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Shopping Receipt Is Accused of Containing Toxic Bisphenol A Which May Be Carcinogenic in the Long Run | Cancer

August 17th, 2010 annie No comments

According to foreign media reports, the U.S. environmental group Environmental Working Group (EWG) found that not only sales receipt but printed receipt from ATM contains toxic chemical substance bisphenol A. Even if through contacting receipts, bisphenol A can enter human body through our skin. Long-term exposure to bisphenol can disturb seriously the human endocrine secretion and even cause cancer.

This group claimed that they collected receipts from Wal-Mart, McDonald’s, KFC, chain

shopping receipt is accused of containing toxic bisphenol a which may be carcinogenic in the long run cancer

shopping receipt is accused of containing toxic bisphenol a which may be carcinogenic in the long run cancer

supermarket Safeway, Starbucks, Bank of America and other well-known commercial bodies in 7 states and the Washington area and then submitted these receipts to the University of Missouri Biological Sciences Research Laboratory .

Researchers pulled out 36 receipts and figured out that 40% of them contained excessive bisphenol A. In addition, the content of bisphenol A in receipts is 250 or even 1000 times higher than that of goods like canned milk powder containing it. Among them, the content

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receipt, enterpri, problem, mcdonald, store, branche, seriou, station, sale, retailer, expo, brea, shop, office, stuff, adult

of bisphenol A in receipts of McDonald’s, KFC, Wal-Mart, Safety and other enterprise receipts is the highest.

However, EWG also noted that the amount of bisphenol A contained in receipts of different branches of the same chain enterprise makes great difference. For example, the content of bisphenol A in receipts of a KFC in Maryland is as high as 10.62 mg while that of another branch KFC in Iowa is only 0.0001mg.

The report pointed out that it is caused by different thermal paper used by di

Category › Cancer

Title › Shopping Receipt Is Accused of Containing Toxic Bisphenol A Which May Be Carcinogenic in the Long Run | Cancer

fferent branches. Some manufacturers are dedicated to produce thermal paper without bisphenol A.

Bisphenol A, a kind of environmental hoemone, can be commonly found in plastic products. The epoxy resin inside food containers is made of bisphenol A which may pebetrate into food and absorbed by human body. Some researches figured out that BPA is related to Hormonal problems, breast cancer, prostate cancer, obesity, hyperactivity disorder, abortion and other reproductive system problems.

The report claimed that the usage of the toxic substance bisphenol A in thermal paper makes it widely contacted by people through retailers, grocery stores, convenience stores, gas stations, fast food shops, post offices and ATM.

Wipe test of receipts show that our skin is contaminated bisphenol A by contacting receipts. However, scientists haven’t figured out how many bisphenol A contaminated on skin will enter into human body by now.

EWG says that obviously bidphenol has become a serious hazard for customers. And those people like cashiers who contact receipts usually in work are at great risk. The content of bisphenol A in the body of retailing stuffs is 30% higher than that of other adults.

 

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Can Too Much Sun Kill You? | Cancer

August 16th, 2010 annie No comments

It is a widely agreed-upon theory that too much sun exposure can cause skin cancer. Just as sitting outside in the sun for hours upon hours can damage and distort the DNA skin cells, allowing the body to become more susceptible to skin cancer, indoor tanning can do just the same thing. Your chance of getting melanoma increases by seventy five percent if you have had excess exposure to the UV radiation that is emitted from indoor tanning facilities. In addition to being a catalyst for ski

can too much sun kill you cancer

can too much sun kill you cancer

n cancer, this can also lead to premature ageing, immune suppression, eye damage, cataracts, and ocular melanoma.

Contrastingly, it is better to tan out beneath the real sun, as many studies have concluded that sunshine can offer vitamin D and even lower some cancer mortality rates, improving the body’s immune system.

However, too much sun is still extremely dangerous and can certainly cause melanoma and skin cancer. Melanoma only occurs in sun-exposed areas, like the arms, throat, neck, sh

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expo, cell, inten, dangerou, increa, area, chance, hour, alway, applicationalway, lamp, becau, sunglae, precaution, part, shadealway

oulders, face, causing the skin to often become darkly pigmented or to ooze, bleed, itch, or experience pain or tenderness. The skin cells get damaged and mutated by the exposure to the sun, making your chance of getting skin cancer far greater if you spent a lot of time in the sunshine.

There are ways to prevent skin cancer and melanomas and all of them regard taking precautions against the sunshine. To avoid increasing your chances, avoid the sun between 10 in the morning and 4 in the aftern

Category › Cancer

Title › Can Too Much Sun Kill You? | Cancer

oon. That is the time the rays of the sun are most intense and most dangerous. Always seek shade and try to stay in the shade as often as possible of you are outside. Follow the shadow rule that says that if your shadow is shorter than you, the sun’s rays are most intense and that is the time you need to make sure you are in the shade.

Always cover up when you go outside with as much clothing as the weather will permit. Try to wear clothing that is not see-through so that it is more effective in blocking out the sun’s rays and protecting your skin. Always wear sunscreen to avoid the harshness of the sun on areas of your face that you cannot cover up. It is a proven fact that the sun’s rays can cause melanoma and or skin cancer on your face and neck and other areas that are frequently exposed to the sunlight. Thus, wear a hat with a wide brim to protect your eyes and face and cover up any exposed parts with sunscreen application.

Always wear sunglasses when out, especially ones with UV absorption to protect your eyes from the harmful rays of the sun. Know that even on cloudy days, the sun’s rays can still affect you and can still distort the cells in your skin, increasing your chances of melanoma.

Avoid tanning beds and sun lamps, as they have been proven to be even more dangerous than the sun because of their intense and concentrated UV radiation and ability to attack your skin cells and cause you to contract the disease with greater ease.

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TRAUMA: AN IMPORTANT EXCITING CAUSE OF CANCER | Cancer

August 15th, 2010 annie No comments

TRAUMA:  AN IMPORTANT EXCITING CAUSE OF CANCER

 

  A teenager got his left hand’s finger traumatised while cutting vegetable with a kitchen knife.  After some time, a big hard swelling developed on his left upper arm.  Doctors in a govt. hospital diagnosed it to be a case of caner and advised the parents of the amputation of the arm.  The parents did not agree to the advice.  They took the boy to a quack.  He is said to have incised the swelling and sprinkled a mixture of so

trauma an important exciting cause of cancer cancer

trauma an important exciting cause of cancer cancer

me toxic ingredients on the wound.

 

  Subsequently, either due to the action of toxic substance or the spread of the disease, the whole limb got enormously swollen and oozed abnormal serous discharge, the arm looking like mummy.  Meanwhile, the parents consulted physicians of other alternative system of medicine but of no use.  The progress of the disease after the incision was so rapid that the development of hard nodular swelling itself was an indication of advanced stage of the disea

Terms

traumati, diagno, brea, symptom, alway, change, gene, year, tiue, patient, doctor, sciou, biop, oncogene, jack, irrever

se pathology.  The boy died within 6 months after inflicting injury to his finger.

 

  Another teenager, while driving a motor cycle, was suddenly stopped by some lads in a city market to offer him “Sharbat” on a religious day.  He could not control the vehicle and fell down.  His visceras were severely traumatised.  Splenectomy was performed.  He had bled profusely and could be saved by giving heavy blood  transfusion only.

 

  About 10 years after the said incident, the boy

Category › Cancer

Title › TRAUMA: AN IMPORTANT EXCITING CAUSE OF CANCER | Cancer

developed a pain like that of Appendicitis and got his appendix removed by a private surgeon.  After that a couple  of months of  the appendectomy, there appeared to be a big nodular swelling of lymph node on the right side of the neck  of the patient.  On detailed investigations, doctors found carcinoma of right kidney as the cause.  Nephrectomy was done at a medical college hospital, after which the swelling subsided but ultrasound report showed infiltration in the surrounding visceral lymph nodes and the liver.

 

  The patient started having low-grade fever some time after nephrectomy, which could not subside even by antipyretics prescribed by the concerned doctors.  The other day, temperature rose to 104 degrees Fahrenheit.  The patient also felt cramping pain in the belly.  The attendant consulted doctors of alternative system of medicine who though brought down the temperature and pain but the patient meanwhile developed severe Jaundice, Ascites, loss of appetite, nausea, and vomiting.  For tapping of ascetic fluid, the patient got admitted in the hospital quite often.  Meanwhile, the patient became very weak and remained in moribund condition for some days and then died.

 

  Mr. Rajja Pahalwi, the late Shah of Iran, some time after his deportment developed cancer.  He seemed to have got a severe shock, rather traumatised due to the manner, he was dethroned and deported to an alien country as a refugee.  In spite of the best available treatment which the Shah might have got, he died of cancer.

(As reported in media)

 

  Begum Nusrat Bhutto, widow of the former Pak P.M. Zulfiquar Ali Bhutto, developed cancer soon after her husband was hanged to death.  She might have been tormented during her husband’s trial and hence got traumatised.  Soon after the ailment was diagnosed as cancer, she was treated successfully.  She had been very much active in public life until a few years ago and is still leading a normal life.

(As reported in media)

 

  The late cine artist, Sanjeev Kumar (Hari Bhai Jariwala, Mumbai, India) was a bachelor whole life.  He was very much attached to his mother, who always wished him to marry.  But Sanjeev Kumar could not find the lady of his choice.  His mother died without her cherished desire being fulfilled to see her “Bahu”.  Mr. Kumar might have got a shock on 2 counts, first he could not fulfil his mother’s wish and 2, he could not marry the woman whom he loved most.  This mental trauma could have been the cause for Kumar developing cancer.  He died despite the best available  treatment, which he might have received.

(As reported in media)

 

  Then there is a case of a lady who was of 50+ age.  She was suspected cancer of bowel but could not be diagnosed so as she refused to undergo the biopsy test for confirmation.  Instead of going in for pathological investigation, she chose for an alternative system of medicine.  As luck would have been, she got ri

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New Discoveries in Cancer Treatments Offer More Options | Cancer

August 12th, 2010 annie No comments

According to the World Health Organisation the number of cancer deaths worldwide could double by 2030 to reach 13 million. Patients who are suffering from lethal types of cancers, like brain, lung, liver, ovarian and pancreas, do not respond well to existing therapies. This is bad news. However there is good news too. Recent discoveries in cancer treatments are raising more hope for researchers as well as patients.

Cancer experts who met at the annual meeting of the American Society of

new discoveries in cancer treatments offer more options cancer

new discoveries in cancer treatments offer more options cancer

Clinical Oncology last month were encouraged by the recent victories in treating cancer. Instead of the conventional way of standard chemotherapy, new therapies are taking a bigger role in targeting key tumour functions and destroying the cancer cells by boosting the immune system.

Patients with advanced or metastasized cancers, with limited treatment options, have shown increased rates of survival. Researchers have discovered that an experimental drug, ipilimumab, can extend the lives of pat

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patient, brea, searcher, cancer, vaccine, cell, week, type, therapie, tumour, increa, scienti, cycle, impede, infection, death

ients suffering from advanced melanoma, a deadly form of skin cancer that is increasing at a faster rate than other types of cancer.

Crizotinib, another experimental drug, was also shown to shrink tumours in advanced lung cancer patients.

Patients of advanced ovarian cancer have shown good progress in clinical trials of Avastin, a drug that cuts off supply of nutrient-rich blood to the tumours.

The life expectancy of men suffering from advanced prostate cancer can be significantly improved

Category › Cancer

Title › New Discoveries in Cancer Treatments Offer More Options | Cancer

by adding radiation to hormone deprivation therapy. Researchers are able to produce cancer vaccines that are more effective by using a common diabetic’s drug known as Metformin. They discovered that this anti-diabetic drug works better by boosting the number of cancer fighting T-cells. These T-cells have immunological memory and can fight off a tumour that might occur later.

This discovery could revolutionise current strategies for therapeutic and prophylactic vaccines. Therapeutic vaccines are meant to treat illnesses that have already occurred and can be developed to treat many types of cancer including breast, prostate and lung.

Prophylactic vaccines are designed to prevent diseases from developing in healthy people, and can be developed to treat liver and cervical cancers.

In Singapore, scientists have discovered a way to halve chemotherapy costs for advanced breast cancer patients by using a $9 anti-fungal drug meant for dandruff and athlete’s foot infections. Scientists at the Cancer Science Institute of Singapore found that Ketoconazole, the anti-fungal drug, complements chemotherapy treatment as it impedes an enzyme in the body from breaking down a drug used to treat cancer.

Chemotherapy treatment uses a drug known as Docetaxel to treat breast, stomach, lung and prostate cancers. Patients undergo a total of four cycles, each cycle once every three weeks and this cost between US$1300 to $1800. Using Docetaxel together with Ketoconazole, the concentration level of the chemotherapy was reduced by 40 per cent and in turn halving the cost while maintaining the desired results.

In a separate trial done recently involving 2000 women from nine countries, it was found that a single dose of radiation during surgery was just as effective for breast cancer patients as receiving weeks of radiation.

This new technique, called Targeted Intraoperative Radiotherapy, could save patients many weeks of post-operation radiotherapy that can include 20 or 30 visits to hospital. It also reduces damage to organs such as the heart, lung and oesophagus from radiation exposure. Although this new technique was applied to women with a similar type of breast cancer, researchers were excited by the findings.

Hopefully before the end of 2010, there will be more great news for cancer patients. Stay tuned.

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Dealing Cancer Without Drugs | Cancer

August 11th, 2010 annie No comments

Relating meditation, feelings and family’s support and information regarding the condition you’re dealing with.

Immediately after being clinically proven to have cancer, the initial thing to try and do is always to minimize the discomfort it affects our brain to be able to make correct decisions on the best way to recover. In order to attain a balanced emotion, you must apply several means and approaches that might be healing. There are certainly four aspects you must take into consi

dealing cancer without drugs cancer

dealing cancer without drugs cancer

deration: meditation, prayer and visualization tactics; emotional expression; family’s assist; and ken of tress. Each and every of these is crucial aspect each time dealing with cancer.

1. Meditation, prayer and visualization technique

Thoughts and system are related in such a way that they seem inseparable. Every time 1 isn’t in a good condition, a single is also affected. Let us take for instance, if your thoughts says you aren’t feeling nicely anymore so it suggests that the cancer has

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feeling, thought, family, sugge, forum, relative, expreion, view, senberg, optimi, month, member, inten, shou, offer, diagno

spread already. The top issue to perform would be to secure a quite peaceful and relaxing atmosphere to drive away the negative elements. According to studies, medication and prayer are powerful tools to fight against any illnesses. 

2. Emotional expression

Feelings are immeasurable stock of feelings as well as thoughts. We could have smooth feelings from time to time and you will discover also times when we sense so shaky. Emotions convey themselves via our muscles and bones which could g

Category › Cancer

Title › Dealing Cancer Without Drugs | Cancer

enuinely grab our attention. Examples of this kind of are tightening of our stomach, hearth’s weight and lump in our throat.

Our quite personal human body conveys what we think and our feelings are the item of what are our mental and physical conditions are. Discomfort and other unease sensations are signs of deep problem inside our system, thus it motivates us to dig up and go on healing method.

3. Relatives service

Every time any of a relatives member is heading by way of a critical illness like cancer, it really is expected that loved ones members will meet together to show their moral as well as financial support. It’s pretty good to experience that our family is there to share the pain we are feeling of. Although in other household, upon hearing the word cancer, it would intensify the tension and discomfort that they really feel. Often the disease could unite the broken loved ones and could even make very much closer to those closely tied loved ones.

Household gathering immediately after the primary months of diagnosis is extremely suggested to discuss and offer wholesome forums and expressions of hope and optimistic views. Marshall Rosenberg’s book offers practical guides to develop a nonviolent communication skill. It may well be so odd but we also have to take advantage of cancer’s bet to deepen the ties with our family and pals and realize how gorgeous existence is.

4. Knowledge

The information on the cancer you could have is really a fantastic tool to empower yourself. It truly is just a state of mind. Must your state of thoughts can be a bit old then you would be passive enough acquiring passive treatments from your specialists on white coat. It really is significant to ask and challenged with the doctors regarding the crucial procedure with the treatment. Seek any reliable sources of details. Going to a medics library is even fine. You possibly can also visit the web to surf some beneficial necessary information and participate on forums. But don’t forget to be fair and have a balanced outlook.

Healing needs perseverance, flexibility and open mindedness. Track your journey and see how your new experiences provides you facts to deepen the wisdom of life.

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Endometrial Cancer and Oral Contraceptives | Cancer

August 11th, 2010 annie No comments

Endometrial cancer occurs in the uterus, or the small, pear-shaped organ that is part of the female reproductive system. The uterus is a hollow organ that cups the fertilized egg and later stretches to hold a growing baby. When the cells lining the uterus become mutated and malignant, it is called endometrial cancer, or uterine cancer.

Although this cancer occurs in and around the uterus, doctors refer to it as endometrial cancer because it affects more than just the lining of the uter

endometrial cancer and oral contraceptives cancer

endometrial cancer and oral contraceptives cancer

us. It can also attack nearby muscle or myometrial cells. There are about 43,500 new cases of endometrial cancer and almost 8,000 related deaths each year, but thankfully, this cancer is easily detectable and is often caught early.

There are several early warning signs of endometrial cancer that can help you realize that you need medical attention. These symptoms include:
-Bleeding after menopause
-Abnormally long periods
-Spotting between menstrual cycles
-Abnormal vaginal discharge
-Pelvic

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uteru, contraceptive, drug, problem, occur, cell, decrea, searcher, woman, year, seriou, william, adver, emboli, effect, medication

pain
-Pain during intercourse
-Weight loss

Interestingly, several studies have found a correlation between the use of oral contraceptives and the reduction of endometrial cancer cases. Researchers have found that oral contraceptives actually reduce a woman’s chance of developing this malignancy, and the longer you take the birth control drugs, the more the risk decreases. Additionally, this protection can extend years after you stop taking your birth control medication.

However, not all birt

Category › Cancer

Title › Endometrial Cancer and Oral Contraceptives | Cancer

h control drugs are made the same. While this can help you find the best pill for your body, it also means that some medications come with different health risks and side effects. YAZ, Yasmin, and Ocella are three such oral contraceptives that have been linked to serious health problems such as heart attack, stroke, and pulmonary embolism.

If you have suffered from any major, adverse health problems as a result of taking YAZ, Yasmin, or Ocella, you should fight back against this pharmaceutical negligence. To join the YAZ lawsuit, contact a YAZ lawsuit attorney from Williams Kherkher today.

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Find Skin Cancer Support At Skin Cancer Resource | Cancer

August 9th, 2010 annie No comments

To Find Skin Cancer Support is an important part of battling the cancer itself; an effective plan and support system can make the difference between a successful remission and non-successful outcome. Skin Cancer Resource’s mission is exactly that; to offer Skin Cancer Support to diagnosed patients as well as their friends and family, or anyone one touched by this difficult condition. The website is a one-stop information pit about anything related to skin cancer, from prevention, sympto

find skin cancer support at skin cancer resource cancer

find skin cancer support at skin cancer resource cancer

ms and treatments to research, survivor stories and of course, support options and plans.

Skin cancer is a terrible condition that can easily degenerate in an even more serious situation. Many patients feel overwhelmed by the news of a skin cancer diagnosis and do not know who to turn to or how to react to this afflicting news. Skin Cancer Resource acts as a support system of patients, as well as their friends and family, to offer all the possible information on the condition as well as what t

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patient, diagno, group, foundation, friend, brea, individual, symptom, offer, page, sion, sting, increa, tremendou, scue, plea

o do and who to talk to when in need of support. Breast Cancer Resource offers plenty of information on where to Find Skin Cancer Support so that you don’t feel so alone and overwhelmed while battling your cancer.

Skin Cancer Foundations, for example, are a great place to Find Skin Cancer Support for patients. Awareness groups and foundations, whether it is an online forum or a local support group, will allow you to meet other patients afflicted with the same type of condition. Patients can s

Category › Cancer

Title › Find Skin Cancer Support At Skin Cancer Resource | Cancer

hare their experience and the mutual feeling of being a team facing cancer instead of being alone can be greatly beneficial for patients. Members of those support groups include anyone diagnosed with breast cancer including newly diagnosed individuals to patients who have been battling the condition for years. Discussing and talking with individuals sharing the same experiences can help you understand what is happening with your body and know that you can be optimistic about the future. To Find Skin Cancer Support through local or international support groups will offer you emotional support as well as assistance with any questions you might have regarding travel decisions, money, insurance, etc. as well as any information you might need regarding your cancer. Your doctor can recommend good support groups, but most foundations can usually be easily found through the yellow pages or internet listings.

Skin Cancer Resource is convinced that armed with the right information about skin cancer, you will greatly increase your chances of a brighter outcome and future. The website offers tremendous amounts of information including prevention tips and a comprehensive symptom list, to help diagnose the condition early. Skin Cancer Resource also discusses the importance of Finding Skin Cancer Support for you and your family and friends as a great way of battling the cancer with all the necessary support.

To find out more about Skin Cancer Resource or to get more information about Skin Cancer prevention, symptoms and support, please visit Skincancerressource.

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Taste and Smell in Cancer | Cancer

August 4th, 2010 annie No comments

The Cooking with Cancer Concept:

Taste and Smell in Cancer

Luis F. Pineda, M.D., M.S.H.A

Taste and Smell in Cancer

Introduction

With the aging process and prolongation of life, cancer is, and will continue to be, a major health issue. One of many, not the least important, yet critical problems, is the ability of patients with cancer to support normal nutrition.

Basic assumptions are that cancer, a state of abnormal cellular behavior, imposes a catabolic state on the individua

taste and smell in cancer cancer

taste and smell in cancer cancer

l.

Documented further by recent technological development of the PET scan, we are able to obtain images of cancer cell locations on the basis of the incorporation of radioactively labeled glucose as the result of their hyperactive metabolism. If the individual is unable to keep up to the demand on the basis of incorporation or intake of nutrients, then malnutrition and weight loss ensues. There is a possible participation of endogenously released cytokines such as Interleukins or a tumor necro

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receptor, patient, change, pepper, univer, increa, sation, cell, tran, effect, impul, plea, level, time, food, becau

sis factor.

Additionally, the cancer treatment modalities of today are causes of substantial changes to taste, smell, and appetite by either psychological trauma, neurochemical changes or inflammatory cytolytic damage to the mouth, nose, or gastrointestinal tract. Things are further worsened by cancer therapy complications, including infection, nausea, and vomiting.

Palliative modalities of pain control, use of narcotic pain medications such as codeine, morphine and analogs, which directly a

Category › Cancer

Title › Taste and Smell in Cancer | Cancer

ffect the central nervous system (limbic system), affect the function of the gastrointestinal tract causing severe constipation, nausea and vomiting. Most culinary literature available addresses these issues by attempting to minimize the smell of preparation, the temperature, and color. By this, I mean, historically it was recommended to consume white, cold, and non smelly foods versus hot, red, and smelly foods. By garnishing and coloring the food we can now impact the taste and intake and create appeal.

Most nutritional literature available addresses these issues by the drastic use of involuntary nutrition such as total parenteral nutrition or TPN, tube feeding via gastrointestinal infusion through nasogastric or percutaneous endoscopicly placed gastric tube (PEG). All of these are unappealing and excessively expensive interventions. The use of high calorie oral supplements such as puddings, bars, and boosters have failed despite their easy availability. This failure is due to patient intolerance, mostly because of the high carbohydrate content, which makes the products excessively sweet.

Appetite stimulants such as Marinol® (tetrahydrocannabinol) or Megace® (megastrol) have the disadvantage of causing mental status changes and sedation. They are exceedingly expensive, or in the case of Megace, there is an inability to use it in cases of hormone dependent cancers (ex. prostate cancer – a very common cancer in adult males). There is also the potential for abnormal blood clotting which is already heightened in cancer.

The management of cancer induced taste alteration should be aimed at maintaining optimal nutrition (Brodie 1998), but above all, quality of life.

Taste

Flavor is a complex mixture of sensory inputs (Smith 2001). Its components are gustation (taste), olfaction (smell, perhaps more important than credited), and tactile (mechanics of chewing). Traditionally described qualities of taste are sourness, sweetness, bitterness, and saltiness. Some others may exist, notably Umami, (Japanese translation “delicious”). This is most elicited by glutamate, an enhancer of taste commercially available as monosodium glutamate or MSG. In 1908, Ikeda from Japan, recognized it as the tasting chemical component of the brown algae soup Kombu. This Umami concept was developed by Chaudhari and Roper from the University of Miami in 1998. Loosely implying a “meaty” taste, this concept is still not widely accepted.

Most recent research has documented Umami receptors mediated via mGluR4 glutamate receptor, as well as mT2R8 denatonium receptors located in the mouth, glutamate related and cyclic AMP conducted via calcium channels. Sodium glutamate is a food enhancer that is very similar in taste to common cooking salt and definitely enhances the pleasantness of food by at least 50% or better at appropriate culinary levels (Yamaguchi, 1984). The main concern has been the flatulence and abdominal discomfort sometimes associated with it. It is blam

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