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What should I Eat?

is the most common question asked by cancer patients.
Choose food and nutritional supplements which avoids bad interactions with your cancer treatment and is good for you.

is the most common question asked by cancer patients. Choose food and nutritional supplements which avoids bad interactions with your cancer treatment and is good for you.

Start Personalized Nutrition Planning for  and answer these questions.

Start Personalized Nutrition Planning for and answer these questions.

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For Which Cancer Types Should I Avoid Boswellia Serrata Supplement?

Jun 11, 2021

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Highlights

Nutritional supplements like Boswellia Serrata have many health benefits and are being widely used by cancer patients and those at-genetic-risk of cancer. But, is it safe to take Boswellia Serrata supplements for all types of cancer and without considering any ongoing treatments and other lifestyle conditions? A common belief but only a myth is that anything natural can only benefit me or do no harm. As one example, the use of grapefruit with certain medications is not recommended. Another example, the use of spinach with some blood thinning medications can cause adverse interactions and should be avoided. For cancer, nutrition which includes the food and natural supplements has been shown to influence outcomes. Hence a frequently asked question by cancer patients to dieticians and doctors is “What Should I eat and What Should I Avoid?”. 

Taking nutritional Boswellia Serrata supplements can benefit Renal Non-Clear Cell Carcinoma patients on Bevacizumab cancer treatment. But avoid Boswellia Serrata supplements if on Ifosfamide treatment for Seminoma. Similarly, taking nutritional supplement Boswellia Serrata can benefit healthy individuals who are at genetic risk of cancer due to mutation of gene MLH1. But avoid taking nutritional supplement Boswellia Serrata when at genetic risk of cancer due to mutation of gene TERT.

The takeaway being – your individual context will influence your decision if nutritional supplement Boswellia Serrata is safe or not. And also that this decision needs to be constantly revisited as conditions change. Conditions like cancer type, current ongoing treatments and supplements, age, gender, weight, height, lifestyle and any genetic mutations identified matter. So a legitimate question for you to ask for any recommendation of food and natural supplement is how it is related to your individual context. 



Brief Overview

Nutritional supplements – vitamins, herbs, minerals, probiotics, and other specialty categories are increasing. Supplements  are high concentrations of active ingredients which are also found in different foods. The difference being foods contain more than one active ingredient at lower diffused concentrations. Remember that each of these ingredients has its own science and biological mechanism at molecular level – hence choose  the right combination of supplements like Boswellia Serrata based on individual context and conditions. 

Boswellia Serrata Supplements for Cancer Treatment and Genetic Risk

So the question is should you take the supplement Boswellia Serrata? Should you take it when at genetic risk of cancer for mutation of gene TERT? Should you take it when at genetic risk of cancer for mutation of gene MLH1? Should you take it when diagnosed with Seminoma? Should you take it when diagnosed with Renal Non-Clear Cell Carcinoma? Should you take it when on Ifosfamide treatment? Should you continue taking Boswellia Serrata supplement if you change your treatment from Ifosfamide to Bevacizumab? So a general explanation like – it is natural or it increases immunity may not be acceptable and sufficient for choosing Boswellia Serrata. 

Cancer

Cancer remains an unsolved problem statement. The improved availability of personalized treatments and monitoring of cancer via blood and saliva have been significant factors to improve outcomes. The earlier the intervention – the better the influence on outcome. Genetic testing has the potential to assess cancer risk and susceptibility early. But besides regular monitoring in most cases there are no therapeutic intervention options available. After diagnosis with cancer such as Seminoma or Renal Non-Clear Cell Carcinoma, the treatments get personalized to tumor genomics and factors like staging of disease, age and gender. During cancer remission (after treatment cycle is complete) – monitoring is used for assessment of any relapse and accordingly decide next steps. A large majority of cancer patients and those at-risk do take nutritional supplements like Boswellia Serrata.

So the question is that are all genetic mutation risks and types of cancers to be considered as one when deciding the use of Boswellia Serrata? Are the biochemical pathway implications of genetic risk for cancer due to mutation of gene TERT the same as due to mutation of gene MLH1? Are the implications of Seminoma same as Renal Non-Clear Cell Carcinoma? Is it one and the same if you are on treatment with Ifosfamide or on Bevacizumab? 

Boswellia Serrata – A Nutritional Supplement

Boswellia Serrata is a tree that grows in dry mountainous regions of India, Northern Africa and Middle East. The gum-resin extract of this tree is considered to have strong antiinflammatory properties and is usually consumed in the form of oral decoction of the bark or as supplements in the form of capsule or tablets. It was traditionally used to treat chronic inflammatory diseases such as inflammatory bowel disease, colitis, asthma, osteoarthritis and rheumatoid arthritis. (Ahmed Madisch et al, Int J Colorectal Dis., 2007; R Etzel, Phytomedicine., 1996; Ganpeng Yu et al, BMC Complement Med Ther,. 2020; I Gupta, Eur J Med Res.,1998)  Boswellia may also help heal wounds.

Boswellia Serrata supplements contain many active ingredients including Beta-boswellic Acid and Akba at different concentration levels. The molecular pathways which are regulated by Boswellia Serrata include Oxidative Stress, Epithelial to Mesenchymal Transition, MYC Signaling, NFKB Signaling and MAPK Signaling. These cellular pathways directly or indirectly regulate specific cancer molecular endpoints like growth, spread and death. Because of this biological regulation – for cancer nutrition, the right choice of supplements like Boswellia Serrata individually or in combination is an important decision to be made. When making decisions on the use of supplement Boswellia Serrata for cancer – do consider all these factors and explanations. Because just as true for cancer treatments – Boswellia Serrata use cannot be a one-size-fits-all decision for all types of cancers.

Choosing Boswellia Serrata Supplements for Your Cancer

The reason there is no easy way to answer the question “When should I avoid Boswellia Serrata for Cancer” is because “It Depends!”. Just like the same treatment does not work for every cancer patient, based on your individual context the Boswellia Serrata may be harmful or safe. Along with which cancer and associated genetics – the ongoing treatments, supplements, lifestyle habits, BMI and allergies are all factors deciding if Boswellia Serrata should be avoided or not and why.

1. Will Boswellia Serrata Supplements benefit Seminoma Patients undergoing Ifosfamide Cancer treatment?

Seminoma is characterized and driven by specific genetic mutations like KIT and KRAS leading to biochemical pathway changes in Oxidative Stress, PI3K-AKT-MTOR Signaling, RAS-RAF Signaling and MAPK Signaling. A cancer treatment like Ifosfamide works through a specific pathway mechanism of action. The goal is to have a good overlap between the treatment and cancer driving pathways for a personalized approach which is effective. In such a condition any food or nutritional supplement which has a contrary effect to the treatment or reduces the overlap should be avoided. As an example, Boswellia Serrata should be avoided for Seminoma along with treatment of Ifosfamide. Boswellia Serrata impacts pathways/processes like Oxidative Stress which either promote drivers of the disease and/or nullify the treatment effect. Some of the factors which should be considered when choosing nutrition are type of cancer, treatments and supplements being taken currently (if any), age, gender, BMI, lifestyle and any genetic mutation information (if available).

2. Will Boswellia Serrata Supplements benefit Renal Non-Clear Cell Carcinoma Patients undergoing Bevacizumab Cancer Treatment?

Renal Non-Clear Cell Carcinoma is characterized and driven by specific genetic mutations like MUC16 and TP53 leading to biochemical pathway changes in Epithelial to Mesenchymal Transition, Oxidative Stress, Hypoxia, Small Molecule Transport and PI3K-AKT-MTOR Signaling. A cancer treatment like Bevacizumab works through specific pathway mechanisms. The goal is to have a good overlap between the treatment and cancer driving pathways for a personalized approach. In such a condition any food or nutritional supplement which has a compatible effect to the treatment or reduces the overlap should be considered. As an example, Boswellia Serrata supplement should be considered for Renal Non-Clear Cell Carcinoma along with treatment Bevacizumab. Boswellia Serrata supplement impacts pathways/processes like Epithelial to Mesenchymal Transition and Oxidative Stress which either obstruct drivers of the disease and/or improve Bevacizumab treatment effect. 

Science of Right Personalized Nutrition for Cancer

Top 10 Foods and Supplements to Avoid for Cancer

Go beyond same nutrition guidelines for everyone and make personalized decisions with confidence.

3. Are Boswellia Serrata Supplements Safe for Healthy Individuals with TERT Mutation Associated Genetic Risk?

Different companies offer panels of genes to be tested for assessing genetic risk to different cancers. These panels cover genes associated with cancers of the breast, ovary, uterus, prostate, and gastrointestinal system and others. Genetic testing of these genes may confirm a diagnosis and help guide treatment and management decisions. Identification of a disease-causing variant may also guide testing and diagnosis of at-risk relatives. TERT is one of the genes generally available in panels for cancer risk testing. 

TERT mutation causes biochemical pathways/processes like MYC Signaling, MAPK Signaling, Nucleotide metabolism, Stem Cell Signaling and Hypoxia to get impacted. These pathways are direct or indirect drivers of cancer molecular endpoints. Boswellia Serrata should be avoided when the genetic panel identifies mutation of TERT for Hematological Cancer. Boswellia Serrata impacts pathways/processes like MYC Signaling and MAPK Signaling and creates adverse effects with TERT and related conditions.

4. Are Boswellia Serrata Supplements Safe for Healthy Individuals with MLH1 Mutation Associated Genetic Risk?

MLH1 is one of the genes available in panels for cancer risk testing. MLH1 mutation causes biochemical pathways/processes like NFKB Signaling, Angiogenesis, Nucleotide metabolism, Stem Cell Signaling and P53 Signaling to get impacted. These pathways are direct or indirect drivers of cancer molecular endpoints. Consider taking Boswellia Serrata supplements when the genetic panel identifies mutation in MLH1 for Ovarian Cancer and Colon Cancer. Boswellia Serrata impacts pathways/processes like NFKB Signaling and Angiogenesis and creates a supportive effect in those with MLH1 and related conditions. 

Which Cancer Types to Avoid Boswellia Serrata Supplement

* Other Factors are also included like BMI, Treatments, Lifestyle Habits

In Conclusion

The two most important things to remember are that cancer treatments and nutrition are never the same for everyone. Nutrition which includes food and nutritional supplements like Boswellia Serrata, is an effective tool which can be controlled by you, while facing cancer.

“What should I eat?” is the most frequently asked question to cancer dieticians and physicians. The right answer depends upon cancer type, underlying genomics, current treatments, any allergies, lifestyle information, and factors like BMI.

The addon personalized nutrition plan keeps you safe from adverse nutrition interactions.

Get started NOW with answering questions on type of cancer, current treatments, supplements, allergies, age group, gender, and lifestyle information.

Top 10 Foods and Supplements to Avoid for Cancer

Go beyond same nutrition guidelines for everyone and make personalized decisions with confidence.


Cancer patients often have to deal with different chemotherapy side effects which affect their quality of life and look out for alternative therapies for cancer. Taking the right nutrition and supplements based on scientific considerations (avoiding guesswork and random selection) is the best natural remedy for cancer and treatment related side-effects.


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