BMJ Case Reports 2018; doi:10.1136/bcr-2018-225520
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Follow-up of water-only fasting and an exclusively plant food diet in the management of stage IIIa, low-grade follicular lymphoma

  1. Alan C Goldhamer2
  1. 1Department of Research, TrueNorth Health Foundation, Santa Rosa, California, USA
  2. 2Department of Nutritional Medicine, TrueNorth Health Center, Santa Rosa, California, USA
  1. Correspondence to Dr Alan C Goldhamer, dracg{at}
  • Accepted 22 July 2018
  • Published 9 August 2018


Here we present a 3-year follow-up report of a case that was originally published in BMJ Case Reports in December 2015.1 Briefly, a 42-year-old woman presented to her primary physician with a palpable mass in her right inguinal region and was subsequently diagnosed with stage IIIa, grade 1 follicular lymphoma (FL). In November 2014, the patient arrived to TrueNorth Health Center (TNHC) and elected to undergo a 21-day medically supervised, water-only fast, after which she refed on an exclusively whole plant food diet free of added salt, oil and sugar (SOS-free), including refined carbohydrates, for 10 days. Over the course of treatment, her enlarged lymph nodes became impalpable. Follow-up CT scans confirmed reduction in size. She did not undergo standard cancer treatment, maintained the SOS-free diet, and was symptom-free at 3-month and 6-month follow-up visits.1

In November 2017, the patient returned to TNHC to complete a second water-only fast for the purpose of maintaining health. She reported following the SOS-free diet with minimal exceptions for the previous 3 years. A routine physical examination combined with complete blood count (CBC) and comprehensive metabolic panel …

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