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Dr Avrum Bluming

๐Ÿ‘ค Speaker
185 total appearances

Appearances Over Time

Podcast Appearances

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

I know how to treat it based largely on trial and error studies so that now a newly diagnosed breast cancer carries a cure rate

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

of close to 95%.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

I don't take breast cancer lightly.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

It is still a disease I don't wish on anybody.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And I've spent a large portion of my career treating it

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

but it's very small in terms of a risk for a shortened lifespan.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And if the numbers don't even show that it increases the risk, then putting the black box warning and preventing women from taking it is a huge disservice.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And that's what Dr. Marty Macri, who is the FDA commissioner,

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

said when he said, and we therefore, after looking at all the data, are removing the black box warning on all estrogen-containing products, not just vaginal estrogen, which nobody has really challenged, but on all estrogen-containing products.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

Bravo.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

The next battle is

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

is what about breast cancer survivors, even as receptor positive breast cancer survivors?

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And the short answer to that is, of course, we need more data, but there are 26 studies in the medical literature looking at what happens when breast cancer survivors are given hormones, including a

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

estrogen-receptive positive breast cancer survivors.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And of those 26 studies, 25 say there's no increased risk of recurrence.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

In fact, four of the five prospective randomized studies say there was a decreased risk of recurrence.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

And the one study that said there's an increased risk of recurrence, which, not surprisingly, is the one most quoted in the medical literature called the HABITS study for hormones after breast cancer.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

Is it safe?

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

A study done in Sweden said there was no increased risk of distant recurrence, meaning metastatic tumor.

The Dr Louise Newson Podcast
64 โ€“ Estrogen: separating fear from fact

There was no increased risk of death.