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Fighting breast cancer: What you can do to lower your risk

October is Breast Cancer Awareness Month. This is an annual international health campaign organized by major breast cancer organizations, with a mission to increase awareness and to raise funds for breast cancer research into the cause, prevention, diagnosis, treatment, and cure.

According to the World Cancer Research Fund International, breast cancer is the most common cancer in women worldwide, with nearly 1.7 million cases diagnosed in 2012.  Breast cancer is the second leading cause of cancer death, behind lung cancer.

More than 12% of women born in the U.S. today will develop breast cancer at some time during their lives. That means a woman born today will have a 1 in 8 chance of being diagnosed. In Ecuador, the annual mortality rate from breast cancer has increased by 42.9% since 1990, and is the third leading cause of death among women, with the highest incidence in women over 55 years.

There are identifiable risk factors for breast cancer, some you can change, and some you cannot.

What You Cannot Change

  • Sex: Most importantly, just being a woman is a significant risk factor, with less than 1% of all new breast cancers in men. Walter Willet, of the Harvard School of Public Health, was interviewed for Nutrition Action and said, “Breast cancer risk is related in part to the number of menstrual cycles a woman has … the cycles make the breast tissues multiply, and the more that cells multiply over a lifetime, the higher the risk.” Early menarche and late menopause raise the risk.
  • Age: Two-thirds of invasive breast cancers are found in women 55 or older.
  • Genes: You can’t change your family history, and knowing it can be advantageous in terms of screening. According to, mutations in the BRCA1 or BRCA2 genes can increase the risk for breast and ovarian cancer, among other cancers. However, they are rare, and health experts only recommend MRI testing if the person’s individual or family history indicates risk.  Read more here about risk factors and screening.
  • Age at menarche: Women who began menstruating before age 12 have a higher risk of breast cancer, and women continuing to have their periods until age 55 or older are at increased risk. A study in Cancer Epidemiology shows that breast cancer mortality has been increasing in Central and South America in the last few decades, and researchers warn that a decline in age at menarche, in Ecuador as well as other Latin American countries including Argentina, Brazil, Chile, and Colombia, is a major risk factor for breast cancer. Scientists link this phenomenon to the unhealthy aspects of the more prevalent Western diet, decreased physical activity, and resulting obesity.
  • Personal history: if you’ve had breast cancer, you have 3-4 times higher risk of developing a different cancer in the same or other breast.

What You CAN Change!

  • Your lifestyle. Maintain a healthy weight. Overweight, postmenopausal women are at higher risk than those who maintain a healthy weight for their height. Extra pounds promote cancer risk because fat cells store estrogen, and research shows that 80% of breast tumors are hormone-receptor positive.  Also, obesity is linked to higher insulin levels, which may also fuel tumors. Where you carry your weight can influence risk — those who carry more belly fat may have a bigger risk compared to “pears” who carry weight on their hips and thighs. Moms and Dads can help keep their children healthy by staying active with them, by demonstrating healthy eating habits and avoiding excess sugar, especially sugary beverages.
  • Smoking — the number one cause of lung cancer is also linked to breast cancer, especially among women who start before they have their first child. In the U.S., tobacco use is responsible for 1 in 5 deaths, and 50% of all smokers end up dying from a tobacco-related disease.
  • Dr. Willet says, “Alcohol is related to both premenopausal and postmenopausal breast cancer … the more you drink, the higher your risk.”  He’s especially concerned with teen drinking because the research suggests the earlier a girl starts to drink regularly, the bigger the risk — because alcohol raises estrogen levels. The American Cancer Society also reports that women who drink regularly and don’t get enough folate in their diet are at increased risk for breast cancer.
  • Exercise! Research shows that women who exercise regularly at a moderate or intense level, for 4 – 7 hours per week, are less likely to get breast cancer. That’s about an hour a day. Make it fun! Dance, rumba, salsa, walk, jog, bike, swim. Take a class that combines strength training with balance and flexibility.  It’s worth it.
  • Vitamin D. Besides necessary for absorption of calcium and bone health, vitamin D is an immunity-boosting vitamin, produced in your skin upon exposure to sunlight. Research suggests that low levels of vitamin D may contribute to higher risk for breast cancer. Only small amounts are available in foods, but before supplementing, it’s a good idea to get tested.  Read my column about vitamin D here.
  • Make your diet a live it! As reported in NBC Health News, research shows that women who ate the most inflammatory diet — heavy in red meat, sodas, sweet foods and white flour — were up to a third more likely to develop breast cancer in their 20s, 30s or 40s compared to women who consumed a more plant-based diets of green vegetables and whole grains. This is an associative stud and does not show that eating poorly as a teen causes breast cancer, but the researchers emphasize that food and diet is a factor that we all can control, and can do so deliciously.

According to the American Cancer Society, breast cancer death rates in the U.S. have been steady in women under age 50, but have decreased in older women. Why? Screening! Screening and increased awareness have increased ability for early diagnosis and treatments.

Ecuador’s Ministry of Health recently launched a campaign on breast cancer prevention aimed at raising awareness of the risks and importance of early detection to improve the outcome and survival. Launched on October 16th, mobile mammogram units are being deployed throughout Ecuador to test women. The Ministry of Public Health has a national strategy for cancer prevention and treatment, and reports that in the past five years, cases detected increased by 30%, and that nearly 40% of cancer cases could be prevented by modifying risk factors, including obesity, increasing fruit and vegetable consumption, increasing physical activity, and reducing alcohol and tobacco consumption.

I reached out to Dr. Gayle L. Abramson, board-certified radiologist and part-time Cuenca expat for her expert opinion. She advised, “For now, screening mammograms are our best option for detecting breast cancer, and for women who have been tested for the BRACA 1 or 2 gene mutation, an MRI of the breast could be indicated.” Dr. Abramson notes that the American College of Radiology favors annual mammograms starting at age 40, or earlier for those who may have higher risk factors. recommends, “Breast self-exam (BSE), or regularly examining your breasts on your own, can be an important way to find a breast cancer early, when it’s more likely to be treated successfully. Not every cancer can be found this way, but it is a critical step you can and should take for yourself.”  Read more here.


Andes. Agencia Pública de Noticias del Ecuador y Suramérica. Ecuador’s Ministry of Health launches campaign to prevent breast cancer.

American Cancer Society. About Breast Cancer.

American Cancer Society. Get Moving to Help Reduce Your Risk of Breast Cancer. Breast Cancer Risk Factors. Breast Self-Exam (BSE).

Latin America Current Events & News. Ecuador: Breast cancer leading cause of death for women.

National Cancer Institute. Breast Cancer.

National Cancer Institute. BRCA1 and BRCA2: Cancer Risk and Genetic Testing.

NBC News Health > Cancer. Bad Diet in Teen Years Could Raise Later Breast Cancer Risk.

Nutrition Action Health Letter. Breast Cancer Defense.

Cancer Epidemiology. Female breast cancer in Central and South America.

World Health Organization. Cancer.

The World Cancer Research Fund International. Breast cancer statistics. National Breast Cancer Awareness Month.

12 thoughts on “Fighting breast cancer: What you can do to lower your risk

  1. Wondering what the ‘market’ is for Susan’s articles. I think most expats are over 60….so many of the dangers have already been faced. One thing not mentioned is that the prevailing wisdom is for women over 70 to not get mammograms or not get them as often. I cannot disagree more. I’ve had a mammogram every year for over 40 years and I will not stop.

    1. Of course, Ms. Moon, you are one smart woman to take care of yourself. This person above is citing a disreputable non-science based huckster, whose mission is to sell products and to create a distraction from preventative methods that work. Of course, she is free to not get screened, and if she gets cancer, she’s also free to use non-effective methods to try and extend her life.

    2. mSv = Millisievert
      LD 50/30 = Dosage expected to cause death to 50 percent of an exposed population within 30 days.

      On average the total dose for a typical mammogram performed on a modern machine with 2 views of each breast is about 0.4 mSv.
      People in the world are exposed to an average of about 2.5 mSv (6 Mammograms) of radiation each year just from their natural surroundings.

      The LD 50/30 is 4 to 5 sieverts received over a very short period. (10 to 12 thousand Mammograms)

      Eight Sieverts (20,000 Mammograms) over a short time period is considered to be 100% fatal.

      Mammograms are absolutely safe and the benefit to risk ratio is gargantuan*. The only caveat is to avoid very old machines (> 20 years old). Digital Mammography was introduced in 2000. Those machines typically give the patient the lowest possible doses.

      * I always wanted to use that word…

      1. Yes, Mr. Nullman, but isn’t there some sort of strange radiation field down in Vilcabamba that throws your calculations off by 3 orders of magnitude?

        I’m nearly certain that detoxfake lives in Vilca.

  2. I see below a comment from someone who calls herself a “detox expert.” That’s a red flag, since there’s nothing valid about “detoxing” and in fact, I’ve written repeatedly about this fad. There’s no evidence that “detoxing” is going to cure anything, and you can detox naturally, since our bodies are designed to do that daily (lungs, kidneys, liver are all working together to keep us healthy, just don’t gunk up the works with dietary junk). But when you point to the entrepreneur Ty Bollinger as a reputable source of credible information, then all readers know that you’ve drunk the anti-science Kool-Aid. He is a conspiracy theorist, and paints all modern medicine with a negative broad brush, without citing any credible evidence. When you go to his website be prepared to pull out your credit card, because he’s multi-level marketing all types of potions, pills, salves, and programs designed to “cure” without evidence they do. The only thing Bollinger cures is an overabundance of spendable dollars. As my friend who wrote me to call attention to your post said, “The truth about the Truth about Cancer is that it is Untruthful, misleading and dangerous if followed.
    Ty Bollinger is just another in a long line of Hucksters. The people Bollinger interviewed are not the world’s leading doctors, but infamous characters whose non-science-based views are notorious. Read more here.

  3. I’ll try again:
    Ty Bollinger has been discussed ad nauseum and discredited, just like his associates, people like Burzynski, Mercola, Caton, et al.

    “More people die of chemo and radiation than actually die of cancer itself. Ask any long-term oncology nurse.”
    I’d like to see any peer-reviewed study that both confirms that as well as explaining it, since that would mean that either significant numbers of cancer patients get cured of cancer by chemo / radiation and then die from it, or they stop chemo / radiation, switch to “alternative cures” which destroy the cancer, but they die anyway due to the chemo / radiation. That’s the craziest hypothesis I have heard in quite some time. Then you state “Ask any oncology nurse”, which is almost as absurd. Oncology nurses administer therapy, they do not delve into cause of death or do autopsies.

    “The body always has cancer cells in it. The immune system is designed to eliminate them.”
    Yes and Yes it is but it can fail because cancer is tricky. I’d suggest you start here: and look at “checkpoint inhibitors” and “Hot” vs “Cold” cancer growth.

    “Genes do not control biology.” – Absurd, there are genetic mutations that are well known and documented (BRCA and BRCA-1) –

    “A cell can can live without genes.”
    Human mature red blood cells lack genetic material, all other cells have it. During maturation of the RBCs, the nucleus of these cell disappears in order to accommodate large amount of cellular gases like oxygen and carbon dioxide and to transport them from lung to tissues and from tissues to lungs respectively. The space vacated by the nucleus can provide room for more Hemoglobin (Hb). That is also why RBC’s have an average lifespan of around 120 days.

    Bruce Lipton is the guy that thinks that genes and DNA can be manipulated by a person’s beliefs. I’ll have to pass on that one.

    “Fear causes shock and trauma. “Cancer is ALWAYS associated with some kind of trauma.” – Nebulous at best, unprovable (unless of course you get an OligoScan, which Dr. Buttar describes as “probably the most exciting thing I have seen in diagnostics in my professional career as a physician, and I’ve been a physician now for 22 years.”

  4. No matter how many times this poster’s nonsense is debunked, she just comes right back in ensuing weeks to present the same non-scientific garbage. I’m through trying to reach her with facts, logic and reason, but I hope that skeptical readers will look into her claims and debunk them on their own.

    1. Unfortunately this has been around forever. Someday, archeologists will find a bottle labeled “Doctor Thag’s Dinosaur Repellent” that carbon dates back to the mid-Jurassic period.

  5. WOW!!! How about breast self exam as a modality to detect tumors between your so called “safe mammogams” which you did not mention???

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