Breast Cancer and Estrogen Replacement Therapy

We saw a 55 year old white female in our medical clinic. The patient was treated for hormones by another physician for hot flashes. Patient was worried about hormones causing increased risk of  breast cancer. Patient was seen by Dr. Usha Jain and was given advice to change the hormones to bioidentical hormones Biest.

Patient was advised to do the following to reduce the risk factors:

1. Reduce weight and exercise regularly
2. Avoid alcohol
3. Smoking cessation

Vitamins:

1. Vitamin B complex, B6, B12, folate and magnesium
2. Vitamin D

Diet: —Increase  beneficial 2OH metabolite:

1. DIM, cruciferous vegetables,
2.  soy, flaxseed, omega-3’s,

Environmental: —Decrease production  of less desirable 16OH and  the
carcinogenic 4OH metabolite:

1. Avoid pesticides, proper omega-3:omega-6 ratio, reduce
   inflammatory cytokines