Live Well to Prevent Breast Cancer Georgia Tetlow, MD

Agenda Philadelphia Integrative Medicine Factors in your control Overall goals –Strengthen the immune system –Reduce inflammation –Reduce free radicals –Reduce DNA damage that leads to cancer

Disclosure/Disclaimer Nothing to disclose –Supplement sales only benefit educational programs! Disclaimer Website and webinar offer information is not medical or psychological advice or treatment

Georgia Tetlow, MD Graduate Fellow, University of Arizona Center for Integrative Medicine CEO, Founder of Philadelphia Integrative Medicine Clinical Assistant Professor of Rehabilitation Medicine Thomas Jefferson Medical College

Georgia Tetlow, MD Yoga Teacher for 20 years Mindfulness teacher

Mission Philadelphia Integrative Medicine offers a comprehensive approach to health and healing which recognizes the whole person and champions self-care for health, illness recovery and prevention through education, inspiration and empowerment.

Return to Art of Medicine Mind, Body and Spirit Fight cancer, but focus is on health and returning to health Power of life style choices! –Understand root causes

Cancer: Factors Within Your Control Smoking Weight control/Exercise Diet –Fruits/vegetables, alcohol, best fats, certain cancers: hormones in beef and milk –Green tea Omega 3 Fatty Acids (November 2012 webinar) Vitamin D—get tested! Many people deficient! Keep immune system healthy—emotional and spiritual health

Factors in Your Control President’s Cancer Panel, 2010 Minimize toxicity in food, house and garden products, toys, medicines and medical tests Filter tap water, store water in stainless steel, glass or other containers to avoid exposure to BPA and other plastic components Buy produce grown without pesticides or chemical fertilizers, or wash it thoroughly Antibiotic-free and hormone-free meat and avoid processed, charred and well-done meat

Diet: Vegetables and Fruit How to get enough? Antioxidants…

Antioxidants Reduce inflammatory and toxic cell mediators –NFkB, Il-6, Il-8 Donate electrons to electron-deficient free radicals –Neutralize them! –Cells and DNA protected, help prevent cancer

Your Plate

No one food ingredient –Broccoli/cabbage family Cancer risk reduction Choose foods that allow you to have a healthy weight –Overweight  increased risk of breast cancer –Overweight  makes recovery harder 5 or more servings of vegetables and fruit daily

Your Plate Whole grains Low fat—fish and nuts, rather than fried foods Eat vegetables! –Supplements may not reduce risk –Need more studies Green tea Organic food Vitamin D and calcium

Fruits and Vegetables: Juice Plus

Fruits and Vegetables: How?

Breast cancer prevention: 1 drink daily or less

Type of fat is important... Cook with Olive Oil FISH OIL (Omega 3’s fatty acids) –modulate estrogen metabolism, estrogen receptors –2-3 grams total daily, with food –mercury/toxin free –many benefits –thins the blood, ask you doctor if right for you

Fish Oil Slows Tumor Growth Hardman, J. Nutr. 132:3508S-3512S, 2002

Mind-Body Interventions Mindfulness

Mindfulness literature Witek-Janusek, et al (2008). Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, Behavior, and Immunity, 22(6), Carlson, et al (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8),

Mindfulness Literature II Carlson, et al (2004). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29(4), Tacón, et al (2004). Mindfulness-based stress reduction in women with breast cancer. Families, Systems, & Health, 22(2),

Mindfulness Reduction in acute and chronic anxiety Less emotional reactivity Greater happiness and peace of mind Increased empathy—for self and others Enhanced creativity Heightened perceptual clarity Enhanced self-actualization

Cancer: Factors Within Your Control Smoking Weight control/Exercise –Diet Fruits/vegetables, alcohol, best fats, certain cancers: hormones in beef and milk Green tea –Omega 3 Fatty Acids (November webinar) Vitamin D—get tested! Most people deficient! Keep immune system healthy –Self-care, mindfulness

Why Integrative Medicine? Patient at the center Addresses the full range of physical, emotional, mental, social, spiritual and environmental influences Personalized strategy that considers the patient’s unique conditions, needs and circumstances Health as “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.”* *Constitution of the World Health Organization — Basic Documents, Forty-fifth edition, Supplement, October 2006.

Upcoming! If registered, we’ll send you the recording November webinar: Heal Your Guts with Omega 3 Fatty Acids! –Friday, 11/30, 12-1pm –TO REGISTER: and click on events!

Q&A Questions, comments please! To ask a question, press “star 6” Remember to mute yourself after your question by pressing “star 6” again!

Broccoli!

“Integrative medicine honors the innate ability of the body to heal, values the relationship between patient and physician, and integrates complementary and alternative medicine to support the organism and facilitate healing.” --- Victoria Maizes, MD Executive Director University of Arizona Center for Integrative Medicine

“Integrative medicine addresses the root causes of illness and suffering. These root causes involve many aspects of a person’s life, including the physical, but also the psychosocial, emotional, and spiritual dimensions as well.” --Dean Ornish, MD Founder and Director of the Preventive Medicine Research Center

Thank you!