Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

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lpas
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Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby lpas » Sun Oct 23, 2016 4:54 pm

I happened across this article today, only because the lead author is a local oncologist I once saw for a second opinion. He's a pretty mainstream guy and not terribly open to the idea of supplements, so I found it particularly interesting that he would publish something like this.

The article describes an 83-year-old woman who was diagnosed with pancreatic cancer, but wasn't able to tolerate traditional chemo. She decided to pursue a complementary/alternative approach that included a super-dose of 50,000 IU/day in vitamin D3, plus sporadic use of "chelidonium (celandine), curcumin, a community mushroom blend, viscosin, and naltrexone". Eight months later a follow-up CT showed disease stability (with possibly even a bit of shrinkage?). Her Vitamin D level was tested at >150 ng/mL.

http://online.liebertpub.com/doi/pdf/10.1089/crpc.2016.0003

Obviously this was pancreatic cancer rather than CRC and it's strictly an observational study but I thought the write-up was interesting nonetheless. I'll admit to knowing very little about chelidonium, viscosin or naltrexone (and fully admit that the cancer world is full of shady operators hawking pseudo-"cures") but I continue to be a firm believer in the power of a carefully-targeted supplement regimen to augment the effects of conventional treatment and improve outcomes (e.g. slower growth, longer NED periods, etc).
11/14 Dx sigmoid CC @ 45yo
12/14 Colectomy + hysterectomy
Stage IIIB, T3N1bM0, 2/20 nodes, MSS, G2, KRAS(A146T), TP53, SMAD4, ERBB2, CEA 1.0
2/15-7/15 XELOX & celecoxib
2/19 clean scope
11/19 clean CT
Ongoing cimetidine & other targeted supplements
Mom to a 6 & 8yo

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H is for Hawk
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Location: eastern Pennsylvania

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby H is for Hawk » Mon Oct 24, 2016 5:49 am

Conventional wisdom is that serum vitamin D levels (greater than) >100 ng/mL is detrimental to the immune system. Your story implies this is not always the case.
H is for Hawk (57)
10/14 L. hemi-colectomy 3 x 4 x 1 cm tumor, 13/14 lymph nodes pos. pT4a N2B M0 stage 3 MSS
11/14 - 4/15 12x FOLFOX
5/15 PET scan: 2.5 x 1.5 cm l. colon lesion, peri surface lesion SUV 2.4, adenocar., KRAS wd, BRAF V600E mut
6/15 HIPEC
9/15 Pleural lining & liver mets, CA 19-9: 6000
10/15 Vectibix Tafinlar Mekinist
11/15 1500
1/16 200
2/16 100, add Lentinan
3/16 122
6/16 4500
7/16 20,000, CT scan - three new liver mets
8/16 6700, FOLFIRI
9/16 4900, CT scan - two new liver mets
10/16 2255 vinorelbine

radnyc
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Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby radnyc » Mon Oct 24, 2016 9:17 am

Have taken 5000 or 10000 units daily since diagnosis. No side effects, will continue forever.
DX Jan 2010, at age 47
Feb - colon resection - 2/17 nodes positive
April - liver mets - Stage 4
3 months Folfox chemotherapy
August '10 liver resection and HAI pump
7 months chemo FUDR HAI and Folfiri systemic
NED since August 2010
Last treatment April 2011
HAI Pump removed Dec 2015

canadiandaughter
Posts: 676
Joined: Sun Aug 17, 2014 11:19 am

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby canadiandaughter » Mon Oct 24, 2016 6:42 pm

My dads general pratictioner wanted him to take the vitamin D3 in excessive amounts, but the article he showed us also required vitamin K which I believe dad couldnt have on blood thinners. He swore by it and was upset when we said he wasnt going to do it.
DD to 81 year old father
dx 24/07/14 iv cc mets liver/lung
folifiri started 19/07/14
shrinkage of all mets
growth in the liver,started folfox/avastin 80% 13/01/16
reduced to 70% due to side effects 27/01/16
First scan on folfox shows shrinkage in lungs, but liver just stable
6 rounds of vectibix-fail. 3cm growth and new spots showing Waiting for panel recommendations
At peace January 8, 2017

Nik Colon

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby Nik Colon » Mon Oct 24, 2016 6:46 pm

radnyc wrote:Have taken 5000 or 10000 units daily since diagnosis. No side effects, will continue forever.

But the article is about 50,000 D3 per day

radnyc
Posts: 446
Joined: Tue Apr 06, 2010 6:32 pm

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby radnyc » Mon Oct 24, 2016 9:29 pm

My goal is to keep my blood 25(OH)D blood test at an optimal level, between 70-100 ng/mL, and that's what I need to take.
DX Jan 2010, at age 47
Feb - colon resection - 2/17 nodes positive
April - liver mets - Stage 4
3 months Folfox chemotherapy
August '10 liver resection and HAI pump
7 months chemo FUDR HAI and Folfiri systemic
NED since August 2010
Last treatment April 2011
HAI Pump removed Dec 2015

rp1954
Posts: 1857
Joined: Mon Jun 13, 2011 1:13 am

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby rp1954 » Mon Oct 24, 2016 11:41 pm

Nice find lpas.

lpas wrote:... a super-dose of 50,000 IU/day in vitamin D3, plus sporadic use of "chelidonium (celandine), curcumin, a community mushroom blend, viscosin, and naltrexone". ...CT showed disease stability (with possibly even a bit of shrinkage?). Her Vitamin D level was tested at >150 ng/mL.
http://online.liebertpub.com/doi/pdf/10.1089/crpc.2016.0003


According to endocrinologist Joe Prendergast, MD (now retired in his 80s), the 50,000 iu/day vitamin D3 dosage (+ vitamin K2 as MK4) is supposed to yield a peak blood level ca 1200 ng/mL, which the body will then self regulate the blood level down over time but still enhance immune responses to tumors.

During the transient, hopefully some tumor masses will disappear immunologically and then help maintain their absence.

H is for Hawk wrote:Conventional wisdom is that serum vitamin D levels (greater than) >100 ng/mL is detrimental to the immune system.

I would suspect an adulterated vitamin D product (e.g. modern fish derived A&D products add cheap, gross quantities of vitamin A), a D2 formula, or an imbalanced application (inadequate magnesium or vitamin K or something else) for that "conventional wisedom".

As a practical matter, most people can tolerate the 50,000 iu vitamin D3 daily dose indefinitely if they control their calcium levels.

canadiandaughter wrote:My dads general pratictioner wanted him to take the vitamin D3 in excessive amounts, but the article he showed us also required vitamin K which I believe dad couldnt have on blood thinners. He swore by it and was upset when we said he wasnt going to do it.


Vitamin K's are antagonists for warfarin. The other thinners, not so. I would ask for his other recommendations for nutrient chemistry and monitoring with the vitamin D3 written down. Study it, and ask around. If it enables you to disintegrate even one set or site of tumors and/or mildly shift the immune and chemo effects for a net improvement, it's big progress. And cheap.
watchful, active researcher and caregiver for stage IVb/c CC. surgeries 4/10 sigmoid etc & 5/11 para-aortic LN cluster; 8 yrs immuno-Chemo for mCRC; now no chemo
most of 2010 Life Extension recommendations and possibilities + more, some (much) higher, peaking ~2011-12, taper chemo to almost nothing mid 2018, IV C-->2021. Now supplements

dudette
Posts: 106
Joined: Sat Oct 17, 2015 10:04 am

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby dudette » Tue Oct 25, 2016 6:28 am

While I have been taking 5,000 a day for years, I haven't tried a high dose regime since having been diagnosed. Thanks for highlighting this option. I will give it a try.

Legacy Health System is conducting a pilot study with high dose supplementation. Though I am not sure whether it's 50,000 IU weekly or daily. The description had me confused because it mentions both:

Effectiveness of High Dose Vitamin D Supplementation in Stage III Colorectal Cancer
https://clinicaltrials.gov/ct2/show/NCT02603757
Temi
Dx 03/2015 @ age 41 - CC stage IV - pT3 N2b (14/29) cM1 (hep) L1 V1 Pn1 R1
Wild K-RAS, N-RAS, BRAF / MSS
unresectable mets liver 60% + lungs
Surgery
04/15 - sigmoid resect.
07/16 - hysterectomy (ovaries)
Chemo
05-06/15 - 4 x Folfirinox
12/15 - 02/16 4 x Xeliri + Avastin
03-05/16 9 x Xeloda
09-12/16 Folfiri + Cetuximab
01/2017 - metronomic chemo + methadone
July 20, 2107 - Temi has passed away.

rp1954
Posts: 1857
Joined: Mon Jun 13, 2011 1:13 am

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby rp1954 » Tue Oct 25, 2016 7:14 am

...I will give it a try.
It is best to recruit a medical practitioner to start, to support and monitor you, preferably experienced in the subject area. Somebody needs to study and take responsibility for the treatment. Although the major caveats are finite, a screwup could petrify the wrong thing... If anything gets strange, a professional who is already familiar with you, your story and your meds+supplements, is more than just a good idea.
watchful, active researcher and caregiver for stage IVb/c CC. surgeries 4/10 sigmoid etc & 5/11 para-aortic LN cluster; 8 yrs immuno-Chemo for mCRC; now no chemo
most of 2010 Life Extension recommendations and possibilities + more, some (much) higher, peaking ~2011-12, taper chemo to almost nothing mid 2018, IV C-->2021. Now supplements

dudette
Posts: 106
Joined: Sat Oct 17, 2015 10:04 am

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby dudette » Tue Oct 25, 2016 1:28 pm

Haha. Thanks for your concern and of course you are right. But I have tried many a times to find an oncologist, who is willing to look beyond chemotherapy. I'm getting stone-walled left, right, center. Everyone giving me the sad look that there is no hope and even telling me that I need to accept what is and stop trying. Since I can't afford a naturopath I am carefully learning by imitation. I know that it's not the best option but it's all I got.
Temi
Dx 03/2015 @ age 41 - CC stage IV - pT3 N2b (14/29) cM1 (hep) L1 V1 Pn1 R1
Wild K-RAS, N-RAS, BRAF / MSS
unresectable mets liver 60% + lungs
Surgery
04/15 - sigmoid resect.
07/16 - hysterectomy (ovaries)
Chemo
05-06/15 - 4 x Folfirinox
12/15 - 02/16 4 x Xeliri + Avastin
03-05/16 9 x Xeloda
09-12/16 Folfiri + Cetuximab
01/2017 - metronomic chemo + methadone
July 20, 2107 - Temi has passed away.

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Marylandmaniac
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Joined: Wed Jun 29, 2016 6:22 pm

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby Marylandmaniac » Wed Oct 26, 2016 4:44 pm

I know NIH has been and is doing studies of Vitamin D3. There is on now recruiting that people do 10,000 IUs a day. https://clinicaltrials.gov/ct2/show/NCT ... +D3&rank=8


I personally do 6k IU of Vitamin D3 and also taking Turkey tail mushroom. I know there are studies with that especially with breast cancer. https://bastyr.edu/news/general-news/20 ... r-patients

I also take Modified Citrus Pectin each day. I personally like the lime flavor, you just have to mix it really well.
I also take Cimetidine (Tagamet) which many members on here recommend.

I talked to my doctor about these and he was fine with it. He said doctors don't know everything (that is why I love him) and he said as long as it isn't going to hurt me he is okay with it. His office also has a nutritionist that I was able to see free of charge. She recommended the book "The Definitive Guide to Cancer" by Lise Alschuler and Karolyn Gazella. I ordered it on Amazon used so it was pretty cheap. It even give recommendations based on what chemo drug you are on and what to take to help reduce side effects.
DX 6/29/16 7 cm tumor, 10 cm fr av
CT scan ab,MRI abdomen - 9mm spot on liver,CT scan of chest lungs clear
Special staging MRI - clinical staging stage 3b - T3N2M0 (unless spot proves to be met)
8/11 PET scan - spot lit up not nodes
8/16 Port in, 8/17 liver microwave abltn - spot gone
8/23 6 rds FOLFOX started
PET scan 10-13 43% red of tumor and no mets shown
Exam tumor greatly reduced. Surgery 12-14-16.
Clear margins, 7 out of 13 nodes positive. Tumor 2.1 cm
Kras wild, MMS, not MSI. 6 more rds FOLFOX

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dianetavegia
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Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby dianetavegia » Wed Oct 26, 2016 7:37 pm

Labcorp's new high norm is 100nl.
Stage III cc surgery 1/7/09. 12 tx FOLFOX
Stage IV PET = 1.5cm liver met. HR 4/11/12

14 years since dx and 11 years post liver resection.
Pronounced CURED and discharged by onc

“O Lord my God, I cried out to You, And You healed me.” Psalms 30:2

Nik Colon

Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby Nik Colon » Wed Oct 26, 2016 8:08 pm

Just a couple links about excessive vitamin D, such as taking 50k per day..

Taking 50,000 international units (IU) a day of vitamin D for several months has been shown to cause toxicity.

http://www.mayoclinic.org/healthy-lifes ... q-20058108

For most people, vitamin D toxicity only occurs with Vitamin D doses above 10,000 IU per day.

https://medlineplus.gov/ency/article/001594.htm

Excessive amounts of vitamin D in the body can cause calcium levels in the blood to rise. This can lead to a condition called hypercalcemia (too much calcium in your blood)

Too much vitamin D can cause abnormally high levels of calcium in the blood. This can affect bones, tissues, and other organs. It can lead to high blood pressure, bone loss, and kidney damage without treatment.


http://www.healthline.com/health/hyperv ... #Overview1

Just wanted to include this info so people are cautious

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Marylandmaniac
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Re: Interesting case study on Vitamin D (and other supplements) in pancreatic cancer

Postby Marylandmaniac » Thu Oct 27, 2016 2:19 pm

Great point Nik. My doctor and nutritionist said the same thing about high levels of D3. I had my level checked during previous blood test and it was good. SO for me 6k works well. I had to request the test though because it was not part of my normal blood work.
DX 6/29/16 7 cm tumor, 10 cm fr av
CT scan ab,MRI abdomen - 9mm spot on liver,CT scan of chest lungs clear
Special staging MRI - clinical staging stage 3b - T3N2M0 (unless spot proves to be met)
8/11 PET scan - spot lit up not nodes
8/16 Port in, 8/17 liver microwave abltn - spot gone
8/23 6 rds FOLFOX started
PET scan 10-13 43% red of tumor and no mets shown
Exam tumor greatly reduced. Surgery 12-14-16.
Clear margins, 7 out of 13 nodes positive. Tumor 2.1 cm
Kras wild, MMS, not MSI. 6 more rds FOLFOX


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