#3 cancer prevention

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Michelle Shulfer UW-Stevens Point School of Health Care Professions

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Page 1: #3 Cancer Prevention

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Michelle Shulfer

UW-Stevens Point

School of Health Care Professions

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Overviewy Cancer statistics

y Whats changed?

y Can cancer be prevented?y Nutrition link to cancer prevention

y Super foods

y Organic debate

y Start a plan of action

y Recipes

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Cancer Statisticsy Cancer is the 2nd leading cause

of death in the U.S.

y

>1.4 million new cases per yearin the U.S.

y Lifetime risk:y Men: slightly less than ½y  Women: slightly more than 1/3

y Relative risk:y Measures the strength of the

relationship between riskfactors & a particular cancer

y Breast Cancer

Servan-Schreiber MD, D. (2008). AntiCancer: A new way of life. p. 55

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So what has changed?y Changes in farming practices

y Increased sugar consumption (cane, beet sugar, corn syrup,

etc.)

Servan-Schreiber MD,D. (2008).

 AntiCancer: Anew way of life.p. 60

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Glycemic IndexHigh Low

y Sugar (white or brown), honey,syrups

y  White/bleached flours, whiterice, white pasta, muffins,croissants, puffed rice cakes

y Potatoesy Cornflakes, Rice Krispies, most

bleached & sweetened breakfast

cerealsy  Jams & Jellies, fruit syrup, fruit

cooked in sugary Sweetened drinks, fruit juices,

soday  Alcohol when consumed

 without food

y Natural sweeteners: Agave nectar,stevia, dark chocolate (>70% cocoa)

y Mixed whole grain cereals, multigrainbread (not just wheat), sourdoughbread, Basmati rice, mutigrain pasta,oats, quinoa, millet, buckwheat

y Lentils, peas, beans, sweet potatoes, yams

y Oatmeal, All-Bran, Muesliy Fruit in its natural statey  Water flavored with lemon, thyme, or

sagey Green tea (w/o sugar), sweeten with

agave nectar if neededy Red wine (1 glass) with a mealy Garlic, onions, shallots

 www.glycemicindex.com

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What else has changed?y Bleached flour (white bread, pasta, etc..)

y Reducing these 2 factors alone has a rapid effect on the

level of insulin & IGF in the bloodalso yields healthierskin!!

y Use of vegetable oils

y These provide none of the nutrients our bodies needto function properly, but they do directly feed thegrowth of CA.

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Servan-Schreiber MD, D. (2008). AntiCancer: A new way of life. p. 70

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What Causes Cancer?y Carcinogens

y Pesticides

y Pollutantsy Food additives

y Burnt foods

y Heredity 

y Genetic Mutations

y Stress

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Tumor Growth

Genentech BioOncology, 2009

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Angiogenesisy Greek origin, Angio = vessel &

Genesis = birth

y Surgeon, Judah Folkmans cancer

theory:y Microtumors cannot change into

dangerous cancers withoutcreating a new network of blood vessels to feed them

y Tumors produce angiogenin forces vessels to approach thetumor & sprout new branches

y New tumor cells that metastasesare dangerous only when they areable to attract new blood vessels

y Large primary tumors preventdistant CA cells from becomingtoo important by producingangoistatin - blocks the growth of new blood vessels

Tumors simply cannot grow if they doesnt succeed in diverting blood vessels for their own use.

Genentech BioOncology, 2009

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Angiostatiny Preventing the creation of new blood vessels

brought regression of existing tumors

y

 Angiostatin didnt affect existing vessels

y Did not attack healthy cells no toxic sideeffects

y It is essential to seek protection against

toxins that encourage tumor growth

y Detoxification is absolutely necessary today!Genentech BioOncology, 2009

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Angiostatin studyy Michael OReilly, researcher & surgeon joined

Folkman

y 1994 - 20 mice grafted a virulent CA that spreadaggressively & rapidly in the lungs once the primary tumor was removed.

y Removed the tumor, gave ½ of the mice angiostatin,others ½ nothing and a few days later began to showdisease

y Mice with angiostatin lungs looked pink & healthy 

y Mice w/o angiostatin lungs devoured by CA 

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Can Cancer Be Prevented with Proper Nutrition?y E vidence suggests that ~1/3 of the cancer deaths will be related to

being overweight or obese & physical inactivity.

y

For the majority of Americans who do not use tobacco, dietary choices & physical activity are the most important modifiabledeterminants of cancer risk.  American Cancer Society. (2007).  Nutrition & cancer. para.1

y Factors that affect cancer risk related to nutrition:y Food types

y Food preparationy Food variety y Fat contenty Portion sizesy Overall dietary balance

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Let food be thy medicine, thy medicine shall be thy food.

- H ippocrates

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At least 30% of all cancersare believed to have adietary component. p. 64

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Blueberries***y Blueberries are a nutrient powerhouse!!

y 1 serving contains as many antioxidants as 5servings of carrots, apples, broccoli, or

squash.

y 2/3 cup has the same antioxidant protectionas 1,733 IU of Vit. E and more protection than1,200 mg of Vit. C.

y Contains: phytonutrients, carotenoids, fiber,

 Vit. C & E, manganese, magnesium, iron,phytoestrogen, & more!

y  Alternatives: purple grapes, cranberries,boysenberries, raspberries, strawberries,currants, blackberries, cherries, etc.

Try to eat 1-2 cups daily 

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Oats/Whole Grainsy Reduces the risk of developing 20 types of 

cancery Eat: 5-7 servings per day y

How much is a serving?y 1 slice bread, 1 small roll, or 1 muffiny ½ c cooked cereal, rice, or pastay 5-6 small crackersy 1 small tortillay ½ hamburger roll, bagel or English muffiny

1 serving of cold cereal (depends on type check label)y  Alternatives: Wheat germ, ground flaxseed**, brown rice, barley, wheat, buckwheat, rye, millet, bulgur wheat, amaranth, quinoa, yellowcorn, wild rice, couscous

y Contains: Fiber, manganese, selenium, & phytonutrients

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Flaxseeds***y Best source of plant derived omega-3 fatty acids

y Seeds must be ground

y Eat: 2 Tbsp daily y Contains: Fiber & Lignins

y Super breakfast: oatmeal with raisins, cranberries, orblueberries, sprinkled with flaxmeal & toasted wheat

germ

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Wheat Germ**y 2 Tbsp contains:

y 4 g protein

y

2 g fibery  Vit. E (1/3 daily 

allowance)

y B vitamins

y Manganese

y Seleniumy Omega-3 fatty acids

y Phytosterols - reducecholesterol absorption

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How to get 15 g of whole grain/dayy Buy only whole grain bready Substitute brown rice for white ricey Buy whole grain crackers for snacksy Get rid of refined, highly sugared breakfast cereals

y Use whole grain tortillas & pita wrapsy  Add oatmeal to stuffing, meatballs, & meatloaf 

y Examplesy ½ c oats 9 gy Post Shredded Wheat N Bran (1 ¼ c) 8 gy 2 Tbsp flaxseed 7 gy 1 slice Bran for Life bread 5 gy 2 Tbsp wheat germ 2 gy ½ cooked brown rice 2 gy ½ c cooked yellow corn 2 g

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How to read a bread/cereal labely List of ingredients should begin with the word whole

y Look at the Nutrition Facts. The fiber content should

be at least 3 g per serving for bread & cereal.y Buying & cooking whole grains

y Be sure the store has a good turnover so grains are fresh,bins covered & clean

y Store in airtight containers, cool place (refrigerator)

y Toast heat in nonstick pan over low heat until justfragrant & they become darker

y Keep in fridge 2-3 days or they freeze well

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Wild Salmon***y Contains: Marine-derived omega-3 fatty 

acids, B vitamins, selenium, Vit. D, protein

y Optimum balance of essential fatty acids:1-1 or 4-1 omega 6 to omega-3

y Too much omega-6 promotes andinflammatory state

y Good fats: monounsaturated (olive oil,canola oil)

y Bad fats: saturated (found in red meat &full fat dairy products) and trans fats(partially hydrogenated

y Critical dietary fats: polyunsaturatedfatty acid (omega-6 & omega-3) our body cannot manufacture them

y Eat: 2-4 servings per week

y  Alternatives: Alaskan halibut, cannedalbacore tune, sardines, herring, trout,sea bass, oysters, & clams

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How to get enough omega-3 &

omega-6 f atty acids in your diet?y Use omega-3 enrighed eggs

y Cook with canola oil

y

Eat soy nuts & walnutsy Sprinkle wheat germ on cereal & yogurt, use it in

baking

y Eat wild salmon or its sidekicks 2-4 times per week

y Look for salad dressings with some soybean or canolaoil

y Use ground flaxseed in muffins, breads, & pancakes

y Avoid processed & refined foods

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Beansy Green beans, peas, lentils, chickpeas, dried beans, etc.

y Eat 4, ½ cup servings per week

y Contain: low-fat protein, fiber, B vitamins,magnesium, lignins

y Lignings have estrogen

like properties

y May reduce risk of cancersrelated to estrogen levels (breast)

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Afraid of the inevitable?y Soak beans before cooking, rinse, boil for 2-3 minutes.

Turn off heat, let soak a few hours. Pour off liquid, add

fresh water, continue cooking. This releases theindigestible carbohydrate in the beans making themeasier to digest.

y Beano

y

Pressure cook beansto speed the process

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Broccoliy Eat: ½-1 cup daily y Broccoli spouts (100xs more

powerful)y   Alternatives: brussel sprouts,

cabbage, kale, turnips, cauliflower,collards, bok choy, mustard greens,swiss chard

y Contains: Sulforaphane , indoles,folate, fiber, calcium, Vit. C, Beta-carotene, lutein, Vit. K, iron

y

Compound found in broccoliprevents the development of tumorsby 60% & reduced the size of tumors by 75% ???

y Raw vs. cooked?y Raw more vit. Cy Cooked makes carotenoids more

available

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Orangesy Eat: 1 serving daily 

y  Alternatives: lemons, grapefruit,

kumquats, tangerines, limes

y Contains: Vit. C, fiber, limonene, polyphenols, pectiny  Vitamin C

y protects against nitrosamines - cancer causing agents found in foodthought to instigate cancers of the mouth, stomach, & colon

y ~ 1/3 of Americans consume <60 mg/day 

y  Adult males need 90 mg/day, females need 75 mg/day y Frozen OJ is higher in Vit. C than ready to drink OJ

y Pulp has 2xs more Vit. C than the peel, 10xs more than the juice

y Marginal Vit. C has been linked to an increase in many causes of mortality especially cancer & cardiovascular disease

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y

Foods that contain Vitamin Cy Lg yellow pepper 341 mg

y Lg red pepper 312 mg

y Lg orange 238 mg

y Lg green 132 mg

y 1 cup raw broccoli 79 mgy 1 c fresh sliced strawberries 97 mg

y 1 c cubed papaya 87 mg

y 1 navel orange 83 mg

y 1 med. Kiwi 70 mg

y 1 c cubed cantaloupe 59 mgy 1 c fresh OJ 124 mg

y 1 c OJ from concentrate 97 mg

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y Pectin

y contains antagonists of growth factors

y possibly decreasing the growth of tumors

y shown to inhibit the metastasis of 

prostate & melanoma cancers in animals

y Orange peel

y Limonene

y Stimulates antioxidant detoxification enzyme system helping to stop cancer before it begins

y reduces the activity of proteins that can trigger abnormal cellgrowth

y can cause regression of tumors

y Orange peel has the most, followed by fresh squeezed OJ & juice with pulp (frozen is better than ready to drink varieties)

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Citrus

Flavonoids

 Antioxidant

 Antimutagenic

Inhibits cancer cell growth

Strengthens capillaries

 Anti-inflammatory 

 Antiallergenic

 Antimicrobial

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How to get some orange in your lifey Eat an orange, tangerine, or clementine daily 

y Add mandarin oranges to a spinach salad

y Add OJ to a fruit smoothie

y Keep orange & lemon zest in your freezer put incakes, cookies, muffins, drinks, sprinkle on yogurt,fruit salads, chicken salad, or use in hot tea

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Pumpkiny It's a fruit!

y Eat: ½ cup most days

y  Alternatives: carrots, butternut

squash, sweet potatoes, orange bellpeppers

y Contains: alpha-carotene, betacarotene, high fiber (1/2 c. = 5 g of fiber), Vit. C & E, magnesium,pantothenic acid

y Beta-Carotene - antioxidant & anti-inflammatory properties

y  Alpha-carotene slows the signs of aging

y Carotenoidsy Deep orange, yellow, or red-

colored, fat-soluble compoundsy Protect the plant from sun damagey Protect us from free radicalsy Modulate our immune responsey Enhances cell-to-cell

communicationy Stimulates production of natural

detoxification enzymesy Protects the skin & eyes from UV 

raysy Decrease the risk of lung, colon,

bladder, cervical, breast, & skinCA 

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Spinach ***y Eat: 1 c. steamed or 2 cups raw

most days

y  Alternatives: kale, collards,swiss chard, mustard greens,turnip greens, bok choy,romain lettuce, orange bellpeppers

y Contains many nutrients!y Phytonutrients

y Carotenoids

y

Plant derived omega-3sy  Antioxidants

y Glutathione

y alpha lipoic acid

y B vitamins, vitamin K, C, & E

y Minerals: calcium, iron,

zinc, magnesium,manganese

y Polyphenolsy Betaine

y coenzyme Q10

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Spinachy Increased consumption = decreased incidence of colon, lung, skin,

oral, stomach, ovarian, prostate, & breast cancers , age-related maculardegeneration, cataracts, cardiovascular disease, stroke, & coronary artery disease

y How to get more spinach in your diet:y Layer cooked spinach in lasagnay Steam it, sprinkle with lemon juice &

parmesan cheesey  Add to soups

y  Add to an omelety  Add to a romaine lettuce salady Shred onto tacos, wraps, & burritosy Pesto puree raw spinach, walnuts,

garlic, olive oil, & parmesan cheese

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Soyy Soy blocks dangerous hormones

y Eat at least 15 g of soy proteinper day (not all at once); 25 g

ideal.

y Contains: Phytoestrogens, plantderived omega-3's, vitamin E,magnesium, selenium, nonmeatprotein

y Benefits: prevents cardiovasculardisease, cancer, osteoporosis,helps to relieve menopausal &menstrual symptoms

y  Alternatives forms of soy:y

Tofuy Soymilky Soy nutsy Edamame - green soy beans

still in their podsy Tempeh - soybeans cracked &

inoculated with a beneficial

bacterium, fermented & thenformed into flat blocksy Miso - fermented soy, strong

tasting, salty condiment, mostfamiliar as miso soup

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How soy promotes healthy Isof lav ones - act like

antioxidants as well as estrogensy genistein & diadzein

y reduce the risk of CHD

y mitigate hormone-relatedcancersy angiostatic**

y Lignins - bind with carcinogensin the colon

y Saponins - phytonutrients thatboost the immune system &

fight cancery Protease Inhibitors - block the

activity of cancer-causingenzymes called proteases &reduce the risk of cancer

y Ph ytic Acid - Antioxidant thatbinds with & eliminates metalsthat can promote tumors

y Ph ytosterols - nondigestible

compounds that reducecholesterol absorption in thebowel & may help prevent colonCA 

y Protein - only plant-basedcomplete high-quality protein,totally cholesterol free & low in

faty Oil - healthy oil free of 

cholesterol & offers beneficialratio of fatty acids (low badfat;high good fat). Source of omega-3 fatty acids.

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Grams of  protein in so y products

y 4 oz. firm tofu 18-20 g protein

y 1 soy burger 10-12 g

y 8 oz glass (1 c) 11 g

y 1 soy protein bar 14 g

y ½ c tempeh 16-19 gy ¼ c roasted soy nuts 15 g

How to get more so y in y our diet:

y 1 c. soymilk on cereal

y 1 oz. soy protein powder in a fruit shake

y ¼ c soy nuts as a snack

y dried cereals & breads containing soy 

y  Add to recipes calling for milk

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Green Teay Drink 1 or more cups daily 

y Steep 3-4 minutes

y Contains: powerful flavonoids (antioxidants) &

fluoridey All true teas are from the evergreen Camellia sinensis

y 3 types of tea from this shrub

y Green lightly processed

y Black leaves left to ferment following harvest

y Oolong partially fermented

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Teas effect on cancery Blocks tissue invasion & angiogenesis

y Detoxifies the body through the action of the liver

y E vidence suggests tea consumption decreases the riskof stomach, prostate, breast, pancreatic, colorectal,esophageal, bladder & lung cancer

y Catechins prevent cell mutations & deactivatecarcinogens, decrease growth of cancer cells, & inhibitthe growth of blood vessels

y Probiotic effect enhances GI health

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y Brewed tea is better than instant tea

y Tea bags are as potent as loose tea

y Brew tea for at least 3 minutes & squeeze the bag

y Flavonoids degrade with time, drink fresh or quickly iced

y Add a wedge of lemon or lime w/ the rind for a

polyphenol boosty Avoid drinking extremely hot tea increased risk of 

esophagial cancer

y Combined effect best when consumed with soy**

Tea Tips

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Tomatoesy Eat: 1 serving of processed

tomatoes per day , multipleservings of fresh tomatoes per week

y  Alternatives: watermelon, pinkgrapefruit, Japanesepersimmons, red f leshedpapaya, strawberry guava

y Contain:y Lycopeney  Vit. Cy  Alpha- & Beta- carotene

y Lutein/zeaxanthiny Chromiumy Fibery Phytuene & phytofluene

(antioxidant &anticarcinogenic )

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Lycopeney Most effective quencher of the

free-radical singlet oxygen & a large number of free-radicals

y Seems to interfere with the growth factors that stimulatecancer cells to grow & proliferate, mounts a more effectiveimmune response against cancer

y

Raises the sun protection factor of the skin

y Offers protection from breast, digestive, cervix, bladder,lung , & prostate cancer

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How to get tomato in your diet?y Saute cherry tomatoes in olive oil & herbs. Toss over

pasta or serve as a side dish

y Use sun-dried tomatoes in sandwiches

y  Add diced tomatoes into soups & stews

y  Add extra sauce to homemade pizza

y Roasted cherry tomatoes

y Toss tomatoes with olive oil, salt & pepper, bake 450oF for 20minutes, sprinkle with fresh basil before serving

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Turkeyy Eat: 3-4 ounce servings 3-4 times per week

y Alternative: skinless chicken breast

y

Contains: Low-fat protein, B vitamins, iron, selenium(DNA repair), zinc (immune system)

y Protein intake 10-35% of calories (2,000 cal diet = 50-175 g of protein)y E veryday terms women need 46 g, men 56 g

y How to get 46 g? Eat 3 ounces of tuna, 3 ounces of turkey breast, slice of whole wheat bread & an ounce of almonds

y Saturated fat intake - <7% of fat calories

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Yogurty Eat: 2 cups daily y   Alternative: Kefiry Contains: Live active cultures, complete protein, calcium,

 Vit. B12 & 2, Potassium, Magnesium, & Zincy Prebiotics

y Nondigestible food ingredients that affect the gut by selectively stimulating growth &/or activity of 1 or morebeneficial bacteria in the colon, thus improving health

y

Inhibit potentially pathogenic organisms & increaseabsorption of minerals (i.e., calcium, magnesium, iron, &zinc)

y Probioticsy Defined as live microorganisms that can benefit our healthy  Ability to strengthen the immune system

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Yogurty Look for

y Low-fat or nonfaty No artificial colors

y Check the expiration datey  Whey protein content (increases the viability of probiotic

bacteria)y Must contain live active cultures!

y The more specific cultures the better, the most popular yogurts only have 2

y L. acidopphil us, S. thermophil us, L. bulgaricus, B. bifid us, L. casei, L reuteri

y  Watch the sugar some fruit on the bottom yogurts have asmuch as 7 tsp of sugar per cup.

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Walnutsy Alternatives: Almonds, pistachios, sesame seeds,

peanuts, pumpkin seeds, sunflower seeds, macadamianuts, pecans, hazelnuts, cashews

y Eat: 1 ounce, 5xs per week

y Contains: plant-derived omega-3 fatty acids, Vitamin E,magnesium, polyphenols, protein, fiber, potassium, andmore.

y Taste great on a salad!

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Nut Caloriesy  Almonds (24 nuts, raw) 164 cal

y  Almonds (22 nuts, dry roasted) 169 calories

y

  Walnuts (14 halves) 185 caloriesy Hazelnuts (20 nuts, raw) 178 calories

y Peanuts (48 dry roasted) ~166 calories

y Peanut butter (2 Tbsp) 190 calories

y

Pecans (20 halves, raw) 195 caloriesy Pistachios (47 dry roasted) ~162 calories

y Pistachios (47 raw) ~158 calories

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y Storage of nuts:

y Keep in a cool place ~4 monthsy Keep in the refrigerator ~6 months

y Keep in the freezer ~1 year

y Roast nuts yourself cookie sheet, 160-170 degrees for 15-20minutes or until they turn dark

y Toasted nonstick pan, med-high heat, shake every fewminutes until lightly toasted.

y  Ways to eat more nutsy Toss on a salad

y stir peanut butter into stews & curries to enrich & add flavor

y Try peanut butter on pancakesy Peanut butter & jelly sandwich

y Toss nuts on your cereal

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Beef y Free-range, grass fed is leaner & has a healthier balance

of mega-6 to omega-3 fatty acids

y Grass fed beef is lower in sat. fat, contains plant-derivedomega-3 fats & vitamin E 

y Ideally eat no more than 3 ounces of lean beef every 10days

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Herbs & spicesy Rosemary, thyme, oregano, basil, and mint

y Rich in essential oils of the terpene family 

y Promote apoptosis in cancer cellsy Reduce cancer cell spreading by blocking the enzymes

they need to invade neighboring tissues

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Tumericy Powerful antinflammatory agent

y Curcumin inhibits growth in a

large number of cancersy Inhibits angiogenisisy Forces apoptosis

y Interferes directly with a proinflammatory factor secreted by cancercells, NF-kappa B

y ¼ - ½ tsp per day consumed in India

y

Consume with pepper - increases absorption by 2,000xs; w/opepper it does not pass the intestinal barrier

y ¼ tsp tumeric with ½ tsp olive oil & generous pinch of pepper. Add to vegetables, soups & salad dressings.

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Gingery Antinflammatory & antioxidant

y Helps reduce the creation of new blood vessels

y Ideas for incorporation into your diet:

y  Add grated ginger to a vegetable mix while it is cooking

y Marinate fruits in lime juice & grated ginger with a touch

of agave nectary Infusion cut 1 inch piece of ginger root into slices and

steep in boiling water for 10-15 min. Drink hot or cold.

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Dark Chocolatey >70% cocoa

y Contains antioxidants & many polyphenols

y A square of chocolate contains 2xs as much as a glassof red wine and almost as many as a cup of green teaproperly steeped

y Slows the growth of cancer cells and limitsangiogenesis

y Mixing with dairy products cancels out thebeneficial effects of the cocoa.

y Avoid milk chocolate

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Servan-Schreiber MD, D. (2008). AntiCancer: A new way of life. p. 111

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Toxic Chemicalsy Toxic chemicals in the body y  WWF 2004 (Europe) IDd 109 substances in animalsy  WHO international Agency for Research on CA keeps a

list of carcinogenic substances in the environmenty Tested 900 potential culpritsy Only 1 considered noncarcinogenicy CA causing substances accumulate in the fat

y Many pollutants are hormonal disruptorsy

Harvard study, 91,000 nurse over 12 yearsy Risk of Breast CA in premenopausal women

y Red meat consumption >1x per day y CA rate 2xs higher than those who consume <3xs per week

y Risk halved simply by reducing consumption of red meat

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The Organic Debatey Cynthia Curl, PhD studied 42 kids aged 2-5

y 3 days write down what their kids ate

y

Considered organic if 75% of food consumed wasorganic

y Measured organochlorine pesticide in the urine

y Organic kids level distinctly below EPA minimum & 1/6th

that of the conventional kids

y Conventional kids 4xs higher than the safe limit

y 2nd study performed

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Servan-Schreiber MD, D. (2008). AntiCancer: A new way of life. p. 81

The Organic Debate

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Contaminated FoodsMost (buy organic) Least contaminated

y  Apples, pears, nectarinesy Strawberries, raspberries

y Cherries, grapesy Peppersy Celery y Green beansy Potatoesy Spinachy Lettucey Cucumbery Squashy Pumpkin

y Bananas, oranges, tangerinesy Pineapple, grapefruit, melons

y Plums, kiwi, mangoes, papayay Blueberriesy Broccoli, cauliflower, cabbage,

mushroomsy  Asparagusy Tomatoesy

Onionsy Eggplanty Peasy Radishesy  Avocados

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Start small

Set a daily goal

Day  Goal Achievements

Sunday Drink 6-8, 8 ozglasses of water

Drank 5

Monday  Eat only whole grainfoods for carbs,exercise 20-30 min.

I did it!!

Tuesday E

at veggies for asnack  Ate carrots and 1serving of soy nuts

 Wednesday  Eat a spinach saladfor lunch, exercise30 min.

Surprisingly nothungry w/ the additionof walnuts, cheese, andsome craisins

Thursday  Eat only whilesitting down

This was tough for me.

Friday Try a new food,exercise 30 min.

Etc

Saturday Use a new spice orherb

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Monthly goaly Choose something you want to change permanently 

y Each month choose something different

y  Adding whole grains to your diet

y Look for ways to improve recipes by substituting whole grains

into recipesy  Add flaxseed meal to yogurt or oatmeal for breakfast

y Drink water everyday 

y Drink at least 1 cup of green tea every day 

y Eat 5 7 servings of fruits & vegetables everyday y Eat 4 servings of beans/legumes each week

y Exercise

y  Watch portions

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Portions

Ideal meal:

½ veggies¼ protein¼ starch

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Little changes that make a BIG differencey Diet

y Balance your diety Reduce sugar, white flour, Omega-6 products

y Increase Omega-3 intakey Increase intake of anticancer products

y Eat grass-fed organic animal products

y Filter tap watery Use carbon filter, reverse osmosis filter, or drink mineral or spring

 water

y  Activity y 20-30 minutes of physical activity per day 

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Major steps to improve your dietR educe R eplace with

y Foods with high glycemic indexy Hydrogenated or partially 

hydrogenated oils (trans fats)y Sunflower, soy, & corn oily Conventional dairy productsy Fried food, chips, fried appetizersy Nonorganic red meat & eggsy Poultry skiny

Skins of nonorganic fruits & veggiesy Tap water in areas of intense

farming (nitrates & pesticides-have water tested)

y Fruit, whole grainsy Olive oil, flaxseed oil, canola oil

y Organic, grass-fed dairy products, soy milk soy yogurts

y Hummus, olives, cherry tomatoes

y Organic poultry & eggsy Organic, grass-fed red meaty

Fish (salmon, sardines,mackeral)y Fruits & veggies peeled or

 washed or labeled organicy Improve tap water, filter

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ConclusionE very day 

 At every meal

 We make choices

Choices that will help our bodies defend itself 

against cancer

Its up to us to make lifestyle changes on our own!!

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Morning Glory Muffinsy 1 ¼ c. white whole wheat floury 1 tsp baking powdery ½ tsp baking soday ½ tsp salty

½ tsp 1 tsp cinnamony 1 c. oatmealy 1/3 c. soy milky ¾ c. applesaucey ¼ c. packed brown sugary ¼ c molassesy 1 Tbsp olive or canola oily 1 large eggy 3 med. Carrots shredded (1.5 cy ½ c. prunes, blueberries, craisins, or

raisins

y Preheat oven to 400oF. In a largebowl mix together dry ingredients.

y In a medium bowl mix together wetingredients.

y Combine dry & wet mixtures mixing just until flour is moistened (batter will be lumpy).

y Spoon batter into greased muffinpan or into paper lined pan.

y Bake ~23-25 minutes or untilinserted toothpick comes out clean.Immediately remove from pan.Cool slightly & serve. Freeze very  well.

y ~160 calories per muffin

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Bran Flax Muffinsy 1 ½ c. unbleached white floury ¾ c. Flaxseed mealy ¾ c. oatbrany 1 c. brown sugary

2 tsp. baking soday 1 tsp baking powdery ½ tsp. salty 2 tsp cinnamony 1 ½ c shredded carrotsy 2 apples, peeled & choppedy ½ c raisins or craisinsy 1 c walnuts, choppedy ¾ c milk (soy)y 2 eggs, beateny 1 tsp vanilla

y Mix in a large bowl the first 8ingredients.

y Stir in the next 4 ingredients.

y

Combine milk, egg, & vanilla in aseparate bowl.y Pour liquid ingredients into dry, stir

until moistened. Do not over mix.y Fill muffin cups ¾ full.

y Bake 350oF, 15-20 minutes.

y  Yields 15 medium muffins.

y Freeze well, pull out as you needthem.

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Mommas (Modified) Pancakesy 1 c. White whole wheat floury 3-4 Tbsp ground flaxmealy ~¾ c. soy milky

1 eggy ½ tsp salty 1 Tbsp baking powdery 2 Tbsp sugary 2 Tbsp oil

y Combine dry ingredients.y In a separate bowl beat egg

until fluffy. Add milk andoil.

y  Add wet ingredients to thedry. Mix until moistened.

 Add enough milk to reachdesired thickness.

y Pour ~1/4 c. of batter onto hotgriddle. Flip when bubbles

form in the center of thepancake or the edges start tolook dry.

y Serve with fresh fruit & yogurt.

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Berry Smoothiey 1 cup nonfat plain

 yogurt

y ¼ cup freshly squeezed

OJ

y ½ cup frozen berries

y ½ ripe banana

y Combine all ingredients ina blender.

y Blend until smooth &

frothy.

y Pour into glasses & serve.

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Baked Sweet Potatoesy Slice sweet potatoes, toss in olive oil, sprinkle w/

course salt, roast in 400 degree oven for ~20 minutes &turn.

y Experiment with a variety of spices such as Cajun,cinnamon, rosemary, etc.

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Raspberry Vinaigrettey ½ cup raspberries

y 3 Tbsp balsamic vinegar

y

1 Tbsp unsweetenedapple juice

y 1 tsp canola or olive oil

y 1 tsp honey or agave

nectar

y  Wisk ingredients in a smallbowl.

y Toss the dressing with the

salad.

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Berry crispy Crisp

y 1/3 c. chopped toasted almondsy 1/3 c. chopped toasted pecansy 1/3 c. chopped toasted walnutsy 1 c. oatmeal (quick cooking or regular)y

3-4 Tbsp pure maple syrupy 2 Tbsp wheat germy 2 Tbsp whole wheat pastry flour or

unbleached all-purpose floury 1 tsp cinnamony ½ tsp nutmegy ½ tsp pure vanilla extract

y Filling

y 4 cups blackberries, blueberries,strawberries, raspberries, or a mixtureof any of these

y 2 Tbsp pure maple syrupy 1 tsp ground cinnamony 1 tsp lemon or lime zesty 16 oz. nonfat regular or frozen vanilla

 yogurt for topping

y Preheat oven to 325.

y Slice any berries that need it. Toss with syrup, cinnamon, & zest.Spread in an 8 or 9 inch squarebaking dish.

y Prepare the crisp. Spread over berry mixture.

y Bake 15-20 minutes or until the fruitis tender, bubbling around theedges, & the crisp is lightly browned.

y Serve with dollop of yogurt if desired.

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Dried Apricot & Cranberry Compote with Applesy 1 ½ c dried apricotsy ¾ c dried cranberries, cherries,

currents or raisinsy 2 med. Apples, peeled, cored, & cut

into large piecesy ¼ c unsweetened apple juicey ¾ c light brown sugary ½ cinnamon sticky 2 Tbsp julienned orange or lemon

zesty Nonfat plain or vanilla yogurt or

frozen yogurt

y In a small bowl, combine driedapricots & cranberries. Add enough warm water to cover. Soak 30minutes. Drain & discard water.

y Transfer to a medium sized

saucepan. Add apples, apple juice,brown sugar, & cinnamon stick.Simmer covered over med. heat for10-15 min. Uncover & simmer a fewminutes longer breaking up the fruit with a wooden spoon until slightly thickened & chunky. Removecinnamon stick and set aside fruit to

cool.y Spoon the cooled, thickened fruit

into small bowls. Garnish withcooled zest. Serve with a dollop of  yogurt if desired.

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Breakf ast Crispy Crisp

y 1/3 c chopped toasted almondsy 1/3 c chopped toasted pecansy 1/3 c chopped toasted walnutsy 1 c rolled oatsy 3-4 Tbsp pure maple syrup

y 2 Tbsp wheat germy 2 Tbsp unbleached all-purpose floury ½ tsp pure vanilla extracty ½ tsp cinnamony ¼ tsp ground mace or nutmeg

y Fillingy 3-4 pear, apples, peaches, or nectarine,

peeled, pitted, or cored & slicedy ½ c dried berries, cherries, currents, or

raisinsy ½ tsp cinnamony ¼ tsp mace or nutmegy 2 tsp pure maple syrup

y Toppingy Nonfat vanilla yogurt

y Preheat to 325.y Combine nuts, oats, syrup, wheat germ, flour,

 vanilla cinnamon & mace & toss to mix evenly.y Filling cut fruit slices into small pieces.

Transfer to mixing bowl & add dried berries,cinnamon & mace. Add syrup & toss until

evenly mixed. Spread in a 8 in square bakingpan.y Top with crisp toppingy Bake 15-20 min or until fruit is tender & the

top is lightly browned. Serve warm, tapped with dollops of yogurt.

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Referencesy  American Cancer Society. (2007).  Nutrition & cancer. Retrieved March 5, 2010

from http://www.cancer.org/downloads/PRO/nutrition.pdf y  American Cancer Society. (2009). Cancer: Basic facts. Retrieved March 5, 2010

from http://www.cancer.orgy Environmental Working Group. (n.d.). Shoppers guide to pesticides. Retrieved February 

16, 2010 from http://www.foodnews.org/fulllist.phpy Genentech BioOncology. (2009). Critical questions in the science of VEGF and 

angiogenesis. Retrieved March 1, 2010 from www.ResearchV EGF.comy LifeMedMedia. (2010). T he 10 best cooking oils for people with diabetes. Retrieved March 19, 2010

fromhttp://www.dlife.com/diabetes/information/food_and_nutrition/10_best_cooking_oils.html?s_kwcid=ContentNetwork%7c1826539763&gclid=CJ-QnvObxaACFQ5sswoduwJkYw

y Pratt M.D., S. G. & Matthews, K. (2004). S u perFoods Rx: Fourteen foods thatwill change your life. HarperCollins Publishers Inc.: New York, NY.

y Servan-Schreiber MD, D. (2008). AntiCancer: A new way of life. Penguin GroupInc.: New York, NY.

y University of Sydney. (n.d.) H ow to switch to a low GI diet. Retrieved March 3,2010 from http://www.glycemicindex.com

y Useful Information. (2009). Quotations about food . Retrieved March 16th fromhttp://www.useful-information.info/quotations/food_quotes.html