Showing posts with label Hyperthermia. Show all posts
Showing posts with label Hyperthermia. Show all posts

Saturday, 25 July 2020

Hyperthermia at home?

Local hyperthermia in Germany
I first started to learn about hyperthermia during my treatment in Germany in Nov/Dec 2017 (see here my blog on transurethral hyperthermia) (i). I have since then researched lots more - including speakers like Alexander Herzog (ii) and a great series of videos from Truly Heal  - some of these videos are still available on their Hyperthermia Academy website along with an excellent downloadable guide and a couple of brilliant Webinars Update article 21.11.22 here. (iii). So I’ve already shared about getting a dome infrared sauna and using that regularly (see here) (iv), in this blog I want to look at my experiences of hyperthermia at home.

There is lots online suggesting hyperthermia is one of the most effective therapies for a wide range of diseases and can be helpful with cancer. However one of the first oncologists I met said he had looked into it in a lot of detail many years ago and he was very dismissive of the approach. Certainly I have read that some cancers like acute leukaemia are contraindicated. Yet there are an estimated half a million people travelling to Germany (like me) each year to treat infectious diseases and cancers. Sadly the UK doesn’t seem to have clinics here although I can imagine that will change (do let me know if anywhere is opening in UK).

Hyperthermia has also been named by some as the fourth pillar beside the standard  treatments of chemo, radiation and surgery - see PubMed article here that concludes (v): "Hyperthermia is an important treatment modality in cancer treatment and its results are strongly supported by criteria of evidence-based medicine.”  
Dome ready for hyperthermia
It is also possibly the only agent to treat cancer that does not itself appear to be oncogenic (cancer-inducing). Dr. Clare Vernon of the Hammersmith Hospital says in The Lancet; "I think every major cancer centre should have a hyperthermia unit. Hyperthermia was used at the hospital for around 25 years, but it is not currently available for a variety of reasons, none to do with its efficacy….Hyperthermia is very effective even when other treatments have failed. It’s also relatively cheap and well tolerated."

We know that fever is a healing response that is key in infectious diseases - strangely many of us have been so indoctrinated by modern medicine that we can see fever as disease. My mum, for example, finds it particularly hard to see that creating a fever could actually be helpful - she will reach for the paracetamol while I will try and avoid the medication. Indeed a number of doctors now advise parents not to medicate immediately as fever trains the immune system to fight illness.

My understanding is that during a fever the immune system is stimulated and the growth of bacteria and viruses are made to slow down. The production of white blood cells - the main agent of the immune system - are massively increased and flooded into the blood stream; more antibodies and more of the anti-viral cancer-fighting protein, interferon. As the immune system is activated heat shock proteins are created on the surface of malignant cells. The cancer cells become visible to the flood of immune cells who can then target them. While the increased blood flow and oxygenation all helps to detoxify the body.

In some Clinics, Viral therapy is used where patients are infected with flu. Indeed back in 1891 Memorial Sloan-Kettering Doctor William Coley famoulsy published a paper on how inducing a fever in the body of a cancer patient might stimulate the immune response and cause cancer remission. This again is not what I had, but basically it is still used in some places where over four days the body is brought to a natural fever - not exactly a scientific approach but it seems some have had very good results. 
Hyperthermia also has a longer heritage than even Coley - Egyptians are known to use heat treatments and Parminides, a Greek Physician in 500BC said "Give me a chance to create a fever, and I will cure any disease". Many of the Clinics also offer Whole Body Hyperthermia which can be done under anaesthetic/sedation - again this is not what I had.

Using Hyperthermia with other treatments

My oncologist may have been partly right as the evidence of success of Hyperthermia on its own is not huge, but it does show successes when used with other treatments. For example in Germany I talked to people who were being treated with Hyperthermia to increase white blood cell count after their chemo therapy; some clinics can reduce the chemo agent by 40% and still have better effects if combined with fever. However again research is lacking and almost none when looking at home treatment hyperthermia that I will come to in a moment.

We know that tumours tend to have oxygen-deprived (hypoxic) cells which are resistant to radiation, but they are sensitive to heat. So hyperthermia can also be useful when treating cancers with radiation. Radiation kills the oxygenated cells and the hyperthermia acts on the inner low oxygen cells making them more susceptible to radiation knocking them out. When I was having radiation treatment I considered hyperthermia at home but felt unable to add it into my protocol for a number of reasons including not feeling up to it (vi).

However I have now read that there are some extraordinary results with hyperthermia. Chris Woollams in a Canceractive article quotes the six year research from March 2000 in The Lancet looking at the use of hyperthermia and radiation compared with radiation treatment alone. He writes (vii): "Although the study showed promise for the treatment of advanced cervical, bladder and colorectal cancer, the most remarkable results were obtained with advanced cervical cancer. Complete disappearance of the tumour was obtained in 83% of those who received the combined treatment, compared to 57% who were treated with radiation alone. In addition, the three-year survival rate for those who received the combined treatments nearly doubled (improved 89%), compared with those who just received radiation. The study was well-received in the Netherlands where it was conducted, and the treatment has received government approval. The other advantage noted in the report was the fact that there was none of the nausea often experienced with radiation, and hospitalisation was not required”. 

Chris Woollams quotes other research showing the significant impact of hyperthermia on cancers. One particular multi-paper review in the Lancet showed that response rates for chemo and hyperthermia combined are 70%. Hyperthermia alone gives a response rate of 15% and chemotherapy alone can give results of 5 - 60% depending upon the drug, while radiotherapy alone was about 35%. Why the heck is it not part of UK treatment?

It is worth noting that a lot of the research into hyperthermia shows it is effective is in a narrow temperature range of between 42°C and 45°C. Above this range, healthy cells would suffer, and below this range, cancer cells will survive - but more on temperatures in a moment....


My experience - hyperthermia at home

So home use is about immune boosting and increasing while blood cells and oxygenation. It was Marcus from Truly Heal that first introduced me to using the dome for home hyperthermia. You can see his 10 minute video describing his own experience - in conclusion "Not joyful!” I had thought he might be a bit wimpy as I can manage certain pain fairly well - but oh no this was tough....

So how to do it? Well I set up the dome with two layers of towels - yes you seriously sweat! Another rolled towel for a headrest. Turn onto maximum temperature/full power and let it warm for 5-10 mins. Dress in long sleeve T-shirt and Long Johns or long pyjamas. I also wear socks to stop feet burning and some men put a towel across their groin to protect the sensitive areas. Of course turn heat down if burning feeling....burning is not good!

Insert the thermometer in the rectum - yes this is where you will get the most accurate measurements. Marcus recommends the iCelsius thermometer (at just under £100) which pairs with an iPhone and gives you continuous updates and a graph; apparently most other ‘cheaper’ thermometers are not accurate enough and we are talking differences of 0.3 to 0.5 degrees being very important indeed in thsi treatment. One point to bear in mind is to take care with the lead from the the thermometer to the device outside the dome; on one occasion it was between me and the mat and led to a very slight burn on me. Take care!

A pulse and oximeter is also useful to monitor your situation. I note that oxygen levels can go up if you do some breathing exercises while in the dome; some recommend some of this but take care and find what works for you.

You must have a support person once you start getting beyond the normal sauna 20 mins or so. It really does get very uncomfortable as the body desperately tries to balance itself and stay around normal 37.5. Support is wonderful for iced flannels on keeping the head cool (important) and helping drink - I will get through some one and half to two litres during the whole session - using a metal straw as angle is not great for sipping from a bottle. Another reason for support is that emotions arise during this treatment - and you need to be fully present to monitor the temperatures.

Marcus recommends a vitamin C product but I have some questions about oral Vitamin C so have not done that. In a previous blog I note those questions raised by Jane McLelland (viii) - I still need to do some research on this aspect. Some have recommended taking a urinal bottle in so that you can go if needed without having to get out of the dome.

As noted in my previous blog re saunas this is not for everyone - do check out medical advice before embarking on this. The Truly Heal site has a list of things to consider and be wary about. 

It is also really important to not got above 39 in the first few treatments. It can be very dangerous. Indeed 38.5 might be right for the first treatment. I have now, after eight or nine treatments got to 39 when I turn it off - but that really is the limit. It often takes me around 40 mins to get to the 39 degrees - then when you switch off you want to see the body core temperature rising on its own - that is an indication of the fever kicking in. Sometimes I will put the dome on low; say the number 4 setting to maintain the temperature. As Marcus shows in the video he puts a towel in between the two dome sections to create a gap for some air to come out and even with that the body temperature rises. This is good but you also need to keep an eye on that temperature so that it doesn’t go too high; allow more air in if it is still going up too much. 

I’ve not gone above 39.6 with the fever - temperatures over 40 can be dangerous. Some have argued that it needs to be 40 plus to kill cancer cells but there are different views and Marcus argues the effects are also dependent on the causes of your cancer. For example some cancers will have a significant viral component and he argues all cancers have bacterial and viral overgrowth which will be impacted by hypertthermia. The hyperthermia is about marking the cancers so that our immune system can target them.
Marcus comments on the temperatures re the dome use for Lyme patients: "The problem is that above 42.8 you risk coagulation of proteins which is dangerous. That's why we only heat to 39.5 C and let the body do the rest. After a few treatments your body learns how to respond properly with fever and will go as high as needed. Most lyme patients easily get up to 40C or 41C.” 
He goes onto comment on the Clinic that I attended (and the Doctor who oversaw my treatment) (ix) "Dr. Douwes offers intense hyperthermia. That's a clinical therapy which requires EKG and other emergency medicine at hand. I don't suggest you try this at home. The intense hyperthermia was used in many clinics at first but slowly has reduced to only a few clinics. All others have started to do the moderate hyperthermia which we share with you on this page. The reason for this is that the results were the same or even better while being far less exhausting and expensive. Almost all clinics ran tests parallel with 50 patients on moderate and 50 in intense and the moderate group did far better. Their immune response was stronger and the healing effect was better over time. I assume the idea was to eradicate all virus in a couple of treatment and this did not work out. It’s always a long process to change the inner milieu of the body".

At about 25 mins after switching off I am often at 38.6 or so - and what is most strange, is that when the body is in a fever nearly all the discomfort goes. It is almost as if the body enjoys the rush of white blood cells? Again some say they can feel floaty which is why it is essential to have support around and ensure the dome automatically cuts out after a time. At this point I usually try and visualise white blood cells targeting the cancer and other nasties (x). 

Try and stay in the dome for a minimum of one hour total time. The temperature slowly comes down. The idea is to keep the 'fever' going for a while. Marcus suggests that at 39.2 you could get out for a shower; not too hot but not cool. I usually wait a little longer in the dome. I guess this is not an exact science?
Do take care getting up; make sure your support person is on hands many get dizzy. I often feel completely exhausted - as Marcus says in his video it is like doing a marathon (xi). Best now is wrapping up warmly and going to bed - your skin can feel prickly - I guess sign of blood flow going out into the extremities. Two hours later after a snooze, Marcus still has his temperature at 38.5 and slowly descending. Mine is usually getting back to normal. He will often then go to bed. He notes that some describe euphoria then or the next day - certainly I feel enlivened sometimes a couple of days later.

While saunas can be done every second day hyperthermia are only recommended once a week to start with then reduced to every three weeks. I did them once a month but stopped before my radiotherapy. I am partly writing this as I will be starting them again; writing the blog is a good way to refamiliarise myself with the routine. For those in late stage cancers it is recommended once a week.

I feel very fortunate to have a dome - it is worthj noting that it is key to get a proper far infrared dome - many products like some of the bio mats are not far infrared but just electric cables heating crystals. It is also worth noting concerns re EMF (Electro Magnetic Fields) that can be harmful when we are exposed to them on a regular basis. Some of the domes have gone to great lengths to cancel out the vast majority of the EMF produced. 
So I'm now set to start hyperthermias again later this week. 


Notes:
(x) See my blog re David Hamilton's visualisations that I continue to use: https://myunexpectedguide.blogspot.com/2019/09/low-white-blood-cell-count.html 

Friday, 10 July 2020

Infrared saunas - part of my protocol

Just over 10 weeks after my diagnosis I had transurethral hyperthermia (i) and in the process started to learn more about heat, saunas and hyperthermia and cancer. I’ve always loved saunas but never was able to have them regularly. My partner is Norwegian and it is noticeable how saunas are more apart of everyday life. However some other Scandinavian countries seem to have an even stronger tradition of "saunaing". Finland, for example has over two million saunas available for a population of about 5.3 million! There is also a strong culture of cold and hot; in Finland often part of the sauna is the rolling in snow. I've not done that but 'Showering like James Bond' blog covers some of my morning routine.  

I don’t sweat much?


I also noticed that for many years, a lot of the time, I never sweated much but in saunas I did and do. I’m not suggesting I have anhidrosis (inability to sweat normally), but have become aware that not sweating is not so good. You need to look at why this is happening. 
There are various causes but for me it seems that sometimes I’m not hydrated enough. I am still struggling to learn the importance of drinking lots of water everyday. I will get into a good rhythm and then it slips. The other, bigger cause for me, is about how hard I am working. You need to work hard enough to increase your core temperature otherwise your body won't need to cool itself and you might not sweat. I seem to have to work quite hard to raise temperature. I noticed this when I first started exercising. My pulse rate and sweating took a while to go up; to my dismay this meant that some of the exercising I had been doing, while good, was not as good as it could have been! Of course it is worth noting that we are all different and what is normal for one is not necessarily normal for another. Interestingly my sweating has improved since regular sauna use.

Anyhow it was a couple of months after my treatment in Germany that I was able to get a dome infrared sauna; a very wonderful and hugely generous gift from my parents who were keen to support my complementary approach to cancer. In this blog below I will look at it’s used as a sauna and then there will be a blog coming soon about using it for whole body hyperthermia.

 
Having a sauna
There are different ways to create a sauna (incl dry air, steam or infrared) but it seems that far infrared sauna offers some of the best outcomes (ii); weight loss, detoxification, blood pressure reduction, relaxation, pain relief and so much more. The heat can penetrates through the outer layers of the skin and heats up the blood vessels below - it also doesn't cause any damage to tissue. It is claimed by many manufacturers that 80% of the heat goes into the body rather than the air. 

I think there are other benefits from different saunas, for example near infrared is allegedly good for herpes, shingles, hair loss, prevents loss of collagen and helps re oxygenation of tissue. You can even get lamps that go in the shower?! It is said taht being exposed to this earlier in the day can offer a protective effect. The mid-infrared is good for weight loss, pain relief and plays a role in improving circulation. There are also full spectrum saunas offering near, mid and far - but come at a cost.

It is also worth mentioning that some saunas have more elecromagnetic radiation issues than others; this was hard to check out but if no mention in the advertising then I think it is worth asking.

There are some obvious general precautions regarding saunas like not taking one when you are ill, avoiding alcohol and medications that may impair sweating before and after your sauna, cooling down gradually afterwards and drinking at least two glasses of water after each sauna. For me I stay in the sauna for a minimum of 20 mins and rarely stay beyond 30 mins (unless having a hyperthermia) (vii). I do however usually warm the sauna up for a few minutes before getting in. I was aiming for three times a week but that has slipped a lot after radiotherapy and I’m only just getting back to that.

One of the joys of my visit to Bad Aibling and the treatment there in Germany was the neighbouring spa, 'The Thermae’ (i). There are a collection of thermal spring pools, inside and out (we swam one time in the snow), but there were also over ten different saunas, some with aromatic smells, some crackling of firewood, one had a thick steam spray fog, while another had a view over the river. 
Well I hadn’t appreciated Germans have mixed, naked saunas…the first I went into was already packed with well over 40 people of all ages on three levels. I started to make my way between the bodies to a space on one of the benches, then was told we are all naked…I hung my towel and returned to the bench only to find that I had committed another sauna faux pas - you are meant to have the towel to sit on. I then realised I was in one of the hottest saunas having misunderstood the guide about which sauna to start with. I made it through the whole sauna session but was fearing that I would be the only one, the visiting English guy, who would have to stand up and make my way, once again in full view, to escape. 
 
Fortunately at home we can develop our own routines around having a sauna!


Research on sauna use (iii)? 

In the Finnish Kuopio Ischemic Heart Disease Risk Factor Study, looking at over 2000 middle-aged men, researchers concluded that using it two or there times a week led to reduced likelihood of death from cardiovascular-related causes by 27% and associated with a 66% and 65% lower likelihood of developing dementia and Alzheimer's disease. If sauna use was four to seven times then the likelihood of death from cardiovascular-related causes was reduced by 50%. Other research has seen similar results.

Another bit of research with 28 people with mild depression showed sauna sessions for four weeks showed subjective improvements in appetite, aches, anxiety, relaxation and  depression levels. Other research shows a link with reduced inflammation (iv) which must be good for cancer. There is also research around saunas helping with weight loss, managing pain and stress reduction.

There seems to be less specific quality research around the use with cancer - for example a study with tumor-infected mice showed even low sauna temperatures produced reductions in their cancerous masses of up to 86%. But there’s not lots of research other than when it comes to hyperthermia which I will look at in my next blog.

Nevertheless clearly all the other benefits that have been found from saunas are going to help build our health and immune system. Improved circulation must be good, as cancer often grows in tissues with poor circulation. In a sauna the pulse rate can go up by 30% or more which can also improve circulation to the lungs and greater oxygenation - and we know oxygen is what cancer doesn’t like.

Saunas may also help with elimination of toxins including heavy metals, chemicals, and pesticides. Saunas are said to not just work on the skin but also help to decongest and eliminate toxins from internal organs. Interestingly it is claimed that researchers have found that sweat from traditional saunas was about 97% water and 3% toxins. Infrared  saunas produced a sweat that was only 80-85% water. The remaining 15-20% was made up of heavy metals, sulfuric acid, sodium, ammonia, uric acid and fat-soluble toxins (v). However there doesn’t seem to be a research paper to go with this claim that is often repeated on the web (vi). Indeed Dee Anna Glaser, a dermatology professor at St. Louis University notes that: "for most people, sweating a lot does not detoxify them at all. Because the kidneys are doing it. Sweat’s main job is to keep us cool.”  So maybe that 15-20% figure of toxins is too good to be true!
Nevertheless there are some who consider it key in building our immune systems for them to tackle cancer. In a 2004 article in the Townsend Letter for Doctors and Patients, Lawrence Wilson, MD, wrote, “If I were to single out one method to combat cancer, it is the sauna. It assists removal of chemical toxins and heavy metals, increases oxygenation, enhances the immune system, and reduces the radiation burden in the body”(v).

Saunas appear safe for most people but I guess folks should check with their doctors especially if problems with heart disease or blood pressure. We certainly need more research! One of the areas that is researched better is that of sauna use and hyperthermia - see my blog coming soon for more on that. Update 25/07/20: here is the blog on hyperthermia: https://myunexpectedguide.blogspot.com/2020/07/hyperthermia-at-home.html

Update 10/04/21: See also this Docor talking sauna and cold showers and more: https://thesaunashow.com/pages/hot-amp-cold-sauna-bathing-techniques-with-dr-marc-cohen

Nice research re lowering dementia risk; 19.11.23: https://academic.oup.com/ageing/article/46/2/245/2654230?

Notes

(i) https://myunexpectedguide.blogspot.com/2019/06/transurethral-hyperthermia-my-experience.html
(ii) Hussain J.,Cohen M. Clinical Effects of Regular Dry Sauna Bathing: A Systematic Review. Evid Based Complement Alternat Med. 2018; 2018: 1857413. Published online 2018 Apr 24. doi: 10.1155/2018/1857413 PMCID: PMC5941775 Article PubReader PDF–1000KCitation
(iii) https://trulyheal.com/boost-your-health-with-heat/
(iv) Lidija Kandolf-Sekulovic, Milena Kataranovski, Milos D. Pavlovic. Immunomodulatory Effects of Low-Intensity Near-Infrared Laser Irradiation on Contact Hypersensitivity Reaction. Photodermatol Photoimmunol Photomed 2003; 19: pp 203–212, Blackwell Munksgaard. See also 2018 study: https://pubmed.ncbi.nlm.nih.gov/29209938/
(v) https://infraredsauna.com/blog/6-ways-saunas-help-fight-cancer/
(vi) https://www.theatlantic.com/health/archive/2017/06/infrared-saunas-will-not-detoxify-you-toxins-sweat/528813/
(vii) https://www.infraredsauna.co.uk/blog/how-long-should-you-stay-in-a-sauna-for-maximum-health-benefits

Sunday, 10 November 2019

Increasing effectiveness of radiotherapy part one

Philip researching
I’m likely to go for radiotherapy treatment in February next year after I have completed four months of hormone treatment. I’ve learnt there are many things you can do to increase the effectiveness of radiotherapy and reduce side effects. I hope to look at some of that in the next two blogs - of course a lot of my current protocol can continue but I want to spend more time in these blogs looking more particularly at reducing the impact of radiation side-effects and how to increase its effectiveness.

One excellent general blog that I’ve used to help put this together is by Chris Woollams - he looks at 20 ways to improve your radiotherapy experience here (i). I’ve added to some of that from other sources including a Readers Digest article (ii) and the Life Extension Foundation (iii). And as always I recommend talking to your doctor about any treatment protocol. This blog focuses on various stuff that I’ve come across to date that could help with radiotherapy while in the second part I will look at diet and supplements in more detail. I think another blog could cover what to do after radiation - but not now as there is plenty to digest here!

For background info do see my previous blog on both hormone therapy and radiotherapy; particularly regarding the radiation’s success rate, the serious longterm side-effects and that the treatment itself can cause cancer to come back stronger (iv). You can also see my blog on why I have delayed NHS treatment since my diagnosis more than two years ago (v).

So coming up I take a look at;

1. Ozone
2. Enemas
3. Hyperbaric Oxygen and exercise
4. Hydrogen
5. Homeopathy
6. Sleep and Melatonin
7. Fasting
8. Energy therapists, yoga, mindfulness, visualisations and more
9. Hyperthermia
10. Rectal barriers

1. Ozone

Ozone machine
I’ve already blogged on ozone and you can see that blog along with my video here (vi). In that blog I mentioned it’s use with radiotherapy - indeed ozone is used in nearly every German holistic clinic - it is a mandatory treatment to prepare patients long before chemo and radiation to prevent tumour lysis syndrome. Truly Heal have done a series of good videos about the use of ozone that can be found here (vii). They recommend 15ml/l with 300ml daily 6 to ten times before radiation then the same amount but only twice a week. One of the pieces of research Truly Heal quotes is worth a mention: 

“In a randomized controlled clinical trial by Menéndez, Cepero, & Borrego, (2008) they had 70 patients with prostatic adenocarcinoma, stage A and B. All patients were treated with cobalt-60 therapy (radiation) but with 35 patients they added rectal ozone. Rectal ozone was included 6 days per week at a dose of 40mg/L during the 6 weeks that lasted the radiotherapy. Within the first 2 weeks of treatment with cobalt therapy the participants had an increased appearance of side effects. However, ozone application decreased these side effects, even to the point where they didn’t have any side effects during the first 2 weeks. At the end of treatment, in 84% of the patients treated only with cobalt therapy and in 52% of the ozone group, referred to the presence of side effects, with significant differences between both groups. The prostatic specific antigen (PSA) was measured in all patients. At the beginning of the treatment no significant differences between both groups were observed. One month after finishing the treatment the PSA levels decreased dramatically. The results showed that 92% of patients treated with ozone had a PSA level below 10ng/mL. The group treated solely with radiotherapy only had 53% below 10ng/mL, indicating a significant result with ozone therapy”.

2. Enemas

Just a quick note to say that radiotherapy for prostate cancer is usually preceded by a microenema. This can be a small tube of medication that gets squirted up the rectum and leads to bowel movements. These have been shown to be more effective than doing nothing or following a high fibre diet, drinking lots and avoiding foods that cause wind (viii). I’ve also seen folks arguing for a low fibre diet. I wonder what a good diet and microenema might do? Or a full enema?

Perusing the web there is research about butyrate enemas which appear to be good for radiation proctopathy - that’s the complication that presents with damage of the mucosa, scarring, and tissue death in the rectum, and occurs in 5–20% of patients receiving pelvic radiotherapy for cancers of like prostate. In this link there are some other suggestions for managing protopathy (ix).

Read more in my blog on coffee enemas that probably won’t be suitable during radiotherapy but I need to do some more research particularly into the type of microenemas used in Gloucestershire (x).

I try to go dancing once a week as part of exercise programme
3. Hyperbaric oxygen and exercise

We know that oxygen pre-sensitises cancer cells so that more are killed by the action of radiotherapy. This goes back to 1931 and Otto Warburg who won a Nobel prize for explaining that oxygen kills cancer cells. Research at the Kansas State Medical School has shown that exercise before and during radiotherapy makes the treatment more successful - you can see my previous blogs and film on this here (xi). This makes sense, as Dr.Kenneth Conklin, MD, Ph.D. from the University of California (UCLA) points out, radiotherapy is most useful in well-oxygenated tissues (xii).


Exercise is something not to be missed with any protocol for cancer but particularly when taking hormones that can lead to significant muscle wastage - and particularly when having radiotherapy. Radiotherapy can impact very negatively so it maybe necessary to scale back somewhat on any current exercise plan? An anecdotal story from a friend said he walked every day of radiotherapy while others he was with did not; my friend noticed he had considerably fewer side effects compared to the others as the treatment progressed.

There are also several studies showing how useful Hyperbaric Oxygen (HBOT) can be in helping to minimise side-effects and even restore healthy tissue by promoting healing. See my previous blog on this here including film taken at the Gloucester Centre (xiii). The suggestion is a program of 3 sessions a week for 6 weeks to boost blood oxygen levels and reduce side effects significantly. The healing program can then go on for up to a year after the finish of radiotherapy. I am thinking to have a mix of HBOT and ozone - plus of course to continue with regular exercise.

4. Hydrogen

This is really for another blog. However it is worth a mention here since I went on a workshop earlier this year to learn more about inhalation and making hydrogen rich water. Doctors Sun, Ohta, and Nakao, in their book 'Hydrogen Molecular Biology and Medicine’ state that "According to the research, hydrogen shows a protective effect in multiple diseases” and they go onto include in that list malignant carcinoma, systematic inflammation reaction and radioactive injury. 

In terms of radiotherapy I’ve come across one study showing the positive effects of drinking hydrogen-rich water on the quality of life of patients treated with radiotherapy for liver tumors (xiia). There maybe other studies.  

Hydrogen is not supported by many in conventional health practitioners but those who do think it has an impact note that it has the ability to infuse the body with oxygen. As we’ve seen before on this blog many consider that cancer blossoms in oxygen poor environments. Jan Beute, featured in an earlier blog and in my video talking about hydrogen (xiib) says: "Hydrogen inhalation can help clear up to 90% of all free radicals in the body and is simply one of the best things you can do for your health.”




5. Homeopathy

This is a tricky one to write about as an individual homeopath will prescribe specifically to individuals. Interestingly homoeopathic remedies can be used to treat conditions but also to prevent them – the latter means that some therapists argue that homeopathic remedies for chemotherapy and radiotherapy side-effects should not be used AHEAD of treatment as they may also block the cell destroying effects of these approaches. There is a strong suggestion that until there is more research it should be used only to treat side-effects AFTER treatment. It may be one of the few times when homeopathic prevention is not better than cure. 

I’ve not yet fully researched this area but here is a comment from a friend using it: "I used - and still take (two years on) Radium Bromatum 30c, every other day, along with 4 other remedies in a complicated schedule re PCa". I understand that Radium bromatum 30c is for radiation burns as the skin may itch and burn and there may be swelling following radiotherapy.

On the CANCERactive website there is a blog by Madeleine Kingsley (ivx) where she writes: "During radiotherapy you might want to use a combination of x-ray and Belladonna. There was a research trial in Italy where women were randomised either to a daily placebo or took x-ray and Belladonna. The trial didn’t show marked results but it did show a difference in the recovery phase within the two groups, in that those randomised to homeopathy seemed to have fewer symptoms of inflammation and pain during the recovery phase once radiotherapy had finished.” Indeed a doctor (not NHS) also recommended Belladonna and X-ray, both 30c x 2 daily before radiation for a week, during radiation and after. This rather goes against my first paragraph in this section! I guess this si another one for folks to feel into their own intition and seek advice from trusted sources.
Other remedies that get a mention regarding helping to treat prostate cancer include Sabal Serrulata (can possibly reduce urine discharge at night) and Conium (good when urine flow is intermittent (vx). CANCERactive have another article here looking at homeopathy supporting the treatment of cancer (vix).

Update 4/12/19: More on X-ray remedy here - and to see about Calendula ointment on people who experienced radiotherapy-induced dermatitis (skin rashes) and Cadmium sulphuratum which apparently is widely used to treat people with cancer who experience side effects from radiation treatment see here.

6. Sleep and Melatonin

Sleeping well is crucial. Sleeping well in a dark room increases the production of melatonin in the body. This is a natural hormone that knocks you into a deeper sleep and regulates levels of oestrogen and growth hormones. It is also the largest anti-oxidant we make as animals and it is very anti-inflammatory - so basically it is more than obvious that sleep is very healing yet so many of us still try burning the candle at both ends of the day. Sloan Kettering have also done research that shows supplements of 20 mg of melatonin can improve the success of radiotherapy and reduce side-effects. However you will have to purchase in the states (or another country where it is sold over the counter) or get a friend to buy and bring back. I understand it is not illegal in the UK just not available for sale in the UK.

CANCERactive suggest (viix) "all cancer patients, especially those with hormonally driven cancers, and those on chemotherapy or radiotherapy, consider at least a 3 mg supplement. They can increase to 6, then 9 or more in stages. Some of our patients do take 20 mg without problems…..Supplements of 3 to 6 mgs are commonly taken about 30 minutes before going to bed. Levels above 10 mg have been thought to cause vivid dreams and hallucination, but there is little scientific evidence. And the growing evidence that melatonin can have an anti-cancer effect, especially when combined with chemo and radiotherapy at about 20 mg has caused people to dive straight in at that figure."

Update: 19/12/19: Great article summarising Melatonin use and cancer: https://riordanclinic.org/wp-content/uploads/2019/03/3-3-Shallenberger-High-Dose-Melatonin-Therapy-An-Ideal-Adjuvant.pdf  However as always take care, one social media comment was "If all these claims are true it should be making world headlines. I do take melatonin however I have a dose of skepticism especially since this doctor has numerous complaints and disciplinary actions."

7. Fasting

This needs a whole blog on this topic. Research from Chicago Medical School showed restricting calories by cutting carbs 15% (and up to 40%) in patients having radiotherapy produced better results - that is not strictly fasting but still interesting. However fasting itself can enable both chemo and radiotherapy to work better and have fewer side effects (viiix). See CANCERactive blog (ixx) and excellent general blog by Keki R Sidhwa here (xx).

Fasting seems to be a key part of quite a number of cancer protocols. I’ve not incorporated it yet as I have had very rough times in the past when fasting for more than 24 hours and I have already lost a significant amount off weight since the diet I started when I was first diagnosed with prostate cancer. However I am exploring this further ahead of radiotherapy.


8. Energy therapists, yoga, mindfulness, visualisations and more

I can’t cover this here as it is is several blogs worth - but clearly good to keep on with all this - however it is worth mentioning one visualisation, suggested to me, was to see the radiotherapy like the energy waves coming from the sun.


9. Hyperthermia

This is another big topic for another blog but wanted to mention there is research showing that when it is given with radiation or in the three hours before it can have a positive impact (xxiv). There is also evidence that sauna therapy increases the effectiveness of conventional cancer treatments such as radiation and chemotherapy (xxv).

However I can’t see how hyperthermia is possible in terms of treating myself then getting to Cheltenham for the radiotherapy. Also I have read that some like Guys and Thomas hospital recommend not using a sauna as radiotherapy can make the skin very sensitive, dry and itchy (xxvi). Of course we all respond in different ways so it maybe waiting to see regarding the the sauna.


10. Barriers

So when I was inquiring about Proton Beam Therapy I discovered they used a rectal barrier to protect the rectum from the radiation. Since then I have found that some centres using radiation also use this approach. Basically a hydrogel or "spacer" gel is injected between the prostate and the rectum - in effect creating a space between the two organs. As a result, there is much less radiation inadvertently administered to the rectum and much less collateral damage. The spacer gel liquefies over the next three months and is eventually eliminated from the body through the urine (xxii). 

This all sounds good as research has shown 'a remarkable nine out of ten patients who received pelvic radiotherapy experience chronic change to bowel habit with five out of ten reporting a significant change to their quality of life’. The initial research into spacers notes 'a significant reduction in late (3-15 mo) rectal toxicity in the spacer group was observed (2% vs 7%)' (xxiii). Sadly when talking to my consultant I was told there is only a trial in this country and Gloucestershire was not part of it. Apparently you might be able to get it privately but you would have to have the full radiation treatment also privately as Gloucestershire would not touch you with a spacer put in by someone else. This is disappointing!

Update 12/11/19: A friend sent this response regarding rectal spacers from someone in charge of radiotherapy for a health trust in another part of the country: "There are some NHS centres that have found a way to access funding for these but to be honest here we are unclear of the rules from NHS England and we have not been able to offer this. The funding seems to be restricted to certain Trusts and there needs to be strong input from the Urologists (and some availability from them) as they have to insert the spacers. Unfortunately we are also unable to offer this here and I have not heard of other centres in the region who are able to offer this. It is frustrating when NHSE brings in these rather odd processes to release funding in selective way rather than across the board..."

Update 22/11/19: I have contacted a couple of health providers for more info. Some NHS health services are happy to take patients where spacers have been fitted elsewhere. One private health provider quoted a rather prohibitive £6,000 for the spacer but 'free' if you have the full radiotherapy treatment with them; that fee could be £25k but that figure includes various other extras.

Update 28/11/19: There is a great info leaflet on the local Prostate Cancer website - see here (xxvii). 

I’m sure I will find other approaches to add to this list but next comes a blog on diet and supplements for radiotherapy. I also then need to narrow down what I plan to do.

See part two of blog here.

Notes

Yes I know I got my Roman numerals in a twist at one point but reckon they still make sense below!



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