Colorectal

Here there are multiple widely proven supplements, foods and over the counter drugs with evidence of improving both treatment results and often lowering side effects. The surprising levels of these impacts can often exceed those of some newly emerging oncology drugs – which often bring their own side effects when added to a treatment plan.

Low dose aspirin is well researched in colorectal cancer, usually about 80mg mg but up 160mg. The recent ALASCCA study found clear benefits in third or so of patients with a common genetic feature. These so called “PI3K positive” patients were “responders” to aspirin with much lower progression risk. There are other studies reporting over a 25% lower risk for cancer spreading. Similarly, in vitamin D3 several studies show around a one third advantage in thoser with higher natrural levels, for both progression and all cause risks. Effects of statin use show more mixed results, often milder risk reductions 15 to 20% for disease progression and all cause mortality. In other cancers the impacts are, like aspirin, in “responders” who exhibit strong cholesterol reduction when starting statins.  Given synergies with aspirin there may be an increased effect used together, something confirmed in lung cancer. Atorvastatin is the most well established in cancer research. Where a prescription isn’t available, red yeast rice is the widely available supplement and source of lovastatin.

Coffee consumption has been found to decrease disease activity, not least digestive tract cancers like colorectal and gastric, here with over a one third risk reduction. Also with broad research in this area, the widely available and proven turkey tail extracts used in asian oncology can often have even more impressive impacts, and while lowering some treatment side effects. The active compounds “beta glucans” derived from mushrooms or yeast are also widely researced in many cancers with improved outcomes, and have their own entry in the Supplement Library. Similarly, patients adding the equally well proven herbal extracts, astragalus and danshen, to their oncology treatments can often see both much lower progression rates and less likelihood of major side effects. Reported impacts on risk reduction can be over a half.

Fermented wheatgerm extracts have been reported on in research trials for the last 20 years, and in colorectal patients the results are compelling. Again, findings include significantly lowered overall and cancer progression risks and fewer drug side effects. Most trials are sponsored by the vendor of Avemar brand compounds, but data is consistent in other cancers and at several research locations. With immunotherapy, H1 class anti-histamines like deloratadine also have good evidence of improving response rates and overall outcomes. This study below did not find risk reductions used with chemotherapy, but there are findings in other large scale population data of some effects, and potentially specific to desloratadine.

An emerging prebiotic in from anti-aging science, lactoferrin research finds very useful reduced side effects during chemotherapy. And, fascinatingly, strong reductions in key measures of disease activity, so called CEA markers. Research shows lower CEA level is linked with half the progression risk , and its elevated in almost all patients. Lactoferrin actively binds iron, improving crucially important iron balance. This reduces anemia or deficiency in iron levels in the blood, in itself a risk factor. And circulating ferritin, the enzyme like protein utilized by cancer to fuel its growth.

Systemic inflammation is linked with increased risks for progression, especially in later stages. Both acute type inflammatory responses (measured by c-reactive protein or CRP), and immune system related inflammatory responses (neutrophil-to-lymphocyte or NLR ratios) Maintaining relatively lower levels of both types of inflammation can make a big difference. Commonly used Astragalus root has evidence of improving this immune system balance while curcumin and other other functional foods including garlic can help bring down acute style systemic inflammation . Also for reducing inflammation and side effects of treatment, clinical trials are ongoing in Sweden with an functional foods from oats and egg that can reduce internal fluid pressure in tumors, allow better drug penetration during oncology. Some striking results have come from early use in brain tumors treatment.

Also in metabolic changes with cancer activity, upregulated fatty acid (lipid) is linked to progression. Berberine, and Urolithin A have good ability to reduce this fatty acid activity, along with several other supplements here. Another feature clearly associated with poor prognosis are tryptophan-kynurenine amino acid levels, and evidence here in sports research shows helpful reductions from the presence of gut bacteria akkermansia together with lactate from diet.

The so called Th1/Th2 immune system balance is strongly linked to the progression and to treatment resistance. Molecular iodine solutions are emerging in this area in breast cancer management and seen boosting Th1 anti tumor activity and helping suppress over active Th2 used in resistance. The has improved results in surgery plus chemotherapy and may support increased response immunotherapy (see Supplement Library). In a few cases treatment may include immunotherapy, where the presence of high sodium, zinc and magnesium levels are now identfied as a key marker for success in other cancers. Also in other cancers, AM treatment programs are substantially more effective that PM/evening sessions

In lifestyle changes, there are some instances of ketogenic diets benefiting patients in clincial trials. But even more clear are the reduced progression risks bought with anti-inflammatory foods combined with structured exercise regimes (see Lifestyle)

In repurposed drug trials, the combination of etodolac and propranolol is showing promise (see Repurposed Drugs)

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Aspirin has good overall evidence but especially in “responders”

  • Analysis of 3500 cases reports a relative risk reduction over half for some
  • Patients with the large improvement in progression have PI3K gene activity
  • Less significant, but still meaningful, risk reductions in others seem likely

Primary endpoint was met. Adjuvant treatment with 160 mg aspirin daily for three years reduced recurrence rate in CRC patients with somatic alterations in the PI3K signaling pathway. These findings could lead to immediate changes in clinical praxis for about a third of CRC patients…A total of 3508 patients were screened for somatic alterations in the PI3K pathway. Of the 2980 patients with conclusive genomic analyses, 1103 patients (37%) had an alteration in the PI3K pathway…After three years of follow-up, the HRs [risk levels] for TTR  [time to recurrence] comparing aspirin to...

Coffee shows remarkable impacts on slowing progression

  • Study of several trials and 1000 advanced cases reports risk reduction of a third
  • Both caffinated and de-caffinated show positive influence on slowing progression
  • These benefits are even more striking as they mainly occur in smokers

In 1171 patients with advanced or metastatic CRC [colorectal cancer], we found that increased total coffee intake was associated with a statistically significant improvement in both OS [overall survival]  and PFS  [progression free]. When caffeinated coffee and decaffeinated coffee were considered separately, both were associated with improved OS, whereas the association with PFS was attenuated for caffeinated coffee. The significant association between higher coffee intake and improved patient outcomes remained even after multivariate adjustment for potential confounding and prognostic v...

Turkey tail extract restores immune reaction to tumor cells especially in digestive tract cancers

  • Supporting chemotherapy, PSK turkey tail extract substantially improves outcomes
  • Stage II or III patients see over 50% reduced risk for progression and recurrence
  • In the more advanced patients at stage III the risk reduction was even higher, 60%

The study showed that oral PSK [turkey tail extract] plus UFT [chemo] reduced the risk of recurrence by 43.6% in patients with stage II or III, and reduced the overall death rate in patients with pathologic stage III colorectal cancer…the administration of PSK decreased the risk of recurrence and that of lymph node metastasis and a lower primary tumour. After a 5-year follow up, the rate of recurrence was 36.5% with UFT monotherapy and 23.3% with UFT/PSK, with the majority of recurrences being distant metastasis. Protein bound PSK achieved a 57.5% absolute reduction in recurrence at t...

Astragalus shown protecting and balancing immune responses often with clear effects reported

  • Chemotherapy response rates increased about 50% with astragalus
  • Incidence of toxic drug side effects to vascular health are halved
  • Studies run across many trials cancers find an average 34% risk reduction

 

The results of this meta-analysis of 1,409 patients showed that Astragalus-based product combined with chemotherapy in the treatment of CRC may increase the efficiency of TRR, improve their life quality, and reduce some side effects that result from chemotherapy when compared with chemotherapy alone….In three high-quality studies, analysis of the pooled data showed a significant improvement in Astragalus-based product combined with chemotherapy group (RR: 1.49). The incidence of TRR [partial + complete tumor response to chemotherapy] was significantly higher in Astragalus-based produc...

Danshen evidence from patient records is compelling in both cancer and vascular health

Screenshot from 2025-02-11 11-36-00
  • National scale patient database analysis for addind danshen with oncology
  • Danshen 3g daily pver at least 90 days results in relative risk  reduction of a half
  • In vivo lab studies identify so called skp2 protein signaling suppression

We examined data from the computerized insurance reimbursement claims database in Taiwan to discover that higher dose or longer used of danshen can prolong the survival rate of colon cancer patients in different stages Danshen has protective effects in colon cancer patients, which could be attributed to DT [an active compound in the herb]…we found that dihydroisotanshinone I (DT), a bioactive compound present in danshen, can inhibit the proliferation of colon carcinoma cells, Moreover, DT induced apoptosis of colorectal cancer cells. DT also repressed the protein expression of Skp2</p...

Vitamin D3 and its immune system health actions are key, higher doses being trialed in oncology

  • Higher levels of D3 extend relative survival and reduce treatment side effects
  • The SUNSHINE interventional trial confims these in clinical oncology
  • Most indications are higher doses are most effective, certainly 4000IU

In conclusion, we observed a particularly high prevalence of vitamin D deficiency among patients with advanced or metastatic colorectal cancer…Among 1,041 patients with advanced or metastatic colorectal cancer, we found that 63% of patients were vitamin D deficient and 31% were vitamin D insufficient at baseline. Higher plasma 25(OH)D levels were associated with a significant improvement in OS and PFS. The benefit associated with higher 25(OH)D levels was consistent across most strata of demographic, lifestyle, and pathological characteristics. To our knowledge, this was the largest s...

Fermented Wheatgerm has several smaller but fascinating study results and reduces side effects

  • Clinical research shows large 70% reduced risks for progression
  • This despite the fact the control group were mainly early stage
  • Much reduced formation of new metastatic sites reported

Since the MSC [those adding Avemar brand fermented wheatgerm] cohort had worse prognostic factors at the time of recruitment, it was considered that any benefit detected over the control cohort could support the claim that MSC might be beneficial to colorectal cancer patients. It could be concluded that this wheat extract, in combination with surgery plus radio/chemotherapy, may inhibit overall tumour progression, including the formation of new metastases, and may prolong the survival of colorectal cancer patients…in the present study MSC decreased the risk of death among colorectal c...

Red Yeast Rice or a prescription statin have multiple beneficial actions including all-cause risks

  • Patient data shows mildly decreased risks with about 20%
  • Similar effects can be seen in all cause risk levels (eg heart disease)
  • In other cancers, risk reductions are higher together with aspirin

Statin use at the time of cancer diagnosis is associated with improved overall survival. The benefit of statin use seems to persist regardless of cancer stage, location, and presence of other cardiovascular comorbidities…..Of the 29,498 CRC patients identified, 11,340 (38%) were statin users. The 10-year overall survival rate was 40% vs. 34% and the cancer-specific survival (CSS) rate was 68% vs. 56% in statin users compared with non-statin therapy patients, respectively. Statin use at time of CRC diagnosis was associated with a significant reduction in all-cause mortality in the over...

Walnuts and tree nuts are frequently reported to improve cancer outcomes

  • Regular tree nut consumption doubles relative survival rates
  • Relative rate of disease free survival increased over 40%
  • All cause mortality showed similar large reductions

 

In this prospective cohort of patients with stage III colon cancer who received adjuvant chemotherapy, a diet with increased total nut intake was associated with a significant improvement in cancer recurrence or mortality (DFS) and all-cause mortality (OS). Moreover, these associations seemed to be independent of other predictors of patient outcome, diet, and lifestyle factors, and the effect of total nut consumption was maintained across other known or suspected risk factors of cancer recurrence…Although the findings of our observational study do not establish causality, the results ...

Antihistamines have large scale analysis of case data supporting their use in most cancers

  • Across several cancer types, response is tripled and disease control doubled with low histamine
  • Data specific to CRC shows tendency for risk reductions in the 30% range
  • Beyond immunotherapy there were no significant effccts seen in this data

Kaplan-Meier survival analysis also indicated significantly improved overall survival in melanoma and lung cancer patients who took H1-antihistamines during anti-PD-1/PD-L1 treatment compared with control groups that did not (Figure 1D). In addition, breast and colon cancer patients taking H1-antihistamines while receiving anti-PD-1/PD-L1 therapy also showed trends of reduced death rate, although with no statistical significance, due to relatively smaller numbers of patients taking the H1-antihistamines. These clinical data indicated that H1-antihistamines may augment immunotherapy. Notably...

Lactoferrin increases iron balance and reduces anemia rates, countering cancers use of iron

  • Halved levels cancer activity (CEA markers), while these levels doubled in the control group
  • Significantly improved quality of life during chemotherapy including fewer viral infections
  • OS/PFS not measured, but other studies clearly show CEA strongly associated to outcomes

Although, there was a significant effect of oral bLF (250 mg/day) that indicated a significant improvement in mean percent of change of all parameters 3 months after treatment, there was no significant difference between results of patients in the test group and patients in the control group after treatment. This result suggests that oral bLF has significant therapeutic effect on colorectal cancer patients. Our study suggests that daily administration of bLF showed a clinically beneficial effect to colorectal cancer patients with better disease prognosis but that needs further looking int...

Curcumin is an anti-inflammatory with pilot clinical trials in CRC and liver cancers

  • Lower inflammation after surgery reported to improve outcomes
  • C-reactive protein below 3mg/dL predicts a 2 to 3X reduced risk
  • Effects were most prominent in patients under 65

Our results showed strong and independent dose–response relationships between elevated serum levels of CRP assessed a month or more after surgery and worse OS and CSS. The association of CRP with OS was particularly strong among male patients and also younger patients <65 years of age. CRP is a highly sensitive marker of systemic inflammation and it is primarily produced by liver hepatocytes in response to elevated inflammatory cytokines such as interleukin-6… mechanistic studies have suggested that elevated CRP correlates with increased expression of oncogenes resulting in DNA ...

Oat and egg based functional foods are entering early stage clinical trials for several cancers

  • Metastatic spread is linked to fluid pressure in the tumor microevironment
  • Ongoing phase III trial with functional foods in colorectal/ anal cancers
  • Significant reductions in many side effects of oncology drugs are reported

High ITB [so called tumor budding] was frequently identified in 22.2% of overall CRC cases. High ITB was significantly associated with aggressive tumor characteristics, including lymphatic, vascular, perineural invasion, and lymph node metastasis. In addition, there was a significant correlation between high ITB and worse prognosis in patients with CRCs. ITB is also useful for determining the prognosis of CRCs with low IS. Therefore, using both ITB and IS for prognostic stratification can be an effective approach to predicting outcomes for CRC patients.

Citrus Pectin removes heavy metals such as copper and has its own anti-cancer mechanisms

  • Relatively higher copper levels around 2.5X more likely with CRC activity
  • Increasing levels of copper seen in advanced stages and metastasic spread
  • Copper is often upregulated by cancers for both growth and spread

Our data indicate that there are systematic differences in blood Cu levels between colorectal cancer patients and unaffected individuals…several previous studies reported positive associations between serum Cu level and colorectal cancer risk or occurrence. The largest study (the EPIC study) identified 966 incidence cases of colorectal cancer in the cohort. These were matched with 966 healthy controls…Among those who developed colorectal cancer within two years of the blood draw, the odds ratio for a Cu level in the highest quintile compared to the lowest quintile was 4.00&#8230...

Berberine evidence in metabolic health may help counter cancers use of lipids and sugars to grow

  • Dysregulated fatty acid metabolism is mapped here for CRC
  • Two short/ medium chain acylcarnitines are reported as significant markers
  • Improving lipid metabolism can potentially counter-act this mechanism

Some of these significantly modified metabolites characterize cancer-specific adaptations, such as increased energy demand, increased tumor invasiveness, capabilities to promote amino acid synthesis, and tumor resistance against acute immune response. Moreover, receiver operator characteristic (ROC) analysis revealed that a set of two acylcarnitines (C6DC and C4-OH) can differentiate between CRC patients and healthy individuals with a high degree of confidence

Zinc joins sodium and magnesium in driving immunotherapy response

  • Clinical data shows strong links to immunotherapy responses
  • Progression risks are halved in those with relatively higher zinc
  • Zinc drive immune system activity is proposed to support therapy

 

Our study provides preliminary evidence that there is a correlation between serum zinc levels and the efficacy of immunotherapy. This correlation is reflected in treatment response and overall survival in patients with advanced cancer. These findings not only underscore the importance of zinc in immune regulation and cancer therapy but also pave the way for developing predictive biomarkers and synergistic treatment strategies to enhance immunotherapy outcomes…These studies collectively suggest that zinc supplementation could serve as a therapeutic strategy for allergic diseases and as&#82...

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