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RE: vitamins & treatment

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I was informed recently by a fellow lister that her doctor told

her not to take vitamins during her F/R treatment. Has anyone else been told

or know anything about this issue, during F/R or any other treatment?

Thanks,

Karni

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There are a lot of different opinions regarding this. The concern

has always been that the vitamins will protect the cancer cells from

the chemotherapy. It is important to remember that this is all

theoretical, and not anything ever proven clinically. There were

even reports published in the 1950s that CLL cells accumulated

vitamin C.

One thing to remember regarding this is that we do not know whether

the vitamin C (or others) will help or hurt the cancer cell. We

actually use vitamin C in association with arsenic trioxide to treat

other lymphomas and leukemias.

The other thing to remember is that being able to tolerate and

receive the therapy has been proven to be of the utmost importance in

receiving the maximum benefit from chemotherapy. There is, in all

likelihood, going to be a benefit in terms of marrow recovery,

decreased mucositis, etc in patients who are well nourished and take

vitamins.

With all this in mind, I advise my patients to not take " mega " doses

of vitamins or supplements, but take a standard " one-a-day " multi-

vtiamin and a well-rounded, balanced diet.

Rick Furman, MD

>

> I was informed recently by a fellow lister that her doctor told her

not to

> take vitamins during her F/R treatment. Has anyone else been told

or know

> anything about this issue, during F/R or any other treatment?

>

>

>

> Thanks,

>

>

>

> Karni

>

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Dr. Furman,

Thank you for your response. Regarding your statement, “It

is important to remember that this is all

theoretical, and not anything ever proven clinically,”

it might be of interest to note that, at least in my case, taking vitamins didn’t

seem to dull the effectiveness of chemo (F/R), since my counts went from 140K

to under 3K as a result of the first round. I’m

guessing that the fact that my lymphs were apparently all circulating and not

squirreled away anywhere made them more accessible and possibly vulnerable,

though of course, there may be other variables at work.

I’m continuing with multi-vitamins.

Thank you,

Karni

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