[pcorsaro]

Lots of people have responded to this with similar strategies to what we used. Keep in mind, my wife was 35 when she went through this. We had a 1 and a half year old, she was breastfeeding and was in decent shape overall. For the first few treatments, she was able to fast for a couple of days before. She did a fairly strict keto diet for a few treatments as well, with her ketone levels being 1.5 millimolar or higher. She did take metformin for a little while, although she quit taking it after a while because she just forgot and was overwhelmed.

All that being said, she pretty much abandoned all of the additional about halfway through her treatments. She had to have half her liver resected, and she had a HIPEC procedure at the same time. When they did the final biopsies on her metastases in her liver, it was 100% dead. She's now been NED (no evidence of disease) for a few years now. I don't have delusions that it will never come back, but I can hope.

I don't know if anything she did helped the chemo do it's job. It's not exactly something you can A/B test. I think it's possible, but I also think her being so young and in good shape to start with made the biggest difference.