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Aarhus Privatklinik for Holistisk Medicin

C-vitamin and Cancer

The result of a Danish Vitamin C study, sponsored by Fight Against Cancer, and published in the Dutch periodical Cancer, Causes, Control 14:695-704 (2003), was released to the Danish TV and press media December 22, 2003 with the sensationalistic news headline: “the incidence of breast cancer in post-menopausal women increases with increasing intake of Vitamin C”. In spite of the melodramatic manner in which the announcement was made, a careful reading of the study’s own data shows, that the interpretation is essentially untrue and scientifically untenable.

This is shown in all clearness with one of the results from the study, which the press release was careful not to mention. They got the evidently absurd result, that the risk for breast cancer is doubled (2.06), when Vitamin C is ingested through fruit and vegetables in the diet, whereas the risk is slightly greater than statistical insignificance (1.00), when it is ingested as a supplement (1.06).

From a biological perspective this is nonsense. The body does not distinguish between dietary-Vitamin C and supplemental-Vitamin C. It is biologically the same substance. If high levels of Vitamin C were generally carcinogenic, as the Danish researchers amazingly would have us believe, it would be more consistent from their point of view to advise against ingesting too much of the vitamin in fruit and vegetables.

When a team of scientists get a result, which deviates so strongly from prior research on a subject, not to mention common sense, one could imagine, that the research team would seriously question the design of their experiment or the way they got their numbers. This was absolutely not the case with Fight Against Cancer’s senior researcher Anne Tjønnelund, who was not reserved, but rather bombastic in pronouncements to the press about her groundbreaking study: ”....The study is the first of its type, which shows that women after menopause have an increased risk for getting breast cancer, if they ingest high doses of Vitamin C from the diet or in the form of supplements and natural medicine.”

Scientifically speaking, her study cannot support such an interpretation. To attribute a causal effect to Vitamin C for breast cancer from marginally elevated values of Vitamin C ingested per day, and calculated from questionaires filled out by unsupervised study subjects before the period of observations began, is not only invalid in terms of the ordinary rules of scientific research, but also emphasizes how estranged from reality much of the academic, drug-oriented research industry has become. An important organization like Fight Against Cancer ought to have reconsidered, before they so sent out so serious a misinformation as a Christmas present to the Danish people, because there is massive and growing documentation, that high dose Vitamin C (2-100 gram) is one of the most important weapons we have in the fight against cancer.

Research results over the last 40 years have shown that Vitamin C:
• prevents many forms for cancer
• inhibits tumor growth in animal studies
• improves the effect with many forms of chemotherapy
• is cytotoxic for cancer cells in sufficiently elevated concentrations
• is practically speaking without side effects at even the highest intravenous concentrations
• enhances the immune response (activation of killer cell, lymphocyte formation)
• is the only nutrient which has been repeatedly shown to increase life expectancy, when taken in doses that exceed the recommended daily requirement (100 mg).

What did the study itself measure?
The Danish study was a case-control investigation, where 24,697 menopausal women were observed over 4.7 years with a view to analyzing the relation between vitamin ingestion (A, C, E) and the development of breast cancer. Every time there was a subject in the database, who developed breast cancer, a control person was selected of the same age. All together 418 cases of breast cancer were registered in relation to 394 kontrols. The reason there were fewer controls was, that the control subjects did not always take supplements. Therefore the research team had to use the same control for several breast cancer cases.

For the results of a scientific study to prove causation, it is normally one of the criteria , that there are two clearly defined groups, similiar to each other in all important ways except exposure to the alleged harmful agent. The one group is exposed and the other is not. This is called randomization. In this study that condition is not met, because both breast cancer cases and controls are exposed to vitamin C ingestion through diet and supplement.

This is one of the reasons that case-control studies are known to be extremely vulnerable for confounders; that is, decisive factors that influence the outcome . You can adjust for confounders that are known, but you cannot adjust for those that are unknown. According to experts in statistics, the relative risk for case-control studies must be at least greater than 3 before one can claim to have compensated for hidden confounders.

In the Danish study the relative risk is 2,06 per 100 mg for dietary-vitamin C; 1.06, if vitamin C is ingested as a supplement; and 1.10 with the two calculated together. The strength of the association between exposure (vitamin C) and the adverse outcome (breast cancer) is therefore weak. If the relative risk had been 1.00, breast cancer would be no more likely to occur with or without the alleged harmful cause. It is therefore a question of such marginally small statistical measurements, that it would not have taken much to get a completely different result.

Does the study make biological sense?
The research result is unimportant in terms of known biological mechansims, but is emphasized as being important, ”...the first of its type”. Actually, the interpretation of the result represents a misuse of statistics.

Imagine, for example, that women predisposed to breast cancer because of genetic vulnerability, smoking, pesticides in food and water together with other forms of chemical pollution and free radical stress (just to mention several confounders not measured in the study), begin to include more fruit and vegetables in their diet as well as vitamin C as a supplement. Later, they develop cancer anyway.

Senior researcher Anne Tjønneluund would argue, that increased ingestion of vitamin C has increased the risk for breast cancer. A more intelligible explanation would be, that the risk for breast cancer has increased with increasing ingestion of toxic pesticides. Vitamin C- containing fruit and vegetables can be very polluted depending on where they are grown. Apart from this, pesticides are filled with estrogen-like chemicals , which are known to cause cancer, especially in the female breast, where diverse toxins accumulate in fat cells that are found close to milk-producing cells.

It is much more probable and logical from the biological knowledge we have today, that vitamin C has helped the breast cancer cases to prevent og fight the disease. Vitamin C is known to stimulate the immune system, detoxify cancer causing chemicals together as well as protect our DNA fra mutations injuries. Both chemo- and radiation therapy cause cancer. High dose vitamin C protects the patient against these side effects and at the same time enhances their cytotoxic effect. Undersigned would be glad to document this for interested colleagues.

What is the conclusion?
The true relation between vitamin C and cancer has been turned on its head. The leadership of Fight Against Cancer has chosen to ignore a vast body of research results, which show high dose vitamin C’s importance as a life-prolonging, cancer cell-destroying, immune-enhancing cancer agent. Instead a pseudo-scientific conclusion has been passed off in the mass media as a warning to an unsuspecting public. Their press statement is not only misinformation of the worst type, but is potentially to the detriment of Danish women, who might take the study’s results seriously and avoid taking vitamin C.

One can only hope that Fight Against Cancer gets new people in the organization, who are more receptive to to the enormous information, that is, for instance, to be found on the internet and in the development of holistic science over the past decades. For a more truthful information than that which is presently found on Fight Against Cancer’s website, it is recommended that interested individuals investigate the relation between vitamin C and cancer on the following websites:

http://www.vitamincfoundation.org/
http://www.orthomed.com/
http://www.garynull.com/documents/vitaminc.htm
http://www.cforyourself.com/Conditions/Cancer/cancer.html#CancerProject
 
Læge, Bruce Phillip Kyle Stavtrup, 2. Feb 2004


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