HomeAnswersMedical oncologybreast cancer

What could cause two cancers with neutrophils as low as 200?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Dealing with stage 2 lobular breast cancer recurrence after five years. The first time was invasive ductal carcinoma (IDC) in the left breast; now it is invasive lobular carcinoma (ILC) in the right. The genetic panel showed an ATM (ataxia-telangiectasia mutated) variant. I was doing cold caps this time, but I noticed bald patches and scalp sensitivity already after the first Taxol. Neutrophils dropped to 200 last week; chemotherapy was postponed, but now I am worried about delays.

Also experiencing nosebleeds and gum bleeding, platelets are at 67,000. I tried bone broth and vitamin K-rich foods, but no improvement. Is there any evidence that diet helps improve blood counts? What causes different types of breast cancer in the same person?

Kindly suggest.

Answered by Dr. Jain Tushar Pukharaj

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concerns about the recurrence of breast cancer and the challenges you are facing with treatment. The recurrence of stage 2 lobular breast cancer in the opposite breast with a different subtype, invasive lobular carcinoma, is not uncommon. The presence of an ATM gene variant may contribute to an increased risk of developing breast cancer. Various factors, including genetic mutations, hormonal influences, and environmental exposures, can lead to different breast cancer subtypes in the same person.

Cold caps can help reduce hair loss, but they may not completely prevent it. Scalp sensitivity and bald patches are common side effects of cold cap use and Paclitaxel (Taxol) treatment. These effects can be distressing, but they are expected during chemotherapy. The low neutrophil and platelet counts are concerning and require close monitoring. While some studies suggest that certain nutrients, such as vitamin K, may help support blood cell production, the evidence is limited, and more research is needed. Bone broth and vitamin K-rich foods can be beneficial as part of a balanced diet, but dietary changes alone may not be sufficient to improve blood counts significantly.

It is important to continue monitoring blood counts closely to ensure that your treatment plan can be adjusted as needed. Working with your oncologist to modify chemotherapy dosing and scheduling can help minimize the risk of complications. Consulting with a registered dietitian or a naturopathic oncology specialist may provide additional supportive care options to help alleviate symptoms and manage side effects. You are not alone in this journey. Stay strong, and remember that there are resources available to support you.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 18, 2025
Reviewed At June 2, 2026

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

cancer treatmentbreast cancer

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.