Leukemia

There are multiple supplements and compounds with good evidence of reducing risks and improving quality of life in leukemia patient studies. Often by protecting and boosting immune system health and lowering inflammatory responses that tend to fuel cancer progression.

The two most used and well proven herbal extracts, danshen and astragalus, are shown to have strong impacts when added to oncology treatments, mainly chemotherapy. Data from both Tiawan national patient records and collective study across several trials report much lower progression risks. Other research reports low immune system related inflammatory responses significantly improve outcomes, Re-balancing immune system inflammation levels, the neutrophil-to-lymphocyte ratio and improving low platelet count both reduce risks quite substantially. A natural immune modulator, astragalus has evidence of supporting immune system balance both before and during oncology treatments. Also continuing to develop in oncology practice are beta glucans, in this case derived from yeast. Stimulation and restoration of immune system responses, again, supports significanly improved treatment results.  Like astragalus and danshen, users of beta glucans frequently experience lower side effects from treatment.

For leukemia patients treated with tyrosine kinase inhibitors such as ibrutinib, a 2025 large analysis across nearly 1500 cases showed that stain use results in a large risk reduction both for progression and all causes. Its to be proven if this effect would be seen in the other 71% of patients who were not on statins, or a sub group of those. But a remarkable effect none the less. Statins users, especially those who respond with lowered cholesterol, are often reported with improved outcomes in cancer therapy and that includes leukemia. Importantly, at least one study showed even greater benefits in patients taking low dose aspirin alongside statins. Atorvastatin is the most researched prescription drug while widely proven red yeast rice supplements are the source of lovastatin, its cousin.

Another compound gaining a large body of both observational and clinical data is vitamin D3, there is overwhelming evidence of the poor prognosis in deficient patients, and increasing progress in benefits of supplementation. Higher dose vitamin D3 is gaining attention too, particularly for higher BMI patients.

Also from large scale analysis of patient records, use of H1 class antihistamine desloratadine reduced risks for progression in leukemia. Similar data also confirms superior response rates during immunotherapy for melanoma and lung cancer treatment, which researchers suggest are applicable in other disease including leukemia.

Treatment outcomes in blood cancers including leukemia can be heavily influenced by gut microbiome. Having is high diversity of gut bacteria is reported to improve response and reduce overall risks. Crucially, therapy failure is linked to poor gut microbiota and in particular deficient or absence of blautia and akkermansia bacteria. Some necessary oncology treatments may reduce levels of these bacteria as do antibiotics. Also related to diet, there is some fascinating research in fasting mimicking diets in early stage chronic lymphocytic leukemia (see Lifestyle)

Successful treatment relies strongly on how quickly new white blood cells can be produced. The Nicotinamide Riboside variant of vitamin B3 has been extensively studied in anti-aging science for its ability to increase cellular mitochondrial health. Now, there are is remarkable pre-clinical evidence that this vitamin can substantially increase stem cell activity that drives production of new white blood cells. Related, nicotinamide B3 has reached phase II for reducing incidence of melanoma in leukemia patients.

Dysfunctional iron metabolism is a signature of blood cancers. Elevated levels of enzyme like protein ferritin are seen in tumors and in circulation, promoting progression. Conversely anemia is common in patients and increases risks. Lactoferrin has very potent iron binding capacity, and increases iron balance, homeostasis. Potentially even in relation to iron overload from transfusions. Also metal related, new clinical studies show increased circlating copper bought on by cancer activity is s large risk factor, and many patients were deficient in zinc. Citrus Pectin has evidence of removing heavy metals over a period of weeks, and has its own anti-cancer activity.

Systemic acute type inflammation is associated with most cancers, and often measured with c-reactive protein. Supplements including curcumin, garlic and an anti-inflammatory functional food regime are all evidence based interventions.

The so called Th1/Th2 immune system balance is strongly linked to the progression in leukemia and to treatment resistance. Molecular iodine solutions are emerging in this area in breast cancer management, seen boosting Th1 anti tumor activity and helping suppress over active Th2 used in resistance. This has improved results in surgery plus chemotherapy and may support increased responses during immunotherapy (see Supplement Library). For immunotherapy the presence of high sodium levels is 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

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

  • Aggregated study across the 3 highest quality chinese clinical trials
  • Danshen impacts here are consistently large, reducing progression risk by around 75%
  • Confimatory evidence in national patient records in Tiawan shows 59% risk reduction

This paper was a systematic review of 13 high-quality RCTs [research clinical trials], including 1045 participants, to determine the efficacy and safety of the Danshen formulae for cancer treatment. Our study showed that the Danshen formulae provide statistically significant benefits in improving RR [complete + partial response, leukemia studies showed the highest response levels] (OR 2.38 ), 1-year survival (OR 1.70), 3-year survival (OR 2.78), and 5-year survival rate (OR 8.45)Current evidence suggests that Danshen formulae can be used as an effective adjuvant for treat cancer.

Akkermansia continues to emerge in oncology as one key bacteria strain especially with immunotherapy

  • Low or no akkermansia and blautia gut bacteria reported with treatment failure
  • Necessary oncology treatments an antibiotics seen to reduce levels
  • Diversity of gut microbiota has extensive research showing improved outcomes

Lower microbial gene richness, a lower abundance of the genus Blautia, and a lower abundance of Akkermansia muciniphila, early post-aHSCT was observed in those who developed aGVHD. Myeloablative conditioning was associated with aGVHD along with a reduction in gene richness and abundance of Blautia and A.muciniphila. These results confirm low diversity and Blautia being associated with aGVHD. Crucially, we add that pretransplant conditioning [chemo/radiotherapy] is associated with changes in gut microbiota. Investigations are warranted to determine the interplay of gut microbiota and conditi...

Red Yeast Rice or a prescription statin have multiple impacts including lower all-cause risks

  • Users of statins during treatment show strongly improved outcomes
  • Strikingly large risk reduction level of 61%, progression free risk reduced 27%
  • Chronic lymphocytic leukemia (CLL) treated with TKI ibrutinib

This study provides valuable insights into the associations of baseline statin use with survival and adverse event outcomes in patients with CLL/SLL initiating contemporary treatment regimens. The findings revealed a statistically significant association between statin utilization and improved OS, PFS, and cancer-specific survival. The latter suggests a potential disease-modifying effect of statins in this patient population. No significant associations were observed between statin use and the occurrence of grade ≥3 adverse events. Notably, statin use emerged as a consistent positive prog...

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

  • Supplementation from diagnosis doubles Time To First Treatment for patients under 65
  • In related studies, insufficent levels of D3 are clearly linked to poor outcomes
  • New interventional trial reports risk reduction around a half in post treatment outcomes

We found that vitamin D supplement was statistically significant for longer TTFT in the young cohort (age ≤65) and was associated with a longer TFS for all ages (P = .004). Among non–vitamin-D users, the median TFS was found to be 84 months, whereas among vitamin D supplement users the median TFS extended to 169 months. In conclusion, our long-term retrospective study demonstrates that the administration of vitamin D to patients with CLL in a watch-and-wait active surveillance is significantly associated with a longer TFS (in any age) and a longer TTFT among young patients (...

Astragalus actions include protecting and balancing immune responses often with clear effects reported

  • Tiawan national patient records shows a 59% average risk reduction with herbal medicines
  • Lower immune system inflammatory response is closely linked with improved outcomes
  • Astragalus has evidence for reducing this inflammation seen in neutrophil-to-lymphocyte ratios

It is a reasonable assumption that a portion of AML patients seek complementary forms of therapies following their diagnosis. Although this study cannot replace a controlled clinical trial or prove a causal relation, it strongly suggests that adjunctive CHM [chinese herbal medicine] therapy may benefit AML patients of all ages, including those with poor prognosis. We are unable to infer whether this is a direct result of the CHM consumed, a synergistic effect with standard agents, or even just a result of the former reducing the adverse effect of the latter and consequently leading to more ...

Beta glucans protect and balance immune system activity improving outcomes

  • Pharma grade beta glucan phase II trial with promising rates of complete remission
  • Almost halves the percentage of patients requiring re-treatment at 3 years
  • Recent trials in lymphomas show very similar positive effects for patients

This phase I study shows that PGG beta glucan (yeast derived odetiglucan) can be safely combined with alemtuzumab and rituximab for the early therapy of patients with high risk CLL. The limited data set suggests that this combination is effective at achieving a high rate of complete responses. However, because of the limited accrual to the phase II component of the study, these data remain preliminary. PGG beta glucan was generally well tolerated and the 3 grade 3-4 toxicities

Vitamin B3 in several forms shows protective effects in cancers

  • Vitamin B3 riboside variant accelerates activity of hematopoietic stem cells
  • Large protective effect in mouse model gave dramatically higher survival
  • B3 is widely available and has supporting evidence in other cancers

NR dietary supplementation results in a significantly enlarged pool of progenitors, without concurrent HSC exhaustion, improves survival by 80%, and accelerates blood recovery after murine lethal irradiation and limiting-HSC transplantation….Our work demonstrates for the first time a positive effect of NAD+-boosting strategies on the most primitive blood stem cells, establishing a link between HSC mitochondrial stress, mitophagy, and stem-cell fate decision, and unveiling the potential of NR to improve recovery of patients suffering from hematological failure including post...

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

  • Elevated levels of TIGAR sugar metabolism strongly affect prognosis
  • Patients with relatively low levels saw over 50% increased survival rates
  • Berberine research shows it strongly binds TIGAR in its glucose clearing actions

In summary, our study showed that high TIGAR expression was associated with poor survival and a high incidence of relapse in adult patients with CN-AML, even after adjustment for known clinical and common molecular risk factors. Moreover, sustained TIGAR activation, uncoupled from p53, may support AML cell growth and survival. TIGAR in cooperation with glycolysis had a strong anti-apoptotic effect in AML cells. Therefore, the combination of TIGAR inhibitors with anti-glycolytic agents may be powerful novel therapies for the future clinical use in AML patients.

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

  • Lower levels of ferritin reduce risk levels and improve treatment responses
  • The meta-analysis shows about half the risk for progression with low ferritin
  • Iron deficiency or anemia are very common and also significant risk factors

Serum ferritin (SF), a test that measures body’s iron stores and inflammation, has been established as a worthwhile prognostic impact indicator for myelodysplastic syndromes, including acute myeloid leukemia (AML)…four out of five studies compared survival rates for Progression Free Survival, Disease Free Survival (DFS), Recurrence Free Survival (RFS), and Event-Free Survival (EFS). Despite the significant heterogeneity, a pooled HR still showed a poorer prognostic association between high SF and AML (HR: 1.88)…Elevated SF levels have been associated with adverse effects o...

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

  • Study of the impact of blood levels of circulating copper and zinc
  • Relatively lower copper levels are reported as a 2.5X lowered risk
  • Most patients had deficient zinc, and Copper/Zinc ratio has similar findings

SCL [copper] and SCZR [copper/zinc] were positively related to the blast percentage of bone marrow and C-reactive protein… were significantly associated with worse overall survival and disease-free survival. Meanwhile, patients with higher SCL had worse CTCAE levels [adverse events], and patients with higher SCZR showed less complete remission during the first course of induction chemotherapy. Moreover, higher SCZR was positively associated with ELN risk stratification [genetic factors], and was negatively associated with hemoglobin level and prognostic nutritional index (PNI)

Curcumin has evidence for reducing levels of systemic inflammation used by cancers

  • Sustained low inflammation levels give large risk reductions
  • An overall risk reduction of two thirds is reported here
  • Importantly, an 80% risk reduction for developing a second cancer

Unlike lymphomas, especially the more aggressive subtypes, where CRP is markedly increased and linked to poor prognostic parameters elevated CRP in CLL appears to be less related to the malignancy itself and more obviously associated with other findings, such as the risk of developing second cancers…Taken together, elevated CRP is an independent predictive factor for decreased OS and an increased risk of developing a second solid malignancy in patients with CLL. We propose that increased CRP in patients with CLL is a potential marker for early cancer detection and may well justify a m...

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