I am glad to know someone who had proton therapy for prostate cancer.
Have they ruled out a possibility that the bladder cancer could be the result of the proton therapy?
I am aware of the difference between radiation therapy and proton therapy
in such that the radiation goes through the body but the proton will not. A urologist told in a prostate support group that he was surprised to see two patients in one week who developed bladder cancer because of
radiation therapy on their prostates. A few studies I read indicate that the risk of secondary cancer by proton therapy is less than Intensity-modulated radiation therapy (IMRT) but does not say the risk is zero. An expert in the risk of ionizing radiation says it would take years or even decades to develop cancer from ionization radiation, which proton therapy is also included, I am just wondering as it may affect your decision of changing the diet in an attempt to mitigate the risk of future occurrence of cancer.
Pain from BCG therapy.
Below is the link to the discussion between two well-known pioneers of BCG treatment for bladder cancer.
The video was made in 2014 so it does not talk about more recent treatment but it covers all basics including
the management of side effects.
Ketogenic diet
First, even a doctor who endorses the Ketogenic diet states that for cancer, it is for supplementary, not alternative
to the standard care which you have been receiving for the treatment.
Division of Cancer Epidemiology & Genetics of National Cancer Institute showed a slide for Major Causes of Cancer in the UK/US. It listed Smoking 20%, Diet 10%, Obesity 6%, Alcohol 5%, Infections 3%, Physical Inactivity 1%, Post Menopausal Hormones 0.5%, Medical Radiation 1-3% . Diet 10% is a high number, so it makes sense to review our eating habits. One of the studies which support the number is based upon a random study done in Brazil with 169 patients who were diagnosed with colon cancers compared to 101 people who had no previous cancer or family cancer history. The result shows that fish, vegetables, fruits, and whole grains did not increase the risk of cancer but beef, chicken, and especially port had increased the risk of cancer. This is just one study so we need to look at other studies to understand animal meat-based diet seems to have increased cancer risk.
Ketogenic diet's main goal is to reduce carbohydrate intake extremely, thus reducing the normal energy production by mitochondria which mainly uses glucose, then uses Ketosis which our body uses our fat
when energy from using glucose becomes insufficient for maintaining our body functions.
Below are the comparisons of protein, carbohydrate, and fat intake under normal, low carbo, and ketogenic diets.
-Normal diet 30% protein, 40% carbohydrate, and 30% fat.
-Low carbo 40% protein, 10% carbohydrate, and 50% fat
-Ketogenic 20% protein, 5% carbohydrate, and 75% fat
Though the ketogenic diet has shown some efficacy for epilepsy, there are no large studies to find out its effect and side effects of human cancers. So, at this stage, it sounds risky to bet the whole thing on the ketogenic.
Normal diet evenly protein, carbohydrate, and fat evenly. And that's what our body expects.
I do not know the long term consequences when we consume nutritions differently from our body expects.