Recently Diagnosed or Relapsed? Stop Looking For a Miracle Cure, and Use Evidence-Based Therapies To Enhance Your Treatment and Prolong Your Remission

Multiple Myeloma an incurable disease, but I have spent the last 25 years in remission using a blend of conventional oncology and evidence-based nutrition, supplementation, and lifestyle therapies from peer-reviewed studies that your oncologist probably hasn't told you about.

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Can Chemotherapy Increase Myeloma Relapse Risk? What Survivors Need to Know

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Can chemotherapy contribute to treatment resistance or multiple myeloma relapse risk? Learn the research on inflammation, cellular senescence, relapse risk, and evidence-based integrative therapies.

As a long-term multiple myeloma survivor diagnosed in 1994, I have experienced induction therapy, transplant decisions, remission, and survivorship challenges firsthand.

Research confirms that chemotherapy and radiation cause our bodies to age, cause short-term, long-term, and late-stage side effects, and can cause our cancer to relapse.

All of which makes sense to MM patients and survivors. I mean, MM always relapses. MM always comes back.

As cautious or anti-chemo as I am, however, I admit that almost all MM survivors need at least a little chemo from time to time.

What Causes Multiple Myeloma To Relapse?

Multiple myeloma relapse occurs when remaining myeloma cells survive treatment and later grow again. Relapse can result from treatment resistance, genetic changes, tumor microenvironment factors, and disease progression.

The issue then, in my opinion, is not yes or no to conventional therapies like surgery, radiation and chemotherapy. The issue is how much toxicity is okay and how the cancer survivor can heal him/herself once they complete their therapy.

Can chemotherapy cause cancer recurrence?

Chemotherapy itself usually does not directly “cause” cancer recurrence, but treatment pressure may contribute to resistant cell populations, inflammation, and biologic changes that allow surviving cancer cells to grow again.

Evidence-Based Ways To Reduce Relapse Risk

The answer is evidence-based, meaning therapies supported by research, but do not expect your oncologist to discuss it with you. Evidence-based non-conventional therapies shown to reduce cancer inflammation and relapse-

6 Evidence-Based Ways To Potentially Reduce Myeloma Relapse Risk

  1. Regular exercise
  2. Anti-inflammatory diet
  3. Curcumin
  4. Sleep optimization
  5. Vitamin D optimization
  6. Stress reduction/mindfulness

will certainly help you reduce your risk of relapse, yet because they are not “FDA approved,” your oncologist won’t discuss them. And certainly he/she will not prescribe them. This is how cancer medicine works in the U.S.

I read many cancer patients asking if they can “eat junk food again once I finish chemo?” Or I read about cancer patients celebrating being cancer-free once they reach remission and complete chemo and radiation. And this is great.

However, months or even years of active therapies such as chemo and radiation cause a great deal of inflammation in their bodies.

Returning to “eating junk food” once they finish their chemo and/or radiation will further increase inflammation in their bodies. Increased inflammation increases their risk of relapse.

My belief and experience as a long-term cancer survivor is that active therapy is only the first step in your life as a cancer survivor. The step following surgery, chemotherapy and radiation is to live an evidence-based, non-toxic, anti-cancer lifestyle through nutrition, nutritional supplementation and lifestyle therapies such as exercise, whole body hyperthermia, etc.

And here’s the pay-off. The evidence-based, non-toxic lifestyle that I’m referring to will

  • slow the aging of your body,
  • stabilize and possibly heal side effects and
  • make you feel a whole lot better!

At least that’s what the studies say. And that’s what I experienced. Your challenge is this thinking: these therapies will not be part of your “standard-of-care” conventional therapy plan.  Again, no problem.

Conventional oncology focuses on “curing” your cancer. Keep in mind that oncology’s  definition of a cancer cure is specific and may be different from your definition of the word “cure.”

As long as you understand what your oncologist is focusing on and as long as you understand what he/she is doing, what their goal is compared to your goal, you should be fine.

So understand that once your conventional surgery, chemotherapy and radiation therapy plan is finished, consider switching to living an evidence-based, non-toxic, non-conventional anti-cancer lifestyle. You’ll be glad you did.

To ask any questions, please scroll down the page and post a question or a comment. I will reply to you ASAP.

Thanks and hang in there-

David Emerson


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  2. Multiple Myeloma Diet
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Relapse cluster

Side effect cluster

Lifestyle cluster


Questions to ask your oncologist 

  1. Can multiple myeloma relapse after a stem cell transplant?
  2. Can myeloma relapse without symptoms?
  3. What is biochemical relapse?
  4. How often should myeloma patients be monitored?
  5. Can lifestyle changes reduce relapse risk?

Pro-inflammatory stress response promotes chemotherapy side effects and cancer relapse

“Standard chemotherapy is a blunt force instrument against cancer – and it’s a rare cancer patient who escapes debilitating side effects from systemic treatments that mostly affect dividing cells, both malignant and healthy, throughout the body…

While chemotherapy does save lives, it often comes with a very high price,” said Judith Campisi, PhD, of the Buck Institute and senior scientist on the study. “Our work in mice studied the effects of chemotherapy on cancer relapse and other serious side effects. It provides a proof-of-principle that we hope can be translated into clinical practice…

Campisi’s latest work highlights the two-faced nature of cellular senescence. It’s a biological mechanism that puts a break on cancer by permanently stopping stressed cells from dividing, but it also contributes to aging and late-life cancers. That’s because senescent cells are not benign – they secrete inflammatory molecules that damage neighboring tissues and cells. “Chemotherapy induces widespread senescence, contributing to persistent local and systemic inflammation,” Campisi said. “That’s why many patients feel so awful following treatment…”

Chemotherapy-enhanced inflammation may lead to the failure of therapy and metastasis

“The lack of therapy and the failure of existing therapy has been a challenge for clinicians in treating various cancers. Doxorubicin, 5-fluorouracil, cisplatin, and paclitaxel are the first-line therapy in various cancers; however, toxicity, resistance, and treatment failure limit their clinical use

Drug resistance and failure remains a major challenge in cancer therapy. Two broad categories have been identified that classify cancer resistance on the basis of response to chemotherapy: primary and acquired.Although primary resistance precedes initial chemotherapy, acquired resistance involves an accumulation of genetic changes after clinical intervention until tumor cells develop resistance phenotypes.

A form of acquired resistance is mediated by the interaction of tumor cells with their microenvironment. Here, tumor cells circumvent the apoptotic effects of chemotherapy through cell adhesion-mediated resistance, in which tumor cell integrins adhere to fibroblast or the extracellular matrix; and soluble factor-mediated resistance, which induces the stroma to produce cytokines, chemokines, and growth factors...”

Paradoxical effects of chemotherapy on tumor relapse and metastasis promotion

“Several lines of compelling pre-clinical evidence identify chemotherapy as a potentially double-edged sword: therapeutic efficacy on the primary tumor may in fact be counterbalanced by the induction of tumor/host reactive responses supportive for survival and dissemination of cancer cell subpopulations.

This paradoxical effect of chemotherapy can affect different districts such as the primary tumor, the circulation and distant organs by simultaneously shaping properties and composition of tumor and stromal cells…”

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