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HEALTHY LIVING
Dr. Neal Barnard: Eating Right for Cancer Survival – P8/8   (Foods and Breast Cancer Survival)
  
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	Welcome intelligent viewers
to Healthy Living 
on Supreme Master 
Television. 
According to the World 
Health Organization, 
cancer is one of 
the leading causes of death 
in the world. 
Each year 
over 12 million people 
across the globe 
are diagnosed 
with cancer 
and 7.6 million 
succumb to the disease. 
The numbers are projected 
to continue rising, 
with an estimated 
12 million deaths 
by 2030. 
  
Today we have the honor 
to share the conclusion 
of an eight part series 
featuring excerpts from 
The Cancer Project’s 
“Eating Right 
for Cancer Survival,” 
a two-set DVD 
of presentations 
by esteemed nutrition 
researcher and author 
Dr. Neal Barnard, MD 
that is a companion 
to the book The Cancer 
Survivor’s Guide 
written by Dr. Barnard 
and registered dietician 
Jennifer Reilly.
  
Dr. Barnard, a vegan, 
is the president 
of The Cancer Project, 
a US-based non-profit 
organization advancing 
cancer prevention and 
survival through 
distribution of
information on nutrition 
and research. 
Since its founding in 2004, 
the Project has strived 
to promote the vegan diet 
as the answer to cancer.
  
The Cancer Project is 
a part of 
the Physicians Committee 
for Responsible Medicine, 
a group created by 
Dr. Barnard in 1985 
that is comprised of 
physicians and 
concerned citizens 
in the US wishing to 
improve public health. 
The Committee is also 
actively involved in 
raising awareness 
of the benefits 
of a plant-based diet 
through such projects 
as the 21-Day 
Vegan Kickstart program 
and seeking to amend 
federal nutrition guidelines.
  
Dr. Barnard has served as 
the principal investigator 
on many clinical studies 
examining the links 
between diet and health 
and his work has been 
published in top scientific 
and medical journals.  
He is often interviewed 
by the national media 
in the US 
for his perspectives 
on important issues 
in nutrition, health 
and medicine.  
  
We are now pleased 
to show 
Dr. Barnard’s presentation
“Foods and
Breast Cancer Survival,”
a  chapter from the 
“Eating Right for 
Cancer Survival” DVD.
  
Welcome, 
thanks for joining us. 
Breast cancer is 
a serious epidemic, 
and we’re fighting it 
on every possible front. 
There are better methods 
than ever 
for detecting cancer, and 
we have better treatments 
than ever. 
But I have to say 
as a doctor, 
what I like best 
is the new method 
for preventing cancer, 
because if you prevent it, 
you never have to treat it, 
you never have to 
live with this, and the fear 
that’s involved with it. 
  
Now we’ve known 
for a long period of time, 
that diet does make 
a big difference. 
Some of the first clues 
came from Japan. 
A woman in Japan, 
compared to a woman 
in the United States, 
she’s less likely 
to develop cancer, 
and if she’s got cancer, 
she’s less likely 
to die from it. 
She’s more likely to do well, 
more likely to survive. 
Why would that be? 
  
Well, the first clue was, 
well, women in Japan 
are thinner, 
and that’s important. 
Body fat it’s not just there 
to store calories, body fat 
actually is a living organ, 
it makes things, 
it makes hormones, 
it makes estrogens. 
And estrogens 
make things grow. 
At puberty, 
estrogens are responsible 
for breast development, 
and during all of 
a woman’s cycle, 
it’s responsible 
for the thickening 
of the lining of the uterus 
every single month. 
  
So if you think of estrogens 
as making things grow, 
what does that mean 
for a cancer cell? 
What it means is, it may 
make the cancer cell 
grow too. 
If I take a test-tube, put 
breast cancer cells in it, 
and add estrogen, 
the cancer cells 
grow like crazy, 
it’s like fertilizer on weeds. 
So, let’s say a woman 
has more body fat, 
she has more estrogen 
in her blood, 
that’s asking for the cells 
to start multiplying 
and to spread. 
  
So well, does it work? 
If a woman is thinner, 
will she actually have 
less risk of getting cancer 
or will she, if she has it, 
will she tend to survive? 
The answer is yes. 
There was a big study 
in Shanghai (China) 
that looked, 
not just at women who 
were quite overweight, 
but women who had 
different variations, 
within what we would 
think of as normal weight. 
  
Do you know 
the Body Mass Index, BMI? 
This is a way of 
talking about body weight, 
but adjusting it 
for your height. 
So your ideal weight 
is different 
if you’re six foot four 
versus, say five foot three 
okay? 
So the way we define it is, 
a BMI, a Body Mass Index 
under 25, is 
what we’re going to call, 
normal, healthy weight. 
  
So in the study 
in Shanghai, 
they had a group of women, 
everybody already 
had breast cancer, 
and the question was, 
“If they are heavier 
or thinner, would that 
affect how they do?” 
Here’s what they found.
The women 
who had a BMI under 23, 
thin women, 
their five-year survival 
was about 87%. 
  
They then compared them 
with the women who 
were between 23 and 25, 
a little heavier, bit really, 
but still 
within normal weight. 
And their five-year survival 
was a little bit less, 
about 84%. 
And then 
they looked at the women 
who were over 25. 
Not seriously overweight, 
but just a little bit 
into overweight. 
Their five-year survival 
was down to 80%. 
So the heavier you go, 
the more likely you are 
to be vulnerable 
to this condition, okay? 
  
Well that’s the first thing, 
but there’s more to it. 
It’s not just the fat 
on your body, 
it’s the fat on your plate. 
And researchers found 
that it doesn’t just affect 
whether a woman 
develops cancer, 
it also affects, 
whether she does well 
or not so well. 
  
At the State University 
of New York in Buffalo 
(USA), researchers 
did an important study. 
They brought in 
about 900 women, 
everybody already 
had breast cancer, and
all they did was this: 
They looked at their diet, 
and then they looked at 
who did well, and 
who didn’t do so well. 
And what they found 
was stunning. 
The risk of dying 
at any point in time 
was increased by 40%, 
for every thousand grams 
of fat the women ate 
per month. 
  
Now, let me make 
this practical for you. 
If I take 
a typical American diet, 
I throw in all the fat 
from the hamburgers 
that we might eat, 
and the French fries 
and the salad oils 
and you take all that fat 
and you add it up.
  
You compare that 
to a plant based diet, 
a vegetarian diet, 
so there’s no animal fat 
in it, and a diet where 
we keep the oils pretty low, 
those two diets differ, 
by anywhere from 1000 
to 1500 grams of fat 
every single month. 
That’s good for 
a 40 to 60% difference 
in whether 
you are dead or alive 
at any single time point 
in the future. 
So it makes a big difference.
  
We’ve put this to work, 
sometimes 
in rather unusual ways. 
I was sitting at my desk 
one day 
and the phone rang. 
And a young woman said, 
“Dr. Barnard.” 
I said, “Yes?” 
“I can’t get out of bed.” 
I said, 
“What’s the problem?” 
She said, “This happens 
to me every month. 
For one day 
my cramps are so bad, 
I just can’t function, 
I can’t get through the day 
without taking enormous 
amounts of ibuprofen, 
and I’m scared about 
the side effects, and 
I don’t know what to do. 
And can you give me 
a more powerful 
pain medicine 
so that I can function.” 
  
I said, “Yes I can. 
Let me give you 
some painkillers 
for a couple of days.” 
But it suddenly struck me, 
what are 
menstrual cramps? 
Every single month, 
the amount estrogen 
in the body rises
and then it falls, 
about two weeks in, 
that’s when 
a woman is ovulating. 
And then 
the next two weeks the 
amount of estrogen rises, 
thickening the lining 
of the uterus. 
  
What’s it doing that for? 
Because the uterus is 
the most optimistic organ 
in the body. 
Every single month 
it’s convinced 
we’re going to 
get pregnant for sure, 
so it gets ready. 
But then about two weeks 
before the end 
of the month, it says 
“Ah, it didn’t happen.” 
So at that point, 
the inner lining 
of the uterus breaks up, 
it’s lost in menstrual flow, 
and very maladjusted 
chemicals 
called prostaglandins 
are released. 
They cause cramping and 
they cause headaches 
and they make you 
feel crummy. 
  
And so as she’s 
talking on the phone, 
I’m thinking, 
“Wait a minute. 
From breast cancer 
research we know 
that if I cut the fat out 
of my diet, 
if I bring in the fiber, 
I can reduce 
the amount of estrogen. 
Less estrogen, (means) 
less thickening, and 
less cramps. Let’s try it.” 
  
So I suggested this to her. 
I said, “Let me give you 
some painkillers 
for a couple of days, 
but we want 
to do an experiment 
for about four weeks. 
How about this, 
no animal products 
in your diet. 
If there are 
no animal products, 
there’s no animal fat.” 
And I said, 
“And keep the oils low. 
Throw away your bottles 
of cooking oil 
and all that stuff. 
Don’t eat the greasy 
potato chips and things. 
Keep it very basic, 
very low in fat.” 
She said, 
“Well I’ll try anything.” 
  
She calls me up 
four weeks later, 
“Dr. Barnard, 
I just have one question.” 
I said, “What’s that?” 
She said, 
“Why don’t doctors 
tell patients about this?” 
Her period just sneaked up 
on her, virtually 
no symptoms at all. 
And I thought 
that was intriguing. 
So I wrote a book 
that mentioned this 
and I started getting calls 
from women who said, 
“This is really true!” 
And she also found that if 
she deviated from her diet 
early in the month, 
a big bag of potato chips, 
something greasy, 
she would pay for it 
at the end of the month. 
  
So I did a research study 
with some colleagues at 
Georgetown University 
(USA) and we found 
indeed it is true. 
We brought in a group of 
women who had serious 
menstrual cramps. 
We put them on a diet 
that was vegan 
and low in fat for 
two full menstrual cycles. 
It shortened the number 
of days of pain. 
It shortened the intensity 
of the pain. 
And PMS (premenstrual 
syndrome) symptoms, 
like water retention and 
bloating and irritability, 
all these things got better. 
  
What I’m suggesting 
is just this. 
The reason 
I tell you this story 
is we imagine 
that our hormones 
are controlling us. 
That’s true, 
but we have a measure 
of control over them too. 
It’s just we never had 
the instruction manual. 
Well now 
we know how to do it. 
  
Now there are some times 
when research 
brought us in sort of 
the wrong direction. 
Do you know 
the “Women’s 
Health Initiative?” 
The “Women’s 
Health Initiative” was 
a very large and I think,
very well designed 
research study but it tested 
a rather modest diet. 
The idea was if we bring in
a group of women, 
in this case, 
not quite 50 000 women 
and if we reduce 
the fat content of their diet, 
will that prevent 
breast cancer? 
  
Well, they didn’t 
make anybody vegetarian 
or vegan. 
They didn’t really 
cut the fat out 
to a great degree. 
The numbers were like this. 
At the beginning 
of the study, 
the average woman 
going into it 
was eating about 38% 
of her calories from fat. 
That’s kind of high. 
The national average 
is closer to 30%. 
Then as time went on, 
they were able to reduce 
the fat content of their diet 
down to about 24%, which
is in the right direction
but it didn’t stay there.
  
As time went on, 
they were going back up 
and back up and back up 
and by the six year point, 
they were back up 
to about 29%, 
which is very much like 
the national average 
right now. 
Well, what happened? 
First of all, 
their breast cancer rates 
dropped just a little, 
about 9%. 
So that’s good, 
it’s in the right direction 
but it’s not strong enough. 
With one exception, 
progesterone receptor 
negative cancer, 
that’s one particular type, 
dropped 24%. 
  
So that’s good, but here’s 
why the diet didn’t work. 
They allowed people to 
keep eating all the foods 
that make 
the American diet risky.
They said, have 
the leaner cuts of beef; 
have chicken 
without the skin. 
The leanest beef is 29% fat. 
Chicken without the skin 
is 23%. 
Fish, some fish like salmon 
is over 50% fat 
in a typical cut 
of Chinook salmon. 
  
Broccoli is 8%, 
beans are 4%, 
rice is 1% to 5%. 
Those are the foods, 
if you really want to 
test this in a serious way, 
have people eating 
the grains and the beans 
and the vegetables 
and fruits. 
So don’t get me wrong, 
I think the “Women’s 
Health Initiative” 
was a great study, 
but what it proved wasn’t 
that diet doesn’t work. 
What it proved is 
that small diet changes 
do very little. 
  
Let me tell you about 
two other studies that 
really tackle this problem. 
One was called 
“The Women’s Intervention 
Nutrition Study.” 
And what they wanted to do 
was to see 
if diet makes a difference 
after a woman already 
has breast cancer. 
  
They brought in 
not quite 2,500 women. 
Everybody had 
breast cancer and 
they put them on a diet 
that was pretty low in fat, 
about 15% of their calories 
came from fat. 
That’s about half 
the American average.
And then they tracked 
how they did 
as time went on. 
What they were 
specifically looking for, 
was whether a woman 
was likely to have 
a cancer recurrence 
or a new cancer. 
  
Did you know this, that if 
a woman has already had 
breast cancer, 
she’s at higher risk 
of getting a new cancer? 
So what they found was 
the diet worked. 
The likelihood of 
getting cancer recurrence 
or a new cancer 
was cut by about 24% 
and when they looked at 
those that were estrogen 
receptor negative, that’s 
a particular type of cancer, 
they were cut 
by about 42%. 
So diet, it’s not perfect 
but it’s darn good 
and we’ll take it. 
  
Now there was 
another study called 
“The Women’s Healthy 
Eating & Living Study” 
or “The WHEL Study.” 
And they went a step further. 
It was low in fat but 
they also made a point of 
emphasizing vegetables 
and fruits and juices 
in particular, 
like carrot juice 
and that sort of thing. 
And it wasn’t 
quite vegetarian, but it 
was going a little further 
in that direction.  
The study 
as we’re recording this now 
is not yet finished, but 
I want to share with you 
some early results 
because they’re exciting. 
  
I’ve been suggesting that 
if a woman loses weight, 
brings in the fiber, 
cuts the fat out of her diet, 
she’s going to be able to 
control her hormones. 
Does it work? 
They took a sample 
of 291 of the women 
in the study and 
they actually measured 
their hormones 
at the beginning 
and the end. 
I’m talking about 
estradiol and estrone, 
these are the estrogens 
in a woman’s blood 
and indeed they dropped 
quite significantly just 
from the diet change alone, 
no medicines, 
no exercise, nothing, 
just the diet change. 
  
But then they went further 
and they looked at 
the control group 
that was not asked 
to make any diet changes. 
It was a large group 
of women, 
about 1,500 women 
and they varied. 
Some of them ate 
more vegetables, 
some of them ate less 
and they did a blood test 
for carotenoids, 
Beta-carotene 
and its cousins. 
You can measure that 
in a person’s blood. 
So if somebody said, 
“I eat a lot of vegetables,” 
you know, 
you can actually tell 
if it’s true or not. 
  
So they measured them, 
and what they found was 
that those women who 
had the most carotenoids 
in their bloodstream, 
meaning
they had been doing it, 
they had been eating 
the vegetables and fruits, 
they had about 
a 45% reduction 
in their likelihood of 
having cancer come back. 
  
So bottom line is this: 
We still have good methods 
for detecting cancer, we 
have pretty good methods 
of treating it, 
but you know what, 
I never want to use them. 
I want to see 
what we can do 
to keep cancer 
beyond arm’s length, 
and to do that 
we need to just change 
what’s on our plate. 
Thank you very much. 
  
Our heartfelt gratitude 
Dr. Neal Barnard 
for allowing us to share 
your excellent and highly 
informative presentations 
from the “Eating Right 
for Cancer Survival” series 
with our viewers. 
By encouraging 
the adoption 
of the vegan lifestyle, 
you and members 
of The Cancer Project 
are on the forefront of 
improving public health 
in the United States 
and beyond. 
We wish you the very best 
in your future endeavors.
  
For more details on 
The Cancer Project, 
please visit 
www.CancerProject.org 
The two-set DVD 
“Eating Right 
for Cancer Survival” 
and The Cancer 
Survivor’s Guide, 
a free to download e-book, 
are available 
at the same website
  
Thank you trusted viewers, 
for joining us today on 
Healthy Living. 
Up next is 
Science and Spirituality, 
after Noteworthy News, 
here on 
Supreme Master Television. 
May the entire world
soon adopt 
the compassionate 
plant-based diet and 
enjoy the peak of health.       
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