RE: Tamoxifen and hot flashes - A

[Guest guest]

Hi Deanna,

Try UNDA 8,24,25 for the hot flashes and possibly

Aconite,low potency daily. Try treating the

circulatory aspect of the HFs. I've seen moderate to

significant improvement when women are on Tamoxifen

but for some it's really tough to get the HFs to

subside completely. You should alos find out if she's

eating chicken or sugar. I've seen both these things

increase HFs with a number of women. Look for all the

triggers, stress, etc.

Good Luck,

Ginger Nash

--- drdeanna <drdeanna@...> wrote:

> Hi

> I am seeing a 58 year old woman who had Breast

> Cancer 2 years ago.

> She is currently taking Tamoxifen and having a lot

> of hot flashes.

> She has been seeing an acupuncturist and Chinese

> Herbalist for years

> and the hot flashes continue to be just as bad. I

> have her on DIM and

> calcium-d-glucarate. I was going to try Sepiaplex

> next and then some

> drainage such as 10, 21,48.

>

> Does anyone have experience resolving hot flashes

> for someone on

> Tamoxifen?

>

> Thank you

> Deanna Berman, ND, CM

> Ithaca, NY

>

>

>

>

>

Ginger Nash-Wolfe, ND

21 Street

New Haven, CT 06511

203.809.3516

[Guest guest]

Hi Deanna

i would address the liver as well..unda 1, 20, 258 (for catabolism of the

drug she is on : Tamoxifen)...i have had success with resolving hot flashes

with treating the TCM picture and unda numbers - usually it is the liver is

effected (especially if there is a lot of ANGER issues). you have to change

up the diet too - you know the basic good diet of low saturated fats, lots

and LOTS of green vegetables (get her on a Greens+ supplement if she is not

eating her greens), fruits, whole grains, wild fish, and NO animal fats.

you have to basically alkalinize the diet and include phytoestrogens.

the heel remedies work well too - try Equifem-Mood for the relief of hot

flashes and will buy you some time until you find the cause. also try

Klimakt-Heel!

of course always try a constitutional remedy more specific to the patient

maybe consider Sepia or Lachesis - both remedies have a big affinity for hot

flashes during menopause (just a thought). i would do a 30CH once and not

re-dose until the patient has had some time to respond...you can then work

your way up the scale to e.g. 200CH (if of course there is a little or no

response with 30CH)

good luck

Lamise

From the Desk of,

Dr. Lamise Elkhalil BSc, ND

Vancouver, BC

>From: " drdeanna " <drdeanna@...>

>Reply-

>

>Subject: Tamoxifen and hot flashes - Q

>Date: Fri, 06 Oct 2006 14:52:38 -0000

>

>Hi

>I am seeing a 58 year old woman who had Breast Cancer 2 years ago.

>She is currently taking Tamoxifen and having a lot of hot flashes.

>She has been seeing an acupuncturist and Chinese Herbalist for years

>and the hot flashes continue to be just as bad. I have her on DIM and

>calcium-d-glucarate. I was going to try Sepiaplex next and then some

>drainage such as 10, 21,48.

>

>Does anyone have experience resolving hot flashes for someone on

>Tamoxifen?

>

>Thank you

>Deanna Berman, ND, CM

>Ithaca, NY

>

>

>

>

[Guest guest]

Black Cohosh is a great herb to use, specifically for women having

hotflashes while on Tamoxifen. Even Dr. Love recommends it in her

book, along with flax seeds! There has been conflicting evidence about this

in the past, mostly because it was not well understood how the herb acts in

the body - is it estrogenic or not? Here is what I understand about it from

my work with Dr. Hywood:

- Most of the research on Black Cohosh and breast cancer cells was done was

in vitro. This is problematic for many reasons, one of which being that what

we understand to be the active constituents need to be metabolized into such

by gut bacteria. Nevertheless, of the 12 in-vitro studies, only 1 showed a

marginal stimulation of breast cancer cells. The other 11 showed inhibition

of breast cancer cells and enhancement of Tamoxifens anti-proliferation

effects (among other things);

-The few in-vivo studies on rats show it to stimulate osteoclastic activity

but not uterine or breast cell proliferation;

- Clinical trials (1 at the Mayo Clinic) in humans show Black Cohosh

co-administration with Tamoxifen showed 56% reduction in hot flash scores

(decreased number and severity) along with improving sleep and fatigue.

I do not have a recommendationon dosing, but if you look at the literature

sources, I am sure you can find what dosage they used. ( Munoz G,

Pluchino S. Maturitas 2003;44 Suppl 1:559-65 and Pockaj FA, Loprinzi et al.

Cancer Invest 2004;22(4):515-21)

Outside of also treating the liver, I wonder if it is worth it to also treat

the adrenals. We know that healthy adrenal function prior to menopause helps

with a smooth transition through menopause. Now that she is experiencing

symptoms, perhaps a good adrenal protocol could help mitigate what she

experiences.

Hope this helps,

Korza

ND5, NCNM

>From: " Lamise Elkhalil " <lamisee@...>

>Reply-

>

>Subject: RE: Tamoxifen and hot flashes - A

>Date: Mon, 09 Oct 2006 15:21:56 -0700

>

>Hi Deanna

>i would address the liver as well..unda 1, 20, 258 (for catabolism of the

>drug she is on : Tamoxifen)...i have had success with resolving hot flashes

>with treating the TCM picture and unda numbers - usually it is the liver is

>effected (especially if there is a lot of ANGER issues). you have to

>change

>up the diet too - you know the basic good diet of low saturated fats, lots

>and LOTS of green vegetables (get her on a Greens+ supplement if she is not

>eating her greens), fruits, whole grains, wild fish, and NO animal fats.

>you have to basically alkalinize the diet and include phytoestrogens.

>

>the heel remedies work well too - try Equifem-Mood for the relief of hot

>flashes and will buy you some time until you find the cause. also try

>Klimakt-Heel!

>

>of course always try a constitutional remedy more specific to the patient

>

>maybe consider Sepia or Lachesis - both remedies have a big affinity for

>hot

>flashes during menopause (just a thought). i would do a 30CH once and not

>re-dose until the patient has had some time to respond...you can then work

>your way up the scale to e.g. 200CH (if of course there is a little or no

>response with 30CH)

>good luck

>

>Lamise

>

>

>

>

>From the Desk of,

>Dr. Lamise Elkhalil BSc, ND

>Vancouver, BC

>

>

>

> >From: " drdeanna " <drdeanna@...>

> >Reply-

> >

> >Subject: Tamoxifen and hot flashes - Q

> >Date: Fri, 06 Oct 2006 14:52:38 -0000

> >

> >Hi

> >I am seeing a 58 year old woman who had Breast Cancer 2 years ago.

> >She is currently taking Tamoxifen and having a lot of hot flashes.

> >She has been seeing an acupuncturist and Chinese Herbalist for years

> >and the hot flashes continue to be just as bad. I have her on DIM and

> >calcium-d-glucarate. I was going to try Sepiaplex next and then some

> >drainage such as 10, 21,48.

> >

> >Does anyone have experience resolving hot flashes for someone on

> >Tamoxifen?

> >

> >Thank you

> >Deanna Berman, ND, CM

> >Ithaca, NY

> >

> >

> >

> >

>

>

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[Guest guest]

For Hot Flashes, and breast cancer prevention/hx, I have seen the following help as well:Ayurvedic herb Asparagus racemosa and Pitta (heat) soothing diet. So, cooling foods like Lime, Pear, perhaps coconut and maily avoid hot foods and spicy foods including nightshades, particularly raw tomatoes, carrots, garlic and onion.Then, I too have used and would recommend adding to your UNDA numbers and homeopathics, supplements already mentioned to treat the liver such as Calcium-D Glucerate, Indolplex/DIM and Glutathione, all available from ITI or Tyler. Of course BTG and particularly those COPs, lymph massage and brushing, daily! ) Blessings,Brad Dr Bradley

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