I have written to Dr. Lamm several times, in the past, with different concerns, and as always, he has given me guidance with BCG Treatments. Hopefully, this information will be helpful you.
Below are a few excerpts from some of the past emails.
It is important to avoid any carcinogen exposure. While epidemiologic
studies have not confirmed the carcinogenicity of artificial sweeteners, I
would recommend avoiding excess use. Anecdotally, some patients with a
history intractable tumor recurrence report remaining tumor free after
discontinuing soft drinks. Second hand smoke, pesticides, diesel fuel and
organic chemical exposure, as well as excessive exposure to dyes should
also be avoided.
Don Lamm, MD
Reducing BCG does not generally reduce efficacy, in fact there is evidence
it can increase it. I would reduce your dose to less than 1/3 or so.
You can hold it for a short time as well to reduce side effects.
Don Lamm, MD
We go as low as 1%. You can also reduce retention to 30 minutes or less.
I also sometimes give heat inactivated BCG to those who do not tolerate
live BCG.
Don Lamm, MD
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