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BMJ Case Reports 2015; doi:10.1136/bcr-2015-211582
  • CASE REPORT

Water-only fasting and an exclusively plant foods diet in the management of stage IIIa, low-grade follicular lymphoma

  1. Toshia R Myers
  1. Department of Nutritional Medicine, TrueNorth Health Center, Santa Rosa, California, USA
  1. Correspondence to Dr Alan C Goldhamer, dracg{at}comcast.net
  • Accepted 16 November 2015
  • Published 10 December 2015

Summary

Follicular lymphoma (FL), the second most common non-Hodgkin's lymphoma (NHL), is well characterised by a classic histological appearance and an indolent course. Current treatment protocols for FL range from close observation to immunotherapy, chemotherapy and/or radiotherapies. We report the case of a 42-year-old woman diagnosed by excisional biopsy with stage IIIa, grade 1 FL. In addition to close observation, the patient underwent a medically supervised, 21-day water-only fast after which enlarged lymph nodes were substantially reduced in size. The patient then consumed a diet of minimally processed plant foods free of added sugar, oil and salt (SOS), and has remained on the diet since leaving the residential facility. At 6 and 9-month follow-up visits, the patient's lymph nodes were non-palpable and she remained asymptomatic. This case establishes a basis for further studies evaluating water-only fasting and a plant foods, SOS-free diet as a treatment protocol for FL.

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