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

Question

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.

Answer 1

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.