Why Is Bone Therapy During Breast Cancer So Important?
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- เผยแพร่เมื่อ 4 ส.ค. 2024
- What is bone strengthening therapy and why is it so important during breast cancer treatment? What are some of the ways to keep your bones healthy? In this video Dr. Jennifer Griggs explains what you should do to take the best care possible of your bone health.Get your personalized breast cancer report: www.Yerbba.com
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In 1994 I was diagnosed with breast cancer aged 54. I had a double lumpectomy in my left breast. A few weeks later it was found that my cancer was moving quickly so I had an immediate mastectomy. I was prescribed Tamoxifen initially for 5 years. In fact I took it for 12 years with my doctors consent. I practiced yoga for 30 years and rode my horses until 2020. All these activities must have helped my bones.I am now 81 years old and have recently been diagnosed with osteopenia (fore runner to osteoporosis.). I still do a gentle yoga class aimed at older people.I also have 2 working dogs and work them each day weather permitting.
I reckon I have been lucky that my lifestyle has meant a fair amount of activity. I now have a prescription for Vitamin D and calcium. I liked your video so thank you.
Thank you for sharing your journey with the Yerbba community. Your resilience and commitment to an active lifestyle, including yoga and working with your dogs, are truly inspiring. It's wonderful to hear how you've maintained a positive and active approach throughout the years. Your experience also highlights the importance of adapting and staying proactive in managing health. Thank you for watching and being part of the Yerbba community.
I appreciate your honest approach to the down side. The majority of doctors DO NOT DISCUSS the down side to give you the full picture in making decisions. You can not make a decision properly if you are not fully informed.
Completely agree. We appreciate your feedback. We believe in transparency and empowering individuals with complete information for their choices.
Excellent video, so informative. You have a beautiful way of putting across your points,which are so important. You have an impressive Calming effect on the listeners too.Enjoying listening to you.
Thank you for watching and your generous feedback. Wishing you well.
I am going a man 45 going thru chemo right now….all this info is great…I really wish there was a male group sharing information…but thank you this info does help and motivate for men or women god bless you and thank you
Thank you for writing. I can only imagine how isolating having breast cancer as a man can be. It is possible that there is a support group in your area. The American Cancer Society can probably help you find a group of people going through the same thing. There's a list of support group resources here: www.komen.org/support-resources/support/support-groups/
I had a bilateral mastectomy. Lumpectomy, radiation, chemo, estrogen blocker and now I’ll be going on a bone builder.
Thanks for sharing your experience.
Thank you, dear Dr. , for your dedication and kindness. Magnesium plays a big role, too, in treatment of osteoporosis, it is often forgotten and many are deficient. Blessings 🙌
That's correct. The difficult thing is that serum levels of magnesium to not reflect cellular levels of magnesium. People on diuretics for the treatment of high blood pressure are often advised to take supplemental magnesium.
Great information. Thank you.
Nice to hear the video was helpful!
tHNAKS A LOT I AM TAKING HORMON AND IT WAS VERY USEFULL .STAY SAFE DOC.
Thank you for watching and your comment.
Thank you Dr. I find your videos very helpful. They have gotten me through my treatments. I’m on Anastrazole and Verzenio. Would you consider doing a video on Verzenio? Thank you 😊
Yes, certainly. Verzenzio in the brand name for abemaciclib. Abemaciclib is one of several drugs called CDK4 & 6 inhibitors that are given along with hormonal therapy to people with hormone receptor-positive, HER2-negative breast cancer. We're already planning on doing a video on the CDK4 & 6 inhibitors. Thanks!
Thank you Doctor for this great video. Its very helpful and informative. Im about to start zometa infusion in about 3 weeks time for the next 3 years.
Thanks for taking the time to write, and we are happy this was helpful.
Thank you
You're welcome.
I had TNBC and my treatment consisted of Chemotherapy, Mastectomy, Radiation and finally chemo tablets. I was diagnosed with Osteoporosis after my treatment and am now on Alendronate which I was reluctant to do but the Oncologist felt strongly I should take. I also take calcium, vit D, vit K and Magnesium as well as doing cardio and weight training up to 5 times a week. You mentioned about HRT not being suitable for women who have had breast cancer does this also apply to TNBC? I'm 57 and am post menopausal. Thank you for your videos, such great information.
Thank you for sharing your journey and we're glad you find the videos helpful! Regarding hormone replacement therapy (HRT), it's generally advised with caution or not recommended for breast cancer survivors, even in those whose tumors are estrogen and progesterone receptor negative based on clinical studies. It's crucial to have a detailed discussion with your oncologist about the risks and benefits of HRT in your specific case, considering your postmenopausal status and history of TNBC.
I too always find these videos very informative……
I had er+ breast cancer 12 years ago ..treated with lumpectomy, 6 weeks radiation and 5 years arimadex, followed by yearly mammograms….due to worsening back pain, was diagnosed with stage 4 metastatic breast cancer in December/January this year, with multiple lesions in spine, ribs hip pelvis skull, left lung and 10 lesions in brain….which have had palliative treatment including major surgery to put scaffolding in my spine due to tumours in vertebrae causing collapsing of vertebrae, squashing onto spinal cord…and now on ribociclib and letrosol. Also started taking fosamax and have been taking vitamin D for a few years, due to hyper parathyroid decease, but have been repeatedly cautioned to not take calcium tablets 🤷♀️ ???
THANKYOU for all your videos
Bones are also made of mostly collagen and this makes your bones flexible. Getting collagen from eggs, bone broth etc. Besides dairy…. Broccoli, Kale, sesame seeds all have calcium. There are many more but this is a few.
Thanks for your comment and for watching. The bioavailability of calcium from vegetables is quite low, but certainly, the other options you suggest are all available.
God bless ma'am I'm Fatima Delmindo I'm diagnose now breast cancer tumor stage between 2 and 3 I'm her now in Abu Dhabi
All the best to you, Fatima.
I think doctors don't let women know what they're getting themselves into when the doctors recommend certain treatment, specifically lumpectomy with antihornonal treatment for 5 - 10 years or radiotherapy. Sometimes, mastectomy might be a better choice with no bone density side effects, yet lumpectomy seems to.be actively pushed with no mention of mastectomy as a treatment option. Why?
Question - During the pendency of antihornonal therapy for 5 - 10 years, what if a bone density issue arises, such as a fracture, particularly a vertebrae fracture? Will that issue completely resolve post- antihornonal therapy? I think 5 - 10 years is a long time to wait for bone density issues to resolve and women's lives can be ruined because of bone density issues during this lengthy time period.
Such a good point that we do not always do a sufficient job of explaining the long-term trade offs. Just for clarity, having a mastectomy would not change the recommendation for systemic therapy such as endocrine (hormonal) therapy because removing more normal tissue (as with a mastectomy) does nothing to decrease the risk of distant recurrence. We usually do not recommend the aromatase inhibitors for 10 years but rather for 5. Then tamoxifen can be given, which will improve bone density. Hoping this is helpful. The reason we talk more about lumpectomy in people who are eligible for lumpectomy is because of equivalent survival, better body image, and preservation of the nipple in many/most cases.
Great informative video. I’m about to start chemo and then radiation, just waiting Ti find out when. is it ok to start calcium and vitamin d now?
Check with your doctor about calcium and vitamin D before you start both. In general, you can start calcium and vitamin D early on in treatment.
Please address the osteoporosis drugs and their side effects. I already have osteoporosis and about to go on aromatase inhibitor. I worry for my kidneys and needing dental work. Would tamoxifen be better even if I am post menopausal?
It’s normal to be concerned about the side effects of any new medication. You may wish to consult with your dentist to see if they have any concern about your being on medication for osteoporosis. The medication dose is adjusted for people with kidney problems. Tamoxifen is something you can discuss with your medical team at some point in your treatment course.
My sister has breast cancer prior to that she had scoliosis too
Wishing your sister the best.
My doctor had me taking extra calcium and then oncologist had me stop when there was too much calcium in my blood. Now I will need infusions after chemo for bone thinning. Zometa every 6 months, don’t know for how long yet.
Thanks for sharing your experience. Our expectation is that the medication will be helpful for your bones.
Doctor, thank you for the precious information you're giving us. Nevertheless, I'd like to ask you for something more:
After I was diagnosed with breast cancer, I almost quit drinking alcohol - except on special occasions and in small amounts. Instead, with my meals, I started drinking alcohol-free beer. (I normally drink a small can per day). But still, I'm wondering whether this is safe. What is your opinion?
Great question. Alcohol is one of those things for which there is no "safe amount" (like many things in life). Making decisions about occasional alcohol intake is personal, and it is highly unlikely that an occasional glass has a measurable negative impact on your outcomes.
@@yerbba Doctor, thanks for your answer! But still, the question remains: is alcohol-free beer safe for people who must avoid alcohol??
😅😅😊
Also, will zoledronic infusion prevent bone metastesis? TY
It's probably more accurate to say that zolendronic acid reduces the risk of bone metastases in people at higher risk of breast cancer recurrence rather than saying it completely prevents metastases.
Hi. When and for whom is zoledronic infusion necessary? Thanks much.
If bone modifying agents, such as zolendronic acid, are used, it is recommended that they be started after completion of chemotherapy and surgery. That is, pretty early on. The question of who gets them depends on the person's risk of the cancer recurring, which in turn depends on many things. This is something to talk about with your medical team.
@@yerbba in
Mam could you please explain more about stage 3 grade B triple negative breast cancer and what kind of treatment do we need?
Most people with triple-negative breast cancer will be offered chemotherapy, regardless of the stage. Chemotherapy is an important part of one's treatment plan. It is very likely that radiation therapy will also be offered to someone with Stage III (3) breast cancer. Wishing you the best.
@@yerbba Is docitaxel and carboplatin is the right chemo drug for stage 3 breast cancer? Next month will be the last session of chemo of my wife. After that she will have 30 sessions of radiation. Is there other options to boost her immune system other than immuno therapy? FYI immuno therapy here in the philippines is kind of expensive as per the doctor said.
This regimen is a good one. It does tend to make people feel quite fatigued, as you have probably seen. Without knowing other characteristics of the tumor, it's hard to say if immunotherapy or targeted therapy are indicated. Wishing both of you the best.
Thank you I am in my second radiation ... I already did 12 quimio ( Taxol ) I have my hair eyebrows and eyelashes 🙏🏻 thanks God .... I use cold caps and started a food regimen that made the difference ... I have a question 🙋♀️... calcifications in your breast can become a cancer ? Thanks 💖
Thank you for your question. It is hard to know if calcifications are a sign of a cancer that may be developing. While they are still usually not precursors to cancer, they often mean that additional testing is appropriate.
@@yerbba thank you for you response 🌹 in 2019 I started my first calcifications and the Hospital were I did my exams and my gynecologist did not tell me 😭 they just told me that my breast was normal but was not because that calcifications were new in my breast And in 2020 I have breast cancer .. I absolutely would make more tests I am so disappointed ☹️ 😢
@@pattymendiola4318 which receptors and stage
I have been post menopausal for 5 years. Should I be taking Citracal plus D?
The data is mixed on the benefits of taking calcium. Most recommendations are that postmenopausal people take 1200 mg of calcium a day unless there are other reasons not to that your doctor has told you. Vitamin D is prudent since it is hard to get vitamin D in our diet. Check out our video about vitamin D here: th-cam.com/video/5FOQxyrksiI/w-d-xo.html.
I am taking tamoxifen for almost 6 months now and experiencing some bone pain and stiffness. My doctor just advise to take vitamin B. How to determine how many vitamin d3 u need everyday?
Musculoskeletal discomfort/pain is not uncommon with tamoxifen. It is not clear that vitamins reduce the symptoms. You may wish to talk with your doctor about alternatives to tamoxifen if you don't feel better soon.
How to trait pain inbone?
Thanks for your question. There are several options for treating bone pain. Bisphosphonates are extremely helpful. These include zolendronic acid (Zometa) given by vein. Endocrine (hormonal) treatment is also effective but can take a while to work. Pain medication such as anti-inflammatory medications (non-steroidal anti-inflammatory drugs, NSAIDs) and acetaminophen (paracetamol in Europe) together work well. If there are one or two particularly painful areas, radiation therapy to those spots can help quickly. If the pain requires opioids (narcotics) for a while, that is also an option.
Thank you Dr. I had radical mastectomy in May 2019. Diagnose is : grade2, stage 2. Estrogen >90%, ER>90%positive,PR
Thanks for writing. BIRADS 2 is common after surgery if the breast has changes from surgery. In terms of your symptoms, we see muscle and joint pains in people on the aromatase inhibitors, including letrozole. As always, talk with your medical team about your symptoms.
@@yerbba thank you
mY FIRST ULTRASOUND SHOWED CALSIFICATION 4 YEARS A GO AND THEY DIDNOT TELL ME ANYTHING A BOUTH IT NOW I HAVE BREAST CANSER I DID MASTACTOMY AND I AM TAKING HORMOONS AND I DONT FEEL GOOD,HEADACKE
Oof. Headaches are a common side effects with endocrine therapy. We actually have a video on headache management. Make sure to let your medical team know about your headaches.
Should someone with metastatic breast cancer in the right pelvis have some kind of pain?
My wife has normal D levels and strong bones. She suffered from right pelvic pain for more than 15 years and then the pain went away a couple of years ago. Last month she was diagnosed with breast cancer and when her pet scan came back it said she had metastatic activity in the right pelvis and they moved her to stage 4 incurable.
Sometimes people can have pain, and other times they may have no symptoms. It is important to have a biopsy if there is any question about the cause of the findings on the scan.
@@yerbba Bone biopsy came back inconclusive. CA15-3 normal. CA125 normal. Liquid biopsy negative. After all that she is still being treated as stage 4 and it sounds like they're planning on long-term hormone blockers and/or hysterectomy after chemo (they said she's something like lobular er+ her- medium growth rate -- stage 2 before pet scan). The effects of these on her long-term health concern me (I don't know much about it) as she's only 45 and judging by her family history not likely to menopause until her 60s.
I speed walk 4 miles per day in an hour and 15 min. This comes to 28 miles walked per week. I'm 156 pds. Is my body weight enough without wearing a weighted vest? I do 30 squats 3 times per week. Is this enough to keep the femoral neck of my hips strong? Is it enough to keep my femurs strong? I take tamoxifen and am post menopausal.
Tamoxifen will help improve your bone density along with the weight-bearing exercise you're doing. A weighted vest would improve the ability of your walking to help your bones. Check with your medical team before making changes. They may also be able to refer you to a physical therapist for a bone health program.
@@yerbba Thank you! I appreciate your reply. I will follow your advice.
Will the doctors prescribe Bone preventive medicine to the patients with DCIS
I'm from India.
With DCIS, there is no particular cancer-related benefit of bone therapy. If someone has osteoporosis, however, bone therapy is appropriate, but the decision is not made based on the cancer. Thanks for your question.
@@yerbba how will be the prognosis for the Dcis Patient.
Who has family history of other cancer
is sugar intake is permissible during breast cancer??if yes how much does a person need
Great questions. There's a lot out there about sugar intake and cancer. Sugar does not, fortunately, fuel breast or other cancer (cancer myth). Our bodies regulate our blood sugar levels quite precisely. All that being said, eating a lot of added sugar, such as is found in processed foods, is not great for us. There's not a minimum amount of sugar that you should be worried about. Rather, it's excess sugar that leads to unwanted weight gain (in particular). Avoiding ultraprocessed foods (snacks, chips, etc.) is one way to take good care of yourself.
Thanks alot for helping out....keep doing this amazing job on cancer awareness.....its the dire need of this time.
Hi Anna the American heart association recommends keeping added sugars ( table sugar) to 6 teaspoons or 25 grams per day for an adult woman . If you are using packaged food of any kind look at the nutrition labels for the added sugars . Best to give up desserts of cakes, cookies or pies on a daily basis. Excessive sugar intake will spike your insulin and elevated insulin levels stimulate cell growth including growth of cancer cells.See podcasts by Dr. Robert Lustig regarding the dangers of processed food.
Magnesium for bones
Although magnesium deficiency may negatively affect bone health, the data about magnesium supplements is inconclusive.
@@yerbba well I am taking magnesium and it's helping me. Along with D3 B12. I feel great. I did this on my own n I refuse to take any estrogen blocker. They can push, push, I refuse too live like a zombie in bed for the rest of my life.
I take a Vitamin D3 supplement that has K2 and MK7.
Thank you for sharing your experience and watching.
This video should be renamed, "Why bone therapy whilst taking drugs for cancer is important". It is the so called "treatment" that causes bone thinning and many other side effects!
We agree and have been much more precise and broad in the names of our videos since this one was made!
Why don’t you start this video with Vitamin D and calcium, rather than all this other fluff, long video . Get to the last 3 minutes
Thanks for the feedback. I like to share information that has been helpful to other people in the past.
I had a bilateral mastectomy. Lumpectomy, radiation, chemo, estrogen blocker and now I’ll be going on a bone builder.
Thank you for sharing your experience and for watching. We are rooting for you.