National Cancer Cases on the Rise – But So are Survival Rates

9 07 2019

Last Updated:  July 9, 2019, Marc Woodard

It is a fact that one or more factors – environmental toxins, poor diet, sedentary and other unhealthy lifestyle habits can cause cell mutation, formation of cancerous tumors and metastasis of those cells. Those at highest risk are those predisposed to cancer genetically.

Are we all doomed to get cancer? The simple answer is NO.

Ageless MirrorAthlete – Covers Cancer Prevention and So Much More… for sale at Amazon, B&N, iUniverse, etc.,

Although the mortality rates caused by cancer are on the rise, so is the survivorship through lifesaving treatment and lifestyle change. However to minimize the risk of getting cancer requires taking cancer prevention seriously.

It is a fact, cancer mortality rates throughout the globe have increased over the last decade. 7.6 million People died of cancer in the world during 2007. 13% of all deaths are due to cancer” (American Cancer Society 2007). Unfortunately Cancer is among the leading causes of morbidity and mortality worldwide, with approximately 14 million new cases and 8.2 million cancer related deaths in 2012 (World Health Organization, 2015).

The number of new cancer cases per year is expected to rise to 23.6 million by 2030″ (cancer.gov 2019). Although the data shows us cancer cases are on the rise, so is survivor-ship. “More than 16.9 million Americans with a history of cancer were alive on January 1, 2019, and this number is projected to grow to more than 22.1 million by January 1, 2030. These estimates do not include carcinoma in situ (CIS) of any site (except urinary bladder) or basal cell and squamous cell skin cancers.” (Miller, Kimberly D., et al. 2019). It appears  increased survivor-ship projections is the result of a combination of an increased aging population, advances in early detection and treatment.

The number of cancer survivors continues to grow in the United States despite overall declining age standardized incidence rates in men and stable rates in women. This reflects an increasing number of new cancer diagnoses resulting from a growing and aging population as well as advancements in early detection and treatment. “Given this estimated projection and the various physical, financial, and other types of challenges that may come with survivorship, researchers concluded it is crucial to increase efforts to help cancer survivors live longer and healthier lives” (Miller, Kimberly D., et al. 2019).

As previously stated – the data tells us cancer cases are on the rise and with the advancement of science and prevention education [health literacy] cancer patients and those in remission are living longer. It appears more likely than not mortality rates associated with all types of cancer over the next decade is estimated to decline significantly and this is good news. As curing cancer is becoming a real possibility.

How does one get cancer?  There many ways one could acquire cancer through environment or habitual factors and behavioral actions. But one must also consider genetic predisposition. Does cancer run in the family? If a family member has had cancer, suspect you have a predisposition to a similar type of cancer. Once you’re aware of a family history, it is prudent to take preventative action to minimize the risk of getting it.

The American Cancer Society defines cancer as a disease which differs widely in cause and biology than any other. There are approximately 9 risk factors leading to cancer:  Tobacco smoking, alcohol, diets low in fruit and vegetables, limited physical exercise, unsafe sex, urban air pollution, domestic use of solid fuels and contaminated injections (Hep B & C).

Once cancerous tumors form they continue to grow and divide at the cellular level and frequently spread to other parts of the body[metastasis]. Regardless of metastasis the immune-lymph and circulatory blood systems go into overdrive to kill and remove the intruder cancer cell. Once cancer tumors are formed, they can affect other healthy cells surrounding them. They have the ability to target other tissues and organs throughout the body, spread and infect, grow and further divide making it impossible for the body’s defense systems to remove the cancer.

Unless medical treatment is received in a timely manner to stop a malignant growth… remission may not be possible. Especially if the cancer metastasizes [spreads to other parts of the body]. It is for this reason, if diagnosed with Stage 2-3 cancer, it becomes very risky to put off conventional cancer treatment to target and kill it. Once cancer reaches stage 4, the odds of remission and survival is reduced regardless of treatment choice. Survival increases when immediate diagnosis and conventional treatment is applied during the early stages of cancer diagnosis. Through the advancements of preventative medicines and science and lifestyle change survivor rates continue to climb.

If an unhealthy lifestyle and/or environment continues its course over an extended period of time, it becomes more likely cell mutation will occur. It is through toxic environment [stress, toxins, pollution, etc., causing agents]; and/or unhealthy habits and behavior[sedentary lifestyle, smoking, drugs, drinking, etc.,] and when genetically predisposed creates an incubator for cancer to form and reside.

Although the body is capable of filtering and removing many toxins through the lymphatic and circulatory systems – it has limitations. It is the frequency, duration and toxicity on genetic expression that puts these systems into overdrive. When we get sick, it is because our filtration systems are unable to keep up with the stress induced and toxins attacking it.

These circulatory filter systems have 3 basic functions. 1) To clean the blood and remove waste from the body. 2) They absorb and transport fatty acids from the intestine and digestive system. 3) The lymph node cells called lymphocytes provide immunological defenses against disease-causing agents [i.e., cancer]. When you increase cancer risk factors these lymphatic and circulatory filter system(s) become less functionally efficient at removing cancer causing toxins.

Lifestyle Changes Everyone Can Make to Reduce Cancer Risk 

  1. Obesity increases risk of developing cancer.  Reduce body weight through healthy diet and exercise.
  2. Reduce processed foods consumption and eat more whole foods.
  3. Reduce refined sugars, excessive fats and heavy processed foods. Increase plant based foods to decrease risk of prostate and breast cancer (men/women).
  4. Studies have linked stomach cancer, colon cancer, breast cancer and pancreatic cancer with grilled meat and red meats in general. Carcinogens are released through the burning of the aromatic hydrocarbon which often occurs when you overheat and burn fats. Then inhale the carcinogenic burnt smoke fumes. If you burn cooking oils, open the windows, dump and refresh it.
  5. Cancer trials suggest that vitamin supplementation and/or consumption of fruitsIMG_20130405_175321 and vegetables will reduce cancer risks.
  6. Take a daily vitamin & mineral supplement daily. Especially if you’re not getting 3-4 servings per day of plant foods.
  7. Give up artificial sweeteners (Aspartame). Controlled animal studies reveal a strong connection to cancer, obesity and diabetes. Read your food labels carefully. There are now +6000 food products under various labels that list Aspartame as other sweetener, sugar substitute and as a healthy sweetener alternative.  Sodas, flavored water, specialized coffee’s, processed baked deserts, candy and even some diet foods have high concentrates of Aspartame and other artificial sweeteners in them.
  8. If you live in a heavily carbon monoxide or chemical producing environment and/or the drinking water smells & tastes like chemical and/or suffer from respiratory problems and health is suffering – consider moving out of the area if possible. If not possible, filter your water and indoor air filtration systems.
  9. Exercise more – If exercising outside, do so on low smog days and indoors on high smog days. Also don’t burn wood or other heating fuels in unvented room space.
  10. Remove toxic home use products and replace with clean green products.
  11. The sun and man-made equipment produce UV (Ultraviolet) rays. These UV rays areDCIM100GOPRO known as electromagnetic radiation. The sun is our main source of this radiation. Man-made UV radiation is produced by tanning beds, x-rays and welding torches for example. Limit exposure to electromagnetic radiation by cover up and/or use UV protective sunscreen and sunglasses to avoid overexposure of the sun’s rays when possible.
  12. Stop smoking and consuming alcohol and rec/non rec drug use. Minimize vaping [electronic cigarettes] habits. Early patient cases and medical experts show an aggravation connection to circulatory and lung systems through inhalation of  Propylene Glycol and nicotine within these vaping devices.
  13. Practice safe sex and never use a shared or unsterilized needles.
  14. Get frequent medical checkups – no less than annual.

The incidence of cancer cases rise dramatically with age and genetic predisposition. And when unhealthy lifestyle environment and activities are added those risk factors increase significantly. The good news for those unfortunate enough to experience cancer symptoms and treatment – there is a huge support network in preventative and evidence based medicine leading the way to increase survivorship and finding a cure. Through continued health literacy, prevention education and early stage cancer detection and treatment, patient survivorship will continue to increase as projected.

It is through the efforts of the medical and research organizations increased survivorship and finding a cure is possible. For survivors, the medical community has a plan to help you stay fit healthy and live long lives through enhanced provider services. “Future research should also focus on identifying best practices for engaging cancer survivors in adopting and maintaining a healthy lifestyle at the policy, health care system, and individual patient levels. Models for the integration of comprehensive care for cancer survivors and their caregivers, including self management, wellness and healthy lifestyle promotion, and cancer rehabilitation, are beginning to emerge. As the evidence base grows, efforts at the individual, provider, system, and policy levels will help cancer survivors live longer and healthier lives” (Miller, Kimberly D., et al. 2019).

Reference,

Miller, Kimberly D., et al. Cancer Treatment and Survivorship Statistics, 2019 – Miller – – CA: A Cancer Journal for Clinicians – Wiley Online Library. CA: A Cancer Journal for Clinicians, American Cancer Society, 11 June 2019, onlinelibrary.wiley.com/doi/full/10.3322/caac.21565.

American Cancer Society 2007

Cancer.gov 2019

Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975-2016, National Cancer Institute. Bethesda, MD, https://seer.cancer.gov/csr/1975_2016/, based on November 2018 SEER data submission, posted to the SEER web site, April 2019.

World Health Organization [WHO] 2015

Author: Marc T. Woodard, MBA, BS Exercise Science, ARNG, CPT, RET. 2015-19 Copyright. All rights reserved, Mirror Athlete Inc., http://www.mirrorathlete.com, Sign up for your Free eNewsletter.





Steve Jobs, Swayze and Landon’s Cancer Deaths Avoidable?

18 02 2019

Updated: 2/17/2019, Marc Woodard

Florida a popular place to retire – with the second highest state cancer cases nation wide.

Years ago I  was motivated to learn more about Pancreatic Cancer after hearing of Patrick Swayze’s diagnosis. Eighteen years earlier I recalled how shocked I was to hear about Michael Landon’s death from the same type of cancer in 1991.  And Steve Jobs in 2011.  I thought “what a loss of such talented and productive people.”

These events highlighted the insidious nature of cancer in general.  But especially brought national attention to pancreatic cancer. I wondered, “was the cause of cancer brought about by cultural-geographic, genetic, environment and/or a combination of various lifestyle risk factors.”

Initially when I wrote on this topic in 2009, I wasn’t able to deduce the exact cause that led to Swayze and Landon’s pancreatic cancer diagnosis. However today I feel the cause has narrowed down to a handful of likely possibilities relevant to behavior, habits and environmental health risk factors.

After Jobs death I became more aware of certain habits, genetic predisposition, stress, diet and environment that may hold the answers to identifying likely causes of cancer in general.  Today I’m more confident in saying, “pancreatic cancer is ‘likely’ related to a combination of environmental and lifestyle factors, whereas risk dramatically increases when genetically predisposed to acquire it.”

Steve Jobs lifestyle was different from the two actors [he wasn’t a smoker or drinker].  But had a dietary obsession with certain foods. Aside from this distinction all three of them lived in a dense area population… Los Angeles California, “the #1 cancer producing state (American Cancer Society, 2017).”  These famous people also appeared to be Type-A personalities [workaholics, competitive drivers and short fused, etc.,].  Type-A people are more likely to develop obsessive behaviors and habits to cope with stress which doubles the risk of coronary heart disease.

What is it about Alaska that makes it the 3rd lowest cancer producing state?  Number 1 – Wyoming, Number 2 – District of Columbia.

“Apparent links between psychological stress and cancer could arise in several ways. For example, people under stress may develop certain behaviors, such as smoking, overeating, or drinking alcohol, which increase a person’s risk for cancer [National Cancer Institute, 2017].”

Next I wanted to know how could anyone prevent, or remit cancer naturally from the body once it took hold?

First I needed to know a little more about these famous people lifestyles and could they have done anything different to prevent or change their cancer story?

California has the highest cancer cases… and significantly higher than the three other highest cancer producing states: FL, TX, NY

First, we’ll look at the two Hollywood legends to see what habits they had in common. Then compare lifestyles with Steve Jobs – Man behind Apple computers and iPhone.

Thereafter, review past and current national cancer statistics to draw a conclusion based on likely factors that contributed to their cancer and shortened lifespans.

Like most of you I was an avid follower and admirer of Michael Landon. My favorite childhood shows were Bonanza, Little House on the Prairie and Highway to Heaven series.

Michael Landon was diagnosed with adenocarcinoma at the age of 54 – on 5 April 1991 and immediately underwent chemo therapy. His cancer had spread to his liver at first causing stomach cramps. Thereafter his pancreatic cancer was diagnosed 7 weeks later. The cancer became inoperable due to spreading within the liver and lymph nodes. Only 1% of patients with a metastasized cancer combination like this survive a five year period. He died in Malibu, CA on 1 July 1991. It was reported he drank heavily and had a four pack per day smoking habit.

“Pancreatic cancer is one of the faster spreading cancers; only about 4% of patients can expect to survive five years after their diagnosis (Park 2011).”

I also followed Hollywood legend Patrick Swazye. Three movies and one series in particular that memorialize his acting and physical abilities, “Dirty Dancing, Next of Kin, Roadhouse and the Beast series.”   Swayze was diagnosed with stage IV pancreatic cancer in March 2008 and underwent chemo therapy with new experimental drugs (vatalanib/gemcitabine) to shrink the tumor and prevent the development of new blood vessels that would otherwise nourish it.

“He’s a strong guy, and he’s got a great attitude,” says Ron Wise, a Cedars-Sinai spokesman, “in my experience, that has a lot to do with how things go.” Patrick Swayze’s biggest regret was his smoking which he continued to do until his death. Doctor’s agreed, even if he quit at the time of diagnosis would have no bearing on his outcome … 

High-temp charred foods especially meat absorb carcinogens from fuel source.

After more than a year of cancer, Swazye completed 13 episodes of the beast without pain medication.  Swayze Died, 14 Sept 2009 at the age of 57. The cancer ultimately spread to his liver. His life expectancy after diagnosis was 5 months.  He lived 20 months after diagnosis.

Steve Jobs founder of Apple Computer and arguably one of the most brilliant innovators and businessmen of all time had an uncommon form of pancreatic cancer diagnosed in Oct 2003 (Park 2011).

It was reported throughout his life he was a vegan with an addictive and obsessive fructose [fruit] habit that rarely included the macro-nutrient protein [exception – he infrequently ate sushi and eel]. His food obsessions often limited him to apples, carrots, smoothies and fruit drinks for extended periods of time.

[He named the company after his fondness for apples.

“Research published in the November 2007 issue of American Journal of Clinical Nutrition concluded there was “evidence for a greater pancreatic cancer risk with a high intake of fruit and juices but not with a high intake of sodas.”

“Although the UCLA findings are preliminary and more research needs to be done, the Reuters headline “Cancer Cells Slurp Up Fructose” is fair warning to all of us addicted to fruit and fruit juices (Daniel 2012).”

It was also reported he smoked marijuana and used LSD during his college years. It is likely he smoked weed during his battle with prostate cancer. This was not acknowledged by Jobs, but suspect by colleagues. Whether these things had anything to do with his cancer, I could not make that connection.

Nine months after diagnosis, Jobs underwent surgery to remove a tumor. In 2009 he underwent a liver transplant, a procedure appropriate for only a small number of patients with this type of rare pancreatic cancer. On October 5, 2011, due to complications from a relapse of his previously treated islet-cell – neuroendocrine pancreatic cancer … at the age of 56, Jobs died at his Palo Alto, California home around 3 p.m. (PDT).

There was an Interesting Self-Treatment Decisions Made by Jobs – He postponed surgery to remove a neuroendocrine tumor against his doctors advisement. Instead his controlling obsessions, including bazaar dietary habits led to self-treatment using alternative medicines. Had he chose to go through surgery 9 months earlier – it is likely the cancer would’ve been removed [as in other similar cases – Early removal of this type of cancerous tumor often cured the cancer]. His form of cancer was not as deadly or aggressive as the most common form.

Not until the cancer reached the late stage 9 months later did he agree to use conventional treatment to stop it from spreading. Unfortunately by this time the cancer had spread to other surrounding tissues. He also never quit his obsessive high fructose dietary habit after diagnosis. Even after being warned by his personal physician – the body would have a better chance of fighting cancer by adding more protein to the diet – THIS was the opinion of medical experts. Many believe Jobs would still be alive today if he had the surgery and chemotherapy and radiotherapy immediately after diagnosis. For whatever reason, Jobs believed alternative medicines was his best bet to beat cancer.

Later in his autobiography, it is mentioned he regretted the decision to self-treat his cancer.

Can location be a cancer causing factor? 

I believe “unhealthy lifestyle factors which include environment increases the risk of  DNA gene string mutation and cancer cell growth and metastasis.” 

State Cancer Statistics 2002 – 2017

State cancer statistics show an increasing and concerning rise in cancer cases over the last 17 years.  Note: Per Capita [population] as a percentage of state cancer cases have not been evaluated within this article.

States with highest cancer population diagnosis during year 2000  (California 113,200), Florida (88,100), Texas (76,100), NY (81,500), US diagnosed “All” Cancer Totals – 1,220,100

States with highest cancer diagnosis during year 2008  (California 156,530), Florida (101,920), Texas (96,320), NY (97,130), US diagnosed “All” Cancer Totals – 1,437,180.

States with highest cancer diagnosis during year 2017 – (California 176.140), Florida (124,740), Texas (116,200), NY (107,530), US diagnosed “All” Cancer Totals – 1,688,780.

“In 2017, there will be an estimated 1,688,780 new cancer cases diagnosed and 600,920 cancer deaths in the US (American Cancer Society, 2017).”  Get All Cancer Stats Now.

Comparing 2009 – 2017 Pancreatic Diagnosis and Cancer Deaths

Pancreatic Cancer estimates in 2009 ~42,700 people will be diagnosed resulting in ~35,420 deaths will result making it the fourth deadliest cancer (American Cancer Society).

Pancreatic Cancer estimate in 2017 ~53,670 people will be diagnosed resulting in ~43,090 deaths will result making it the fourth deadliest cancer (American Cancer Society).  Deaths are evenly split between male and female. See Pancreas Statistics at a Glance

Pancreatic Cancer Risk factors,

“Factors that may increase your risk of pancreatic cancer include:
Chronic inflammation of the pancreas (pancreatitis), Diabetes, Family history of genetic syndromes that can increase cancer risk, including a BRCA2 gene mutation, Lynch syndrome and familial atypical mole-malignant melanoma (FAMMM) syndrome
Family history of pancreatic cancer, Smoking, Obesity, Older age, as most people are diagnosed after age 65.

A large study demonstrated that the combination of smoking, long-standing diabetes and a poor diet increases the risk of pancreatic cancer beyond the risk of any one of these factors alone (Mayo Clinic, 2017).”

Conclusion

It’s interesting to make comparisons of national cancer statistics to see if research and treatment progression has been made in reducing cancer cases nationally – Most specifically pancreatic cancer deaths.

Eight years later after my first article on this topic, I find it alarming – medical science has not identified the exact physiological cause of pancreatic cancer, or any other form of cancer for that matter. All types of cancer are on the rise. However medical research is narrowing down connected lifestyle, genetic, environment and other illness causing identifiers that increase risk.

Hawaii places 9th in the lowest producing cancer states. Hawaii is also known to have a consistent 73-80 degree days year round.

I believe, “anyone can improve the odds of activating cancer cells within the body – even if genetically predisposed. Simply by making better lifestyle and environmental choices.T

CONSUMER HEALTHY LIFESTYLE KNOWLEDGE IS POWERFUL – Apply Healthy Lifestyle Habits to Reduce Cancer Risk

  • The four states with the highest cancer cases increased significantly from 2002-2017.
  • Pancreatic Cancer is still the 4th deadliest cancer.
  • National Cancer cases are on the rise.
  • No one [male/female] is immune from pancreatic cancer, or any cancer for that matter.
  • Genetic predisposition [BRCA2 gene mutation]and Lynch syndrome increases cancer risk.
  • Prevent or Manage diabetes – it increases cancer risk.
  • A high body mole-count may be symptomatic of gene mutated cells. See a dermatologist or oncologist.
  • Bad cancer causing habits: alcohol, smoking, restricted-fad diet and sedentary lifestyle.
  • Avoid high fructose diet as research has exposed a likely cancer connection.
  • Balanced diet include all 3 macro-nutrients: proteins, carbs and fats to nourish the body.
  • If you have a dietary obsession with any food(s) or fads, seek behavioral therapy.
  • There are no conclusive studies that show pancreatic cancer is caused by any specific food type [high-fructose diets are suspect].
  • There are studies that show processed food chemicals have cancer causing agents.
  • Unhealthy relationships & environment alter hormone & Cellular DNA & function and cause physiological stress which can cultivate cancer cells.
  • Sedentary lifestyle often leads to obesity, diabetes and heart disease and known to increase cancer risk.
  • Low-impact aerobic exercise at minimum is needed to sustain healthy immune system and remove toxins that would otherwise nourish cancer cells.
  • Whole foods diet reduces processed food chemical intake and cancer risk.
  • Avoid artificial sweeteners, especially hyper-palatable sodas, syrup & coffee creamers.
  • Bad air environments have high Pro-Oxidants [toxic CO pollutants] – Dense city development with high smog levels is toxic to respiratory-immune systems.
  • Barbecue – high temp smoke and char temps – are known to be carcinogenic.
  • High-energy radiation from the sun, x-rays, gamma rays, alpha particles, beta particles, and neutrons, can damage DNA and cause cancer.
  • Breast cancer tops Prostate Cancer in top 4 cancer states by ~135-190%.
  • Melanoma cancer cases is higher in top 4 cancer states, which are also sunshine states.
  • If cancer runs in family within any of the top 4 cancer states – location may be a factor.
  • If diagnosed with cancer the best odds of beating it – aggressive surgery regardless of stage of cancer – seek chemotherapy and radiotherapy upon medical recommendation.
  • 10 Lowest-Cancer Producing States in Order: Wyoming (1), Dist. of Columbia (2), Alaska (3), Vermont (4), North Dakota (5), South Dakota (6), Delaware (7), Rhode Island (8), Montana (9), Hawaii (10). Note: Per Capita [population] as a percentage of state cancer cases have not been evaluated within this article.

MOST RECENT PROSTATE CANCER MEDICAL BREAKTHROUGHS

“One huge step forward was the use of radiation to reduce the impact of prostate cancer that spreads to bones. Another was the development of better diagnostics, including PSA tests, which mean that most men are diagnosed while their prostate cancer is still curable (Elster 2017).”

CONCLUSION

“Bottom line: There is no definite technique to prevent pancreas cancer. However, not smoking, exercising, and eating a proper diet is the best lifestyle choice for overall health (WebMD, 2017).”

Moderation in everything we do is key to healthy longevity, living life to the fullest and staying well.

Good Health to You and Your Family.

References

  1. American Cancer Society, Cancer Facts and Statistics.  2017 American Cancer Society, Inc. https://www.cancer.org/research/cancer-facts-statistics.html
  2. American Cancer Society, Cancer Facts and Figures 2017. 2017 American Cancer Society, Inc. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2017.html
  3. Bang Show Biz. Patrick Swayze’s Biggest Regret Was Not Having Kids. Sept 22, 2009. 2017 – Livingly Media, Inc. Zimbio Entertainment.
  4. Brownstein, Joseph. Swayze: Outlived Most With Pancreatic Cancer. Sept. 16, 2009. World Wide Web. ABC News. 2017.
  5. Daniel, Kaayla T. Ph.D., C.C.N. iVegetarian: The High Fructose Diet of Steve Jobs. Jan 19, 2012.  Psychology Today. 1991-2017 Sussex Publishers, LLC | HealthProfs.com © 2002-2017 Sussex Directories, Inc. World Wide Web 8/12/2017.
  6. Mann, Denise. Patrick Swayze Dies of Pancreatic Cancer.  Sept 15, 2009. 2005 – 2017 WebMD, LLC.
  7. Mayo Clinic. 2017. Pancreatic Cancer. 1998-2017 Mayo Foundation for Medical Education and Research (MFMER).  http://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/symptoms-causes/dxc-20268506
  8. Michael Landon. Broken Permalink. 2009. 11 Aug 2017. http://www.people.com/people/archive/article/0,,20114945,00.html)
  9. Michael Landon. Broken Permalink.  2009. 11 Aug 2017. http://www.hollywoodusa.co.uk/HillsideObituaries/michaellandon.htm
  10. MirrorAthlete Articles Repository.
  11. Naomi Elster. Cancer treatment: sorting the good news from the hype. 14 Aug 2017. theguardian, 2017.
  12. Park, Alice.  The Pancreatic Cancer that Killed Steve Jobs.  5 Oct 2011.  Time. 2017 Time Inc.
  13. WebMD. 2017. Pancreatic Cancer Diet and Prevention. 2005 – 2017 WebMD, LLC.

 Author:  Marc T. Woodard, MBA, BS Exercise Science, ARNG, CPT, RET2019 Copyright.  All rights reserved, MirrorAthlete Publishing @: http://www.mirrorathlete.com,  Sign up for your Free eNewsletter.