Cancer breakthrough by Lebanese doctor in the US

Foods identified by nutritionists to be rich in vitamin D. (Shutterstock image)
Updated 10 June 2019

Cancer breakthrough by Lebanese doctor in the US

  • Study conducted by Dr. Tarek Haykal suggests 'sunshine' vitamin D can help patients live longer
  • The number of people in the Middle East with cancer is expected to double by 2030

CHICAGO: Adding vitamin D to diets can help cancer patients live longer, according to a study by a Lebanese doctor in the US.
The number of people in the Middle East with cancer is expected to double by the year 2030, with cancer of the breast, colon and lungs as the primary causes.
In the US, cancer is the second most leading cause of death.
But Dr. Tarek Haykal, 27, who is completing his residency in internal medicine at the Hurley Medical Center at Michigan State University in Flint, has released a study suggesting vitamin D carries some cancer benefit, not just for people in the Middle East but throughout the world.

Dr. Haykal and his team conducted a meta-analysis study involving 79,000 patients. The findings suggest  that a steady supplement of vitamin D for at least three years can help cancer patients live longer.




Dr. Tarek Haykal’s study points to a prolonged life for patients. (Supplied photo)

This works out to almost a 13 percent drop in cancer patient mortality.
The study was presented at the annual conference of the American Society of Clinical Oncology in Chicago recently.

"Vitamin D had a significant effect on lowering the risk of death among those with cancer, but unfortunately the study didn’t show any proof that it could protect against getting cancer," said Dr. Haykal, who is a lead author of the study.
The other doctors in the research team were Varun Samji, Yazan Zayed, Inderdeep Gakhal, Vijay Veerapaneni, Michele Obeid, Babikir Kheiri, Sunil Badami, Ghassan Bachuwa and Rizwan Danish.
"The point we tried to get at is to see if vitamin D had any benefit for cancer patients, mainly in primary prevention," said Dr Haykal.
"When we say primary prevention, we are talking about normal healthy individuals in the community, whether taking vitamin D really affects their cancer outcomes."
Three years of vitamin D supplements "were enough," he said.
"Mainly the benefit was in cancer-related mortality. So we tried to say there is a decrease in possible cancer deaths among patients taking vitamin D versus others.
"Does it mean that we should go around telling people to take vitamin D? Yes. We do need more awareness and we do encourage people to take vitamin D."
Vitamin D supplements have been studied as a primary prevention for illnesses including cardiovascular disease, osteoporosis, diabetes mellitus and cancer, Dr Haykal said.
Now it is being taken more seriously in addressing cancer.
"Global attention has never been on vitamin D, but now we are learning more and more that vitamin D is important to the health of your bones, and to your health in general," he said.
"We have more evidence that vitamin D has a lot of benefits, and we encourage patients and people in general to ensure they maintain good vitamin D levels."
Vitamin D —  "the sunshine vitamin" — is derived mainly from exposure to sunlight, but also comes from diets that include fish, mushrooms and egg yolk.




Cancer is the second most common cause of death in the US after heart disease. Recent studies suggest vitamin D supplements can extend patients’ lives. (Shutterstock)

But even with this diet and exposure to sunshine, deficiencies still occur, he said.
Haykal, who was born in Lebanon and trained in medicine at the Lebanese University in Beirut, began his three-year residency training at Hurley in 2017, so the impact of cancer on people in the Middle East is important to him.
"There is some data suggesting that despite the Middle East being one of the most sun-exposed areas of the world, we are still quite deficient in vitamin D," he said.
"Vitamin D deficiency is an important topic now, worldwide. Hence, the importance of the supplementation that we spoke of in our research."
Haykal said he has always been driven by a desire to help those in need. "After going to medical school, I was always interested only in the sickest patients of all," he said.
"I have always had a lot of passion and energy for those who are medically ill, like the ones who have cancer or who are in an intensive care unit," he said.
"So that is where I started leaning toward people who really needed my help and who needed energy and hope. I started focusing on oncology and this passion kept growing. After finishing medical school, I almost knew that I wanted to do internal medicine to pursue oncology."
Inspired by his colleagues and mentors, Haykal has published 30 medical papers during his two years at the Hurley Medical Center.
"Vitamin D came to me as any idea would come to anyone," he said, adding that he began researching the subject with colleagues.
"Combining the data, we found that that vitamin D supplementation for at least three years gave the general population cancer-related mortality benefits and decreased risks, but it did not have much effect on the incidence of cancer, unfortunately."
Dr. Haykal recommends people have their vitamin D levels checked during routine health examinations.
"People are not as aware of vitamin D because it doesn't necessarily cause immediate medical issues. Rather, it is a chronic process. So, if you are deficient, you are never going to have any symptoms that will alarm you.
"Rather, you have to check with your physician and make sure that you are adequately supplemented.
"Staying healthy does not mean you have to obsess about everything you eat or drink. But adopting a healthy lifestyle is important."


UK’s Boris Johnson likens himself to The Incredible Hulk

Updated 15 September 2019

UK’s Boris Johnson likens himself to The Incredible Hulk

  • Johnson said he will meet the Oct. 31 deadline no matter what
  • “The madder Hulk gets, the stronger Hulk gets,” he told the Mail

LONDON: British Prime Minister Boris Johnson has compared himself to The Incredible Hulk in a newspaper interview emphasizing his determination to take Britain out of the European Union next month.
Johnson faces considerable legal and political hurdles but told the Mail on Sunday he will meet the Oct. 31 deadline no matter what.
“The madder Hulk gets, the stronger Hulk gets,” he told the widely read tabloid, invoking the comic book and film character known for formidable but destructive strength.
Johnson remains defiant even though Parliament has passed a law requiring him to seek an extension to the deadline if no deal is reached by mid-October. He has also lost his working majority in Parliament and been told by Scotland’s highest court that his decision to suspend Parliament was illegal.
Johnson portrays himself as more convinced than ever that Britain will break with the EU at the end of October.
He will have a lunchtime meeting in Luxembourg on Monday with European Commission President Jean-Claude Juncker to try to modify the Irish backstop that has been a main sticking point, but EU leaders did not seem impressed by Johnson’s invocation of the Hulk.
The European Parliament’s Brexit coordinator, Guy Verhofstadt, said the comments showed a lack of maturity.
“Even to Trumpian standards the Hulk comparison is infantile,” he tweeted. “Is the EU supposed to be scared by this? The British public impressed?“
Juncker, who has downplayed hopes of a breakthrough at Monday’s meeting, also expressed alarm that many people in Britain seem to feel a British departure without a deal with the EU would be a positive thing.
“It would be terrible chaos,” he said in an interview with Germany’s Deutschlandfunk radio. “And we would need years to put things back in order. Anyone who loves his country, and I assume that there are still patriots in Britain, would not want to wish his country such a fate.”
The Oct. 31 deadline looms large because Johnson has not said he will seek another extension if no deal is reached, despite legislation passed by Parliament shortly before it was suspended.
Britain’s Supreme Court this week will rule on whether Johnson overstepped the law when he shut the legislature for a crucial five-week period.
The Liberal Democrats, who have been enjoying a revival, voted overwhelmingly at their party conference Sunday to end the Brexit process entirely if they come to power.
Party leader Jo Swinson said Article 50, which triggered Brexit, would be revoked if she becomes prime minister.
The party gained an important member Saturday with the defection of Sam Gyimah, a former Conservative minister. He is the sixth legislator to switch allegiance and join the Liberal Democrats this year.
Johnson also continues to take flak from former Prime Minister David Cameron, who called the 2016 referendum on Brexit.
Cameron said in an interview published Sunday that Johnson didn’t really believe in Brexit when he broke ranks and led the campaign to take Britain out of the EU. Cameron had been expecting Johnson’s help during the hard-fought campaign.
Cameron says of Johnson: “The conclusion I am left with is that he risked an outcome he didn’t believe in because it would help his political career.”
Cameron is giving interviews to gain publicity for his upcoming memoirs.