47 Questions and Answers.mp3: Audio automatically transcribed by Sonix

47 Questions and Answers.mp3: this mp3 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Speaker1:
Hi and welcome to the Cancer Secrets podcast. I am your host and guide, Dr. Jonathan Stegall. Cancer is like a thief who has come to steal, kill and destroy. I have personally seen it wreak havoc on patients, friends and even my own family. But I am on a mission to change the cancer paradigm through the practice of integrative oncology cancer treatment that integrates the best of conventional medicine with the best of alternative therapies backed by science and personalized to each patient. You need a positive voice you can trust. This podcast will share valuable information to give you practical hope for a better outcome. So I invite you to join me on this journey as we seek to change the cancer paradigm together. Hello and welcome back to the Cancer Secrets podcast. I'm your host, Dr. Jonathan Stegall. This is season three and episode number 47. In today's episode, I will be answering some listener questions and also previewing some future episodes. You don't want to miss this one. So let's jump right in to our first question, which comes from Silken, who lives in Wisconsin. Silken is a faithful listener to the Cancer Secrets podcast and is supporting her mom who has a brain tumor. She also requests that we do an episode on brain cancer.

Speaker2:
Hi, Dr. SIEGEL. My name is Silken. I live in Wisconsin. And I just wanted to say thank you so much for your podcast and doing what you do. My mom has a brain tumor on the left parietal side of her brain, and I found your podcast a couple of months ago and flew through the whole thing in a week. So I just greatly appreciate every all the stuff you have on there and all the people you bring on that to hear and learn about Chris, Chris work and Dr. MacGregor. And so I just think it's super awesome what you're doing. So it's what's working. She had an MRI a couple of weeks ago and showed that the tumor is thinning out and even shrinking in areas. So that's just awesome. And we're praising the Lord for that. I notice you don't talk much about brain tumors, and I just wanted to request that and see if you would do a podcast about brain tumors specifically and see if there's anything else we could we could learn from your practice. Yeah, I think that's it. Thank you. Thank you again for all that you do and sharing your knowledge with the world.

Speaker1:
Well, Sulkin, first of all, thank you for being a regular listener to the podcast. I'm so glad that the information we provide has been helpful to you and your mom. I'm happy to do an episode on brain cancer in the future, but in the meantime, I'd like to share some pearls on brain cancer. Now, when I say brain cancer, I'm referring to cancer that arises in the brain. These are cancers such as glioblastoma, astrocytoma, etc.. I am not talking about cancer which originates somewhere else and spreads to the brain. So in other words, we're talking about what's known as primary brain cancer rather than a cancer that's metastatic to the brain. So first of all, brain cancer seems to really like glucose. So we know that brain cancer has a very high utilization of glucose. So when we talk about glucose, we're talking about any kind of carbohydrates, but especially, you know, the faster absorbing carbohydrates. So for this reason, I feel that it's especially important to be mindful of glucose in the diet. So again, we're talking about carbohydrates of any kind. And really, to best understand this, let's talk about the way the body uses sugar for energy. So we know that any type of cell, whether it's a normal, healthy cell or a cancer cell, it loves to use glucose for energy. Our cells are created that way to readily use any kind of glucose for energy. So whether that's a carbohydrate like bread or pasta or whether it's a carbohydrate such as something processed like table sugar or something like that, it's going to to all be pleasing to both healthy cells and cancer cells.

Speaker1:
So let's talk a little bit about glycemic index, because that's really important as we talk about this issue. So glycemic index measures how significantly a given food raises blood sugar levels. So glycemic index ranks food on a scale from 0 to 100 with pure sugar being 100. So the higher a food's glycemic index, the faster the blood sugar is going to rise when you eat that food. So the lower a food's glycemic index, the slower the blood sugar rises. So as you can imagine, processed foods tend to be higher on the glycemic index. And generally speaking, a glycemic index of 55 or less is considered low. An index of between 56 and 69 is considered moderate, and an index of 70 or above is considered high. So a glycemic index is helpful to tell us how quickly a food is going to impact blood sugar. But the downside is it does not tell us to what extent it impacts blood sugar. So this is an important distinction to keep in mind because a fast rise in blood sugar does not necessarily mean that the peak blood sugar or the maximum blood sugar will be high. And in contrast, a slow rise in blood sugar does not always mean the peak blood sugar will be low.

Speaker1:
So for this reason, I recommend looking at what is known as glycemic load. So glycemic load is a calculation that involves the glycemic index as well as the net carbohydrates found within that food. So glycemic load not only tells us how quickly blood sugar is affected, but also how high that food is capable of taking the blood sugar level. So net carbs are important and they can be calculated by looking at the nutrition label on a food and subtracting the fiber content from the total carbohydrates. And this is important because fiber content actually blunts the blood sugar response to a food. So I mentioned all of this not to confuse you or to make anything more complicated than it needs to be, but basically to illustrate that there are some nuances involved in what we eat. So a glycemic. Load of ten or less is considered low in a load of 20 or higher is considered high. So a level in the middle between about 11 and 19 is considered a moderate glycemic load. So we know that brain cancer tends to thrive on sugar. So the question you might be asking is, okay, well, why not just eliminate all sugar? Well, that's a very reasonable question. And it's one that scientists have had as well. So early studies on a very low carbohydrate diet, such as ketogenic diet, showed promise in lab animals such as rats. But subsequent studies, including those on human subjects, were disappointing.

Speaker1:
So in the past I've used the ketogenic diet in my patients. And to be honest with you, after looking at a number of patients over a period of a few years, I just didn't feel that it was as beneficial as some of those earlier studies suggested that it might be. So. So I think when we really look at the biology of cancer, again, we know that cancer love sugar. You see that axiom on the Internet all the time. Cancer love sugar or cancer love sugar. Of course it does. You know, all cells love sugar. It's a good energy source. Carbohydrates, as I mentioned earlier, are the preferred energy source for all cells. But it's a grave mistake to assume that cancer only loves sugar. So saying the cancer love sugar is only part of the truth. The real truth is, yes, cancer loves sugar, but it also loves any available energy source such as protein, fat, cholesterol, iron, copper hormones, just to name a few. So cancer is highly adaptable, and that's something that people tend to miss when they talk about reducing carbohydrates just to starve cancer. Cancer is very adaptable. So depriving cancer of just one macronutrient such as carbohydrates, means that cancer will adapt and find another available energy source. So if we look at a true ketogenic diet for cancer, it's extremely high fat. We're talking about 90% fat or so. So that leaves 10% left for everything else.

Speaker1:
So so a typical ketogenic diet for cancer is 90% fat, about 5% protein, and about 5% carb. So a very, very low carbohydrate and very low protein diet. So as you can imagine, it's a very restrictive diet, eating a diet that's 90% of calories from fat. Not very exciting, not very pleasing to the taste buds. I mean, anyone could do that for a short period of time, a day or two, but to actually do that over the long run is very, very hard to do. And as I said earlier, the studies they looked at that for cancer just haven't really been that promising. So so for that reason, you know, number one, we want a diet that works. But number two, on a diet we can stick with. So so where the research really points us is a plant based diet. So, so whether you have brain cancer or breast cancer or prostate cancer or colorectal cancer or any kind, a plant based diet really is the way to go. So this is based on a few key principles. Number one, unprocessed food eating as close to the earth as possible. It's always the best choice. So we're talking about things like vegetables, fruits, legumes, grains, nuts and seeds. These are highly nutritious foods. They also allow for a nice variety in the diet. And as long as people are following this general guideline, we really don't need to concern ourselves with limiting any one macronutrient.

Speaker1:
So you don't have to limit carbs, you don't have to limit protein. Eat a wide variety of these plant based foods. You're going to get a super high amount of nutrients and other beneficial things in the food and still have a lot of variety. But we're talking about brain cancer specifically. I do feel that the type of carbohydrates becomes even more important. So choosing foods with a lower glycemic load is my recommendation when we're talking about primary, primary brain cancer, especially something like glioblastoma, where we know that these are highly active cells, a lot of energy requirements for these cells, which are then used, of course, for the cancer to grow fast or something like glioblastoma. You can see a doubling in that cancer size within just a period of weeks. So I do think working with a lower glycemic load diet is is the best way to go with something like brain cancer. So trying to eat foods is a glycemic load of ten or less would be my recommendation. And there are charts online which tell you the glycemic load of various foods. So you can google glycemic load chart or if the specific foods you're wondering about, you can you can Google glycemic load tomatoes or glycemic load carrots or whatever it may be and easily get that information. You'll see most plant based foods do tend to have a lower glycemic load, and that's not just related to carbohydrate content, but again, it's related to the fiber amount as well.

Speaker1:
So eating foods in their natural state tend to include a decent amount of fiber, which is going to really blunt that blood sugar response so that we want the normal healthy cells to be getting the nutrition as much as possible and not the cancer cells. And of course, as we talk about a plant based diet, we know that we're also minimizing the amino acid methionine. I've talked about this before on previous episodes, but methionine is an amino acid in. Amino acids, of course, are the constituents of protein. But Methionine has been found in studies on a multiple different, you know, multiple different types of cancer cell lines to be absolutely required for cancer to continue to grow. And so so the logical response that is, okay, great. Well, let's try to minimize methionine. So that's if you ever read about a low methionine diet, that's exactly what that means. So again, you can Google this, which you can Google methionine chart and it'll show you the methionine levels of various foods. And so again, you look at the lower end of that methionine chart and you'll see plant based foods, fruits, vegetables, things like that. The higher end of the methionine scale is going to have animal products. So it's going to have fish and beef and chicken and pork, and you're going to see other dairy products on there as well.

Speaker1:
And so that's another reason for going toward a more plant based diet, is to to really minimize that methionine level. So I think if you're covering these bases nutritionally, you're going to be in a good spot regardless of the type of cancer you have, but especially for something like brain cancer. So another another thing I want to say about brain cancer. And again, this this does apply to all types of cancer, I believe, as far as we know. But, you know, fasting is a very important thing to consider. So it's not just about what we eat, but it's about when we eat. So we've known, you know, for centuries that fasting has been used for religious purposes. And when we define fasting, what we mean is just simply a period of not ingesting calories. And I love that, you know, religion, you know, for me, being a Christian, you know, fasting is is biblical. I mean, fasting is something that was advised in biblical times, you know, for a period of of prayer and a period of of sort of just allowing the body and the spirit to just sort of take a break and focus on guidance from from the Lord. And so, you know, I love the fact that science has has recently confirmed that there are many benefits of fasting that go way beyond just the spiritual realm. I mean, it physically, we we know that fasting can be very powerful as an anti cancer strategy.

Speaker1:
We know that it enhances the immune response. It also decreases cancer's growth rate. And I suspect this is due to a decreased supply of readily available energy to the cancer cells. So if fasting can be done in a couple of ways, intermittent fasting, which is basically not eating for a specific portion of time each day, is one way to do it. There's also block fasting where a day or more each week is is deemed a fasting day where you don't eat for that entire 24 hour period. So the correct fasting prescription for each patient can be different. So I'm not advising anyone listening to Just Stop Eating and hope for the best. A proper workout by a trained physician is recommended, including some blood testing and of course, a green light being given that it's safe for you. But are we doing an episode on fasting in the future? That's one of the things that lies ahead in season four. I'll talk more about season four later, but fasting is extremely important and I think it has a lot of potential benefits for, again, anyone with cancer, but especially for brain cancer that's so reliant on a steady source of energy. So still going to hope you found this information to be helpful for your mom's brain cancer. And I'll be praying for her continued success. Our next question comes from Belle Munoz in Florida, whose father is dealing with mesothelioma.

Speaker3:
Hey, Dr. Segal. This is Bill Munoz from Florida. Calling behalf of my father, who recently was diagnosed with mesothelioma. I was interested to hear on your podcast the approach taken with these really rare types of cancer, in this case, mesothelioma. I believe that sarcoma is the branch he has. I know cancer is technically not curable, but what's the approach you take in this scenario? Thanks. I appreciate the work you're doing.

Speaker1:
And this is a great question. And the simple answer is that we do exactly what we do for other types of cancer. We cast a wide net using any and all treatments that we have good data for to target as many different cancer specific pathways as possible. Using mesothelioma as an example, we know that there are several different types of chemotherapy which have been shown to have a good effect against this type of cancer. So we would absolutely use chemotherapy, ideally using two or three different chemotherapy agents, which each work in a slightly different way to attack the nucleus of cancer cells. Now, this targets the genetic mechanism, but we can't forget other pathways. And again, just to reiterate, we're talking about using chemotherapy in what we call fractionated metronomic fashion. So that means we're using smaller doses of chemotherapy given more often. And in my office, we we give chemotherapy 2 to 3 times a week, usually three times a week, using two or three different agents each time. And of course, we administer that using IPT instantiation therapy. And in some situation, therapy is great because we're taking advantage of cancer's desire for sugar. And so we use insulin to lower the blood sugar safely. We give our chemotherapy agents and then we gradually raise the blood sugar back up to a more normal level using intravenous dextrose, which is basically IV sugar. And so by doing that, we believe that we're better targeting the chemotherapy to the cancer cells where we want it to go rather than to the normal healthy cells.

Speaker1:
And so this is a targeted treatment. We feel that the lower dosing actually goes farther because we're targeting it better. So when I say chemotherapy, of course, I'm talking about doing it that way. And as I've mentioned in previous episodes, chemotherapy given in smaller doses, more often in a more targeted fashion has a few advantages. Of course, you know, lower doses of chemo given more often actually stimulates the immune system rather than harming it and bottoming it out. But it also allows us to keep consistent pressure on the cancer, because we know when we give a dose of chemotherapy, we're not going to kill all the cancer cells in one dose. And that's certainly true with full dose, conventional chemotherapy as well. Some cells are going to be actively dividing and those cells are going to respond and be harmed by chemo. But plenty of cells, cancer cells, are not going to be actively dividing and chemo is not going to touch those. And so with a normal regimen where you're talking about giving chemo every two or three weeks on average, well, there are a lot of cells you're not going to be able to hit and then you're waiting a few weeks. Those cells may not be actively dividing then as well. Plus, the cells that survive are going to have a chance to mutate and possibly become resistant to that treatment when it's given again. And so with the lower dose and given more often, we're keeping steady, consistent pressure on the cancer cells. We're hitting these cells more often and we're greatly reducing the risk of cancer becoming resistant.

Speaker1:
So a lot of advantages to doing it that way. And plus, of course, we're we're seeing much fewer side effects that way. We just don't see the significant side effects with that method that you see with full dose conventional chemotherapy. So so that's the chemotherapy piece. But again, we have other cancer pathways we need to think about. So this is where we repurpose the medications can be really helpful. You know, these of course, are medications that were approved for one use and subsequent research has shown us that they actually have an anti cancer effect as well. So we know that most cancers use glucose, protein and fat for energy. So we strategically block these energy sources by using different repurposed medications as supplements. So for example, metformin, the diabetes drug as well as Berberine, which is a glucose lowering, you know, natural product, both of these are going to help block those energy pathways. The supplement DHEA can be effective here. We can use statin medications, which instead of using them to lower cholesterol, actually, instead of using those to lower cholesterol for cardiovascular purposes, we're actually using them to lower cholesterol and even glucose to an extent as well. Um, uh, to, to reduce available cholesterol for cancer, to build new cell membranes. And so that's an important medication for us to consider die per animal, which is a medication used in cardiovascular medicine to affect the way platelets, aggregate or clump can be repurposed. For our needs to affect the way amino acids such as glutamine are used by cancer.

Speaker1:
So of course, we're restricting the amino acid methionine by eating a low methionine diet. And so these are all strategies and just examples here, but strategies that that that we use to affect cancer in terms of the way cancer cells obtain energy. And then certainly we're eating a well rounded plant based diet to provide the body's healthy cells with all the fuel that they need to do their job. Because we can't just focus on cancer. We have to think about the body as a whole, as a connected unit. And so so then of course, moving on from there, we must target some of the cancer specific growth factors. And so these are things like VEGF and various matrix, metallo, proteases or MPs. These are growth factors that stimulate cancer to grow and divide. So we block them via several different approaches. Di Protocol mentioned earlier as well as aspirin, they target a few of these. The drug midazolam, which is approved to treat pin worms, has been shown in studies to have anticancer activity by targeting some of these as well, which specifically have been dissolved, is going to affect the way cancer cells line up their genetic material and actually divide. So if we can disrupt that cell division process, then then we're way ahead of the game. So more examples off the top of my head, the blood pressure medication, propranolol. It's a class of drugs known as beta blockers. We know that they are helpful to lower blood pressure.

Speaker1:
Well, it turns out that propranolol target some of these growth factors as well. So as you can see, we have a lot of effective options when it comes to using repurposed medications in our fight against cancer. Conventional oncology is leaving a lot on the table by only using the big three of chemotherapy, surgery and radiation. So those are some specific anti cancer strategies that I believe every every good protocol includes. And of course, integrative oncology. We always do that. But then next we must think about the immune system. We know that cancer arises from healthy normal cells. So the immune system has a harder time seeing cancer as far and it's not as simple as the immune system spotting something like a bacteria or a virus that's clearly foreign and clearly doesn't belong and in eliminating it. Instead, cancer is viewed by the immune system as self. So this is why they're saying that cancer is an immune system problem is very misleading and I would say it's incorrect. Simply strengthening the immune system isn't the answer. Rather, we must help expose cancer to the immune system. So in my clinic we use something called calcium, which is a natural compound which helps remove cancer's cloak. So we thereby expose that cloaking that cancer likes to do to hide it from the immune system. We, we, we remove that that shield and the immune system can see cancer better. So calcium is very important for helping us to do that. And then we also enhance the immune response by using things like mistletoe, vitamin D, lymphatic drainage therapy to name a few.

Speaker1:
So we aren't merely strengthening the immune system, but also educating it to better see cancer so that it can be eliminated. And of course, another example of this is immunotherapy, where we're using medications to also help the immune system see certain aspects of cancer. The drug Herceptin is a great example of this. We use Herceptin in my practice in patients who have what's called HER2 new positivity. So their cancer cells are showing a HER2 new receptor. And we know that Herceptin can help the immune system see that receptor and go after those cancer cells that express it. So this approach is really that I mentioned earlier with with the chemotherapy in a strategic way, the repurposed medications, the immune system support, this is really going to be the same not only for rare cancers, but also more common cancers as well. The details are obviously adjusted for each patient based on subtle differences between individual cancers as well as each patient's unique biochemical individuality. But the general approach is going to be the same, and there are obviously other aspects to effectively treating cancer, including rare cancers like your dad's. But I hope this has been helpful to give you an idea of the various tools we have in our toolbox. I'll be praying for your dad. Our next question is from Cindy Dowell calling from Maryland. Cindy is a breast cancer patient who recently underwent right mastectomy and also recently met with her oncologist to discuss a treatment plan.

Speaker2:
Hi, Dr. Stegall. My name is Cindy Dell and I'm calling from Maryland. I am a current breast cancer patient and recently had a full right mastectomy and also recently met with my medical oncologist to discuss treatment plan moving forward. I'd like to get a second opinion, if not a third, but I'm having a real difficult time trying to get that scheduled because of the coronavirus edicts in place at different hospitals and centers near me. Most aren't scheduling second opinions until as early as July. I don't believe I can wait that long. But if cancer isn't scary enough, it's even more scary going into a treatment plan without being fully comfortable with that plan. Do you have any recommendations of how to get a second opinion during this time?

Speaker1:
So, Cindy, great question, and I want to applaud you for doing your research and getting the information you need to make a decision regarding your next steps in treatment. As you mentioned, the COVID situation has created a lot of confusion in the medical system. Your experience is unfortunately common with many facilities not conducting new patient visits due to the pandemic. I would encourage you to push for a telemedicine or a telehealth visit if you can. These are fancy names for consultations conducted by telephone or ideally via video conferencing using a platform such as Zoom. In my office, we've done a lot of Zoom calls lately so that patients can still have a consultation without having to leave their home and travel. So I found that this works perfectly for an initial consultation when the main objectives are reviewing your case, getting to know you, and providing a recommendation for treatment. I feel like most oncologists are willing to do this, especially right now during the pandemic. If you're having trouble finding someone who will do that, I would encourage you to just keep looking. Many of us have maintained our busy practices throughout the pandemic. It's just taken some creativity to shift consultations from in-person, which is admittedly my preference to a platform such as Zoom. So I hope you were able to get the information you need. But if not, please let me know if I can help. God bless you. I'll be praying for you. Our next question is from Patricia, who is 30 years old. She was diagnosed with a very large, complex ovarian cysts about one year ago. Surgery was done to remove the ovaries and fallopian tube on that side, and it was found to have a very small amount of cancer inside it. The diagnosis was stage one, a ovarian cancer. Her oncologist did not recommend any further treatment since surgery was considered curable. Patricia asks if her situation requires chemotherapy, in my opinion.

Speaker2:
Hi, Dr. Stickle. My name is Patricia and I'm 30 years old, and about a year ago I had a very large, complex ovarian cyst that was originally biopsied during my surgery to have it removed because it was about £10. The original biopsy was completely benign. Just I'm using a cyst. But then when they cut through and sliced and diced everything they found about a pinky nail of a borderline tumor, and then at the microscopic level, there were cells with dysplasia or whatever they call that. So basically I was given a one, a ovarian cancer diagnosis because of that, even though there was no visible cancer. So all of that was removed. And my oncologist from a university research hospital where I had my surgery done did not recommend anything further. So there was no chemotherapy. There was no further surgery. I just had that one ovaries and fallopian tube removed. And she said it's considered like a curable form of ovarian cancer. It's not the typical kind that I read statistics about. Anyways, I had listened to your podcast how you recommend chemotherapy for almost every single patient, and I was curious your thoughts in this kind of a scenario.

Speaker1:
Patricia Great question. I know it probably seems like I recommend chemotherapy for just about everyone, but your case is an example of a case in which I don't think your chemotherapy is needed. It's a real blessing that the cyst led to the cancer diagnosis because it was certainly caught at a very early stage. The guidelines for your low stage cancer are surgery, followed by monitoring. Now I would be very proactive with monitoring. In your case, the tumor marker CI 125, which can be obtained on a routine blood test, is often elevated in ovarian cancer. But if you're my patient, I would check it every six months or so for at least the next few years. Now, this marker is not always elevated, especially in lower stage cancers. So it won't surprise me if your say 125 is in the normal range, but I do think it's important to establish a baseline for this so that if you do see an increase, especially if it bumps to an elevated level, that you'll be able to seek appropriate workup for that. Now the other thing I recommend that you get is called an IV gene test, IVI, G and E. This is a lab in the US which does a blood test to measure circulating cancer DNA in the blood. Now, I anticipate this may be in the normal range for you as well on IV Gene, simply because in both cases with IV gene and CA 125, you know, we're measuring these little small fragments that typically are going to be spilled out when cancer grows and divides.

Speaker1:
And having a low stage cancer like you do, there may not have been any excess material released. But I think, again, it's important to get a baseline just to really see with both K 125 and IV gene, see if you have an elevated level. If you do, obviously it tells you that there is some cancer activity there that wasn't detected before, but most likely they're going to be normal. But again, it establishes a baseline and it gives you something that you and your doctor can follow over time. So just to remind you, these are not diagnostic tests, but I do think they can be very helpful for monitoring, especially in the instance that the numbers rise. If they do rise into an elevated level, then that would tell you that something's going on and you need to do a further workup, whether that's imaging or additional lab testing. But by monitoring these things now, it puts you in a position of being proactive rather than reactive. So I certainly recommend regular gynecology visits for you as well, an exam by your gynecologist, you know, to just to feel for any any enlargement on the opposite side. So they can they can do an exam and see if the ovary that remains is enlarge. That would be helpful. Again, this exam isn't likely to detect. A small tumor there. So I think an ultrasound in that area would be helpful as well.

Speaker1:
So if your gynecologist is willing to do a screening pelvic ultrasound yearly, that would be great, especially along with some testing like the K 125 and IVIG would be even better. But Ivy is its own specialty lab, and so this isn't something that can just be ordered through lab requests. So it would have to your doctor would have to be willing to have an account with with IV gene and then draw that test. But I do think it would be helpful. Now, please keep in mind my recommendations for you aren't the standard of care, and obviously you aren't my patient. So I you know, this shouldn't be considered medical advice. But again, I'm just I'm just letting, you know, just hypothetical patient. Here's here's what I would do in that situation, just so you kind of know the way I'm thinking. So even though these recommendations for these specific lab tests and ultrasound aren't the standard of care, I do think they're an aggressive approach and a proactive way to monitor your case, given your history, so that you're really on top of things. And other than that, I'd focus on cancer prevention, nutrition, stress reduction, exercise, getting outside, getting sunshine, staying well hydrated. These are all important things you need to do as well. So chemotherapy would not be appropriate in your case. Hope that's helpful. And thank you again for your question. I'm praying for continued success for you. Thank you all so much for your questions.

Speaker1:
This episode concludes our third season of the Cancer Secrets podcast. I just want to say a special thank you to all of you, all of our listeners. Over these past three seasons, we've had nearly 50,000 downloads from over 100 different countries. So our message of integrative oncology is reaching people, and I consider it an honor to share what I've learned and what I do with each of you. And so we've had some excellent shows already, and I know that you found them beneficial because I receive feedback regularly with, with, from, from listeners just saying thank you so much. This has been helpful. So, so I'm proud of what we've done to this point and I'm really excited about what lies ahead. We have some excellent shows planned for season four and I can't wait to share them with you. So thank you again for being a loyal listener. As always, please subscribe to the Cancer Secrets podcast if you haven't already to be notified when new episodes are released. Please. If you if you have a family or friend who needs to hear this information, please share this with them. And if you're enjoying these podcasts, please take a minute and provide a review on iTunes or wherever you listen to podcasts. Thank you so much. It's an honor to get to do this with you. And as you know, all previous episodes are available for free on our website at Cancer Secrets dot com. Thank you again. We'll talk soon. Bye bye.

Speaker4:
Oh.

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