Youre about to hear advice from the last people youd ever want to meet. Oncologists specialize in the diagnosis and treatment of cancer. If youre talking to one, and youre not at a dinner party, you might be one of the 100 million folks around the world who have it.
With those staggering stats, you might think getting cancer is an inevitably. It isnt. Read on, and to ensure your health and the health of others, dont miss these Sure Signs Youve Already Had Coronavirus.
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I am very careful about keeping up with proven cancer screening interventions, says Amy Tiersten, MD, clinical breast medical oncologist at Mount Sinai. She stays current on preventative tests like colonoscopy, skin cancer exams, and gynecologic follow-ups.
Late diagnoses are a leading cause of premature death due to cancer. Interventions, like those Dr. Tiersten recommends, allow for early detection and diagnosis where patients can start treatment earlier. This is especially impactful in breast, cervical, and colorectal cancers.
The American Cancer Society recommends:
Colonoscopies begin at age 45.
Pap smears to test for HPV/cervical cancer should start at age 21 and be scheduled every 3 years, not annually.
Mammograms are optional at age 40, but should be done annually at age 45-54. After age 55 schedule mammograms every two years.
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Ten years after the HPV vaccine was introduced, there is compelling evidence that were on track to eradicate cervical cancer within decades. A June 2019 study reviewed 60 million individuals, mostly girls and women, eight-year post-vaccination status and found that the vaccine has exceeded expectations.
The CDC recommends both boys and girls get the HPV vaccine at ages 11-12, with the second dose within a year. Its recommended up to age 26 for women and age 21 for men.
Newer versions of the vaccine require two doses instead of three, ensuring adherence to the full vaccination schedule. As well, its gender-neutral and targets more HPV strains.
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Exercise every single day thats the walk Kathryn Schmitz, Ph.D., a leading exercise oncology researcher at Penn State University, walks and talks. We oncologists run, walk, or roll our way to cancer prevention, she said, citing research that supports a relationship between physical activity and cancer prevention. Shes the biggest proponent of strength training, something she introduced in the chemo lab at Penn State Cancer Institute and shares as exercise snacks each week on her Instagram. I try to exercise 30 minutes a day to stay fit. We know that regular physical exercise does reduce cancer risk in many cases. Decreasing your body weight, even by 5%, can make a big difference in terms of cancer risk, says Xavier Llor, MD, Medical Director of the Cancer Screening and Prevention Program.
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Embrace your social networks; recognize who loves you and let them in, is how Dr. Don Dizon, MD, FACP, FASCO, director of medical oncology at Rhode Island Hospital and Professor of Medicine at Brown University prevents cancer. He says its well-established that whether your social network includes a spouse, kids, best friend, or church, these connections are key to good health and that social isolation is associated with an increased risk of death.
In one study, social isolation scores were associated with risk of death from heart disease and in all-cause mortality. This was true for men and women, Blacks and whites.
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As an oncology clinical pharmacist, there are several things Allison Baxley, PharmD, BCOP of Stephenson Cancer Center does to prevent cancer. She recognizes that many elements are out of our control, like genetics, so she does all she can to reduce the risk through things she can control.
Working primarily in GI oncology, Im very aware of the link between colon cancer and processed and red meat consumption. I eat these in moderation, and rarely if ever eat highly processed meat like hot dogs and bacon.
She avoids what Micahel Pollen has called edible food-like substance, which is the majority of whats in the center aisles of the grocery store.
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Our daily diet choices play a powerful role in cancer prevention, reminds Dr. Terry Wahls, author of The Wahls Protocol series. For optimal cancer prevention, she aims for 9 cups of plant-based foods each day: 3 cups of greens, 3 cups of sulfur-rich foods like cabbage, onions, or mushrooms, and 3 cups of color from berries.
We can choose to eat more greens and non-starchy vegetables and berries to markedly reduce the risk of developing cancer (and surviving cancer if it is diagnosed), she explains. Or we can choose the standard American diet, full of sugar and flour, which drives up insulin and insulin-like growth hormone and have a much higher risk of pre-cancers and overt cancers.
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LaShyra Lash Nolen, an MD candidate at Harvard Medical School, points out that Black women have a disproportionately higher rate of mortality from breast cancer than white women, according to 2016 research.
Therefore, I think it is so important for me, as a young Black woman, to take agency over my body, shared Nolen. One way I do this is by regularly performing a physical exam of my breasts to search for abnormalities or unusual lumps.
She adds that, sometimes, women allow others to know their bodies better than they do themselves, but that this has to change in order to detect cancers at earlier stages and improve outcomes.
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As an American Cancer Society Research Professor and Associate Dean for Oncologic Sciences at Brown University, Dr. Wafik El-Deiry says its important to remember that half of all cancer is preventable. One of his preventive efforts is to limit or moderate alcohol consumption, as alcohol has been linked to cancers of the mouth, throat, liver, colon, breast, and others.
Be aware and keep in the back of your mind that this is a substance that can do harm, he advises. El-Deiry says theres a lot of evolving and emerging data on the association between alcohol and cancer, but that the relationship does exist.
How much is too much? The American Cancer Society advises no more than 2 drinks per day for men and 1 drink per day for women.
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Jeffrey Meyerhardt, MD, MPH, medical oncologist for the Dana-Farber Cancer Institute, works hard to maintain a healthy body weight. He cites consistent evidence in observational studies that link obesity and higher BMI with a variety of cancers, including colorectal, ovarian, and pancreatic.
In particular, he cited a 2003 study that analyzed the relationship between body weight and mortality from cancer in nearly one million American adults. When the heaviest participants had a BMI of 40, death rates from all cancers were 62% higher in women and 52% higher in men when compared to those of normal weight.
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I eat a balanced diet of real food. The less processed, the better! says Allison Betof Warner, MD, Ph.D. of Memorial Sloan Kettering Cancer Center. Of course, this melanoma medical oncologist splurges and doesnt always eat healthy (like the rest of us!), but when she does, moderation is key.
While no single food can prevent cancer, a well-rounded diet with a variety of vegetables, fruits, and grains can go a long way toward risk reduction.
I try to live by the 80/20 rule, she caveats. Thats 80% whole, healthy foods in balanced proportions and 20% treats and other less healthy stuff.
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I make sure to get plenty of Vitamin D, says Kevin Dawravoo, MD, hematologist and medical oncologist at Northwestern Medicine Cancer Center Warrenville. He cites numerous studies that support the anti-cancer effects of this nutrient. Anyone can check for a vitamin D deficiency with a simple blood test at their doctors office. That deficiency was linked in a 2014 study to a greater risk for more aggressive prostate cancer.
The best source for vitamin D is the sun, but new research says sunblock does not compromise the absorption of the vitamin. Fish is the best food source for vitamin D, including salmon, rainbow trout, and swordfish, as well as fish oil/cod liver.
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Most Americans are woefully sleep deprived, says Dr. Stephen C Schimpff, MD, MACP. Board certified in medical oncology, Schimpff is sure to get enough sleep each night. Its a subject important enough that he addresses it in his book, Longevity Decoded The 7 Keys to Healthy Aging.
Inadequate sleep predisposes to high blood pressure, stress, overeating [in general] and the wrong foods, obesity, and hence predisposes to cancer, he continued
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Monisha Bhanote, MD, FASCP, FCAP meditates regularly, a practice she says can help balance lifes daily stressors. The most benefit is gained from daily practice, even if just five minutes, than if done sporadically.
The triple board certified physician at Baptist MD Anderson Cancer Center says, Managing stress is important for preventing chronic disease and predisposing one to cancer. Stress weakens the immune system and lowers its defenses to fight diseases. Consistent meditation can move the body into a parasympathetic state (rest and energy conservation) as opposed to a continuous sympathetic state (aka fight or flight).
Bhanote cited a 2004 study that found chronic stress can impair the bodys immune response and contribute to the development of cancer.
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A variety of sources like cell phones, wifi, power lines, and battery-powered cars bombard us every day with EMFs, or electromagnetic fields. Dr. Jonathan Stegall, an integrative oncologist and medical director of The Center for Advanced Medicine in Atlanta, says he tries to limit his exposure to EMFs.
I recommend that my patients not hold a cell phone up to the ear, and instead hold it away from the body using speaker phone. This significantly minimizes the amount of radiation absorbed by the body, advises the author of the bestselling book Cancer Secrets. He also recommends installing a timer on any WiFi modem/router at home so that it turns off while you are sleeping.
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Its family first for Dr. Timothy S. Pardee, chief medical officer, Rafael Pharmaceuticals and oncologist and director of Leukemia Translational Research at Wake Forest Baptist Health. He believes this time is super important, and notes that familial relationships can reduce stress and increase overall well being.
A global study found that larger families, those with many children, have a reduced risk of cancer. And thats not just the nuclear family. Larger household sizes with multiple generations living together enjoy that same protective benefit. The study authors cite the special emotional environment as having a positive effect that contributes to disease resistance, as well as the benefit of family members supporting each other in a healthy lifestyle.
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Did you know you can get paid to prevent cancer? Roshni Rao, MD, Chief of the Division of Breast Surgery at New-York Presbyterian Hospital and Columbia University Medical Center and says even she participates in clinical trials. I was part of an MRI trial where I was in [the] machine for over an hour, and I got paid $25!, she said.
Shes also participating in the T-MIST trial, a national study working to identify how often women should get mammograms and what type of mammogram to get. Rao says this trial is currently open at Columbia and seeking up to 165,000 women to participate.
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I drink a few cups of green tea or coffee every day, says William W. Li, MD, author of Eat to Beat Disease: The New Science of How Your Body Can Heal Itself. After 20 years of cancer prevention research, he says hes well aware of the scientific evidence that points to tea and coffee doing the body good.
They each contain different types of polyphenols (micronutrients from plant-based food), but they all activate our bodys key health defense systems (starving cancer, feeding our healthy gut bacteria, repairing damaged DNA, improving immunity) that help us resist cancer. From lab studies to clinical trials to large-scale public health studies showing that tea or coffee lowers risk across different forms of cancers, I consider it a no-brainer to drink these beverages. And its a cherry on top that he loves the taste!
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The lead authors of a large-scale study from the University of Glasgow in 2018 now know its best to keep screentime to a minimum. They analyzed nearly 400,000 people and found a strong correlation between higher screentime and a higher risk of all-cause mortality, cardiovascular disease, and cancer. This was independent of known cancer-causing factors like smoking, BMI, and diet.
The more discretionary, or leisure, time spent on tablets, smartphones, and other media devices directly contributes to a sedentary lifestyle, the result of which is lower physical fitness, grip strength, and overall poor health.
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Nearly half the deaths from an astounding 12 different cancers can be attributed to smoking cigarettes: liver, colorectal, lung, oral and throat, esophageal, larynx, stomach, pancreas, bladder, kidney, cervix, and acute myeloid leukemia. Thats why its a smoke-free life for Dr. Wafik El-Deiry, Associate Dean for Oncologic Sciences at Brown University. While fewer people smoke in 2019, plenty are still addicted to one of the single-most unhealthy habits.
He does note that quitting smoking can have a positive impact, but that the risk never fully goes away compared to the general population. It can take 8-10 years to truly minimize the risks associated with cigarette smoking.
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Likewise, Dr. El-Deiry isnt vaping, either.
The message needs to get out that [vaping] is potentially cancer causing and we have to be aware, he warns. The more we talk about itto save anyoneis worth it.
He says the more we learn about vaping the more we realize how unsafe it is in different ways. The vapor exposes users to chemicals known to cause cancer, for instance. And while e-cigs have their place for smokers trying to quit, the vape pens arent benign. El-Deiry reminds that no substantial research has yet been completed on the relationship between vaping and cancer.
The National Institutes of Health warns that teens are vaping in record numbers; higher than opioid or marijuana use.
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Dr. Katherine Crew, director of the Clinical Breast Cancer Prevention Program at New York-Presbyterian and Columbia University Medical Center, walks at least a mile every day. For a busy oncologist, its not always easy to find time to lead a healthy, active lifestyle, but I try to incorporate it into my daily routine.
Each of those steps is worth the time. Walking a single mile each day at a moderate 20-minute pace can reduce mortality in breast cancer patients by as much as 40% and almost 30% in prostate cancer patients. Risk for endometrial cancer is also reduced by a moderate intensity walking regimen.
Dr. Crew also takes the stairs whenever its humanly possible to gain an extra burst of physical activity in her day.
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As an exercise oncologist, Kathryn Schmitz, PhD gets as much movement as she recommends. Before heading outdoors though, I slap on the sunscreen, since exercise increases the risk of melanoma by 28%. While this 2016 study found that exercise reduces the risk for 10 different cancers, it increased risk for malignant melanoma significantly.
Schmitz echoed the researchers assumption that increased time exercising or enjoying leisure physical activity increased exposure to the sun, which in turn increased the incidence of skin cancer. If youre spending time outside, be sure to wear a broad spectrum sunblock with SPF 30 or higher and remember that water resistant is not the same as waterproof.
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Making greener choices can ultimately support everyones goal to reduce their risk of cancer. Climate change is having a negative impact on more than just the earths health and sustainability. Human life is taking a negative toll, too.
Stratospheric ozone depletion is implicated in an increase in skin cancer incidence, like melanoma, and scientists expect to see a continuation over the next couple of decades.Exposure to air pollution increases the risk of breast cancer in premenopausal women. And the very air we breathe has been deemed carcinogenic by WHO, citing a direct correlation to nearly a quarter-million lung cancer deaths in 2010 alone.
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How much good fat do you have in your diet? Its something Dr. Stephen C Schimpff, MD, MACP, author of Longevity Decoded The 7 Keys to Healthy Aging, prioritizes in his own diet. He recommends avocado, nuts and seeds, olive oil, and fish like tuna and salmon.
What makes a fat good for you? These unsaturated fats remaining liquid, not solid, at room temperature and are generally derived from plants.
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Tree nuts like almonds, walnuts, and pecans can decrease your risk of colon cancer, which is why Kevin Dawravoo, MD, hematologist and medical oncologist at Northwestern Medicine Cancer Center Warrenville, makes them a regular part of his diet.
For men and women, a 2018 study found a statistically significant link between eating nuts three times per week and a reduction in colorectal cancer risk.
Another 2018 study found that stage 3 colon cancer patients who had two 1-ounce servings of tree nuts (which included walnuts, cashews, almonds, pistachios, hazelnuts, pecans macadamia nuts, and Brazil nuts) each week were 42% more likely to experience disease-free survival and 57% greater chance of overall survival.
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Turn up the flavor experience of roasted vegetables, rice, soup, smoothies, and tea by adding turmeric. This Indian spice, most common in curries, has an earthy sweet-pungent flavor and bright orange hue that can truly transform any food. That, and the cancer-preventative benefits, are why Roshni Rao, MD, Chief of the Division of Breast Surgery at New-York Presbyterian Hospital and Columbia University Medical Center, loves to eat turmeric-laden foods.
Most of the studies do show a benefit from this anti-inflammatory, and there is no study that shows that it is detrimental, she says.
A 2015 study reviewed the multifaceted role of curcumin (the source of turmeric) in cancer prevention, and found that it can suppress initiation, progression, and metastasis of a variety of tumors.
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