Posts Tagged ‘cancer risk’

Does Potassium Iodide Protect Against Radiation?

Tuesday, March 22nd, 2011

Damaged nuclear reactors in Japan have set off worldwide concerns over radiation exposure, especially if you live downwind from surrounding areas or near nuclear plants. Potassium iodide, known to protect against thyroid cancer is now in short supply. Thyroid cancer rates have been reported to increase by as much as 100 fold in populations exposed to high levels of radiation and cancer begins approximately
four years after exposure. Adult treatment is only recommended at high levels of exposure; however children have very active thyroid glands and are particularly sensitive to even low levels of exposure.

Living downwind from sites of radiation leaks is particularly hazardous because particles can be inhaled. It can contaminate soil and water making crops grown on the land and animals and animal products such as milk and dairy contaminated. So exposure can be indirect.

Radiation Danger

Radiation Danger

Did you know that in the US, the Nuclear Regulatory Commission (NRC) offers potassium iodide (KI) tablets at no cost to States that request it for people within 10 miles of a nuclear power plant. The stockpiles and distribution channels are the responsibility of various regulatory organizations depending on the radius from the plants.

Potassium iodide (KI) and potassium iodate (KIO3) are equally effective forms of compounds that can deliver iodine to the body. They saturate the thyroid gland with non-radioactive iodine and block the uptake of radioactive iodine. It is most effective if taken a few hours prior to exposure but can be beneficial even if taken within three hours after exposure.

These products which are sold as over-the-counter medications or as dietary supplements are not routinely tested for quality prior to sale by any government agency. While OTC products are required to be manufactured under more strict guidelines and in FDA approved facilities check with watchdog agencies or the FDA to assure you are purchasing viable product. Only three products, Iosat®, ThyroSafe®, and ThyroShield® are currently registered with the FDA as over-the-counter medications, indicating that they are manufactured under stricter regulations than the other products sold as dietary
supplements. Currently, all but 2 brands are out of stock.

Since large doses of iodide are needed to protect against thyroid cancer measured in milligrams, other iodine preparations such as tincture of iodine, iodized salt or supplements to prevent iodine deficiency are either not stable or have too small a dose to be of any use as they contain only a few hundred micrograms (1mg = 1,000 mcg).

Unfortunately, these products only protect against thyroid cancer and do nothing for the other damaging effects of radiation and late forming cancers. In contaminated areas, the best solution is evacuation. I will be contributing to relief efforts in Japan as I do for any country that suffers such devastation. If you are considering donating, choose a responsible organization to send donations.

Hormone Replacement Therapy and Breast Cancer – A New Perspective

Wednesday, December 22nd, 2010

The news has again been filled with reports of the dangers of hormone replacement therapy. The latest study published in the Journal of the American Medical Association on October 20, 2010 looked at the same people from the infamous Women’s Health Initiative (WHI). The news isn’t that different, they just followed the study participants longer and found the cancers to be more aggressive.

Here’s a perspective:

• The women in the WHI were given 0.625 mg of conjugated equine estrogen (CEE) (synthetic) and 2.5 mg of medroxyprogesterone acetate (synthetic progesterone otherwise known as progestin).

• CEE is available in much lower doses and bioidentical estradiol is available in both patch and oral form. The patch allows hormone to be absorbed through the skin and does not increase clotting.

• Progestin was implicated in cancer risk and we now have pharmaceutical bioidentical progesterone known as Prometrium or it can be compounded by a compounding pharmacy. There is a difference between synthetic progestin and bioidentical progesterone which is the same chemical structure made by your body.

• The average age of those in the study was 63, and most were well past menopause when they started hormone replacement therapy.

• Reports from the most recent North American Menopause Society meeting in Chicago indicate that there was a statistically significant reduction in mortality and a positive benefit to risk ratio for women started on hormone therapy in the first decade after onset of menopause when data from the two Women’s Health Initiative hormone therapy trials were pooled.

• The deaths due to breast cancer were 2.6 per 10,000 women and women who were not on hormone replacement therapy also developed breast cancer at the rate of 1.3 deaths per 10,000 women.

• Dr. André Lalonde, Executive Vice-President, Society of Obstetricians and Gynaecologists of Canada stated, “The increased risks for breast cancer in users of combination hormone therapy is about the same risk women accept when they drink alcohol, don’t exercise regularly or gain weight after menopause.”

So many women suffer and both doctors and patients are fearful of hormone replacement therapy. The point is, that it is time for a new large scale study using bioidentical hormones at the beginning of menopause. I suggest you read the press release from Dr. Andre Lalonde which can be found on the home page of The Society of Obstetricians and Gynecologists of Canada http://www.sogc.org/index_e.asp

If you are experiencing symptoms of menopause, talk to a doctor who specializes in bioidentical hormone replacement therapy and get a perspective of the risks and benefits.

CT or Not CT…..Does it cause Cancer? That is the Question

Tuesday, February 16th, 2010

Radiation exposure is not just a function of a catastrophic disaster such as Chernobyl. What about Cat Scans, otherwise known as CT’s? We have a plethora of technology available to us to look inside ourselves and see tumors, plaque, abscesses, hemorrhages and other maladies. CT has had a profound impact on the practice of medicine and had indeed been a terrific technology allowing us to avoid unnecessary exploratory surgery.

The Archives of Internal Medicine in December 2009 reviewed “Cancer Risks and Radiation Exposure form Computed Tomographic Scans. ”The researchers found a 13-fold difference in radiation dose between the highest and lowest that occurred within and across institutions. “The articles in this issue make clear that there is far more radiation from medical CT scans than has been recognized previously, in amounts projected to cause tens of thousands of excess cancers annually. Also, as these scans have become more sensitive, incidental findings lead to additional testing (and often more radiation), biopsies, and anxiety. “They question the need for screening CT’s as well as the frequency of follow up. “The one year change in Coronary Artery Calcification does no appear to be a suitable surrogate end point for treatment trials in patients with Cardiovascular Disease or chronic kidney disease. “ In the article “Projected Cancer Risks from CT Scans Performed in the United States in 2007, the overall conclusion was an estimated 29,000 future cancers could be related to CT scans performed in the US in 2007. Consider the risk of the screening scans for your entire body, your heart or other areas. While these may be valuable in select cases, yearly screenings could significantly increase your risk of developing cancer.

All of us want the latest technology and absolute assurances about our health and if a CT is not ordered, may feel slighted. Before you hastily jump to conclusions, consider the risks and benefits, especially when you are considering screening CT’s.

Dr. Lorraine Maita has is a Diplomate in The American Academy of Anti-Aging and Regenerative Medicine and Internal Medicine. She specializes in lifestyle, stress management, exercise, nutrition, supplements, bio-identical hormone replacement, neuro-cognitive function and executive physicals in her Medical practice in Short Hills, NJ