All posts by Sumana Rao

Don't worry about the people in your past; There's a reason they didn't make it to your future.
Processed foods

Why Should We Avoid Processed Foods

Processed food is any food that has been altered in some way during preparation and processed to stay for days. Processing food can be – freezing, cooking, drying, canning. Not all processed foods are unhealthy. Some of the processed foods become unhealthy to consume due to higher amounts of fat, salt, and sugar.

Not all processed foods are bad for us. Some of the processed foods that we consume are- cheese, canned vegetables, canned fruits, bread, pies, pastries, meat products, microwaveable meals and ready meals, biscuits, soft drinks, milk etc. In this list, milk needs to be processed because pasteurization technique is essential to keep milk safe for consumption. Some of the cereals and breads that contain high fiber amount are good. Similarly, oil extracted from seeds is essential and is good to use.  These foods can be part of a regular diet.

According to Dr. Michael Garcia, MD, a nutrition specialist at UCLA Health if people understand what processed foods are, they can make better decisions for their health. “The broadest definition of processed food is any raw commodity that is altered from its natural state,”

As per Hanee Park, MS, RD, a registered dietitian in the UCLA Center for Human Nutrition, always check the ingredients. “The shorter the ingredient list, the better. That means there is less processing involved”

Some of the additives that are used in processed foods are;  hydrogenated vegetable oils and tropical oils such as palm oil, preservatives such as sodium nitrite or nitrate, flavor enhancers such as monosodium glutamate (MSG), and added sweeteners such as corn syrup, cane juice or artificial sweeteners, among others.

Always question yourself before buying any processed food – how close is the food that you are trying to buy is close to its natural state?

When processed food has additional or added sugar, salt and fat to extend the shelf life or for food texture improvement then the processed food is not good for us. Generally, the processed foods are considered less healthy than whole, unprocessed foods due to following reasons:

  • High in added sugars: Processed foods often contain added sugars, which can contribute to weight gain, type 2 diabetes, and various other health issues. These sugars are often hidden under different names on ingredient lists.
  • High in unhealthy fats: Processed foods can be rich in unhealthy fats, particularly trans fats and saturated fats. These can raise bad cholesterol levels and increase the risk of heart disease.
  • High in sodium: Processed foods are often loaded with salt to enhance flavor and extend shelf life. High sodium intake is associated with high blood pressure, which is a major risk factor for heart disease and stroke.
  • Low in nutrients: Many processed foods are stripped of their natural nutrients during manufacturing and then “fortified” with synthetic vitamins and minerals. However, these synthetic nutrients may not be as beneficial as those naturally found in whole foods.
  • Contain additives: Processed foods often contain artificial additives, such as preservatives, flavor enhancers, and colorings, which may have adverse effects on health. Some people are sensitive or allergic to certain additives.
  • Lack of fiber: Whole foods like fruits, vegetables, and whole grains are rich in dietary fiber, which is essential for digestive health. Processed foods are typically low in fiber.
  • Calorie dense: Many processed foods are calorie dense and nutrient-poor, which can lead to overconsumption and weight gain.
  • Negative impact on satiety: Processed foods may not be as satisfying as whole foods, potentially leading to overeating and weight gain.
  • Disruption of hormonal balance: Some additives and artificial ingredients in processed foods can disrupt hormonal balance, potentially affecting appetite regulation and metabolism.
  • Convenience and overconsumption: Processed foods are often designed to be convenient and easy to consume, which can lead to overconsumption and mindless eating.

It is important to note that not all processed foods are inherently bad, and some are necessary for practical reasons, like frozen vegetables or canned beans. However, there is a distinction between minimally processed foods and highly processed, ultra-processed foods. Minimally processed foods, like frozen vegetables or whole-grain bread, retain much of their natural goodness. Highly processed foods, like sugary cereals, fast food, and most packaged snacks, are often best consumed in moderation.

A balanced diet should prioritize whole, unprocessed, or minimally processed foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats, while minimizing the consumption of highly processed items. This can help ensure better overall health and nutrition.

References:

https://www.uclahealth.org/

https://www.nhs.uk/

Image credit: https://commons.wikimedia.org/wiki/File:HK_SYP_%E8%A5%BF%E7%87%9F%E7%9B%A4_Sai_Ying_Pun_%E5%BE%B7%E8%BC%94%E9%81%93%E8%A5%BF_Des_Voeux_Road_West_shop_September_2022_Px3_15.jpg: BONGMINGITC 26928, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons


Author: Sumana Rao | Posted on: October 17, 2023
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Breast cancer chemotherapy drugs

Breast Cancer Chemotherapy Drugs And Preventive Action

Breast cancer chemotherapy drugs are an essential part of cancer treatment for many individuals diagnosed with breast cancer. Chemotherapy drugs are designed to target and destroy rapidly dividing cancer cells. The specific chemotherapy drugs prescribed can vary based on the type and stage of breast cancer, as well as individual patient factors. Here are some of the commonly used chemotherapy drugs for breast cancer:

  1. Anthracyclines: Doxorubicin,  (Adriamycin) and Doxil: Doxorubicin drug is often used in combination with other chemotherapy agents to treat breast cancer. It works by damaging DNA in cancer cells, preventing them from dividing and growing. Similarly, Doxil kill cancer cells by damaging their genes and interfering with their reproduction.
  2. Taxanes: Paclitaxel (Taxol) and Docetaxel (Taxotere): These drugs interfere with the microtubules necessary for cell division, effectively stopping cancer cell growth. It reduces the risk of early-stage breast cancer coming back treat.
  3. Cyclophosphamide (Cytoxan): This is an alkylating agent that interferes with DNA replication in cancer cells. It is often used in combination with other chemotherapy drugs for breast cancer treatment.
  4. 5-Fluorouracil (5-FU): An antimetabolite drug, 5-FU interferes with the synthesis of DNA and RNA in cancer cells, leading to cell death.
  5. Methotrexate: Another antimetabolite, methotrexate disrupts the synthesis of DNA and RNA, hindering the growth of cancer cells.
  6. Epirubicin: Epirubicin is another anthracycline used in breast cancer treatment. It functions similarly to doxorubicin, damaging cancer cell DNA.
  7. Eribulin: Halaven- Eribulin is used to treat people with locally advanced breast cancer – breast cancer that has spread to the tissues and lymph nodes around the chest, neck and under the breastbone and to treat metastatic breast cancer – breast cancer that has spread to other parts of the body
  8. Cisplatin: A platinum-based drug, cisplatin forms DNA cross-links, disrupting DNA structure in cancer cells and preventing cell division.
  9. Carboplatin: Like cisplatin, carboplatin is used in breast cancer treatment to interrupt DNA synthesis in cancer cells.
  10. Gemcitabine: This drug interferes with DNA replication and is often used in combination with other chemotherapy agents for breast cancer.
  11. Vinorelbine: A vinca alkaloid, vinorelbine disrupts cell division by affecting microtubules. It is used in the treatment of metastatic breast cancer.
  12. Ixabepilone: This drug is a microtubule inhibitor that disrupts the cell division process in cancer cells. It is used in certain breast cancer cases.
  13. Vinblastine: Another vinca alkaloid, vinblastine inhibits microtubule formation and disrupts cell division. It may be used in breast cancer treatment.

Drugs approved to prevent breast cancer:

  • Evista (Raloxifene Hydrochloride)
  • Raloxifene Hydrochloride
  • Soltamox (Tamoxifen Citrate)
  • Tamoxifen Citrate

Drugs approved for breast cancer treatment: There are many drugs approved by FDA to treat breast cancer. Few examples are –Abemaciclib, Abraxane (Paclitaxel Albumin-stabilized Nanoparticle Formulation), Ado-Trastuzumab Emtansine, Afinitor (Everolimus), Afinitor Disperz (Everolimus), Alpelisib, Anastrozole, Aredia (Pamidronate Disodium), Arimidex (Anastrozole), Aromasin (Exemestane), Capecitabine, Vinblastine Sulfate, Xeloda (Capecitabine), Zoladex (Goserelin Acetate) (See more list @ www.cancer.gov)

Approved drugs combinations used for treating breast cancer:

  • AC = A   = Doxorubicin Hydrochloride (Adriamycin) & C= Cyclophosphamide – for localized breast cancer
  • AC-T = A= Doxorubicin Hydrochloride (Adriamycin), C= Cyclophosphamide & T= Paclitaxel (Taxol)- Blocks DNA production and destroys cell division
  • CAF= C  = Cyclophosphamide, A  = Doxorubicin Hydrochloride (Adriamycin) & F= Fluorouracil – to treat advanced /recurrent cancer
  • CMF= C = Cyclophosphamide, M = Methotrexate & F= Fluorouracil-To treat metastatic breast Cancer
  • FEC= F   = Fluorouracil, E = Epirubicin Hydrochloride & C= Cyclophosphamide – for advanced breast cancer
  • TAC= T=Taxotere, A= Adriamycin, and C= Cyclophosphamide -used after surgery to treat any remaining breast cancer cells.

Please note that the choice of chemotherapy drugs, the treatment regimen, and the schedule will depend on the individual’s specific cancer type and stage, as well as their overall health and medical history. Chemotherapy is often used in combination with other treatment modalities such as surgery, radiation therapy, targeted therapy, or hormone therapy. The healthcare team closely monitors the patient’s response to treatment and may adjust the treatment plan as needed. Chemotherapy can have side effects, and supportive care measures are often prescribed to manage these side effects and help patients cope with the treatment.

Note: This article is only for educational purpose, to understand the types of drugs used in chemotherapy.

References:

https://www.cancer.org/

https://www.cancer.gov/

https://www.breastcancer.org/

https://breastcancernow.org/

https://www.cancerresearchuk.org/

Image credit: Image by cristhianelouback0 from Pixabay (cc by 0)


Author: Sumana Rao | Posted on: October 16, 2023
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Banana stem dosa recipe

Healthy Breakfast Banana Stem Dosa

There are many ways to incorporate healthy vegetables in our diet.  One such healthy, nutritious vegetable is banana or plantain stem. Banana stems are rich in fiber and provide many health benefits. We can consume banana stems by preparing sambar, chutney, or salad. Another special dish one can think of preparing is delicious breakfast item “banana stem dosa”.

Try this dosa to get maximum health benefits of fiber, protein and carbohydrates combination.

Ingredients:

  1. Idli or Dosa Rice – 2.5 cups
  2. Banana stem – Inner part of stem – small cut pieces – 2 cups
  3. Fenugreek – 1 tsp
  4. Urad dal – 2 tsp
  5. Poha – 1 Tbsp
  6. Grated coconut -1/4 cup
  7. Cumin -1 tsp
  8. Salt – as per your taste
  9. Green chili -1 or 2 (optional)

Preparation:

  1. Wash and soak rice, fenugreek and urad dal for 6 hours or overnight.
  2. Next day morning wash soaked mix and get ready to grind.
  3. Remove outer layers of banana stem and cut inner portion into small pieces.
  4. By adding little water grind soaked rice mix, banana stem, poha and grated coconut to paste. If you like to have slightly spicy dosa then add green chili.
  5. To the dosa batter, add salt and cumin.
  6. You can ferment the banana stem dosa batter or use it immediately. If you are fermenting the batter, do not over ferment.
  7. Prepare dosa using batter and serve hot dosa with your choice of chutney, potato curry or sambar.

Image credit: Footage at English Wikipedia, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons & pxhere (cc by 0)


Author: Sumana Rao | Posted on: October 13, 2023
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Chemotherapy side effects

Managing And Overcoming Side Effects of Chemotherapy

Chemotherapy can be an effective treatment for breast cancer, but it often comes with side effects. Managing and overcoming these side effects is an important part of the treatment process. Here are some suggestions to mitigate and cope with the side effects of breast cancer chemotherapy:

Consult with your healthcare team:

  • The first step in managing side effects is to communicate openly with your healthcare team. They can provide guidance on what to expect and offer personalized advice based on your specific treatment plan and medical history.

Nausea and vomiting:

  • Medications: Your healthcare provider may prescribe anti-nausea medications to help control nausea and vomiting. Take them as directed.
  • Dietary changes: Eat small, frequent meals, and avoid spicy, greasy, or strong-smelling foods. Ginger or peppermint tea may also help alleviate nausea.
  • Stay hydrated: Sip clear fluids throughout the day to prevent dehydration.

Fatigue:

  • Rest: Listen to your body and get enough rest. It’s okay to take short naps during the day.
  • Light exercise: Engage in gentle activities like walking or yoga to combat fatigue. Consult your healthcare team before starting any exercise program.
  • Prioritize tasks: Focus on essential tasks and ask for help with chores or responsibilities when needed.

Hair loss:

  • Consider wigs or head coverings: Some women choose to wear wigs, scarves, or hats to conceal hair loss.
  • Scalp cooling: Scalp cooling systems may help reduce hair loss during chemotherapy. Discuss this option with your oncologist.

Mouth sores:

  • Oral care: Maintain good oral hygiene by brushing teeth gently with a soft toothbrush and rinsing with a mild, alcohol-free mouthwash.
  • Avoid Irritants: Avoid spicy or acidic foods and drinks that can irritate mouth sores.

Neuropathy:

  • Report symptoms: Inform your healthcare team if you experience numbness, tingling, or pain in your hands or feet. They may adjust your treatment or recommend medications to manage neuropathy.
  • Balance and safety: Be cautious when walking or performing tasks that require balance, as neuropathy can affect coordination.

Low blood cell counts:

  • Regular monitoring: Your healthcare team will monitor your blood counts. If your counts drop too low, they may adjust your treatment or recommend blood transfusions.
  • Infection prevention: Take precautions to avoid infections. Wash your hands frequently, avoid crowds, and notify your healthcare team if you develop signs of infection.

Emotional support:

  • Seek counseling: Consider speaking with a therapist or counselor to help cope with the emotional challenges of cancer treatment.
  • Support groups: Join a breast cancer support group to connect with others who understand your experiences.

Maintain a healthy lifestyle:

  • Eat a balanced diet: Focus on nutrient-rich foods that support your overall health.
  • Stay hydrated: Drink plenty of water.
  • Exercise: Engage in light to moderate physical activity when you feel up to it.
  • Stress reduction: Practice relaxation techniques like meditation, deep breathing, or yoga.

Chemotherapy side effects can vary from person to person and may change over the course of treatment. It is essential to keep your healthcare team informed about your symptoms so they can provide the best possible care and support. Don’t hesitate to ask questions or seek a second opinion if you have concerns about your treatment or side effects.

Image credit: https://pix4free.org/photo/30848/chemotherapy.html (cc by 0)


Author: Sumana Rao | Posted on: October 12, 2023
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Breast cancer Emotional support

Breast Cancer Can Happen And It Is Not Your Fault

Managing emotions while dealing with breast cancer can be challenging, as it is a diagnosis that can bring about a wide range of feelings, including fear, sadness, anger, guilt and anxiety. However, it’s important to acknowledge and address these emotions to maintain your overall well-being. Managing emotions while going through treatment is challenging and one cannot express it easily. How to manage these emotions?

Many women think that “I am suffering from cancer and it is all my fault”  No, it is not! You are not responsible for your condition. Cancer can knock on anyone’s door anytime. There are several known and unknown risk factors that could lead to breast cancer and other cancers too. So, first get rid of that negative thought from your mind that you are responsible for your condition. Instead, focus on the road to recovery and get your health back. You are a fighter, don’t give up on your health.

You need support: It is difficult to manage cancer all alone. You need support and need an outlet to express your emotions. How will you get support? Here are suggestions –

  • Seek Support: Share your feelings with trusted friends and family members who can provide emotional support and a listening ear.
  • Consider joining a breast cancer support group, either in-person or online, to connect with others who are going through similar experiences.
  • Communicate with Your Healthcare Team: Openly discuss your emotions and concerns with your healthcare providers. They can provide information, resources, and possibly referrals to therapists or counselors who specialize in cancer-related emotional issues.

Educate yourself: Learning about breast cancer, its treatment options, and what to expect can help alleviate some anxiety and uncertainty. Knowledge can empower you to make informed decisions about your care.

Practice stress-reduction techniques: Engage in stress-reduction activities such as meditation, deep breathing exercises, yoga, or progressive muscle relaxation to help manage anxiety and promote relaxation.

Maintain a healthy lifestyle: Eating well, getting regular exercise, and getting enough rest can all contribute to better emotional well-being and overall health.

Express yourself creatively: Consider creative outlets such as journaling, art, or music to express and process your emotions.

Set realistic goals: Set achievable goals for yourself, both in terms of your treatment and daily activities. Small accomplishments can provide a sense of control and achievement.

Accept your emotions: Remember that it’s okay to feel a wide range of emotions, and there is no “right” or “wrong” way to react to a cancer diagnosis. Allow yourself to grieve, be angry, or feel scared when you need to.

Seek professional help: If you find that your emotions are overwhelming and interfere with your daily life, consider speaking with a mental health professional who specializes in oncology or cancer-related emotional issues.

Think of spiritual or religious support: If you are a person of faith, your spirituality or religious beliefs can be a source of comfort and support during challenging times. Seek guidance and solace from your religious faith if it brings you comfort.

Managing emotions is a personal journey, and what works best for one person may not work for another. It’s essential to find strategies and coping mechanisms that resonate with you and help you navigate the emotional challenges that come with a breast cancer diagnosis. Do not hesitate to reach out for help and support when needed, as you don’t have to face this journey alone.

Image credit: Image by Natalia Lavrinenko from Pixabay (cc by 0)


Author: Sumana Rao | Posted on: October 10, 2023
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Breast Cancer Prevention Strategies:

Breast Cancer Prevention Strategies

It is important to note that while these strategies can help reduce the risk of breast cancer, they do not guarantee prevention. Regular screening and early detection remain crucial in the fight against breast cancer. If you have concerns about your breast cancer risk or need guidance on prevention, consult with a healthcare professional who can provide personalized advice and recommendations based on your individual circumstances.

 

·         Regular screening: Early detection through regular mammograms and breast self-exams can increase the chances of detecting breast cancer at an earlier, more treatable stage.

·         Healthy lifestyle: Maintain a healthy weight through diet and exercise. Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week.

·         Limit alcohol consumption: If you choose to drink alcohol, limit your intake to no more than one drink per day.

·         Hormone therapy: If you’re considering hormone replacement therapy, discuss the risks and benefits with your healthcare provider and explore alternatives.

·         Breastfeeding: If possible, breastfeed your children, as it may slightly reduce breast cancer risk.

·         Genetic counseling and testing: If you have a family history of breast cancer, consider genetic counseling and testing to assess your risk.

·         Healthy diet: Eat a balanced diet rich in fruits, vegetables, and whole grains. Some studies suggest that diets high in fruits and vegetables may be associated with a lower risk of breast cancer.

·         Regular health check-ups: Attend regular check-ups with your healthcare provider to discuss your breast health and overall well-being.

 

Image credit: https://www.pexels.com/photo/anonymous-topless-woman-with-pink-ribbons-against-breast-cancer-6798662/ (cc by 0)

 


Author: Sumana Rao | Posted on:
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Risk Factors That Are inconclusive

Risk Factors That Are inconclusive

Some factors that were once considered potentially linked to breast cancer have been debunked or have not been conclusively proven to increase breast cancer risk. Here are a few examples:

 

 

·         Abortion: The relationship between induced abortion and breast cancer risk has been a topic of debate. However, many reputable scientific studies and organizations, have found no clear and consistent evidence to support a causal link between abortion and breast cancer.

·         Underwire bras: Some say underwire bras can block lymphatic drainage and contribute to breast cancer has circulated, but there is no credible scientific evidence to support this claim.

·         Antiperspirants and deodorants: There have been concerns about a possible link between the use of antiperspirants or deodorants containing aluminum compounds and an increased risk of breast cancer. However, scientific research has not provided clear and consistent evidence to support this claim.

·         Fluoridated water: Some studies have explored the potential link between exposure to fluoridated water and an increased risk of breast cancer. It is inconclusive, and most health authorities consider the levels of fluoride in drinking water to be safe.

·         Bras and sleeping habits: Some claims have suggested that sleeping in bras or wearing tight-fitting bras at night can increase breast cancer risk.

·         Caffeine consumption: The results on caffein consumption and breast cancer risk have been inconsistent, and no clear causative link has been established.

·         Mobile and Electromagnetic fields (EMFs): Concerns about the potential carcinogenic effects of cell phone radiation and EMFs have been raised, including their possible link to breast cancer. It is also inconclusive.

·         Tight bras: There is no credible evidence to suggest that wearing a tight bra could increase breast cancer risk.

 

Image credit: https://www.pexels.com/photo/2-women-holding-pink-ribbons-5482987/ (cc by 0)

 


Author: Sumana Rao | Posted on:
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Breast Cancer Risk Factors That Cannot Be Changed

Breast Cancer Risk Factors That Cannot Be Changed

Many of the breast cancer risk factors are largely determined by factors beyond an individual’s control. These risk factors are primarily related to genetics, gender, and age. It’s important to be aware of these factors so that healthcare providers can assess an individual’s risk appropriately and recommend appropriate screening and prevention strategies. Here are some breast cancer risk factors that cannot be changed:

 

 

·         Gender: Breast cancer is far more common in women than in men. While men can develop breast cancer, most cases occur in women.

·         Age: The risk of breast cancer increases with age. Most breast cancer diagnoses occur in women over the age of 50.

·         Family history: A family history of breast cancer, especially among first-degree relatives (such as a mother, sister, or daughter), can increase an individual’s risk. Specific genetic mutations like BRCA1 and BRCA2 can also be passed down in families and significantly raise the risk.

·         Inherited genetic mutations: Certain inherited genetic mutations, such as BRCA1, BRCA2, TP53, and others, significantly increase the risk of breast cancer. Genetic testing can identify these mutations in individuals with a family history of breast cancer.

·         Personal history of breast cancer: If an individual has had breast cancer in one breast, they are at a higher risk of developing breast cancer in the other breast or having a recurrence.

·         Race and ethnicity: Breast cancer incidence and mortality rates can vary by race and ethnicity. For example, some populations, such as Ashkenazi Jewish women, have a higher prevalence of certain genetic mutations associated with breast cancer.

·         Breast density: Women with dense breast tissue may have an increased risk of breast cancer. Breast density is determined by genetics and cannot be changed.

·         Certain benign breast conditions: Some benign breast conditions, such as atypical hyperplasia or lobular carcinoma in situ (LCIS), can increase the risk of developing breast cancer.

 

Image credit: Image by u_vso03d127h from Pixabay (cc by 0)

 


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