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Myelodysplastic Syndrome (MDS)

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Prognosis in MDS is dependent on the particular MDS subtype. Whereas RAEB2 patients have a median overall survival of 9 months, 5q- MDS patients have a median overall survival of nearly 12 years.

Dear Cancer Coach- I am now 65 and have been diagnosed with Myelodysplastic Syndrome (MDS) in May of this year.  My doctor put me on Revlimid but it is not without side effects so I am now looking for something natural.  I must admit after 2.5 months the Revlimid is  helping to raise my blood level counts, but the side effects for me are really not pleasant at all plus I am Power of Attorney for my mother with Alzheimer’s Disease.

The combination or side-effects and stress is getting to be very unacceptable.  The oncologist I saw admitted that Revlimid was only a patch not a cure, and began talking Allogeneic Stem Cell transplant right away, which only is successful 50% of the time plus takes a year to recuperate from.

I am now 65 and do not want to give up a year of my life being a helpless invalid.  I am searching for something natural that will dismiss the unpleasant side effects.  I hope you are doing well with what ever treatment you are on, but just wanted to give you my take on the whole experience I have been through. Caregiver Kathy


Hi CK-

I am sorry to read of your MDS diagnosis. I will reply to your email and questions below. Because our communicationa are based on email I have to assume that you are young at the age of 65 (ave. age of MDS is 70), low-grade and can manage your health with nutrition, supplementation and integrative therapies. I will offer non-toxic therapies for you to consider below.
You are in a difficult situation. MDS is an incurable blood disorder. The only possibility for a cure is an allo SCT which is a very aggressive side-effect laden therapy. Consider low-dose chemo with evidence-based integrative therapies.
I understand that Revlimid aka lenalidomide therapy often has side-effects. While “natural therapy” can bring side-effects as well as conventional therapies cancer can,  Curcumin has been shown in research to syngergize with Revlimid. It is possible that low-dose Revlimid can manage your blood disorder with few if any side effects. Just a possibility.
Please consider getting a second opinion. MDS is difficult to diagnose and because your prognosis depends on the type of MDS you have (if you do have MDS-I’m not doubting your diagnosis, I’m simply encouraging a second opinion). Further, at 12-15,000 annual diagnoses of MDS in the U.S. annually, this diagnosis is not well understood by oncology.
Like my cancer, multiple myeloma, MDS is relatively rare and therefore oncologists who have more experience treating this disease probably have better outcomes on average. I linked the MDS Foundation’s “Centers for Excellence” below.
I realize that there is a lot of information for you to consider in this email Kathy. Please let me know if you have any questions.
Hang in there,
David Emerson
  • Cancer Survivor
  • Cancer Coach
  • Director PeopleBeatingCancer

Myelodysplastic Syndrome (MDS)

Because there are many causes of both dysplasia and cytopenias and because there are no single diagnostic tests for Myelodysplastic Syndrome, the diagnosis of MDS relies on the appropriate constellation of findings in a clinically suspicious patient with no other apparent cause for the symptoms
 
Because therapies vary depending on MDS subtype, a careful examination of all the laboratory data by a qualified pathologist is mandatory
 
Prognosis in MDS is dependent on the particular MDS subtype. Whereas RAEB2 patients have a median overall survival of 9 months, 5q- MDS patients have a median overall survival of nearly 12 years. The International Prognostic Scoring System for MDS is based on blast count, karyotype, and cytopenias. This system breaks MDS populations into good, intermediate-1, intermediate-2, and high risk patients with mean overall survivals of approximately 68 months, 42 months, 14 months, and 5 months, respectively.

Cancer-linked targets modulated by curcumin

The present report describes the potential anticancer properties of curcumin, a component of the Indian spice turmeric (Curcuma longa), known for its safety and low cost. Curcumin can selectively modulate multiple cell signaling pathways linked to inflammation and to survival, growth, invasion, angiogenesis, and metastasis of cancer cells. More clinical trials of curcumin are needed to prove its usefulness in the cancer setting…”

Vitamin D treatment in myelodysplastic syndromes.

” Treatment with vitamin D3 metabolites could induce a long-standing response of the haematological disturbance in some low-intermediate risk Myelodysplastic Syndromepatients without inducing hypercalcaemia.
 We conclude that coQ10 may be of clinical benefit in a subset of MDS patients, but responders cannot be easily pre-selected on the basis of either the conventional clinical and pathologic characteristics or mtDNA mutations…”

Vitamin B12-Responsive Pancytopenia Mimicking Myelodysplastic Syndrome

“The patients were initially diagnosed with Myelodysplastic Syndrome and responded rapidly to a 7-day parenteral B12 treatment with normal complete blood counts (CBCs). We propose that patients suspected to have MDS may suffer from vitamin B12 deficiency and that this can be revealed by a normalization of CBCs following 7 days of treatment with parental vitamin B12

The Most BioAvailable Curcumin Formulas

“Based on a review of these studies, it is evident that better bioavailability of formulated curcumin (CU) products is mostly attributed to improved solubility, stability, and possibly low first-pass metabolism”

A search of the Pubmed database for the word curcumin yields 601 studies spaning health topics from multiple myeloma and colorectal cancer, to chemotherapies that synergizes with CU, to Alzheimer’s Disease, arthritis and more. Based on years of reading studies and personal accounts, I think it is safe to say that CU supplementation is safe and relatively inexpensive.

I have read about myeloma patients taking daily doses of CU from 400 milligrams to 8 grams (1000 milligrams = 1 gram). By almost any measure, CU is a safe, inexpensive wonder drug.

The only challenge is that CU is famously difficult to absorb in the body. In other words, a person has to mix curcumin with some sort of fat (coconut oil, chocolate, etc.) or take a brand of curcumin capsule that is already formulated to be more “bioavailable” in order to derive the full benefit of CU.

The study linked and exerpted below reviews different formulations of CU. The study itself lists the three most bioavailable formulation/brand of CU and I’ve added an excerpt from a further review from Consumerlab.com that lists four additional bioavailable brands of CU.


Recommended Reading:


Curcumin

CU is a bright yellow chemical produced by some plants. It is the principal curcuminoid of turmeric (Curcuma longa), a member of the ginger family, Zingiberaceae. It is sold as an herbal supplement, cosmetics ingredient, food flavoring, and food coloring.[1]

Bioavailable curcumin formulations: A review of pharmacokinetic studies in healthy volunteers.

“Curcumin is a widely studied natural compound which has shown tremendous in vitro therapeutic potential. Despite that, the clinical efficacy of the native CU is weak due to its low bioavailability and high metabolism in the gastrointestinal tract. During the last decade, researchers have come up with different formulations with a focus on improving the bioavailability of curcumin. As a result, a significant number of bioavailable curcumin-based formulations were introduced with the varying range of enhanced bioavailability.

The purpose of this review is to collate the published clinical studies of CU products with improved bioavailability over conventional (unformulated) CU. Based on the literature search, 11 curcumin formulations with available human bioavailability and pharmacokinetics data were included in this review. Further, the data on clinical study design, analytical method, pharmacokinetic parameters and other relevant details of each formulation were extracted.

Based on a review of these studies, it is evident that better bioavailability of formulated curcumin products is mostly attributed to improved solubility, stability, and possibly low first-pass metabolism. The review hopes to provide a quick reference guide for anyone looking information on these bioavailable curcumin formulations.

Based on the published reports,

exhibited over 100-fold higher bioavailability relative to reference unformulated CU. Suggested mechanisms accounting for improved bioavailability of the formulations and details on the bioanalysis methods are also discussed.”

According to Consumerlab.com:

“Novasol has the highest bioavailability (185 x compared to unforumulated CU), followed by Curcuwin (136 x), Longvida (100 x), Meriva (48 x), BCM-95 (27 x), Curcumin C3 Complex + Bioperene (20 x), and then Theracumin (16 x).”

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