After doing this for a while I run through the following with a new patient case:
- All the details, Stage/Grade, Prior and concurrent Tx
- Patient goals (often we assume we are to Tx the cancer and find out that isn’t what they want.) So is it “aggressive cancer focused Tx” or mitigating damage from prior Tx, general QOL, or is it palliative / end of life care? All require different approaches.
- Limitations – can they take oral supplements? Do they have mucositis? If surgery when was it and what is the residual effect on them and their physiology? Can they make my diet changes?
- Support – do they have a driver / ride? Anyone to be with them after IV’s?
- IV access type and availability. How often can they come in? Can they afford it?
- If a therapy is indicated are they physically able to handle it? — Many HDIVC people need nutrient hydrating IV’s for a while before they can handle the HDIVC
Many depleted people move to a very low and slow dose plan until you see their tolerance increasing safety a lot but also costs and time of therapy. If there are no reasons not to do it (G6PD, Poor KiFCT, drug interactions…) based on 20 years use and all the data we collected on the BIORC patients the escalating dose HDIVC protocol is most statistically likely to be of help. This is either for a pure QOL approach or QOL + CA therapy. (up to 50% positive response in cancer stability and up to 80+ % positive effect on QOL) And generally there is NOT a cancer or group that responds better or worse, that is all patient and not cancer specific.
If one can add IV Artesunate (and find that product…) or Oral liposomal + regular ART at higher doses like 0.5-1 gram a day in pulses it may be even better on the cancer response side (data is mostly on breast cancer survival but I think we see this effect across other cancers).
If basic QOL, or IVC is c/i, or it is end of life care then the hydrating nutrient IV’s I posted are best based on lots of experience in that end of CA work.
Diet – to the degree they can a clean low carb high flavinoid veg containing plan is minimum. We are doing more ketogenic therapeutic diets but more in the setting of other advanced metabolic therapies.
I have almost everyone on 10-40 mg Melatonin, seriously consider LDN (both have almost no interactions negatively with concurrent therapy (LDN and Opiates is the obvious exception). Vitamin D in many GI cancer (and others) cases. Very often curcumin. Oral glutamine if residual mucositis (and no I don’t worry about it fueling the cancer, I have a whole write up on that, but I also don’t use it beyond the GI healing period in most people). Everything else goes on and on from there based on specifics. Lots more but this is a good base to begin from.