Lisa Fought Breast Cancer for 8 Years.

Metastatic breast cancer, in turn, is responsible for the vast majority of breast cancer-related deaths.

A2017 studyinJAMAlooked at over 62,000 cisgender women with estrogen receptor positive breast cancer over a period of 20 years.

Middle aged woman outside exercising to reduce breast cancer recurrence

Brezina / iStock

And living well with cancer is as important as extending your life with cancer.

Some people do absolutely everything right and their breast cancer recurs anyway.

Similarly, some people eat poorly, smoke, and drink heavily and their cancer never recurs.

For those who have a recurrence, it doesn’t mean they have done anything wrong.

It simply means cancer is being cancer.

Isn’t exercise cited as a remedy for almost anything?

This is similar to the reduction in risk with tamoxifen or an aromatase inhibitor.

What physical activity is best?

Think of the activities you enjoy the most.

For some people it’s gardening.

For others, it’s rock climbing.

And walking is usually readily available and can be enjoyable.

If you could find a partner to be active withall the better.

And, too much of a good thing is not better.

One potential side effect of taking excess vitamin D is painful kidney stones.

To understand this, it helps to realize that cancer cells are “smart.”

Some of these mutations help a tumor grow.

Some help a tumor avoid death (apoptosis).

This has given rise to a multitude of products to attempt to restore the microbiome calledprobiotics.

So where does this leave us?

The one thing that seems to consistently help, however, is fiber.

For starters, practicing good sleep hygiene habits can sometimes resolve minor sleep problems.

If problems persist, however, talking to a sleep expert may be in order.

We do know that stress can result in the release of the stress hormone norepinephrine.

Regardless of the role of stress in survival, however, it simply feels bad to be stressed.

A2017 reviewlooked at the evidence to date connecting breast cancer and the environment.

Some compounds, such as PCBs (polychlorinated biphenyls), may raise the risk of recurrence.

Most of the practices discussed aren’t earth-shattering and won’t require an overhaul of your life.

Chlebowski, R.Nutrition and Physical Activity Influence on Breast Cancer Incidence and Outcome.Breast.2013.

9(7):729.

Marinac, C., Nelson, S., Breen, C. et al.Prolonged Nightly Fasting and Breast Cancer Prognosis.JAMA.2016.

2(7):1049-1055.