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primek's avatar
primek
Member
9 years ago

Soy products and aramatose inhibitors

I was wondering if there is any research about issues with soy products with aramatose inhibitors?  I know the cancer council recommend moderation for women on tamoxifen but are there issues with femera? I have a soy cappacino most days as seemed to have developed an issue with milk since chemo. Few places sell almond milk options but most have soy.

Any info greatly appreciated.

Kath 

15 Replies

  • Hi there,
    I'm on the policy team here at BCNA. Thanks for raising this question about dietary soy and aromatase inhibitors.

    At present it is still not clear if eating a diet high in phyto-oestrogens (soy products) is safe for women who have, or have had, breast cancer. For women with oestrogen receptor positive breast cancer who are taking an aromatase inhibitor such as anastrozole, it is still unclear whether eating soy foods or taking soy supplements will block or enhance the actions of the aromatase inhibitors. Results of scientific studies are contradictory, with some studies showing that dietary soy can interfere with the actions of aromatase inhibitors and other studies showing that soy can possibly enhance aromatase inhibitors, such as anastrozole.

    As Cancer Council NSW advises, moderate consumption of soy foods, as part of an overall healthy eating plan, is unlikely to have any harmful effects. In the US, the positions of the American Cancer Society and the American Institute for Cancer Research are similar: that soyfoods can be safely consumed in moderation by women with breast cancer. It is best however to avoid high doses of soy products, such as soy supplement tablets or powders. 

    You can also read more about Cancer Council Australia's response to soy and breast cancer on their iheard site, here.
    Note they do not mention aromatase inhibitors, only tamoxifen. I am currently following up with them on any evidence surrounding aromatase inhibitors and soy. I will keep you all posted.

    If you have any questions or concerns about soy food consumption and your breast cancer treatments, it is always best to speak with your oncologist.

    I hope this is helpful!

    Best wishes
    Pauline McLoughlin


  • My understanding was that it was best to stay away from soy (I am on Femara too) but, as with all things, that depends on the quantity/regularity.  There's been research on cow's milk too, which isn't entirely heartening but low fat seems the way to go there, and any impact may also depend on whether you are eating a lot of cheese, yoghurt, ice cream etc as well as drinking milk on a daily basis, or just having a small amount of one. Problem with so much research is the degree to which something is a significant or insignificant factor. A chat with your oncologist will settle any concerns. 
  • The Memorial Sloan Kettering Hospital has an app on herbs you can download & there is some information there on soy & tamoxifen but not aramotose inhibitors. But it is also said soy is a contraindication for hormone receptor cancers.
  • Hi Kath,
    I asked my oncologist about this when I first started on Femara. Her view was that anything in moderation is ok. A single soy cappacino sounds like moderation to me! 
    Deanne xxx