
Topic Index
Acid/Alkaline Diet?
Acupuncture
Allergens & infections
Alerts!
Antioxidants
alpha-lipoic acid?
Animal models
Antineoplastons? (Burzynski)
Arginine
Beta-carotene
Beta-Glucan
CAM Links
CAAT
Amino Acid Deprivation?
Chamomile
(Kamillosan oral rinse)
Caveats of supplement use
Cesium Chloride (high pH therapy) for cancer?
Chemoprotective
CoQ10
Copper
Conspiracy Theory:
Big Pharma?
Curcumin
Detoxifying as Treatment?
DCA?
Diet
Diet as Treatment?
Diet and supplements to Delay Relapse?
DHEA?
DIM - diindolylmethane
Drug Resistance Assays? (Nagourney)
Evidence-based?
Exercise/ Performance
Faith and Healing
Fats (good & bad)
Fish oil Fish oil abstracts
Homeopathy?
Insulin Potentiating
Therapy (IPT)?
Garlic
“German New Medicine”?
Gerson Therapy?
Genistein
Ginger
Glutamine
Green tea
Herbs
Herb / Drug Alerts
Hoxsey Therapy?
Homeopathy?
Hypertheramia/ Hot baths with Chemo?
Hyperbaric Therapy?
Immune-support/
Boosting immunity?
Iron
Laetrile / Amygdalin: Q&A
Licorice root?
Macrobiotic diet?
Massage
Melatonin?
Mind over Body?
Does stress cause Cancer?
Mistletoe?
Mercury amalgams removal?
Milk Thistle?
MGN3?
NAC
Naltrexone (low dose)?
Natural Supplements - Caveats
Noni juice?
NSAIDS for NHL?
Patent law and natural compounds
Positive thinking
pH (acid/alkaline)?
UV irradiation?
Quercetin
Radioprotective
Resveratrol
Life Rife Frequency Generator
Robert Miller's Strategies for Survival?
Rosemary
Selenium
St. John's Wort
Silymarin
Sugar restriction?
Tea (black)
Turmeric
UV irradiation?
Vitamin Reports
Vitamin A
Vitamin C
Vitamin D
Vitamin E
Vitexicarpin
Water treatment systems (review)
Whey Protein
Yoga
Zinc
Complementary & Alternative Medicine (CAM)
Last Update: 07/24/2018
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TOPICS Introduction | Topic Index and Main Topics | In the News | INDEX of topics: A to Z
Related topic pages: Common Myths | Evaluating Medical Claims | The problems with testimonials Natural "remedies" - Caveats of Dietary Supplements | The Skeptic's Case | Resources & Research News
CAM Survey | CAM Links | Alerts!
NEW REPORT and Discussion:
Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival Among Patients With Curable Cancers | Oncology | JAMA Oncology | JAMA Network http://bit.ly/2JNe7Up
Alternative medicine the “complementary” edition – Science-Based Medicine http://bit.ly/2JPbpO3
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Firstly, we wholeheartedly support and encourage practices that can help you, the patient or caregiver, to improve your fitness and general health. Notably, wise changes in diet and exercise can help you to achieve this and is associated with improved survival.
This topic is mainly about the types of medicines or practices that may be prescribed or promoted to treat lymphoma and disease-related symptoms.
We believe that the word "medicine" should be reserved for interventions that have proven to be effective in clinical trials. Without standards for medical claims (or what we call medicine) we'd have millions of choices but no basis for making an informed choice.
CAM stands for Complementary and Alternative "medicine." CAM is an umbrella term for practices that are not generally given by mainstream medical doctors. Here we describe CAM practices along with medical practices used to treat disease and disease-related symptoms.
Complementary practices
These are practices that are sometimes a part of mainstream medical care, such as to help improve general health or to help to relieve symptoms.
Yoga for pain or stress relief is an example. Exercise to help manage fatigue is another. Such activities are sometimes called integrative medicine when used by medical doctors.
Alternative practices
These are theory-based practices that are used to replace mainstream medical care. The promotions of alternative cancer practices are typically based on implausible scientific theories (pseudoscience), testimonials and conspiracy theories.
Alternative practices can have low to significant direct risks to the patient. Tragic outcomes can result from delaying proven therapies. These can also be expensive - draining families of their life savings despite having no basis for the claims that are made.
Note: 3 in 5 adults will have a diagnosis of cancer. All people (even persons with a strong intelligence and excellence in their fields) are vulnerable to claims about non-toxic alternative cures. Steve Jobs, for example, unwisely chose alternative practices at a time when he had a real chance to effectively treat his cancer. Doctors, regulators, scientists also get cancer. There is no conspiracy to suppress cures from you or their loved ones.
Evidence-based medicine
These are medical practices that are based on scientific discovery that have been proven by clinical testing to provide clinical benefit - defined as living a longer life or by improving quality of life.
These pre-defined (prospective) tests of the treatments (clinical trials) are carried out in patients who have the disease. The results are reviewed by peers and independent regulatory agencies. In the assessment the improvement in the condition (benefit) must outweigh the risks and side effects of the practice.
The prospective design of clinical trials helps to measure the rate of outcomes, such as response rate, and also the expected duration of response, side effects, and survival - for others. Such as 30/100 responses. A key principles of evidence-based medicine is to evaluate a treatment in ways that predict the results for others. Such as:
* Use of study design of sufficient size and uniform eligibility
* Pre-specifying the intervention (prospective design): the patient population, the number of participants (the denominator), how and when the outcomes will be measured, and the result that warrants approval
* Reproducibility of the outcomes by other groups (verification)
Note: Some medical conditions are difficult to treat effectively even with evidence-based medicines. In some cases the goal of treatment can shift to best supportive care or palliative care - where the intent is to improve quality of life and to manage symptoms.
Best practice can be controversial, such when standard approaches that have side effects are not expected to help to control the disease and its symptoms. In such cases, no treatment can be wise, or the consideration of clinical trials that are testing therapies that may work in other ways.
Clinical trials - investigational interventions
These are tests of study drugs or other interventions that have not proven to be effective or better than a standard approach to treating a medical condition. To be approved for testing in humans, the investigational practice must be based on plausible science and carried out with careful oversight to minimize risks to the study participants - starting with finding the optimal safe dose.
Note: without clinical trials there can be no reliable advances in the practice of medicine to treat disease. PAL urges patients to consider clinical trials routinely -- ideally with the help of an independent specialist in the field to help you to determine if a study might be appropriate for your unique clinical circumstance.
See Trial Talk for a list of lymphoma specialists you might consult about trials as part of a second opinion.
Preventative practices and medicines
These are changes to life style that may reduce the risk of developing some kinds of disease. Most everyone agrees that preventive practices (adopting a healthful diet, increasing our exercise, cessation of smoking) are keys to better performance, decreasing the incidence of many diseases, and lowering medical costs.
Some obvious targets of such efforts would be the tobacco and food industries, but also public education.
Popular Topics: Diet and exercise | Turmeric?
On Levels of Evidence
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Credible Resources
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BCC guidance on CAM Below
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Consumer Report on Herbs and Supplements consumerreports.org
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Dietary Supplements in Patients With Cancer: Risks and Key Concepts
Technical: Part I Part II (Medscape)
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HerbMed® herbmed.org
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Herbs & Supplements alleghanyregional
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Herbs or Natural Products That May Cause Cancer and Harm, Part Four Muriel J. Montbriand, PhD, RN - ons.org
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How Quackery Harms Cancer Patients
William T. Jarvis, Ph.D. http://bit.ly/28PlmwZ
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Linus Pauling Institute lpi.oregonstate.edu/
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Medicines from the Earth
scienceblogs.com/terrasig/
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MEDLINEplus: Alternative Medicine (National Library of Medicine)
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MEDLINEplus: Herbs and Supplements
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Natural Products for Cancer Treatment
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NIH Office of Dietary Supplements
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Questionable Cancer Therapies, Stephen Barrett, M.D. quackwatch.org
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Vitamins umm.edu/
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Tools
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Studies
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Drug/Supplement Interaction Checker drugreax.epnet
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Complementary and Alternative Medicine Online Continuing Education Series Video Lectures
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CAM studies recruiting patients ClinicalTrials.gov
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Use of Complementary/Integrative Nutritional Therapies During Cancer Treatment: Implications in Clinical Practice Medscape
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NCI Cancer Complementary and Alternative Medicine
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To avoid potential adverse interactions,
be sure to let your health care provider know
if you use supplements when receiving therapy.
In the News
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Why one naturopath quit after watching her peers treat cancer patients - http://bit.ly/1M1EmWp
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USA TODAY 2013:
FDA issues warning to controversial Houston cancer doctor http://usat.ly/IRdWYg
* Respectful Insolence 2013:
The drip, drip, drip, drip of FDA findings against Stanislaw Burzynski continues http://bit.ly/19jSaqU
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J Natl Cancer Inst. 2013
Ginseng for cancer-related fatigue - randomized trial http://1.usa.gov/1fRx2HP
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American Journal of Gastroenterology: Efficacy of an Encapsulated Probiotic Bifidobacterium infantis 35624 in Women with Irritable Bowel Syndrome http://bit.ly/18hIiQ5
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Link Between High Blood Levels of Omega-3 Fatty Acids and Increased Risk of Aggressive Prostate Cancer Confirmed
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Pot for medicinal purposes? adai.uw.edu
Please first review the respiratory effects of marijuana
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Science Based Medicine:
What’s in your supplement? http://bit.ly/11Uvfu8
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Sunrise Rounds: Choosing Alternative Medicine
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CA Cancer J Clin 2012: Nutrition and physical
activity guidelines for cancer survivors | PDF version
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Natural "remedies" - Caveats of Dietary Supplements
Anonymous & Confidential 4-question CAM SURVEY
for lymphoma survivors or caregivers
Purpose: To can better meet needs when we understand the community we serve - details
After you complete the survey you will see a list of what you selected.
When you return to this form, you are done.
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The Skeptic's Case
Medical experts speaking out against Unproven Therapies for Cancers
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Spontaneous Remission and the Placebo Effect, Stephen Barrett, M.D. Quackwatch.org
Recovery from illness, whether it follows self-medication, treatment by a scientific practitioner, or treatment by an unscientific practitioner, may lead individuals to conclude that the treatment received was the cause of the return to good health.
Respectful Insolence by Surgeon/ Scientist Orac
"A statement of fact cannot be insolent." The miscellaneous ramblings of a surgeon/scientist on medicine, quackery, science, pseudoscience, history, and pseudohistory (and anything else that interests him
Respectful Insolence
Alternative Therapies for Curing Cancer: What Do Patients Want? What Do Patients Need?
Wendy S. Harpham, MD (NHL survivor) amcancersoc.org
"Patients who don’t understand the difference between information based on theory, anecdote, historical analysis, or double-blind placebo controlled studies are making ill-informed decisions, believing alternative therapies are safer or more effective when they are not. Even patients who presume that alternative therapies are ineffective may use them. Why? When faced with a life-threatening disease requiring highly toxic treatments with no guarantees, or when dying because there are no effective conventional treatments, it takes guts to reject something or someone claiming to be able to save you, just in case you might be wrong."
The Alternative Universe, By Wallace Sampson, MD geomag.gfdi.fsu.edu
... "modern medicine's integrity is being eroded by New Age mysticism, cult-like schemes, ideologies, and classical quackery, all known as "alternative medicine." Using obscure language and misleading claims, they promote changes that would propel medicine back five centuries or more. They would supplant objectivity and reason with myths, feelings, hunches and sophistry.
NCCAM is being presented as a scientific vehicle to study alternative medicine's anomalous methods. But NCCAM actually promotes the movement by assuming that false and implausible claims are legitimate things to study."
Debunking cancer myths: An interview with a Mayo Clinic specialist mayoclinic.com/
Medical myths not only mislead but also may hamper proper treatment. Find out why these common cancer myths are wrong. Highly recommended reading.
NEW: Boosting your immune system to fight cancer? http://bit.ly/1euzrK
Consumer Health Digest ncahf.org
"NCAHF is a private nonprofit, voluntary health agency that focuses upon health misinformation, fraud, and quackery as public health problems. Our positions are based upon the principles of science that underlie consumer protection law. We advocate: (a) adequate disclosure in labeling and other warranties to enable consumers to make truly informed choices; (b) premarketing proof of safety and effectiveness for products and services claimed to prevent, alleviate, or cure any health problem; and, (c) accountability for those who violate the law."
2006 Archive | 2005 Archive | 2004 Archive | 2003 Archive | 2002 Archive | 2001 Archive
Subscribe to CH Digest | NCAHF Home Page | Search All of Our Affiliated Sites
Caring (Really) for Patients Who Use Alternative Therapies for Cancer jco.org
"The reasons why people seek alternative therapies for cancer are broad. Many seek out alternative therapy when options for conventional therapy have been exhausted. There is also the recognition that, for some tumor systems, conventional therapy is of limited effectiveness and that the side effects of chemotherapy, surgery, and radiation are feared. For some tumor systems, no conventional therapy exists and the standard therapy is participation in phase I or phase II trials. Many patients perceive that the conventional approach is emotionally or spiritually empty and provides neither comfort nor solace."
Science-Based Medicine
Exploring issues and controversies in the relationship between science and medicine
Interpreting Medical Literature
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Other Resources & Research News
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