The Darwin Trilogy The Principles and Practice of Integrative Medicine Majid Ali, M.D. Available Now

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Formerly, Associate Professor of Pathology (adj.), College of Physicians
and Surgeons of Columbia University, NY
Formerly, President of Staff and Chief Pathologist, Holy Name Hospital, Teaneck, NJ

Fellow, Royal College of Surgeons of England - Diplomate,
American Board of Anatomic and Clinical Pathology
Diplomate, American Boards of Environmental Medicine
Past
President Capital University of Integrative Medicine

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Optimal Nutrition For People With Cancer
The diagnosis of cancer dares one to imagine one's life differently. And here is one of the paradoxes of life: a good understanding and practice of sound knowledge of nutrition for individuals with cancer is both pleasurably simple and immensely complex. In this chapter, first I will present the pleasurable simplicity of this subject and later I will address the matter of complexity.

 The two areas in which cancer dares one to imagine one's life differently such imagination is needed most are:

● Spiritual sunshine for nurturing one's core; and
● Optimal choices in the kitchen for nurturing one's body.

I discussed the first of those elements in the chapter entitled "A Day of Divinity." I address the second element in this chapter with specific recommendations about the most desirable, the less desirable, and the least desirable food choices, as well as foods that are best avoided altogether. The three primary metabolic derangements of cancer cells, as I explain at length in the earlier chapters, are the following: 

● Excess acidity (acidosis):
● Incremental free radical activity (oxidosis); and
● Impaired oxygen metabolism in cells (the dysox state, dysoxygenosis).

The control of the above three primary cellular metabolic derangements in individuals with cancer, as discussed earlier, constitutes the Oxygen Protocol for cancer treatment. The application of the Oxygen Protocol, however, needs to be individualized according to the specific needs of an individual.

Eat what is right for you and habit will make it agreeable, so goes an old saying. That simple philosophy must be accepted as the centerpiece of the nutritional plan for controlling cancer. Neither the denial of dieting nor the euphoria of eating helps long-term in imagining both a higher level of nourishing the body and implementing a food plan that sustains us as well as addressing the crucial issues of excess acidity (acidosis), incremental free radical activity (oxidosis), and impaired oxygen energetics of the cells (dysox, dysoxygenosis). In this context, foods with high potassium and magnesium contents are of special value (listed in Table 1).

I want to state unequivocally in the beginning of this chapter that "Dr. Ali's breakfast" (described in detail later) is the single most important part of the eating and hydrating regimen for addressing the three primary metabolic derangements of cancer cells identified above. I furnish my reasons for making this statement in the section on that subject.

In certain kinds of cancers, the "begin-low-build-up-strong" strategy is acceptable. However, other cases of advanced cancer, the "begin-high-sustain-strong" approach is urgently needed. I explain this crucial point at length in this chapter. Even in such cases, it is often possible to make intelligent exceptions for certain food items which have been
Cand continue to beCof special interest for the patient. However, such exceptions should be considered under the supervision of an experienced clinician.

A TIME TO BE A SPRINTER, A TIME TO BE A MARATHON RUNNER 
Clearly, the metabolic threats faced by a woman with a small-sized thyroid cancer located well within the capsule (fibrous envelope) of the gland are very different from those encountered by a woman with widespread metastatic colon cancer.

In cases of advanced cancer, there are times when every molecule of excess acid, every unneeded free radical, and every stressor on oxygen homeostasis makes a difference in the effectiveness of a total integrative treatment. At such a time, it is critically important to follow the food choice plan completely. I call that mode the sprinter mode
Cone throws against cancer cells every possible block. In contrast, there are non-urgent clinical situations in which an individual with cancer has more time to study texts on nutritional needs (like this one), learn and understand the principles of good nutrition, and gradually implement the chosen food plan. Under such conditions, it is not necessary to obsess about every molecule of excess acid, every unneeded free radical, and every stressor on oxygen homeostasis. It is then not essential to be a skunk in every garden party. For instance, one can have a piece of one's daughter's or granddaughter's birthday cake, take a few bites, and discretely discard the rest. I call this the marathon modeCone can afford to make intelligent exceptions to a plan for an individual with cancer. I strongly urge the reader to read the chapter entitled "Cancerization/De-Cancerization Conflicts" again to get a clear grasp of the principles that underlie my guidelines in this chapter.

In a clinical setting, only an experienced clinician can guide the patient when it is essential to be in a sprinter mode and when one can afford to be in a
marathon mode.

 SWITCHING FOOD PLAN 
In the long-term control of cancer, changing clinical conditions require appropriate adjustments in all components of the Oxygen Protocol, including the food plan. Thus, when aggressive cancers are controlled with the sprinter mode, it is possible to switch from the sprinter to the marathon mode under certain conditions. On the other hand, when clinical or laboratory metrics (parameters) indicate spread of a previously dormant cancer, it becomes necessary to switch from the marathon mode to the sprinter mode. I illustrate the need for such switches with some examples in this and other chapters of The Crab, Oxygen, and Cancer

All types of acute and chronic infections favor the growth of cancer cells by worsening the local and/or systemic acidity, by increasing free radical activity, and by enlarging the deficit of functional oxygen
Cthe three furies of infections fan the fires of the three cancer furies, so to speak. Excess acidity, increased free radical activity, and deficit of functional oxygen, of course, are the three primary threats created by cancer cells. Thus, one would expect all infections to tilt the cancerization/de-cancerization equation in favor of cancer cells and against healthy cells which are trying to contain or kill cancer cells. This is a point of crucial clinical significance for individuals who have cancer, as well for the physicians who treat cancer. I have seen a large number of patients who had stable cancers and who were destabilized by infections, such as pneumonia, persistent sinusitis, recurrent urinary infections, and others. I saw the evidence for that in rising values of tumor markers, symptoms caused by tumors, and increased size of growth as determined by various scanning technologies.

I make the second point by re-visiting the events of September 11, 2001. On that day, New Yorkers were deeply violated. The toxicity of the collapsing vortex of World Trade Center turned into terror at the cell membranes of the citizens, and the terror of the 9/11-related events turned into toxicity at the cell membranes. The short-term and long-term biologic consequences of the events of that day were entirely predictable. In early 2002, I published September Eleven, 2005 as a book of predictions in a fictionalized past sentence. Sadly, all those predictions came true. Most of my patients with cancer were deeply affected by that combination of terror and toxicity. Specifically, many of my patients with prostate cancer showed sharp rises in their PSA values (PSA, the abbreviation for antigen-specific antigen, is a marker for prostate cancer) associated with increased urinary symptoms caused by prostatic tumors. My colleagues and I managed those cases by intensifying our treatment plans for them
Cby switching from the marathon to the sprinter mode. Fortunately, within months the PSA values in all cases returned to pre-9/11 values with relief of urinary symptoms, and we were able to switch back to the marathon mode of treatment.

 WHAT IS A GOOD MEAL?

 What is a good meal for a person with cancer? This is an important question. Here is my definition of a good meal:

● A good meal is a meal that we can respect
● A good meal is a meal that respects us.
● A good meal is a meal that is not acidifying.
● A good meal is a meal that does not create incremental free radical activity.
● A good meal is a meal that does not jeopardize oxygen metabolism.
● A good meal is a meal that does not plunge us into molecular roller-coasters (rapid disabling hypoglycemic-hyperglycemic shifts, adrenaline surges, and acetylcholine and other neurotransmitter flashes).
● A good meal is a meal that leaves us light and energetic after we finish it.
● A good meal is a meal that sustains us with vigor and vitality until the next meal.
● A good meal, as the ancients proclaimed, is a meal that stops just short of full satiety and does not cause undue fullness in the stomach.

SPECIFICS OF A GOOD MEAL FOR CONTROLLING CANCER

A good meal is a meal that contains:

● Sizeable portions of raw foods;
● Contains organic and uninjured foods;
● Rich in potassium, magnesium, and other minerals. Potassium chloride salt (salt substitute) is a good option.
See Table 1 for list of foods.
● Ample uncooked oils, such as flaxseed oil, extra virgin olive oil, and pumpkin seed oil;
● Does not have any trans fats and deep fried foods.
A good meal is a meal that contains the minimum possible amounts of sugar.

OPTIMAL HYDRATION AND BREAKFAST
The issues of optimal state of hydration and optimal breakfast are the two most crucial aspects of the needed nutritional support for all individuals with cancer. Water is not considered a food, although it should be. Depending on the frame (height and weight) of the individual, two and one-half to five quarts of fluids per day are recommended. Coffee, tea, and sodas (if such drinks cannot be completely avoided) do not count as water. Herbal teas count as desirable portions of daily required water amount. With optimal hydration, salt restriction does need to be a restricted concern. I return to these subjects after presenting the general guidelines about food choices.

FOUR KITCHEN PLANS
In that light, I offer guidelines concerning food choices in the following broad categories:

● Pre-invasive cancers (Plan A)

● Early, small-sized cancers (Plan B)

● Large, regional cancers  (Plan C)
● Widespread (metastatic) cancers and cancers under treatment with radiotherapy and/or chemotherapy
(Plan D).

 

Before furnishing my guidelines for the above categories, I include below my notion of what a good meal should be.

PLAN A: FOR PRE-INVASIVE CANCER

● Focus on deeper understanding of why some food choices are good and others are not (see The Butterfly and Life Span Nutrition for detailed information);
● No need for stressful dramatic changes;
● Slow and steady approach to increasing the frequency of intake of foods with high contents of potassium and magnesium listed in Table 1;
● Slow and steady approach to increasing the frequency of intake of foods in the "first choice" and "second choice" columns in Tables 2 and 3;
● Steadily reduce the intake of "de-oxygenizing foods" listed in Tables 2 and 3;
● Assure optimal hydration and avoidance of sugar/insulin/adrenaline roller-coasters;
● Never miss breakfast;
● Eat more raw foods;
● Increase the intake of foods rich in potassium, magnesium, and other minerals;
● Sources of sugar should be limited to fresh fruits (limited use of desserts prepared with Stevia sweetener allowed); and
● Eliminate packaged and deep-fried foods.

 PLAN B: FOR EARLY, SMALL-SIZED CANCERS
● Learn and re-learn why some food choices are good and others are not (see The Butterfly and Life Span Nutrition for detailed information);
● Increase the frequency of intake of foods with high contents of potassium and magnesium listed in Table 1;
● Increase the frequency of intake of foods in the "first choice" and "second choice" columns in Tables 2 and 3;
● Do not consume "de-oxygenizing foods" listed in Tables 2 and 3;
● Assure optimal hydration and avoidance of sugar/insulin/adrenaline roller-coasters;
● Never miss breakfast;
● Eat more raw foods;
● Increase the intake of foods rich in potassium, magnesium, and other minerals;
● Sources of sugar should be limited to fresh fruits (limited use of desserts prepared with Stevia sweetener allowed); and
● Eliminate packaged and deep-fried foods.

 PLAN C:FOR LARGE, REGIONAL CANCERS 
● Focus on foods with high contents of potassium and magnesium listed in Table 1;

● Maximize the frequency of intake of foods in the "first choice" and "second choice" columns in Tables 2 and 3;

● Completely avoid "de-oxygenizing foods" listed in Tables 2 and 3;

● Assure optimal hydration and avoidance of sugar/insulin/adrenaline roller-coasters;

● Never miss breakfast;

● Eat more raw foods, especially uncooked-choice one vegetables (see Table 3);

● Sources of sugar should be limited to fresh fruits (limited use of desserts prepared with Stevia sweetener allowed); and

● Completely eliminate packaged and deep-fried foods;

● Intravenous nutrient and oxygen therapies strongly advised;
● Learn and re-learn why some food choices are good and others are not (Read and re-read chapters 8 and 9 of formation); and
"A Day of Divinity" for seeking strength and fortitude from within.


PLAN D: WIDESPREAD (METASTATIC) CANCERS AND CANCERS UNDER TREATMENT WITH RADIOTHERAPY AND/OR CHEMOTHERAPY

Receive intravenous nutrient and oxygen therapies that are very valuable to overcome the digestive/absorptive problems;
Absolutely no sugar from any and all sources;
Eat foods with high contents of potassium and magnesium (listed in Table 1) at least twice a day;
Limit yourself to foods in the "first choice" columns in Tables 2&3;
Completely avoid "de-oxygenizing foods" listed in Tables 2 and 3;
Assure optimal hydration and avoidance of sugar/insulin/adrenaline roller-coasters;
Never miss breakfast;
Consider all raw food kitchen plan for four to six weeks, then do that plan on alternate week basis;
No sugar of any source until the situation is stabilized. Honey also excluded. (Limited use of desserts prepared with Stevia sweetener allowed)
Completely eliminate packaged and deep-fried foods;
Learn and re-learn why some food choices are good and others are not (Read and re-read chapters 8 and 9 of The Butterfly and Life Span Nutrition for detailed information); and
Read and re-read the chapter entitled "A Day of Divinity" for seeking strength and fortitude from within.

 

Table 1. Highly Recommended Foods For Their Potassium and Magnesium Contents

 

Food Item

 

Serving size

 

Potassium

 

Magnesium

 

Beet green

 

1 cup

 

1309mg

 

98 mg

 

White beans

 

1 cup

 

1189mg

 

134 mg

 

Potato with skin

 

1 potato

 

1081mg

 

101 mg

 

Soy bean

 

1 cup

 

886 mg

 

108 mg

 

Figs

 

4 figs

 

542 mg

 

44 mg

 

Prune juice

 

1 cup

 

707 mg

 

36 mg

 

Yogurt (preferably of goat milk)

 

1 cup

 

531 mg

 

39 mg

 

Almonds*

 

2oz.

 

412 mg

 

156 mg

 

Brazil Nuts

 

2oz.

 

340 mg

 

128 mg

 

Baked Beans

 

1 cup

 

752 mg

 

81mg

 

Kidney Beans

 

1 cup

 

713 mg

 

72 mg

 

Lima Beans

 

1 cup

 

955 mg

 

81mg

 

Halibut

 

1 cup

 

490 mg

 

91mg

 

Pinto beans

 

1 cup

 

800 mg

 

94 mg

 

Chickpeas

 

1 cup

 

477 mg

 

79 mg

 

Lentils

 

1 cup

 

731 mg

 

71mg

 

Tuna

 

3 oz

 

484 mg

 

54 mg

 

Brocoli

 

1 cup

 

456 mg

 

37 mg

 

Spinach

 

1 cup

 

839 mg

 

163 mg

 

Tomatoes

 

1 cup

 

400 mg

 

134 mg

 

Artichoke

 

1cup

 

595 mg

 

101


*The intake of almonds and other nuts should be limited or avoided by individuals with food allergy.

Explanatory Comments (Tables 2 and 3)
First choice: To be consumed as frequently as possible.
Second choice: Some of the time, eaten in rotation.
Items included in the last categories are not advised because of their negative (direct and indirect) effects on oxygen.

 

 

Table 2. Food Priorities For Controlling Cancer

 

BEVERAGES

 

PROTEINS

 

FATS

 

FIRST CHOICE

 

FIRST CHOICE

 

 FIRST CHOICE

 

Green tea
(most highly  recommended)

Rosemary tea
(highly
recommended)

Ginger tea, Spring Water, Fresh organic vegetable juice, Bottled organic vegetable juice, Carbon-filtered tap water, herbal teas, Grain coffee

seed milks (in rotation)

 

Recommended total daily fluid amount: three to four quarts depending upon the body size

 

Protein Powder

Hunted fish

Egg

Lentils - beans

Duck - quail

Game meats (venison, elk, antelope, rabbit, pheasant wild buffalo,

Sand Guinea hen)

Whole grains,

Spirolina plankton

Tofu - Tempeh

 

 

Olive Oil

Pumpkin seed oil

Ghee (clarified butter)

Butter

Sesame oil

Flaxseed oil

Avocado oil

 

*cold-pressed oils are preferred

 

 

SECOND CHOICE

 

SECOND CHOICE

 

SECOND CHOICE

 

Bottled spring water

Bottled deep-well water

Mineral water

Fruit teas

Grapefruit - Apple juice

Soy milk, diluted

Rice milk, diluted

Sheep-goat-buffalo's milk

 

Chicken

Turkey

Goat

Shellfish

Cornish hen

Farm-raised fish

Sheep

Lamb

 

Safflower oil

Sunflower oil

Soybean oil

Peanut oil

Canola oil

 

*cold-pressed oils are preferred

 

DE-OXYGENATING FOODS TOTAL ABSTINENCE ADVISED

 

All cow=s Milk

All soda

Grape/Cranberry/Orange/ Coconut juices

Nut milks, diluted

Salted vegetable juice

Coffee\common black tea

Chocolate drinks\shakes, Alcohol

 

Beef

Veal

Pork

Deli meats

Highly-processed meats

Highly-spiced meats

Sodium rich proteins

Tuna, swordfish, mackerel (due to high mercury content)

 

Corn oil

Cottonseed oil

Margarine

Vegetable shortening

Animal fats

Cholesterol-free fatty foods

 

 

Table 3. Food Priorities For Controlling Cancer

 

CARBOHYDRATES

 

FRUITS

 

VEGETABLES

 

FIRST CHOICE

 

FIRST CHOICE

 

 FIRST CHOICE

 

Brown rice, Wild rice

Oats, Amaranth, Millet

Artichoke, Quinoa

Tapioca, Milo, Spelt, Kamut, Teff , Sunflower seeds, Sesame seeds, Pumpkin seeds, Potato with skin,

Potassium- and magnesium-rich grains (see Table 1)

White rice (recommended here because of its easy digestibility)

 

Figs, Blueberries

Pomegranate

Peach - Pear

Cherries - Berries

Avocado - Papaya

Guava - Persimmon

Rhubarb

Green apple

 

Daikon, Burdock, Red radish, Squash, Chinese cabbage, Turnips, Okra, Peas, Shiitake Mushrooms,Lotus root , Ginger, Green beans, Collard - Kale,Spinach Artichoke, Asparagus, Beet green, Brussels sprouts, Broccoli - Cauliflower, Celery, Cucumber, Garlic, Cabbage, Onion, Red Sand green peppers, Edamame (young soy beans) Sea weeds

 

SECOND CHOICE

 

SECOND CHOICE

 

SECOND CHOICE

 

Rye

Buckwheat

Barley

Yam

Wheat, Corn

 

Lemon, Lime

Prune, Watermelon

Kiwi, Grapefruit

Cantaloupe

Banana

Unripened

 

Romaine lettuce

Iceberg lettuce

Boston lettuce

Carrot, Onion

Eggplant, Tomato

Mushrooms, Beets

 

DE-OXYGENATING FOODS TOTAL ABSTINENCE ADVISED

 

White rice - Cashews

Brazil nuts - Chestnuts

Pecans - Peanuts

Walnuts

Sugar (see guidelines for various stages of cancer)

Sodium-rich carbohydrates

 

(Fruits with high sugar content)

Orange, Pineapple

Coconut, Strawberries

Grapes, Honeydew

Mangoes, Dates, Raisins, Polished fruits, Dried fruits

 

 

RECOMMENDED READING: Please read and re-read chapters 8 & 9 of The Butterfly and Life Span Nutrition for an in-depth discussion of the foods discussed on this chart.

PREDIGESTED GRAINS
Not uncommonly, individuals with cancer have clinically significant digestive-absorptive disorders as a consequence of various types of cancer treatments. Such problems are usually far worse in individuals with a history of the so-called irritable bowel syndrome, gastro-esophageal reflux disease (GERD), stomach ulcers, and various types of colitis. I recommend that such individuals consider various types of predigested foods, such as goat yogurt, kafir, fermented soy foods in moderate amounts, and others. The protocols for predigested and overcooked grains furnished below is especially valuable for such individuals.

OVERCOOKED GRAINS
1. Select 4 - 5 different grains, lentils, and beans
2. Keeping grains seperated - soak one-half or one cup of each grain overnight in seven seperate containers with 1 tsp of plain yogurt.
3. Wash the grains next day and pat dry with a paper towel.
4. Put the grains into seperate containers to freeze.
5. Each day, take one container out when you are ready to use it, and add three to four cups of water (half as much for one cup), in a pot or pressure cooker.
6. Add a little salt, clarified butter, ginger, onion or garlic (to your taste).
7. Cover and cook on medium heat.
8. The grain is usually overcooked in 45 to 75 minutes (different times for different grains). It should have the consisitancy of thick soup or stew.
9. Season with spices to taste.

Take frequent small portions throughout the day if you have a history of digestive-absorptive difficulties.

VEGETARIAN DIET FOR CANCER
Much has been written about the vegetarian diet for individuals with cancer. I have not excluded animal proteins from my food plans because it is nearly impossible to obtain the necessary first class proteins from an exclusively vegetarian diet. I do recommend a predominantly vegetarian diet. I might add here that nearly everything written to advise completely vegetarian diet for cancer has been written by individuals who neither have extended clinical experience in treating individuals with cancer treatment nor have documented their clinical results obtained with their food plans. It remains a matter of belief. Some authors have spoken strongly against eggs on the ground that eggs "feed the problems caused by arachidonic acid." The logic of that statement escapes me. Again, I have not been able to find anything against eating eggs from any of the authors who have inspired confidence in me.

WHY FUSS ABOUT BREAKFAST 
Unless held in abeyance, an individual with cancer is likely to wake up in the morning and begin to recycle the misery of the initial diagnosis of cancer. When that is not sufficient, her/his mind
Cthe cortical monkey in autoregulation languageCis likely to precycle fear, future misery. The muscles and joint tissues wake clumsy from hours of inactivity. The bowel wakes up sluggish. The blood glucose is low from the overnight fast. Diurnal rhythm affects other aspects of metabolism as well. The whole body calls for a functional upgrade, which requires a sound breakfast, noncompetitive limbic exercise, and a surrender to one's divinity. A tall order! Not really. I know that from years of guiding my patients with cancer in achieving that. Indeed, I spend more time during my visits with them on this subject than any other single matter. The cortical monkey is a hardy being. And yet, it does not know quite how to cope with one's own Divinity. (I am grateful to the nurses and nutritionists at the Institute who diligently and patiently explain to our patients all aspects of our nutritional protocols, and so permit me to select areas of my personal focus.)

There is never a valid reason for missing breakfast. Many patients tell me they missed their breakfast because they were not hungry. I explain that was so because their metabolic rhythm has been disrupted. Rising at 7 am following a dinner at 8 pm the evening before, of course, means a fasting of 11 hours. Fasting means hypoglycemia and acidosis. Extending that period for another two or three or more hours essentially sets a person up for major hypoglycemic-hyperglycemic shifts that trigger insulin and adrenergic roller coasters. In individuals with neurotransmitter volatility
C persons with predisposition for anxiety, sadness, or depression C extension of fasting can trigger any or all of those symptoms. For others without such vulnerability, it is really a matter of time until they also succumb to undue tiredness or mood difficulties caused by glucose-insulin-adrenaline-neurotransmitter shifts.

Breakfast, as I indicate earlier, is the single most important part of the eating and hydrating regimen for addressing the three primary metabolic derangements of cancer cells: excess acidity, incremental free radical activity, and impaired cellular oxygen metabolism. Dr. Ali's breakfast has the following goals:

 1. It should set the stage for an active, vigorous, and healthful day with sustained energy.
 2. It should support the functions of the bowel, liver, hormone organs, brain, and other tissue.
 3. It should sustain the long-term goals of controlling cancer and preventing of chronic fatigue, which is often seen after cancer therapies (as well as the prevention of degeneratory disorders, such as osteoporosis, heart disease, stroke, diabetes, and memory difficulties).

 

With those goals in mind, the following objectives of a breakfast seem desirable to me:

1. Overhydration of cells throughout the body during the morning hours;
2. Maintenance of the blood glucose levels within a narrow healthful zone to avoid rapid hypoglycemic-hyperglycemic shifts, and to prevent insulin-adrenergic roller coasters initiated by those shifts;
3. Tonification of the bowel musculature and stimulation of the emptying reflexes;
4. Provision of special support for the hepatic redox-restorative detoxification pathways;
5. Provision of restorative oils for optimal biomembrane functions, especially in the brain;
6. Provision of raw material for structural and functional proteins, especially for generating oxystatic enzymes; and
7. Avoidance of toxic trans fatty acids, which are common in the standard American breakfasts.

DR. ALI'S BREAKFAST
I consider missing my breakfast a violation of the sacred temple that houses my spirit
Can insult to my physical frame. I learned that crucial lesson the hard way. Earlier I referred to the absence of breakfast during my surgical days. That mistake was continued during two decades of my pathology work as well. My clinical experience and review of literature has convinced me:

1. That the premium nutrient cell membrane preservation and brain health is flaxseed oil;
2. That the single best nutrient for the liver detoxification is lecithin;
3. That the most desirable prescription for the integrity of bowel ecology is organic vegetable juice;

4. That the ideal formulation for the prevention of sugar-insulin-adrenaline roller coasters is a good protein powder, comprising 85 to 90% partially digested proteins; and

5. That the nutrient of choice for invigorating all the cells in the body is abundant water.
 

 In view of those considerations, I prepare my own breakfast (within two to three minutes) on five or six days a week as follows:

1. I begin with a 28-ounce mug filled with spring water and one ounce of seltzer water (seltzer water is unnecessary for those who prefer plain water).

2. I drink the above-mentioned fluid volume in portions of five to seven ounces at intervals, doing limbic exercise C non-competitive exercise described later in this chapter Cbetween drinking. I take my probiotic protocol (Bifidobacterium and Acidophilus) when I begin to drink water.

3. I continue drinking that amount of water, taking additional supplements, until the mug is empty.

4. Next, I prepare a 30-ounce protein drink as shown in Table 1.

5. I begin drinking the above protein protocol, again consume five to seven ounces at a time, continuing my limbic exercise and taking additional supplements until both the complement of supplements and the protein formula is finished.

6. On weekends, my wife and I commonly take an egg breakfast with some fruit.

At the Institute, my colleagues and I use the following four P&P (partially digested protein) protocols: (1) Protocol One containing 90% mixture of proteins derived from eggs and milk; (2) Protocol Two containing 90% soy proteins; (3) Protocol Three containing 75 to 80 % rice protein; and (4) Protocol Four containing about 90% of whey protein. Proteins derived from other sources, such as vegetables, may be substituted for one or the other of the above choices. In Table 3, I make some recommendations for the choice of vegetables for preparing fresh juices.

The flaxseed oil in the protein drink may be replaced by one of the following oils: olive, safflower, sunflower, sesame, pumpkin, avocado, and almond. Additional comments on this subject are included in the next section. I use the Very Veggie brand of bottled organic vegetable juice produced by Knudson Co. For those who can find the time, freshly squeezed vegetable juice is clearly preferable. To summarize, Dr. Ali's Breakfast contains the following:

Protein*  Two heaping tablespoons

Flaxseed  Two heaping tablespoons

Lecithin One heaping tablespoon

Vegetable juice, organic 16 ounces

Water 16 ounces

*Individuals with kidney disease (or elevated blood creatinine levels) need to seek advice from their doctors about the allowable limit on protein intake.

 OTHER BREAKFAST OPTIONS
When we do what is right, habit makes it agreeable. That certainly is true of eating choices. Taste is an acquired faculty. Organic vegetable juice added to my protein drink now appeals to me much more than any fruit juice. It was not so when I began. The habit one grows into for one's breakfast is as much a part of the life's track as any other. I explain those basic aspects of a wholesome breakfast to every patient who consults me.

Some patients readily follow my breakfast plan closely, begin to savor it soon, and report good results within weeks. Others take a slower approach, adopting my plan partially. Some patients initially find my prescription for breakfast unappetizing. The majority of them settle into them nicely weeks or months later. Yet others ask if they can replace organic vegetable juice with milk (cow's, goats, rice or soy). Others wish to add one-half of a banana or peach or other types of fruit for enhanced taste. Except in patients with disturbing symptomatology related to rapid hypoglycemic-hyperglycemic shifts, I accept their modifications.

I do wholeheartedly endorse an egg breakfast. Eggs have been maligned for decades by practitioners of pharmacologic medicine on the grounds that eggs raise blood cholesterol levels. I dismiss that as non-sense coming from ill-informed individuals. Not a single study has shown that eggs increase the incidence of cardiovascular disease. Indeed, some reports suggest that eggs
-an excellent source of high-quality liver-friendly lecithin-actually lower blood cholesterol levels.

Plain yogurt with freshly ground flaxseed makes for an excellent breakfast. Some fruit may be added to that for persons without immune disorders. Other good breakfast options are soy products commonly recommended by macrobiotic enthusiasts.

The oatmeal breakfast used to be a favorite of nutritionists of bygone eras. Nearly all nutritionists that I have discussed this subject with in recent years told me they now do not recommend oatmeal or any other starch breakfasts anymore. I believe that is because the abuse of antibiotics and massive sugar overload in the general public has so stressed the bowel ecosystem that even so-called healthy starches now carry the hazard of further feeding the sugar-eaters in the gut and so contribute to ongoing disruption of the bowel ecology.

In some cultures, fish, poultry, and various meats are consumed for breakfast. Those items are very desirable as sources of proteins. The important point here is that such meats should not be highly processed, nitrated, or otherwise contain high contents of oxidized fats.


MID-AFTERNOON BREAKFAST
Most individuals are in a state of dehydration during the mid-afternoon hours. Exceptions to that are persons who maintain some system of regular reminders
C such as a large readily visible mug of water in a person's workplace C and snack on water regularly. Variable degrees of dehydration and hypoglycemia are the two most common causes of mid-afternoon sluggishness or easy fatiguability. For such persons, I recommend a "mid-afternoon breakfast" that is a repeat of their morning breakfast at an hour mid-way between the lunch and dinner. They nearly always report improved energy status with proteins drinks that provide steady state energy, as well as hydrate the body. My recommendation in this context is that the same protein drink (with lecithin, ground flaxseed, and organic vegetable juice, when possible) be consumed at work during mid-afternoon hours. As is the case with other sound strategies for good nutrition, this may seem tedious to the uninitiated. However, keeping cartons of protein powder, lecithin, and flaxseed require a small effort for the substantial benefit gained from it.

I routinely prescribe the use of a protein drink for all my patients with chronic energy deficit states
C fibromyalgia, chronic fatigue syndrome, environmental sensitivity syndrome, persistent fatigue following chemotherapy, and other states. The reason for that is that all such individuals are very susceptible to hypoglycemia and rapid hypoglycemic-hyperglycemic shifts with consequent insulin-adrenergic roller coasters.

 LATE EVENING SNACK FOR NOCTURNAL HYPOGLYCEMIA 
Nocturnal hypoglycemia
Clow blood sugar that develops during the later sleep hoursCis not uncommon among persons with cancer. When one is asleep, one is not dead. Trite, as this statement might seem, it helps to focus on an important aspect of one' life: the anxiety and fears of day time are carried over to the sleep hours. The production of cortisol (the primary adrenal hormone) and related hormones is increased in most individuals with cancer. Such hormone overproduction, until arrested with effective methods of self-regulation, continues after the day and disrupts physiological diurnal (day/night) rhythms. Many of my patients with cancer also suffer from anxiety and mood disorders that developed before cancer was diagnosed. They benefit much from taking a few ounces of Dr. Ali's breakfast midway between dinner and bedtime. Notably this is often especially helpful for individuals with nocturnal hypoglycemia.

OPTIMAL HYDRATION FOR CANCER CONTROL
In my experience, most individuals with cancer, when not making a conscious effort, are in a state of dehydration. Not unexpectedly in light of information presented in the preceding chapters, dehydration is acidifying and oxidizing, and so increases the degree of the prevailing local and/or systemic dysox state. Water is unquestionably the simplest, safest, cheapest, and the single most effective therapy for preserving cellular and matrix oxygen homeostasis. From that one may conclude that a optimal state of hydration is essential for cancer control. The professional reader is referred to Dysoxygenosis and Oxystatic Therapy, the third volume of the Principles and Practice of Integrative Medicine, for a large body of clinical and experimental data that support my view. 

The ideal drinking water is a fresh, natural, non-chlorinated spring or deep well water obtained from natural, noncommercial sources. (Problem: where are we to find such water?) Bottled spring waters generally go through a packaging process: Some are good; others are not.

The best vegetable juices are fresh unsalted juices. Cans of most commercially available vegetable juices contain as much as 500-600 mg of sodium (a "life span mineral" turned into an "aging-oxidant mineral" by the American food industry). Unsalted canned vegetable juices are next best choices.

How much fluid should an individual with cancer take? Here are my guidelines for achieving overhydration in the morning and optimal hydration during the rest of the day. For many persons, it is desirable to drink water every three to four hours except during the late evening and night hours.

170 pounds in weight and over 5 quarts
150 pounds in weight and over 4 quarts
125 pounds in weight and over 3 quarts
100 pounds in weight and over 2.5 quarts

SNACKING ON WATER
Snacking on water? Patients often express surprise at my choice of the word snack for a drink of water. I do so to underscore something I discovered to be very effective several years: the use of water to curb a desire to eat something. It is my sense that frequent snacking is a peculiarly American trait, which, of course, we have exported worldwide with transcending zeal.

I cannot overstate the clinical value of teaching all patients to keep a mug of water on their desks or elsewhere in their work place. If the water is readily available, it will be drunk without the usual I-will-drink-water-as-soon-as-I-finish-this-thing delaying technic.

I may add here for amusement that in all the years I prescribed drugs as the sole treatment, I do not recall if I ever emphasized to my patients the need for extra water with those pharmacologic therapies. All blocker drugs dehydrtate. But, then, in pharmacologic medicine whoever thought about chronic dehydration.

OPTIMAL HYDRATION FOR ROBUST BOWEL ECOLOGY
In my clinical experience, the single most common cause of prolonged bowel transit time and constipation in people with cancer is chronic dehydration. Literally hundreds of my patients with chronic constipation reported satisfactory improvement with the simple measure of keeping themselves optimally hydrated.

Beyond the issue of proper transit time are the equally important issues of providing fluids for the production of digestive fluids as well as for the digestive-absorptive functions. For instance, under optimal conditions the 24-hour output of saliva alone should be about 1,500 milliliters, whereas the volume of intestinal secretions should be 2,500 to 3,500 milliliters.

HERBAL TEAS
Specific individual herbal teas listed below have several established biochemical medicinal effects and their regular use for specific health disorders should be physician‑supervised:  

* Aloe vera, as water, gel, or as tea
* Chamomile flower: Egyptians used it to slow the aging process.
* Golden seal root: general life span tea. Biblical Rx, American Indian Rx
* Echinacea root: general life span tea.
* Astragalus: general life span
* Linden flower: general life span tea
* Ginseng root: general life span tea
* Peau D'Arco inner bark: for altered bowel ecology states*
* Flax seeds tea: for lung and bowel ecology
* Comfrey roots and leaves: for stomach and bowel ecology
* Caraway seeds: for stomach and bowel ecology
* Thyme leaves: for stomach and bowel ecology
* Cascara sagrada: for bowel ecology
* Peppermint: for stomach ecology
* Alfalfa leaves and seeds: for stomach ecology
* Clover blossoms: for liver disorders
* Juniper berry: for bladder ecology
* Horsetail: for hair, skin and nail ecology
* Valerian root: for nervous system disorders (Latin valere=well-being)
* Huckleberry: for hypoglycemia and hyperglycemia
* Hawthorn flower and berries: for hypertension and heart disease
* Rose petal tea for eyestrain
* Black oats (with whiskers) tea for anxiety
* Marigold petal tea for anxiety
* Sage tea for flu-like symptoms
* Ginger root: gastric and bowel ecology; for motion sickness
* Feverfew leaves: for chronic headache (also freeze dried in tablets)

I suggest my monograph entitled "The Altered States of Bowel Ecology and Health Preservation" for further discussion of how normal bowel ecology is damaged by antibiotics, drugs, toxic foods and stress and how it can be restored with nutrient and herbal therapies.

Herbal teas are excellent choices but must be taken in rotation and under the supervision of a knowledgeable professional. One or two teaspoons of food grade glycerine may be added to herbal teas as a sweetener.

SUGGESTIONS FOR VEGETABLE COMBINATIONS FOR JUICING 
In Table 3, I present lists of vegetables which I recommend highly. In this section, I offer the following vegetable combinations for juicing:

Ginger, cucumber, spinach, and red beets
Ginger, Chinese cabbage, peas, and turnips
String beans, asparagus, parsley, and celery

Red beets, daikon, Brussels sprouts, and collard

● Carrots, broccoli, green tops of carrots, and turnips
Squashes (buttercup, zucchini, yellow summer), dandelion, lamb=s quarters, wild burdock, and other weeds such as thistle

 

FRUIT JUICES
I do not recommend fruit juices for individuals with cancer. I include brief comments in this section for the general information of the reader. In comparison to organic vegetable juices, the main weakness of fruit juices is their sugar content. It is true that fruit sugar, fructose, is metabolized slower than white sugar. However, this difference becomes insignificant for most sugar-sensitive patients with chronic nutritional, ecologic, and immune disorders. Furthermore, in general, fruit juices do not contain as many minerals and vitamins as vegetables. For these reasons, we strongly urge all our patients to favor organic vegetable juices over fruit juices, except when fruits are used in small amounts to change the flavor of vegetable juice.  

CONSIDERATIONS IN WATER FILTRATION
Impressive advances have been made in water filtration technology for household use. This is especially welcome since there are increasing doubts about the validity of claims of natural water bottling companies.
 

The kitchen carbon-reverse osmosis water filtration system used by the author has the following features:

1. A 5-micron sediment pre-filter
2. A 10-micron second-stage carbon filter
3. 36 gallon per day TFC membrane
4. Permeate pump
5. A 10" in-line carbon filter

Relatively low-cost water testing units are widely available for measuring the total dissolved solid (TDS) in waters from taps which are fed (or not fed) by the water filtration system. The desirable range for TDS value of the optimally filtered water is 0 to 20 mg/L (zero to twenty parts per million) of dissolved solids. Once monthly or so use of such TDS water testers is advisable.

Recently, I had an amusing experience with water filters. I tested the water from each of the two faucets in our kitchen, one with a water filter and the one without it. I was surprised to find a TDS value of 338 in water coming out of my filtration system while the value from the faucet without a filtration system showed a lower value of 314. My filtration system was actually adding dissolved solids to my water rather than taking it out. One week after installing my new system, the TDS reading of the filtered water ranged from 001 to 006 mg/L (one to six parts per million).

ADDITIONAL GENERAL COMMENTS ABOUT HYDRATION 

Below, I reproduce some text from Integrative Nutritional Medicine, the fifth volume of The Principles and Practice of Integrative Medicine for the general interest of the reader:

Organic vegetable juices and herbal teas are included in the daily water dose. Coffee, tea, sodas, and fruit juices do not qualify for water. Lemon juice may be added to hot or cold water for change of taste. Seltzer water is permissible. Please do limbic/lymphatic rebounding exercise in the morning to distribute the water into the tissues. (Consider the author's DVD on Limbic Exercise, available at www.Canary21press.com for details.) The human body is a water pond in which float all human cells. When a drought lowers the water level in a pond, all pond life suffers; many life forms die. Chronic dehydration does the same to human tissues and cells. This is not melodrama. It is a simple truth. Is there any disease in which water dysregulation does not play a role? The answer is none. Consider the following: The primary difference between a young and an aged cell is that the aged cell is dehydrated and shrunken. The primary difference between a vigorous and a tired cell is that the tired cell is dehydrated and shrunken. The primary difference between a healthy and a toxic cell is that the toxic cell is dehydrated and shrunken.

Water is the best cell energizer and resuscitator. (Caffeine, by contrast, drains energy. In the brain cells, water generates energy, coffee only releases it for brief periods.) Water is the best tissue detoxicant. It is the best diuretic. It is the best enhancer of enzyme functions of energy, detoxification, digestive, and neurotransmitter systems. It is the best antidote for acidotic stress. 

Following are some more reasons why we prescribe water therapy for patients with chronic fatigue states, ecologic, immune, and nutritional disorders, heart disease, lung disorders, and cancer. All cells contain microchannels of water that make possible the traffic of materials and information among cells. In the brain cells, water is essential for nerve impulses to be generated and transmitted. In the heart muscles, it makes it possible for them to contractCand so let the heart beat. In the bowel, it allows digestive and absorptive functions. In the liver cells, it catalyzes all detoxification processes. In the kidneys, it carries toxins into the urine. In the cartilage, it protects the ends of bones in a jointCand so prevents arthritis. Indeed, no life processes are possible without water.

NUTRIENT SUPPLEMENT GUIDELINES

There is no substitute for an experienced clinician for determining the optimal nutrient support in a cancer treatment plan.
 
Table 4. General Nutrient and Phytofactor Support for the Restoration of Oxygen Homeostasis
 

 

 

Nutritional and
Herbal Protocols

 

Main Components
(Laboratory testing for vitamins and minerals recommended) 

 

Vitamins


Vitamins C, 4-6 gm; A 10,000 IU; D, 1,000 to 3,000 IU; E, 400-600 IU; K 1-5 mg; Thiamine, riboflavin and pyridoxine, 30 mg each; Niacinamide, 150 mg; Pantothenic acid, 220 mg; Biotin, 100 mg; Folic acid, 400 mcg; Choline and inositol, 50 mg each; Zinc, 4 mg; and others

 

Redox-Restorative

 

MSM, 500-1,000 mg; Lipoic acid, 100-300 mg;

NAC, 200-400 mg; Taurine, 500 to 1,500 mg; Glutathione 100-500 mg

 

Minerals

 

Magnesium 750-1,500 mg; Potassium 100-300 mg; Calcium 750-1,250 mg; Zinc, 25-50 mg;

Chromium, 200-400 mcg; Selenium, 200-400 mcg; Molybdenum, 200-400 mcg; Copper, 1-5 mg; Manganese, 1-5 mg; Other trace miners from organic vegetable juice

 

Enzymes

 

Pineapple Bromelains, Pancreatin, Papaya Papain, Protease, Lipase, Nattokinase, Pectinase, Pepsin

 

Bowel Ecology

 

Echinacea, Astragalus, Burdock root, Goldenseal, Pau d'arco, Artemisia, Alfalfa and others in doses of 350 to 750 mg.

 

Blood Ecology

 

Butcher's broom, hawthorne, mother's wort, St. John's wort, bilberry, cayenne, turmeric, ginger, dandelion and garlic.

 

Miscellaneous Foods and Herbs

 

Ginger, Garlic, Celery, Broccoli, Burdock, Daikon, Flaxseed, Grapefruit, Klongi, Squashes and Green leafy vegetables. (See chapter 12 for details and explanations

 

CLOSING COMMENTS

A new day calls for a new commitment to one's total being. An essential part of that commitment is to nourish the physical frame that houses the human spirit. That-in my view-makes a nourishing breakfast the most important meal of the day. Two essential components of that nourishment are the correction of dehydration and hypoglycemia created by sleep hours during the night. And those are two issues which I address during my clinical hours with every single patient.

Chronic dehydration of varying degrees is present in most Americans today. Chronic anger is dehydrating. And so is stress. Coffee dehydrates. Nearly all of our elderly are on drug therapies that cause dehydration to varying degrees. Diuretics are widely used without any consideration given to their dehydrating effects. Indeed, all those who do not undertake special measures to assure optimal hydration are likely to be dehydrated often during the day. In this brief chapter, I make a strong case for optimal breakfast and hydration. I reiterate here what I wrote earlier in this chapter: A missed breakfast is a missed opportunity to start a good day with sustained energy. I end this chapter with the same words with which I began it: A missed breakfast is a missed opportunity to start a good day with sustained energy.

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This information is provided only to provide information, it is never, ever to be used as a self help guideline. Always consult your own health care provider for information or questions on your health! Throughout this website, statements are made pertaining to the properties and/or functions of nutritional supplements. These statements about nutritional supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease

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