Calorie restriction?: Yet another paper... - Advanced Prostate...

Advanced Prostate Cancer

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Calorie restriction?

noahware profile image
9 Replies

Yet another paper, just out, on how CR can change cellular activity and pathway activity (in rats, in this study) that may be related to processes of aging and disease ...

sciencedaily.com/releases/2...

The idea is that CR is essentially anti-inflammatory, and that by looking at the pathways involved we might develop therapies along those lines. Of course, instead of taking drugs that have an effect similar to eating less, why not just... eat less?

One problem is that we are not rats. But even if the theoretical benefits of CR could translate to humans (and specifically, human men with advanced prostate cancer!), the bigger problem is this: how sustainable is calorie restriction for most guys? It's not just about the caloric levels that we NEED for adequate nutrition, but the levels we WANT, to feel satisfied.

I did a CR keto diet for a few months and my PSA went from 20 to 13. I have no way of knowing if the drop in PSA was related to reduced calories, a change in the composition of those calories, the addition of specific nutrients, or none of those things at all. I do know that a few months later, after I quit that diet, my PSA rebounded up to 26. (Again, no way of truly knowing why... I had also changed some supplements.)

If I really thought that diet was helping slow my PC (and I did) then why didn't I stick with it? It wasn't because I was actually all that hungry on this diet. It was, frankly, because... I like to eat!

And as we head towards winter and the days get cooler and shorter, just "liking" certain foods turns into CRAVING them, and not seeming able to get enough of them. In short, I turn into an addict. If I don't get my fix, a state of being "hangry" or restless (or depressed) nearly always results.

Sometimes I wonder if the higher rates of PC seen in the wealthier countries of northern latitudes is related not just to easier access to cheap and plentiful cancer-promoting foods, but that seasonal changes cause many of us to crave and eat WAY too much of these foods, especially as we age and become sedentary and have lesser need for growth-promoting foods (especially foods that over-activate high-growth pathways at the cellular level).

For myself, as winter approaches I tend to start eating as if I was going to hibernate or have no access to food for months. Then winter arrives. And I keep on eating. Perhaps we evolved such that winter was SUPPOSED to be a time of calorie restriction, and an increase in PC is the outcome of our escape from that destiny.

Fat and happy, maybe... but at a cost?

The spring weather has me encouraged that I can get back to nutrient-dense eating with far fewer calories (lots of salads and veggies). Of course, if I am on a treatment that gets my PSA close to zero, I will likely have no way to continue any observations on how PSA seems to be changing with diet.

Has anyone else tried CR or fasting, or know of others who have, whether for PC or not and whether successful or not?

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noahware
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dockam profile image
dockam

Hi, I fasted two days before each of 15 Taxotere chemo sessions and that helped stave off side effects.

I still do IF(Intermittent Fasting) for 16 hrs from 9pm to 1pm the next day.

osher.ucsf.edu/patient-care...

I made my 5 yr survival point with#stageIVpca and dunno if IF helped.

Fight on Brothers

Randy

in reply todockam

Fast & live through treatments . I did two 500 calorie days per week of imrt . I think this approach helped us both . Right on Dockam!

Graham49 profile image
Graham49

My PSA dropped slightly after being on a low calorie pesca-vegan diet before having a biopsy. Soon as I had a biopsy and was diagnosed Gleason 9 I went on ADT and later had a RP. I am off ADT and still on the same diet, and in remission. I have no idea whether the diet has helped me with PC but at least I have lost some weight and there is evidence that visceral fat is bad for your health.

in reply toGraham49

It’s a good thing.

tom67inMA profile image
tom67inMA

After diagnosis, a shot of eligard, and radiation to my spine, I had trouble digesting food and quickly lost about 10-12 pounds. My PSA dropped 99% in about 45 days. I give most of the credit to the treatments but can't rule out the unintentional CR as helping things along.

noahware profile image
noahware in reply totom67inMA

Yeah, some have even supposed that part of the benefit of chemo for some people is that it restricts caloric intake. Of course, that has to be carefully watched in very advanced disease to prevent wasting away.

BTW, thanks for doing your blog. (I own a little land and I am a fellow wood-burner, so I could relate to your chainsaw-pinching story, especially. I do it more than I care to admit. )

Northcaptain profile image
Northcaptain

I run on a 18-6 daily routine (18 hours between food intake) and its great for keeping the calorie balance. Its more and more documented as being beneficial for a lot of health aspect: (full document)

anataramedicine.com/wp-cont...

noahware profile image
noahware in reply toNorthcaptain

Yes, I tried that when doing keto, and also after going off. For some periods I went further, with a 20 hr / 4 hr. (Can you eat a lot in a 4-hr window!) It is amazing how much of our appetite-signalling is memory-based, and will readjust.

But it's not just about physiological "hunger" for me. My biggest difficulty is avoiding night-eating, which has a definite feel-good emotional component (as well as being a habit from many years of getting home from work at 10-11pm).

Also have a problem with "cheat days" that arise with social occasions or extreme moods. (Cheating "just once" can lead to being a repeat offender!)

Less is more when food is concerned. less fat on us -= less chance of cv issues for us .

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