Survivorship: A Nutritionist’s Perspective by Helayne Waldman

Survivorship: A Nutritionist’s Perspective

What happens when cancer treatments end?  Many folks describe the feeling as one of abandonment, of falling off a cliff into what’s supposed to be a new “normal.”  But for many, life is anything but normal.  There’s the uncertainty of what’s next, the fear of recurrence, and the very physical discomforts that can follow treatment such as neuropathy or lymphedema.

In 2005 the Institutes of Medicine (IOM) decided to address this gap that patients- turned- survivors now faced. In a report they called From Cancer Patient to Cancer Survivor: Lost in Transition, it was recommended that all cancer survivors be given a plan to help them carry on with their lives healthfully after treatment.  This is a big step forward for both patients and practitioners.  Still, many challenges remain.

The good news is that many of these challenges can be met successfully by starting with basics of healthy eating. 

That’s because our nutritional reserves are seriously depleted by cancer treatments.  For example, did you know that undergoing major surgery with a general anesthetic will create a drain on your magnesium reserves?  That chemotherapy depletes trillions of healthy gut bacteria that help keep our immune system healthy, make vitamins for us, detoxify carcinogens and perform a host of other indispensable functions?  And that steroids such as Decadron, given with chemo to help alleviate side effects, can cause depletion of Vitamins A, D, C, B6, B12, Folate and the minerals zinc, selenium, magnesium and chromium?  No wonder so many survivors complain of feeling “not quite right.”

Eating organic, nutrient dense food is the perfect way to start your nutrient restoration plan.  Aim for approximately half your body weight in lean clean protein and 6-12 portions of vegetables and fruits a day.  If this sounds overwhelming, don’t worry.  In terms of nutritional power, a cup of green tea is easily the equivalent of a serving of vegetable.  And one delicious smoothie can contain four, six, eight or more fruit and/or vegetable servings in one tall glass.

Don’t Forget the Healthy Fats

Fats are as important as any other macronutrient (protein, carbohydrates).  That’s why nature provides them for us and we nutritionists don’t want you to skimp on them.  Just be sure that you eat the fats that nature truly made – not the ones that come from a factory assembly line.  Nuts and avocadoes are terrific sources of healthy fats;  of course we all know about the nourishing qualities of olives and olive oil from the legendary Mediterranean diet.  And recent research has validated what Polynesians have known for centuries:  coconut oil is a superb oil for cooking and baking.