Cancer therapies

Please note that I am not a medical professional and this information should be discussed with your providers to make sure they have no concerns about side effects or interactions with your current treatment. As a first step I highly recommend that you work with an integrative or functional oncologist who will support you in these treatments and collaborate with your conventional medical team.

TreatmentContraindicationsPaper linksTreatmentStrength of evidenceResultsPathways affectedDosageTrials
Ketogenic dietDo not follow this diet if you have BRAF mutations in your cancer (common in melanomas) or pancreatic cancer1, 2, 3, 485-90% of calories coming from fat, 5-12% from protein, 5% or less from carbohydrates5Extension of life across multiple cancer types, reduced tumor growth, sensitization to radiation and chemotherapymTOR, insulin, glycolysis, glutamine and glutathioneTherapeutic level of ketosis (glucose to ketone index of 0-2)Y
BerberinePregnant people, children under age 2, use caution if you have low blood pressure or diabetes, do not take with cyclosporine, consult your doctor if you are on diabetes medication1, 2Supplement taken multiple times a day3Reduces angiogenesis, reduced recurrence, cell apoptosis and reduces tumor growth in miceGlutamine, insulin, glycolysis, mTOR, AMPK, anti-inflammatory, antioxidant1-10,000 mg per dayOnly for colon adenomas
CurcuminDo not use if you have surgery in the next week, are taking other blood thinners (other than aspirin), bile duct obstruction, cholangitis, liver disease, gallstones, or any biliary disease1, 2Supplement5Increases survival, reduces chemotherapy side effects, reduces angiogenesis, sensitizes tumors to chemotherapy and radiationAnti-inflammatory, modulates caspase, p53, COX-2, growth factors, and certain cytokines1-8 g per dayY, breast, colorectal, pancreatic cancer, adenomas
Vitamin DBe cautious of vitamin D toxicity after excessive supplementation (test your vitamin D levels regularly)1, 2, 3Supplement4Increases survival, but it’s not clear that it reduces risk of having cancerReduces cancer invasiveness and metastisis, immunosupportive1500–2000 IU/dayY, but mostly longitudinal studies of all cancer mortality

Hyperbaric oxygen therapy
Pregnancy, pneumothorax, HBOT can induce seizures so people prone to seizures should avoid it or use extreme caution, patients with eye or ear conditions should consult with their providers1, 2, 3,
4, 5
1-2 hours in a hyperbaric chamber daily or as frequently as feasible4Improves outcomes after surgery and with chemotherapy or radiation, reduces radiation injury, reduces inflammation, and improves cognitive function in brain tumor patientsOxygenates tumor microenvironment, reduces inflammation1-2 hours per dayY, brain tumors, but a few studies on other cancers
Lipophilic statins (e.g. lovastatin)Possibly contraindicated for ER+ breast cancer and glioma1Statin use prior to and concurrent with cancer treatment5Low mortality and metastasis associated with statin useInduces autophagy of tumor cells, reduced cholesterol available for tumor cell growth (new cell wall genesis), sonic hedgehog suppressionDepends on the type of statinY, and also retrospective studies
MetforminMetformin’s effect on cancer is controversial. A number of phase III studies have not shown an effect, but others have. It is possible that certain cancer types are susceptible to it. 1Metformin before cancer incidence or as an adjunct cancer therapy3Lower cancer risk and mortalityInhibits mTOR, induces apoptosis and autophagy, decrease insulin levels, decreases angiogenesis, reduces hypoxiaVariesY, and also longitudinal studies

I believe the adjunct treatments for cancer I have included should be used in addition to conventional standard of care. Many of these alternative therapies work by sensitizes cancer to radiation or chemotherapy and do not replace it.

Also please note that not all cancers respond to all adjunct treatments. I try to explain those caveats under contraindications in the table, but I cannot cover all cases.