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Nathan Goodyear

Evolving landscape of human epidermal growth factor receptor 2-positive breast cancer t... - 0 views

  • 15%–20%
  • key mediator of cell growth, differentiation, and survival
  • of higher histological grade and are more likely to invade axillary lymph nodes
  • ...15 more annotations...
  • shortened survival and an increased risk of disease recurrence and metastasis
  • Currently, four HER2-directed agents are approved for the treatment of patients with HER2+ breast cancer: trastuzumab, pertuzumab, lapatinib, and ado-trastuzumab emtansine (T-DM1)
  • biosimilars
  • trastuzumab may provide greater benefit when administered concurrently with chemotherapy rather than after, and this has become the standard approach
  • concurrent use of anthracyclines (ie, doxorubicin or epirubicin) and trastuzumab is not recommended because of an increased risk for cardiac toxicity
    • Nathan Goodyear
       
      avoid herceptin in conjuction with antracyclines i.e. doxorubicin
  • Sequential doxorubicin plus cyclophosphamide followed by concomitant paclitaxel or docetaxel and trastuzumab is recommended for most patients
    • Nathan Goodyear
       
      top recommended regimen combination
  • Guidelines also recommend trastuzumab in combination with paclitaxel, docetaxel and carboplatin, or docetaxel and cyclophosphamide, particularly for patients with increased risk for cardiac toxicity or those with small (≤1 cm), node-negative HER2+ tumors
    • Nathan Goodyear
       
      good alternative in patients with increased risk of cardiac toxicity.
  • guidelines recommend up to 1 year of adjuvant trastuzumab
  • Neoadjuvant chemotherapy with trastuzumab is associated with higher rates of pathologic complete response (pCR) than chemotherapy alone or in combination with lapatinib
  • the combination of trastuzumab, lapatinib, and chemotherapy is not recommended because it failed to demonstrate noninferiority versus trastuzumab and chemotherapy in the adjuvant setting
  • recommend the combination of trastuzumab, pertuzumab, and chemotherapy as neoadjuvant treatment for patients with locally advanced HER2+ breast cancer and for some patients (node-positive or tumor ≥2 cm) with early-stage disease
  • neoadjuvant chemotherapy in combination with pertuzumab and trastuzumab reduced the risk of progression or death by 31% and recurrence or death by 40% versus trastuzumab alone
  • Concurrent chemotherapy and HER2-directed therapy improves survival outcomes over chemotherapy alon
  • dual inhibition of HER2 with trastuzumab and pertuzumab in combination with paclitaxel reduced the risk of death or progression by approximately 40% compared with concurrent trastuzumab and paclitaxel
  • the combination of trastuzumab, pertuzumab, and taxane chemotherapy is the preferred first-line regimen
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    HER-2 + breast cancer = appx 15-20% of all breast cancers and is a marker of worse prognosis and an indication for targeted immunotherapy blockade.
Nathan Goodyear

Turmeric | GreenMedInfo | Substance | Natural Medicine | Alternative Medicine - 0 views

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    US National lIbrary of Medicine list of research on Turmeric
Nathan Goodyear

Curcumin | GreenMedInfo | Substance | Natural Medicine | Alternative Medicine - 0 views

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    US National Library of Medicine list of research on Curcumin
Nathan Goodyear

http://69.164.208.4/files/Anti-inflammatory%20Properties%20of%20Curcumin,%20a%20Major%2... - 0 views

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    another review of the science on curcumin in treatment of disease.  Pay careful attention to the pharmacokinetics portion of this article.  Notice this is an "alternative Medicine" article, yet it is all science.  The use of the word alternative is simply fear mongering.
Nathan Goodyear

PLOS ONE: Vitamin C: Intravenous Use by Complementary and Alternative Medicine Practiti... - 0 views

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    Rare side effects of high dose vitamin C.  Proven to be very safe compared to even labeled use of FDA approved drugs.
Nathan Goodyear

BMC Complementary and Alternative Medicine | Full text | Frankincense essential oil pre... - 0 views

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    Boswellia sacra, Frankincense, proves to induce pancreatic cancer cell death in vitro.
Nathan Goodyear

Vitamins E and C are safe across a broad range of intakes - 0 views

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    high dose vitamin E and vitamin C are found to be safe.  As always, the majority of these studies did not include pre-treatment vitamin assessment to ensure a metabolic need.  To much of a good thing can be a bad thing.  Also, higher dosing of vitamins approach a medicinal use and an associated increase in side effects.
Nathan Goodyear

Light Therapy More Effective Than Prozac in Patients With Major Depression | Natural Me... - 0 views

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    new study finds that light therapy therapy for major depression outperformed prozac therapy.  This study was short at only 8 weeks.
Nathan Goodyear

Curcumin attenuates the development of allergic airway inflammation and hyper-responsiv... - 0 views

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    curcumin shown to inhibit allergic airway inflammation, through NF-kappaB inhibition.  This has implications in asthma flares.
Nathan Goodyear

Curcumin works synergistically with paclitaxel to inhibit breast cancer in a mouse mode... - 0 views

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    curcumin shown to augment paclitaxel in breast cancer treatment.  Specifically, NF-kappaB inhibition resulted in reduction in tumor size, decreased tumor cell proliferation, increased apoptosis, and decreased MM-9.
Nathan Goodyear

Astaxanthin: A Review of the Literature | Natural Medicine Journal - 0 views

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    Nice review on astaxanthin.
Nathan Goodyear

Franken-Thyroxine Making Your Thyroid Condition Worse? | GreenMedInfo | Blog entry | Na... - 0 views

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    synthroid is not biodentical Thyroxine (thyroid) hormone
Nathan Goodyear

The risks associated with mammography screening may be approximately five times higher ... - 0 views

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    risks associated with mammogram are approximately 5 X higher than previously reported
Nathan Goodyear

Efficacy and Safety of Curcumin in Major Depre... [Phytother Res. 2013] - PubMed - NCBI - 0 views

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    curcumin found to be statistically similar to fluoxetine in depression;  In combination there is an adjuvant effect to increase the efficacy.
Nathan Goodyear

JAMA Network | JAMA Pediatrics | Association of Early Exposure of Probiotics and Islet ... - 0 views

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    early probiotic supplementation decreased autoimmune Diabetes in children in study.
Nathan Goodyear

Science Magazine: Sign In - 0 views

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    new study supports what we already know: high dose vitamin C kills colorectal cancer in cell culture.
Nathan Goodyear

Effect of Probiotics on Blood Pressure - 0 views

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    Isn't it amazing how "alternative" medical therapies are proven time and time again with science?   This study finds modes improvement in blood pressure with probiotics greater than 100 million CFU for more than 8 weeks.  The therapy provided a modest decrease in B/P, but a decrease none the less.
Nathan Goodyear

BMC Complementary and Alternative Medicine | Full text | An open label pilot study to e... - 0 views

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    Black Spanish radish found to up regulate phase I/II liver detoxification with tylenol exposure.  Now, this was sponsored by a maker of a herbal product so that would include some potential bias.
Nathan Goodyear

Nutraceuticals in Prostate Disease: The Urologist's Role - 0 views

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    nice review of natural therapies on the prostate.
Nathan Goodyear

Quercetin in men with category III chronic prostatitis: a preliminary prospective, doub... - 0 views

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    quercetin useful in reducing pain associated with chronic prostatitis.
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