Thyroid and Cancer

20130304-114544.jpgRecently I have been reviewing research coming out of Israel which concluded that manipulating the thyroid function can possibly offer a new/novel treatment for cancer. Well its neither new or novel as Dr. Jurkovic, a Slovak oncologist, had been treating cancer patients through thyroid manipulation for over 3 decades. I came across his work a few months ago, and the new research which independently validates his results renewed my interest.

The thyroid gland basically controls the body’s metabolism and metabolism is crucial for glucose hungry cancer cells to thrive and proliferate. I recently had my thyroid hormone levels checked and to my surprise, my TSH (Thyroid Stimulating Hormone) levels were 4x higher than control tests I had done before my cancer. That’s no coincidence, I am sure, but back to the story:

Dr. Kamil Jurkovic, a Slovak oncologist, had the desire to continue to treat terminal cancer patients, for whom traditional medicine had no more options. He experimented with off label drugs and eventually developed what looks like a very effective protocol for the treatment of cancer. He treated over 1800 patients during his career, and methodically documented his treatments and followed patients for over a decade after treatment. His published results are impressive to say the least, and his OS results beat anything that modern chemo treatments today can achieve. His case studies are also full of complete remissions, something rarely seen with traditional chemo treatments.

The protocol that Dr. Jurkovic devised, was quite simple. The core of his treatment revolves around the Thyroid. He prescribed a standard drug (Carbimazol) used to treat hyperthyroidism in order to retard the thyroid function and thus disrupt the metabolism. He also used pancryatic enzymes tripsin and chemotrypsin to treat ascites related problems in advanced cancer and included drugs to stimulate the immune system (Norga).

Unfortunately Dr. Jurkovic made a fatal mistake. He discovered that his treatments were more effective without chemotherapy. Advocating “no chemo” was too much for the Slovak Authorities, despite his impressive results. He was persecuted for many years and was eventually formally charged after the death of a terminal patient he was treating. He was sentenced and lost his medical license as result. Interestingly the family of the cancer patient did not wish to press charges, but the government decided to prosecute anyway. I have seen the same story repeated many times before, where potentially effective treatments are suppressed to preserve the chemo culture.

Fortunately Dr. Jurkovic legacy was not lost and other oncologists have adopted his protocols, though most keep a low profile. I intend to explore this treatment further as it is relatively safe, provided the thyroid is closely monitored. It can also be done in conjunction with chemo. Dr. Jurkovic protocols are well documented and any GP could prescribe the treatment, however I was lucky to find and oncologist with a great deal of experience with this protocol and intend to pursue the treatment further.

I also went to the effort of contacting a few of Dr. Jurkovic’s former patients. I found two. Both were terminal and sent home to die before they started the thyroid treatment. One had pancryatic, the other colorectal cancer. Both were alive 12 and 14 years after treatment and were cancer free. I don’t know of any oncologist who can claim to have cured even a single terminal cancer patient, and here I came across 2 without too much difficulty.

Dr. Jurkovic’s website jurkovic.sk has been offline for quite some time, however a lot of his work and publications can still be found on archive.org. This is a good place to start:

BLOCKING TUMOUR METABOLISM TREATMENT OF MASTOPATHIA FIBROSA

Resources

Blocking Thyroid Hormones Induced MAPK Activation -Novel Target for Therapy In Myeloma
Thionamides Inhibit the Transcription Factor Nuclear Factor-κB by Suppression of Rac1 and Inhibitor of κB Kinase α
Musli Clinic

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Copper Chelation

20130306-122917.jpgI have been looking into Copper and its know mutagenic properties. Several studies have linked cancer with high Copper levels. Research also shows that the copper transport plays a role in MDR, multi drug resistant cancers and can lower the efficacy of chemotherapy. The cellular ATP7A and ATP7B related drug transport system is thought to play a role in chemo sensitivity. It has been shown that patients with high Copper levels are more resistant to Chemotherapy.

It has also been shown that many cancer patients have high copper levels compared to people with no cancer. With high Copper, you can also expect low Zinc levels as Copper displaces Zinc.

One question that I have not been able to find an answer to is, “Why do cancer patients tend to have high Copper levels?”. Is it a symptom of the disease, or does cancer arise more often in individuals with high Copper levels? (If anyone knows the answer please post a comment).

With all the above in mind, it was time to test my Copper and Zinc levels. It came as no great surprise to discover that I had Copper levels well above the normal range, and Zinc levels below normal.

There is research and some clinical trials running to investigate Copper Chelation as a cancer treatment. The theory is that low Copper levels retard the growth of cancer, and at the same time make chemotherapy more effective.

The most common agent used for copper chelation is tetrathiomolybdate. I have this on order and will start with Copper chelation as soon as it arrives. Chelation agents will bind to heavy metals like Copper, and remove it from the body. Care should be taken, as Copper is an essential element. You want to achieve low copper levels, but not too low. Zinc should also be monitored as too much zinc can be toxic as well.

A cheaper alternative to tetrathiomolybdate is N-Acetyl-L-Cysteine (NAC). This is available in most health stores. NAC is however less effective and takes longer compared to tetrathiomolybdate.

My next step is to get other family members tested for Copper. If they also show high Copper levels, the first thing I will do, is get my old Copper plumbing replaced. I have also stopped taking a multivitamin as it contains Copper.

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CT Scan Strike 2

20130312-174829.jpgGot a CT scan today and the results are in. Seems like my little mutants are a stubborn lot. Just like FOLFOX, 4 rounds of FOLFIRI also failed to reduce my tumour load. This is strike 2. Most liver mets grew by a few millimetres over the last two months, few reduced in size, couple of new mets developed, while some smaller mets vanished without a trace. Not the result I have been hoping for however. Still as the growth was only slight, and few mets reduced in size, the oncologists are still treating it as stable disease. Unfortunately stable disease does not lead to a liver resection, the only official curative option known to western medicine.

The rgcc oncogenic test I had done suggested a multidrug resistant cancer, so chemo is not likely to do anything for me. Only thing left that traditional medicine has to offer are two experimental drugs. TAS102 out of Japan and Regorafenib, neither as yet approved in Australia however, though that has not stopped me finding other ways to access yet to be approved drugs in the past.

The worst thing is that the oncologists do not know whether the chemotherapy is doing anything at all, or if it is just a slow growing cancer, growing at its normal rate. Only way to find out is to stop chemotherapy and check the growth rate, a chance I am not ready to take yet, so will continue two more cycles of FOLFIRI, before I jump into chemoless, cutting edge therapies in Germany.

So what’s next. This month I will be throwing all my efforts into TCM (Traditional Chinese Medicine), though some of the therapies prescribed for me are quite hardcore even by my standards and I believe are quite dangerous. Desperate times call for desperate measures however and at this point I have to give it a try, but its going to be tough. (more on that next week).

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Liver Transplant

20130315-210024.jpgThere is a study on liver transplants with some very encouraging 5 year survival figures. The problem is that in Australia at least, this is considered high risk and metastatic cancer (other than primary liver cancer) will not qualify for a liver transplant.

The issues are the immuno suppressant medications, which need to be taken to prevent the organ rejection and the suppressed immune system is believed to help spread the cancer further. Another belief is a fast recurrence of mets in the transplanted liver tissue. The study did not show this however and most recurrences could be treated with additional surgery. The study showed a 5 year OS of 60%, which is impressive, though I would have like to see more participants in the trial.

Options

If you have 100k to spend, then you can get a liver transplant in Singapore. Singapore has an opt out system for organ donation, which means that getting a new liver is not hard. Singapore also allows family or friends to act as liver donors and a part of their healthy liver can be transplanted. Donations which are suspected to include some form of monetary compensation are illegal however. All forms of liver donation are illegal in Australia.

Liver is one of the few organs that has the ability to re-generate, so donated liver tissue can regrow within a few weeks. It is still however considered a risky procedure for both the recipient and donor.

It you are facing imminent liver failure due to extensive liver mets, a liver transplant could be your only option for survival.

Resources

Liver Transplantation for Nonresectable Liver Metastases From Colorectal Cancer.

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FOLFIRI Cycle 4 (1 Mar 2013)

20130315-115902.jpgThis cycle of FOLFIRI was the worst and best at the same time. During the first week, the level of nausea hit an all time high, and It took a great deal of control to fight the urge to vomit. This lasted for several days and the whole first week was a write-off. Even my vitamin C IV, which always reduced or eliminated my nausea (for a while at least) seemed less effective.

During the second week, things improved, and towards the end of the cycle, I had several days of being almost normal. This was a refreshing change from the near constant nausea of the past 7 months. I also felt that the type of nausea during the second week had more to do with the chemo rather than my ongoing liver problems, which have been the major contributing factor in the past.

I finally had a chance to see a dentist for my tooth infection that has been plaguing me for the last 6 weeks or so and I was given a broad spectrum antibiotic. This worked like a charm and the infection cleared up within 3 days. Should have done this earlier.

This cycle brought additional problems. A rather painful ulcer developed on the side of my tongue. Fortunately it cleared up within a week. As if I did not have enough problems, haemorrhoids popped up, and these don’t seem to be going away. All courtesy of Leucovorin I suspect. Seems like pain is becoming a part of my life as much as nausea. (I prefer the pain however).

During this cycle I got another blow. CT scans showed no significant tumor shrinkage. In fact most of my liver mets grew by a few millimetres. This means that just like FOLFOX, the second line FOLFIRI is not having much impact. I am committed to two more cycles, but after that I will pursue other treatment options while I am still in relatively good health.

My complete chemo story: http://www.mcrc4.com/?p=56

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Tetrathiomolybdate

20130315-125508.jpgIt took a while, but my Tetrathiomolybdate order arrived today. TTM is a powerful copper chelator and because I have high copper levels and the fact that copper is crucial to angiogenesis, its time to get as much copper out of my body.

Tetrathiomolybdate (TTM) was developed as an effective anticopper therapy for the treatment of Wilson’s disease, a disorder that leads to abnormal copper accumulation. As copper plays an important role in angiogenesis it is speculated that copper depletion can lead to stable disease in metastatic cancer. This outcome has in fact been observed in several clinical studies.

Resources

  1. Treatment of Metastatic Cancer with Tetrathiomolybdate, an Anticopper, Antiangiogenic Agent: Phase I Study
  2. Phase II Study of Tetrathiomolybdate (TM) in Patients With Breast Cancer
  3. The copper chelator ATN-224 induces peroxynitrite-dependent cell death in hematological malignancies
  4. A pilot trial of the anti-angiogenic copper lowering agent tetrathiomolybdate in combination with irinotecan, 5-flurouracil, and leucovorin for metastatic colorectal cancer.
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Dry Fasting

20130315-175528.jpgThe qigong master that I have been seeing for the last few months has recommended that I go on a ten day dry fast. That’s ten days without food or water. At first glance it sounds insane as it is documented that people tend to die from dehydration after 3-5 days without water, however there are many cases of people surviving a 10-14 day dry fast when not exposed to harsh elements of an outdoor survival situation.

I understand the concept of dry fasting. The lack of food depletes glucose storage and the lack of water increases detox and forces the body into a ketogenic state sooner as the body needs to digest fats to help replenish water stores. It is said that a ten day dry fast is equivalent to a 30 day water fast. I can’t afford to lose too much body weight, so a ten day dry fast sounds like the better option. I still have my doubts, but I have decided to try it and to see how far I get. My qigong master is adamant that this will cure me of my cancer. He quoted numerous examples of past cancer patients he treated all with great results apparently. Well I’ll believe that when I see my next CT scans, but I have decided to give it a go as this may be the only chance to do so while I am still in relatively good health. The risks however include the decimation of my ‘relatively good health’.

A body that is going through a dry fast will dehydrate slowly and the whole body will drastically slow down resulting in a minimal need for water. The body’s water level can however fall dangerously low and this may result in organ failure, even death.

Dry fast completely cleanses the excretory system and removes metabolic waste and toxins from the body. During a dry fast, the body’s digestive system does not need to function as it is not receiving any nourishment. With the reduced workload, the immune system is able to function better too.

While some people dry fast for as many as 10 or 14 days, it is usually recommended to try this fast for just three to five days. (I decided to try for the whole 10 days as I may not get another chance.)

While dry fasting, you should not perform any strenuous activities. This includes sex. Sunlight exposure should also be minimized. Light activity is recommended as this can help the body to detox. Rest or meditate when feeling weak.

Imagining yourself eating a full meal and going through the motions of eating and swallowing can alleviate the feelings of hunger and thirst. Ideally you should try to eat 3 or more virtual meals a day. (I have a good imagination, so intend to pig out.)

My biggest fear is that my qigong master could be right. If my little mutants start to commit suicide (apoptosis) on mass, as result of the dry fast conditions, I will be in trouble. I have somewhere between 1.5 and 2 kilograms of tumour mass. If the cancer cells die too quickly, the resulting toxic shock could be too much for the kidneys to handle.

I will start on the dry fast next week, once the current round of chemo drugs leave my body. I’ll write up a day by day account of this experiment and will follow up with a CEA blood test and possibly a new CT scan, so stay tuned…

I should add that this is way out of my comfort zone, and not something I would even contemplate under normal circumstances, but having pretty much failed both first and second line chemo in just 5 months, my treatment options are dwindling. A lot of anecdotal evidence exists for potential cures after extended fasts so I figure its worth the risk. I also love a good challenge, and this should be as good as it gets.

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Murray McNab (-14/3/2013)

20130317-154827.jpgTwo days ago I learned that Murray McNab lost his fight with colorectal cancer. I did not know Murray very well and we only exchanged a couple of emails, however his Journey struck a chord with me and I have been a regular visitor on his blog for the past 5 months. I guess its because he was pretty much the same age as me when diagnosed, and his initial diagnosis was virtually identical to mine. Stage 4 adenocarcinoma with extensive >70% mets to the liver and elsewhere.

My heart goes out to Carmen and the rest of Murray’s family. I am very sorry for your loss, which has also impacted me deeply.

Just like me, Murray was a fighter and looked for and pursued alternative cancer treatments when traditional medicine offered little hope. I have always been in a good mental state, even after my initial diagnosis, always full of hope and resolve, despite the bleak 2 month prognosis. The last two days were different however and for the first time in the last 5 months I feel myself sinking into a deep state of depression. I guess Murray’s death finally brought home the realities of this dreadful disease.

I came across Murray’s site while researching the Photodynamic Therapy (PDT) for cancer. At that time he had already pursued this procedure in China. His reported results were not great so I researched PDT in more detail. I came to the conclusion that PDT or SPDT were the wrong choice for metastatic colorectal cancer. PDT introduces photosensitive chemicals into tumour cells, and these need to be activated by light. In China this is done by shining red light through the skin in an effort to reach the tumour cells. There is just no way that light applied in this way can reach mets deep inside the liver. In Europe some PDT clinics apply light laparoscopically, which is a much better approach, but I still doubt that it will reach mets deep inside the liver tissue. I am very thankful that Murray shared his journey as I avoided making the same mistake with this treatment.

I first contacted Murray to find out why he had not pursued directed liver therapies in light of his extensive liver mets. In his reply he explained that due to his lung and bone mets, he was advised that liver directed therapies would not be appropriate as they would not treat the other mets. This is exactly the same advice that my oncologist gave me. I however did not agree with this advice. I contacted the top SIRT, TACE and Liver surgeons for second and third opinions. As it turns out, there is no reason not to pursue liver directed therapies such as TACE and SIRT at the same time as systemic chemo. Even a two stage liver resection with portal vein ligation can be performed on livers with extensive Mets.

After SPDT, Murray travelled to Germany to undergo a 3 week whole body hyperthermia treatment at the Herzog clinic. Hyperthermia is ideal to try in combination with immunotherapies. Murray was looking into these as well, but was advised that a low tumour load is needed for these to work. He never achieved this however. His Hyperthermia results were not great and he returned to Australia in a worse shape. Again I am very thankful for the insight into Murray’s experience. I too am heading off to Germany next month for a range of treatments, including hyperthermia. I will however do immunotherapies like dendritic cell vaccines and oncoviruses concurrently. Hyperthermia can stimulate the immune system, but not likely to be of benefit on its own with mCRC it seems.

Murray has been an inspiration and the main reason for this blog is to also share my treatment decisions and experiences with others. I am hoping that it can also help and inspire others going through the same ordeals, just as Murray has helped and inspired me.

Thank you Murray.

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Coffee Enemas

20130318-153409.jpgApparently coffee enemas are all the rage these days, so it was time that I too got onto the bandwagon. (I am going to spare you the details and if you need detailed instruction, just google them.) Had my third today, all in preparation for my 10 day dry fast. The aim is to detox my liver as much as possible.

How Does it Work?

The last part of the large intestine is called the sigmoid colon. By the time fecal matter arrives here, its mostly devoid of nutrients, but contains numerous toxins resulting from putrefaction. A special circulatory system (enterohroatic circulation) exits here and its purpose is to deliver sigmoidal toxins directly to the liver for processing. This is the pathway that Caffeine and other chemicals contained in coffee use to pass directly to the liver, bypassing the main circulatory system in the process. This in turn stimulates detoxification and releases accumulated toxins through bile excretion. Endoscopic studies have confirmed that following a coffee enema, bile output is significantly increased within just a few minutes following its application.

Once bile production is stimulated, stored toxins are eliminated and this frees the liver to process more toxins from the bloodstream. The bile is released into the small intestine. This results in additional benefits including the alkalinization of the small intestine and improved digestion.

In addition to Caffeine, coffee also contains alkaloids which stimulate the production of the enzyme glutathione-S-transferase. This enzyme is crucial to the proper function of the liver detox pathways. The production of this enzyme speeds up the rate of detoxification.

The secondary benefit is the colon cleansing itself. Coffee acts as an astringent, helping to clean the colon walls.

Coffee enemas were pioneered in Germany by Dr. Gerson. For cancer patients, Dr. Gerson recommended up to 6 enemas per day. Extended use by his patients did not appear to result in serious side-effects. I personally think that one a day is enough.

Side Effects

Mainstream Oncologists typically do not recommend enemas during chemotherapy as it is believed to increase the chance of bowel perforation.

Other potential side effects include: infections, sepsis, severe electrolyte imbalance, colitis, proctocolitis, salmonella, brain abscess, and heart failure. Long term use of coffee enemas can also lead to malabsorption of fat, fat-soluble vitamins, and calcium.

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CEA

20130325-133814.jpgEveryone with colorectal cancer is aware of CEA, short for Carcinoembryonic Antigen and watches their levels very closely. However, not many seem to know what CEA actually is, what it does and why its important. Here is my take on CEA:

CEA is the oldest known marker for colorectal cancer (identified in 1965). It is expressed in about 90% of colorectal cancers. It is currently the most common marker used to monitor colorectal cancer and disease progression. Increasing CEA levels are typical signs of progressing disease and the formation of metastases.

CEA is typically expressed during embryonic development, and stops after the fetus is formed. CEA is a glycoprotein belonging to the immunoglobulin supergene family.

Despite a lot of research, not very much is know about the biological function of CEA. What is known, is:

a) CEA protects cells from apoptosis. High levels of CEA have been correlated to poor function of the 5fu chemo agent. It also protects cancer cells from UV-light and Á- Interferon.

b) CEA overexpression can protect tumor cells from anoikis. Anoikis is basically apoptosis induced by loss of cell contact with the extracellular matrix. It can thus protect circulating tumour cells and help them metastize.

c) Experimental and clinical studies show that CEA is involved in the development of liver metastasis from colorectal cancer.

d) CEA is metabolised by the liver. Patients with extensive liver mets and damaged livers are likely to show higher CEA levels.

e) CEA is a GPI-anchored glycoprotein. It is located on the cell surface but also released into the extracellular space from cancer cells.

f) Well differentiated tumours express more CEA. This could be one of the reasons why not all colorectal cancers express CEA.

g) Other non cancer related causes of elevated CEA include: inflammatory bowel disease, peptic ulcers, pancreatitis, biliary disease, liver dysfunction and hypothyroidism.

CEA expressing colon cancer cells are likely to have a growth advantage because of CEA’s antiapoptotic function.

The normal level of CEA is less than 2.5 ng/ml, but can be elevated in smokers. A level of less than 5.0 is considered normal for smokers. Dying Cancer cells can release CEA and this can result in false readings, especially after treatments such as chemotherapy that may cause extensive cell death.

High CEA levels prior to surgery indicate a poor clinical outcome for patients.

More research needs to be done. The identification of the receptor for CEA that mediates its pro-metastatic activities is crucial and would have a great impact on cancer therapy.

Resources

Surface Expression and CEA Binding of hnRNP M4 Protein in HT29 Colon Cancer Cells
Carcinoembryonic antigen

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