle Strength & Mortality in Men; Cryoablation for Prostate Cancer


7-6-2008: Sleep, Melatonin & Breast Cancer Risk; Mediterranean Diet & Cancer Risk; New Treatment for Varicose Veins


6-29-2008: Bone Marrow Stem Cells & Liver Failure; Vitamin D & Colorectal Cancer Survival; Green Tea & Colorectal Cancer


6-22-2008: Obesity, Lifestyle & Heart Disease; Effects of Lifestyle & Nutrition on Prostate Cancer; Ginkgo Biloba, Ulcerative Colitis & Colorectal Cancer


6-15-2008: Preventable Deaths after Coronary Artery Bypass Graft (CABG) Surgery; Green Tea & Colorectal Cancer; Attention-Deficit/Hyperactivity Disorder (ADHD) & St. John’s Wort


6-8-2008: Vitamin D & Prostate Cancer Risk; Radiofrequency Ablation (RFA) of Kidney (Renal) Cancer; Antisense Telomerase & Cancer


6-2-2008: Acute Coronary Syndrome- Do You Know the Symptoms?; Green Tea & Lung Cancer; Episiotomy & Subsequent Deliveries- An Unkind Cut


5-25-2008: Early Childhood Screening Predicts Later Behavioral Problems; Psychiatric Disorders Among Parents of Autistic Children; Social & Psychiatric Profiles of Young Adults Born Prematurely


5-18-2008: Can Statins Reverse Coronary Artery Disease?; Does Breast Ultrasound Improve Breast Cancer Detection?; Preventive Care Services at Veterans Administration (VA) Medical Centers


5-11-2008: Smoking Cessation & Risk of Death; Childhood Traumas & Adult Suicide Risk; “White Coat Hypertension” & Risk of Cardiovascular Disease


5-4-2008: Super-Size Me: Fast Food’s Effects on Your Liver; Exercise, Weight & Coronary Artery Disease; Contamination of Surgical Instruments in the Operating Room


4-27-2008: Stents vs. Bypass Surgery for Coronary Artery Disease; The “DASH” Hypertension Diet & Cardiovascular Disease Prevention; Testosterone Therapy for Women with Decreased Sexual Desire & Function


4-20-2008: BRCA Breast Cancer Mutations & MRI Scans; Bladder Cancer Prevention with Broccoli?; Diabetes: Risk of Death Due to Heart Attack & Stroke


4-13-2008: Breast Cancer Recurrence & Hormone Replacement Therapy (HRT); Carotid Artery Disease: Surgery vs. Stents?; Statin Drugs & Cancer Prevention


4-6-2008: Human Papilloma Virus (HPV), Pap Smear Results & Cervical Cancer; Human Papilloma Virus (HPV) Infection & Oral Cancer; Hormone Replacement Therapy (HRT) & the Risk of Gastroesophageal Reflux Disorder (GERD)


3-30-2008: Abdominal Obesity & the Risk of Death in Women; Folic Acid Pretreatment & Heart Attacks; Pancreatic Cancer Regression after Injections of Bacteria


3-23-2008: Age of Transfused Blood & Risk of Complications after Surgery; Obesity, Blood Pressure & Heart Size in Children


3-16-2008: Benefits of a Full Drug Coverage Plan for Medicare Patients?; Parent-Teen Conversations about Sex; Soy (Genistein) & Prostate Cancer


3-9-2008: Flat Colorectal Adenomas & Cancer; Health Risks after Stopping Hormone Replacement Therapy (HRT); Television, Children & Obesity


3-2-2008: Medication & Risk of Death After Heart Attack; Hormone Replacement Therapy (HRT) & Mammogram Results; Selenium: Cancer, Heart Disease & Death


2-23-2008: Universal Healthcare Insurance Study; Glucosamine & Arthritis


2-17-2008: Exceptional Longevity in Men; Testosterone & Risk of Prostate Cancer; Smoking & Pre-malignant Colorectal Polyps


2-10-2008: Thrombus Aspiration from Coronary Arteries; Intensive Management of Diabetes & Death; Possible Cure for Down's Syndrome?


2-3-2008: Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


1-27-2008: Colorectal Cancer, Esophageal Cancer & Pancreatic Cancer: Update from the 2008 American Society of Clinical Oncology's Gastrointestinal Cancers Symposium


1-20-2008: Testosterone Levels & Risk of Fractures in Elderly Men; Air Pollution & DNA Damage in Sperm; Statins & Trauma Survival in the Elderly


1-12-2008: Statins, Diabetes & Stroke and Obesity; GERD & Esophageal Cancer


1-7-2008: Testosterone Supplements in Elderly Men; Colorectal Cancer-- Reasons for Poor Compliance with Screening Recommendations


12-31-2007: Minority Women, Hormone Replacement Therapy & Breast Cancer; Does Health Insurance Improve Health?


12-23-2007: Is Coffee Safe After a Heart Attack?; Impact of Divorce on the Environment; Hypertension & the Risk of Dementia; Emotional Vitality & the Risk of Heart Disease


12-16-2007: Honey vs. Dextromethorphan vs. No Treatment for Kids with Night-Time Cough, Acupuncture & Hot Flashes in Women with Breast Cancer, Physical Activity & the Risk of Death, Mediterranean Diet & Mortality


12-11-2007: Bias in Medical Research; Carbon Nanotubes & Radiofrequency: A New Weapon Against Cancer?; Childhood Obesity & Risk of Adult Heart Disease


12-2-2007: Obesity & Risk of Cancer; Testosterone Level & Risk of Death; Drug Company Funding of Research & Results; Smoking & the Risk of Colon & Rectal Cancer







Dr. Wascher's Home Page