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1. I had the Lupron 6 month shot that wiped me out for a year - poor quality of life and no way I would have been able to continue, What's the secret to 13 years of Lupron AND good quality of life?
- Vitamin D helps enhance calcium absorption in the body, which helps with bone formation. When vitamin D is taken with calcium, it plays a critical role in maintaining bone density. Vitamin K helps promote strong bones by binding calcium and other minerals to the bone. There is not enough evidence to recommend combined supplementation of vitamin D and Vitamin K. It is rare to become vitamin K deficient, therefore, I would recommend to focus on obtaining vitamin K via dietary sources (largely from green, leafy vegetables) daily as a part of a balanced diet. Always check with your doctor before starting a Vitamin K supplement.
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2. Can a little tiny bit of meat present a problem? Is there a guideline?
- Animal sources of protein (meat/dairy) can be consumed as a part of a healthy balanced diet. The American Institute of Cancer Research (AICR) Guidelines recommened to eat no more than moderate amount of red meat (beef, pork, lamb). Eat little, if any, processed meat. Lean proteins can be a complementary sources of protein (fish, poultry, and lean red meat).
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3. What's your take on Beta Glucan 500?
- Generally, it is recommended to consume foods containing beta glucan, such as grains (oats, barley, rye, wheat) and mushrooms to get these nutrients thru your diet. Although beta glucan supplements are considered safe and tolerated, these products could worsen gastrointestinal side effect of cancer treatment and interfere with certain medications.
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4. I've heard that brown rice isn't recommended due to possibly having a higher concentration of Arsenic. Is that an accurate concern?
- Rice tends to absorb arsenic more readily than many other plants. Regular exposure to small amounts of arsenic can increase the risk of some cancers. You may be able to cut your exposure to aresenic in any type of rice by rinsing raw rice thoroughly before cooking, and draining the excess water. Rinsing decreases some of rice's nutritional value, but rinsing and using more water removes about 30% of the rice's arsenic content. Keep in mind, brown rice has many health benefits such as several vitamins, minerals and fiber that are removed from white rice in processing. Other grains to consider include amaranth, buckwheat, millet, grits, bulgur, barley and farro have negligible levels of arsenic
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5. How do the dietary goals change for those who already have had prostate cancer and are monitoring low level PSA post-surgery - versus - those who don't yet have PC? And is it materially better to eat 0 egg yolks and no saturated fats?
- Dietary goals are very similar depending what stage of treatment you are in. Maintaining a healthy diet can help you both prepare for and recover after cancer treatment. It may also help to prevent the prostate cancer from coming back. The only diet goals that differ
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6. For RDN Melissa Gallagher: where do fermented products fit in a post-treatment diet? e.g., yogurt, kefir, sour kraut, etc.
- Fermented dairy intake has been evaluated as a potential preventive to cancer, although results have been mixed. Fermented products can be included as a part of a post-treatment diet in moderation.
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7. Is it the FAT in dairy, or something about the calcium contained in dairy foods? In other words, can i consume dairy ad libitum, as long as it is fat free or low fat?
- The fat content of whole fat dairy products is the area of concern. Studies have linked a higher consumption of whole milk with a higher risk for prostate cancer recurrence and have recommended to limit consumption of whole milk products. If consuming dairy, low-fat or nonfat products are recommended and should be consumed in moderation (for example 1 serving daily).
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