The keto diet has been making waves in the health world, with many swearing by its fat-burning benefits. But beyond weight loss, a growing body of research suggests that keto for cancer might offer a unique approach in managing the disease. Let’s look at the science behind ketosis and how it affects cancer cells.

What is Ketosis?

Before we dig into the cancer connection, let’s first understand what ketosis is. Ketosis is a metabolic state where your body switches from burning carbohydrates for energy to burning fat. When you reduce your carb intake, your liver breaks down fats into ketones, which your body uses for energy instead of glucose. This state of ketosis can have profound effects on various bodily processes, especially in how cells function and grow.

How Do Cancer Cells Use Glucose?

Most cancer cells rely heavily on glucose (sugar) to fuel their rapid growth and multiplication. This phenomenon, known as the “Warburg effect,” describes how cancer cells prefer fermenting glucose into lactate even when oxygen is plentiful. This process generates energy for cancer cells quickly, allowing them to grow and spread faster than normal cells.

In contrast, normal healthy cells can switch between using glucose and ketones for energy, whereas cancer cells struggle to adapt to this metabolic flexibility. So, what happens when you cut down carbs and glucose becomes scarce in the body?

How Keto for Cancer Works

The basic idea behind keto for cancer is simple: starve the cancer cells by depriving them of glucose, their primary fuel source, while feeding the rest of the body with fat-derived ketones. By forcing your body into ketosis, cancer cells theoretically struggle to survive and grow. This metabolic shift may weaken the cancer cells while leaving healthy cells unharmed.

But how does this really work in practice? Several mechanisms have been proposed to explain how ketosis affects cancer cells:

  • Metabolic Stress on Cancer Cells: Since cancer cells are heavily reliant on glucose, depriving them of sugar forces them to face metabolic stress. With fewer energy resources available, their growth can be slowed or even halted.

  • Lower Insulin Levels: The keto diet is also known for reducing insulin levels. Insulin is a growth hormone, and lower insulin levels might reduce the signaling for cancer cells to grow and multiply.

  • Increase in Oxidative Stress: Ketones may increase oxidative stress in cancer cells. This stress can lead to cancer cell death or make them more vulnerable to conventional treatments like chemotherapy or radiation.

While these mechanisms provide a theoretical framework, it’s important to understand that keto for cancer is still an emerging area of research. Let’s explore some studies to shed more light on the subject.

What the Research Says

The idea of using keto to manage cancer isn’t new. In fact, scientists have been studying the effects of low-carb, high-fat diets on cancer cells for decades. Here are a few key studies that highlight the potential of keto for cancer:

  • Preclinical Studies: Many animal studies have shown promising results. For example, a 2011 study in Nutrition & Metabolism demonstrated that mice with aggressive brain tumors (glioblastoma) had slower tumor growth when fed a ketogenic diet compared to those fed a standard diet.

  • Brain Cancer (Glioblastoma): Glioblastoma is one of the most researched areas in the keto-cancer connection. Studies, such as one from Lancet Oncology in 2015, have shown that patients on a ketogenic diet alongside standard treatments like radiation and chemotherapy experienced slower tumor progression.

  • Metastatic Cancer: A study published in Cancer & Metastasis Reviews in 2020 highlighted how keto can potentially slow the growth of metastatic cancer (cancer that has spread to other parts of the body). The researchers concluded that reducing glucose availability to cancer cells using a ketogenic diet could limit cancer spread and growth.

Although these studies offer hope, it’s essential to note that most of the research so far has been limited to animal models and small human trials. Larger, more comprehensive clinical trials are still needed to confirm the effectiveness of keto for cancer treatment.

Can Keto Be Used Alongside Conventional Cancer Treatments?

The idea of combining keto with traditional cancer treatments, like chemotherapy and radiation, is gaining traction. The reasoning behind this is that since cancer cells are already weakened by ketosis, they may become more sensitive to the effects of chemotherapy or radiation.

Some small-scale clinical trials have indicated that patients undergoing traditional cancer treatments might benefit from a ketogenic diet. For instance, in patients with glioblastoma, those on a keto diet often tolerated chemotherapy better, had fewer side effects, and sometimes experienced slower tumor growth.

However, this combination approach should only be considered under strict medical supervision. Changing your diet during cancer treatment without consulting your doctor could interfere with treatment efficacy or lead to unintended side effects.

Benefits of Keto for Cancer Patients

Apart from directly affecting cancer cells, the ketogenic diet can offer additional benefits for cancer patients:

  • Reduced Inflammation: Ketosis has been associated with lower inflammation levels. Chronic inflammation is linked to cancer progression, and a reduction in inflammation may slow down cancer growth.
  • Increased Energy: Cancer treatments can often leave patients feeling fatigued. By providing a steady source of energy through ketones, the keto diet may help combat treatment-induced fatigue.
  • Improved Weight Management: Maintaining a healthy weight during cancer treatment is crucial. Some patients struggle with weight loss, while others might face unwanted weight gain due to hormonal treatments. The keto diet can help stabilise weight by reducing cravings and promoting satiety.

Does Keto for Cancer Suit Everyone?

While the potential benefits of keto for cancer are exciting, it’s not necessarily a one-size-fits-all approach. The ketogenic diet can be quite restrictive, and some people may struggle with maintaining such a diet, especially if they are already dealing with the stress of cancer treatment.

Furthermore, certain cancers, such as some forms of leukemia or pancreatic cancer, may not respond as favourably to keto. Always consult with a healthcare professional before making any dietary changes, especially if you’re dealing with a serious illness like cancer.

Wrapping It Up

The science behind ketosis and how it affects cancer cells is still evolving, but the early research is promising. By cutting off the primary fuel source (glucose) for cancer cells, the ketogenic diet may help slow cancer progression, enhance the effects of traditional treatments, and improve overall well-being.

That said, keto for cancer isn’t a cure-all, and it certainly isn’t a replacement for conventional treatments. If you’re considering the keto diet as part of your cancer care plan, talk with your doctor or a keto nutritionist to make sure it’s a safe and effective option for your specific situation.

FAQs

  • Can the keto diet cure cancer?
    No, the keto diet is not a cure for cancer. It is a supportive strategy that may help slow cancer growth in some cases.
  • Is it safe to follow the keto diet during chemotherapy?
    While some studies suggest it may help, always consult your oncologist before starting any new diet during cancer treatment.
  • Which cancers benefit the most from the keto diet?
    Glioblastoma (brain cancer) has shown the most promise in research, but other cancers like metastatic cancer may also respond.
  • Can ketosis prevent cancer from occurring?
    While ketosis may reduce inflammation and promote overall health, there is no strong evidence that it can prevent cancer from developing.

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Liza is a certified Keto Naturopath, Nutritionist, Herbalist and Ketogenic Weight Loss Nutritionist located in Jervis Bay, NSW, Australia.