Episode: 336
Mayo Clinic Cancer Doctor: 5 Foods That Heal the Body, Starve Cancer, & Prevent Disease
with Dr. Dawn Mussallem

This conversation is going to change the way you think about food, exercise, sleep, stress, and disease.
Today, Mel sits down with Dr. Dawn Mussallem, a double board‑certified Mayo Clinic physician, the first cancer doctor ever on this podcast, integrative oncology pioneer, and stage 4 cancer survivor.
Inside this episode, you’ll learn:
- The top 5 cancer‑fighting foods
- Why food is medicine and how it works in your body
- The fiber rule tied to lower cancer risk—and why most men miss it
- The truth about soy and breast cancer
- How to make healthy eating unbelievably easy (simple food swaps that heal your body)
Whether you want more energy, want to protect your health, or want exact guidance on what to eat and what to avoid for a vibrant life, this episode is for you.
What we eat, how we move, how we sleep, how we manage stress - that’s medicine. And I prescribe it every single day.
Dr. Dawn Mussallem
All Clips
Transcript
Mel Robbins (00:00:00):
What are the top foods to avoid because of cancer?
Dr. Dawn Mussallem (00:00:04):
You know where I'm going to start, right? Alter processed foods. Processed meat is a class one carcinogen. So this is pepperoni, this is sausage, this is bacon. This is even chicken nuggets. This is lunch meat.
Mel Robbins (00:00:16):
Today on the Mel Robbins podcast, we're talking about five cancer fighting foods that starve disease and heal the body with a Mayo Clinic doc, my jaw was on the floor. Yours will be too.
Dr. Dawn Mussallem (00:00:28):
So I did a study at Mayo Clinic and my cancer center. Guess what I learned? 95% of our patients aren't getting the recommended vegetables and fruits. People who had two or less servings of vegetables and foods today versus people who had five, those people that had five had a 10% reduction in dying from cancer, a 12% reduction in dying from heart disease. There was a 35% reduction dying from respiratory disease. Food is medicine, food is medicine. We take antioxidants to fight cancer. We take all these expensive pills and powders, right? Just eat your kiwi. Now, why does a kiwi prevent cancer? It's super cool. So vis really gets on the cellular level, there's 150% more anthocyanins in these purple sweet potatoes than there are in those berries. What does anthocyanin and why does it matter? Power? This is like jewelry right here. These are like jewels for cancer.
Mel Robbins (00:01:20):
What are the top three things a cancer patient should be doing, Dr. Mussallem?
Dr. Dawn Mussallem (00:01:24):
Well, I would start number one is
Mel Robbins (00:01:28):
Hey, it's friend Mel, and welcome to the Mel Robbins podcast.
Mel Robbins (00:01:38):
Dr. Mussallem, thank you so much for hopping on a plane and being here. I'm so excited to talk to you.
Dr. Dawn Mussallem (00:01:44):
Thank you, Mel. This is like a surreal experience. I have goosebumps from head to toe. I live with goosebumps, but I really have them right now, and I was so excited flying out here. I slept good last night, but I didn't even feel like I needed to sleep. I'm so energized,
Mel Robbins (00:01:57):
I can tell, and I'm energized too because you have so much to teach us today. I'd love to start by having you speak to the person who is here with us right now and tell them how their life might change for the better. If they really take everything to heart that you're about to teach us today and they apply it to their life,
Dr. Dawn Mussallem (00:02:20):
I love that it can almost bring tears to my eyes actually. I want each of you to be truly awakened to your aliveness. Unapologetically. Life is so very, very precious, and I just want to take every single person listening and be able to move them from a place of hope to knowing that they too can flourish despite whatever adversity they have in their life. So let's do it.
Mel Robbins (00:02:46):
Let's do it. Well, we're going to cover so much. I mean, you've been practicing medicine for several decades. We're going to discuss food that can heal your body and starve disease. We are going to go through a specific list of foods one by one that you should be eating in order to avoid cancer. We're going to talk about specific foods that I want you to avoid because they cause cancer, but one of the reasons why we tracked you down and we wanted to sit down and learn from you is because you're not only a medical doctor and you're not only a researcher and you're not only in a clinical practice helping heal people that have a cancer diagnosis, but you also are a cancer survivor yourself. And when you were 26 years old in medical school, that's when you got the diagnosis. And so before we jump into everything you're about to teach us, I'd love to hear about that moment in your life and how that impacted how you practice medicine.
Dr. Dawn Mussallem (00:03:48):
Yeah, thank you, Mel. I learned a lot in medical school, but I learned everything about how to be a doctor as a patient. And it was just a few months into medical school. I mean, I lived the perfect healthy lifestyle growing up, had a very loving family and we really participated in healthy living. And a few months into medical school, first time in my entire life, I wasn't feeling good big into athletics. I would climb Camelback Mountain, Arizona twice a day and all of a sudden it was hard, saw a doctor, he said, use an inhaler. It's adult asthma. I didn't ask any questions. He didn't even listen to me, didn't get better. Saw a second doctor. He said, use it more. He still didn't listen to me. The third doctor said, oh, it's in your head. This is something that happens to all medical students.
(00:04:27):
It's called psychosomatic, meaning it's in your head, and then the soma, the body, you manifest these symptoms. It was a few days after that doctor told me that it was in my head that I collapsed and I went to the hospital. I was in cardiogenic shock. My heart wasn't even beating properly. There was a 16 centimeter mass wrapped around my heart and the tumor was compressing all the great vessels in my neck. So they took me to urgent surgery, and the next day the doctors came in the room and they said, you have stage four cancer. They said, you have three months to live without treatment, 20 months to live with treatment. So many people would say, well, were you angry? What was the emotion? And I was just given this gift of grace. I just took that diagnosis and I knew that there was a deep lesson there for me, especially as a medical student, and I stayed the course. I stayed in medical school and I listened to what the doctors said I needed to do to survive, and I showed up for myself. I stayed busy with the healthy aspects of living that we're going to talk about today because I was able to attain my vitality during my entire cancer treatment and then flourish as you can see today thereafter. So I just learned so much about the human experience, both when, well, when I was younger as well as what it's like to be a patient when you're not. Well,
Mel Robbins (00:05:39):
There is so much to unpack in just that when you woke up from that surgery, that sounds like, well, first of all, I got to stop with you can go up Camelback two times. I mean, I dragged myself up there and was so out of breath and lightheaded that there was an army ranger veteran who was hiking down as I was stumbling down who had to lead me down the mountain. That right there is unbelievable, but I think a lot of people have had that experience where you're like, I know something's wrong. And then you are told by somebody, no, no, no, no, it's all in your head. You're going to be fine. But for you, that sounds enormous, that it was wrapped around your heart. It was compressing against you, held up your hand toward your throat. You then woke up from surgery, but it sounded like you just kind of went on with your life. So I want to just say, what did the doctors tell you to do? Because you said I followed the medical advice, but you also did a second thing, which is instead of focusing on the cancer, you focused and tripled down on the healthy aspects of your life. And so let's just first talk about what did the doctors say you should do that you did, and then let's talk about what are the healthy things that you focused on.
Dr. Dawn Mussallem (00:07:02):
Yes. So the doctor said, you're going to do chemotherapy, and I didn't question it. I knew my body needed chemotherapy. Here I am in the specialty of integrative oncology where I really use evidence backed natural therapies to help to mitigate the toxicities of treatment, to improve the outcomes of treatment, and also reduce other chronic diseases. I knew that I needed the chemotherapy to get rid of this cancer. So were you studying cancer medicine? Is that why you went to medical school? I have a fascinating background. Before I went to traditional medical school, I actually went to naturopathic school and my undergraduate training was in exercise physiology and nutrition. So this has just been weaved into my spirit and soul since I was actually a little girl. As a young kid, people would ask, what do you want to be when you grow up? I had said I want to live to be a hundred years old. I just loved, well, I was actually obsessed with it. I thought it was the coolest thing.
Mel Robbins (00:07:49):
How old are you right now?
Dr. Dawn Mussallem (00:07:50):
51.
Mel Robbins (00:07:51):
Well, that's fantastic. If I were betting on anybody living to a hundred, it would be you. I think so for sure. And there's a lot that I know that we can learn from you both in terms of the medical research and the way that you tripled down on healthy living and vitality and things that are accessible to all of us. So you started out as a naturopath, you had dreams and ambitions as a little kid of living to a hundred, you've always been obsessed with a healthy lifestyle. But then holy cow, 26, if you look at somebody that can just trott up camelback twice and that's already super healthy and has a very positive attitude, those two things that, and cancer diagnosis don't seem to go together.
Dr. Dawn Mussallem (00:08:34):
Right. I mean, you just do this analysis immediately. You're like, what did I do wrong? That's the natural thing. Why me? Everyone sees me in this external vision as, oh my gosh, she's so positive I be, she never has a bad day. I cried. I sobbed. What did this mean? Very momentarily, I knew, Hey, I don't have time for this. I've got to kind of figure out what my strategy is going to be. And I hired the doctors I could trust once I was given the diagnosis. And I really don't care when doctors, I think it's not a good idea when doctors give a finite number of how long you're going to be on earth because I don't think we can really do an accurate prediction, especially nowadays, we have so many advancements for cancer treatment. We're seeing people being cured left and right. Who are we to predict how long someone's going to live?
(00:09:23):
So I tell my patients often they find it's very off-put. When an oncologist shares with them, you have X amount of time to live. And I tell my patients, when you go meet with an oncologist, say you don't want to have that number if you don't want that number and you deserve to have the number if you want it. But for me, I would've kind of rather not had that number, but I didn't let it get in my head. And so I had to do chemotherapy for almost six months, and then I had to do a bone marrow transplant because this was before the immunotherapies. There were rituximab or any of those treatments were available. So did the bone marrow transplant. And I remember every morning I set my alarm for 4:00 AM in the hospital. They brought all my medical studies to the hospital so I could study.
(00:10:00):
My oncologist had a bicycle in my room and a bicycle at the nurse's station. So at 4:00 AM I would sneak out of the room, sit on that bike and watch the sunrise in Arizona. It was gorgeous over the mountains. But this was remarkable and I feel it in my body tiptoeing sliding that glass door and spanning the room and seeing all these other people in their beds, and I'll describe it, they were so sick in an effort to be alive. But again, I attained my vitality without pause and it was how I lived and it's exactly what I really work with my patients in doing today. And you've got to remove that turbulence. You've got to come to this in a place of just joy and empowerment. I have autonomy over this diagnosis. This is my job right now to show up for myself. And it worked beautifully.
Mel Robbins (00:10:44):
Okay, I got to unpack this. Okay, let's do it. Dr. Mussallem, you're 26 years old and you painted such a vivid picture. And I can actually picture in my mind the 26-year-old you in a hospital bed popping up like a jack rabbit running down in your gown to the nurse's station, hopping on a bike, looking out the window. And I can also picture walking past all the other rooms and kind of peeking in and seeing people just near death, or at least with the defeated I'm dying, just down energy, which is certainly a very rational and expected response to a scary diagnosis, to very debilitating treatment. But you did the opposite. And I have two questions around this. When the doctor said you have three months to live, how did that change your aperture in your mind in terms of what a typical 26-year-old thinks about versus what you then thought about when somebody said, you have three months to live?
Dr. Dawn Mussallem (00:12:05):
Yeah, so when I heard it, I kind of tucked it away. It was tucked deep into my soul. It was still with me, but it wasn't controlling my choices or my actions. I wasn't living in fear by any means. I was living through the lens of let's be fully alive. What I would say is hearing that elevated my existence to the degree that every single thing that I would experience was elevated. The grass wasn't just green, it was magnificently green. The clouds were just always more volumous than they probably ever were. The warmth of the sun just felt so warm and encompassing and just like it is today. But I just loved people. I remember one situation, I was at a McDonald's actually, which it doesn't sound very healthy. It's probably a really good example for people to hear. But I went to McDonald's and I got a coffee.
(00:12:57):
I love coffee. It's actually very good for you. We can talk about that. And there was a homeless gentleman sitting outside. I've actually never shared this story. And he was young and he was about 19 years old. And I sat down and I had my coffee, went and bought breakfast, and we just talked. And what I learned in my experience of being diagnosed with cancer, if I wasn't diagnosed with cancer, you know what I did when I got my coffee and rushed off to go study selfishly, but instead, I had this knowing like, Hey, pause. Let's spend time with this human being. And he just taught me so much about life, so much about being present. And he was so still. He had this beautiful energy. And that's something that I think describes my existence is this energized stillness where I'm like a live warrior, but inside there's this ultimate stillness and harmony that is just so important.
Mel Robbins (00:13:48):
So I just want to make sure that as you're listening or watching, you kind of get the magic of what Dr. Mussallem just shared, which is in getting that three month, how would you even say it in being told that you had three months to live? It brought what mattered into focus and made the things right in front of you about life that give you energy and that's beautiful and that are worth living for way more magnified.
Mel Robbins (00:14:17):
You leaned into that. And what I want to know is what are the healthy things that you focused on when you got that stage four cancer diagnosis?
Dr. Dawn Mussallem (00:14:29):
Exercise. Number one,
Mel Robbins (00:14:32):
Even during chemotherapy,
Dr. Dawn Mussallem (00:14:34):
Oh my gosh, I started feeling so much better. The tumor started shrinking, so it was like, holy cow, I can breathe again. So yes, I still exercise the exercise. Research centered around cancer is incredibly exciting. We didn't really know it back then, but it's likely why I'm alive today because I really still continued that exercise. Not high intensity. I just did what I could do because the cancer treatments are dropping, your blood cell counts, you're oftentimes anemic and you are tired. So I listened to my body when I rode that bike, it was slow. I didn't worry. There was no ego attached. I was just moving my body. I share with my patients, I know you're exhausted, but I need you to go walk at least five or 10 minutes after each meal. I need you to push yourself.
(00:15:17):
This is not easy, but we have a choice and sometimes we have to push yourself. And in doing that, we can get energized. And so that is what I recommend. Number one is move your body. It is critical. Very, very important. The other thing with exercise people don't realize is it uses up that stress, all that adrenaline. If you think back to the caveman and the saber tooth, tiger would jump out, the caveman would outrun it, right? And he'd sleep like a baby at night. Oh, and us, we don't have the saber tooth tiger, but we have all these stressors, whatever it may be. Maybe it's not cancer. It could just be the stress of life. And we're just wound up so tight with the anxiety. So that exercise helps the mood, it helps beat the cancer and actually augments the treatment response. We now know it's magic. We know that in breast cancer, that exercise can improve breast cancer outcomes. I mean, are you ready for this? Gives me chills. Almost 50%. I mean, this isn't a little number. This is like a magical number. There was just an amazing colorectal cancer study showing that exercise is looking as favorable as chemo. This doesn't mean it replaces chemo. It means we do it together so we can cure cancers.
Mel Robbins (00:16:19):
So you focused on exercise. Were there any other healthy habits leaning into vitality that you did when you were diagnosed with stage four cancer?
Dr. Dawn Mussallem (00:16:29):
Oh, yes. Food is medicine. And this was really before the whole focus on food really became apparent, but it's always been something that's been very special to me. So I continued eating that healthy diet and even in the days when I didn't really feel up to it, the chemotherapy changes how things taste in your mouth. It's very metallic. Oftentimes you get sores and with the type of treatment I had, you have a bunch of mouth sores, so it hurts. Ouch. But this is the blessing in this is I know what that was like. So when I sit down with patients, I can be very mindful and think, okay, I know where she's at in this treatment. I see how she's talking to me. Her mouth obviously hurts. Let's touch on this and let's figure out some food swaps. Or maybe she's having scrambled eggs with cheese on a piece of white bread with butter and a piece of Turkey sausage.
(00:17:16):
That's not the end of the world probably, but there's a lot healthier way that I would like that woman to eat. So I'll do a swap. I try to flip what she's eating in a way that it's still something she's accustomed to, something that she looks for something more savory. She's not looking for something sweet in what she usually eats and will give her something a little bit healthier to eat. That would be maybe more in line with her cancer treatment to give her some of the phytonutrients that comes from plants that can help to make her feel better and maybe even improve those treatment outcomes.
Mel Robbins (00:17:43):
So you've talked about exercise. You've talked about tripling down on healthy because food is medicine as you just said. You also talked about your attitude like really lasering in on how beautiful the sunrise is instead of focusing on the cancer diagnosis, anything else that you leaned into when you were diagnosed with stage four cancer?
Dr. Dawn Mussallem (00:18:04):
Yeah, acceptance. You can't fight it. You have to accept it. You have to work to accept it. It's really hard at first, but if you fight it, you're just going to be in that battle longer. And oftentimes I'll read that people say she battled with cancer. There was never a battle. It truly was just disgrace of acceptance and then moving in the direction I knew I had control over, and that was where I showed up for myself with healthy living and let the doctors do what they did best.
Mel Robbins (00:18:35):
There's this super famous quote from, I can never say this words, it's like hypocrites or How do you say this, right, Hippocrates. Thank you. Perfect. Thank you. Mark Twain said it takes a simple mind to spell a word one way I say it takes a simple mind to say a word one way. So Hippocrates, thank you. The ancient Greek physician said, let food be thy medicine. And I hear you say this all the time. Is there data to back up the assertion that food can prevent or heal diseases?
Dr. Dawn Mussallem (00:19:14):
Absolutely. There's overwhelming evidence that food is a big problem in our country today with the levels of chronic disease we have. And in fact, in the journal of the American Medical Association in 2022, what they publish is that food is leading cause of death in our country.
Mel Robbins (00:19:31):
Wait a minute, food
Dr. Dawn Mussallem (00:19:32):
Food
Mel Robbins (00:19:33):
Is the leading cause of death in the United States?
Dr. Dawn Mussallem (00:19:36):
Yes.
Mel Robbins (00:19:37):
What does that mean? Dr. Mussallem?
Dr. Dawn Mussallem (00:19:39):
It's a massive driver with the consumption of ultra processed foods. 60% of our diet is ultra processed foods. 67% of our children's diet is ultra processed foods. And so what's happening with that? There's additives in those foods that just aren't good for our body. Those foods aren't good for our gut microbiome. And then when we eat that much food, that's fake. There's no room for the healthy stuff. So you're weeding out the opportunity to get the stuff that matters. Every time you put food in your mouth, you have an opportunity to be a healthier version of yourself or an unhealthier version of yourself. So you really want to pay attention to that. And it doesn't have to be perfect. This is never about perfection, but it's in an effort to be more consistent about doing better is what I would say. And have joy over that. Sometimes they have women come in and they are what some would consider eating the perfect diet, but they feel like they're hostage that diet and they're not loving it and they're not having joy over it. So it's really trying to find the healthy foods that you enjoy the taste of.
Mel Robbins (00:20:33):
I often wonder, I mean that's a startling statistic that the leading cause of death in the United States is food because it's ultra processed. There's all this obsession with labeling things organic. I've often wondered, wait a minute, we have this backward. Shouldn't we be labeling things chemical and everything else is just food?
Dr. Dawn Mussallem (00:20:52):
I know.
Mel Robbins (00:20:53):
In fact, speaking of food, you have a list of foods that prevent cancer. You can explain why they prevent cancer. And so I want to bring them in and then we're going to walk step-by-step through each one and have you explain how a particular food that you eat will help you prevent cancer. Let's do it. Let's do it. All right. Let's bring that in. So the first thing I see is a bowl of berries. Let's talk about frozen berries. Why do frozen berries prevent cancer?
Dr. Dawn Mussallem (00:21:23):
Berries are incredible, and it's such an easy way to start your day. And a lot of people worry because berries can be expensive, especially if they're fresh. And so what I tell patients is don't worry. Just buy 'em frozen. And the frozen wild berries, they don't need to be organic. They're wild. They're growing in nature. So get those frozen wild berries. This is a beautiful mix of berries here, which I love, and I really try to have my patients do a cup a day. These are loaded with anthocyanins.
Mel Robbins (00:21:48):
What is anthocyanin and why does it matter?
Dr. Dawn Mussallem (00:21:50):
It's this powerful phytonutrient.
Mel Robbins (00:21:52):
What's a phytonutrient? What does that mean?
Dr. Dawn Mussallem (00:21:54):
I know, it's crazy. These are great, right?
Mel Robbins (00:21:56):
Big Words Dr. Mussallem
Dr. Dawn Mussallem (00:21:58):
Phyto is the color, the color in these vegetables and fruits, and the nutrient is what's going to help feed our body everything that we want to help to. Again, anything we eat, we can try to turn on all these activations that can help to mitigate cancer from forming. And if you have it, we can help to turn off some of those genes as well. So there's research with berries that's so exciting, both for breast cancer prevention as well as breast cancer survivorship. You won't believe this. For every two servings a week, it can reduce the risk of breast cancer. And for breast cancer survivors for every two servings a week, it can reduce the risk of dying from breast cancer by 25%,
Mel Robbins (00:22:36):
25%.
Dr. Dawn Mussallem (00:22:37):
I know it's a huge number.
Mel Robbins (00:22:39):
Two servings of frozen berries a day?
Dr. Dawn Mussallem (00:22:41):
A week!
Mel Robbins (00:22:42):
A week?
Dr. Dawn Mussallem (00:22:43):
A week.
Mel Robbins (00:22:44):
That's it?
Dr. Dawn Mussallem (00:22:44):
That's it. But why do
Mel Robbins (00:22:46):
With a 25% Reduction,
Dr. Dawn Mussallem (00:22:47):
25%, this was in the nurse's health study. Such cool data, right? And they're delicious. This is what's interesting about modern food though, is there are many people that will taste these berries and they will not taste how delicious they are because the food today is so adulterated with chemicals and they make the food so that it has extra flavor on the palate. And so it can take a little bit of time as people are transitioning to a healthy diet to adjust their palate so they can appreciate the taste of food. And what I see that's so unique to cancer patients is when you have that cancer diagnosis, your mortality is being threatened, you're ready for change. And it seems that switch flips immediately. It seems like they start tasting the beauty of their food so much more quickly than patients that I may happen to see that have no active cancer.
(00:23:35):
It takes them much longer to find the harmony and pleasure of how this wonderful food tastes. So I just want people to be patient. When you start tasting these foods, especially if you're used to the ultra processed foods, you may not notice how amazing these tastes. I have patients say, oh my gosh, I didn't know strawberries tasted so good. It's really cool. It takes 'em a while to let those fake foods kind of flush out of their system and they start to appreciate it. So berries, but guess what? These purple sweet tastes. Can we talk about those?
Mel Robbins (00:24:01):
Yes. So let's talk about the purple sweet potatoes, Dr. Mussallem. Why do purple sweet potatoes prevent cancer?
Dr. Dawn Mussallem (00:24:09):
First of all, it's my favorite food. I'm just here to say, if tomorrow was my last day, Mel, and you said, Dawn, what can we serve for your last meal? I'd say, just bring me that purple sweet potato. Just heat it up a little bit though.
Mel Robbins (00:24:19):
That's it. You just cook it and you don't do anything fancy with it.
Dr. Dawn Mussallem (00:24:22):
Yes, I eat 'em. I eat one every single day.
Mel Robbins (00:24:25):
Here let me shove this toward you.
Dr. Dawn Mussallem (00:24:25):
I eat one every day. So look at this. I mean, it's so cool when you cook these, it gets more purple. So I love the berries, right?
Mel Robbins (00:24:31):
Yep.
Dr. Dawn Mussallem (00:24:32):
There's 150% more anthocyanins in these purple sweet potatoes than there are in those berries. And I love the blue zones. I think the blue zones deliver such a beautiful message. These are the places in the world where people live to be a hundred years old. They thrive. They flourish with low levels of chronic disease. I don't think we need to get into the nuances of the research, but we see this pattern and trend. And in Okinawa, Japan, this is one of the areas of the world where women live the longest. So we got to love that, right? They love these purple sweet potatoes. So have a purple sweet potato.
Mel Robbins (00:25:02):
So tell me about the word anthocyanin. What does it do in your body that helps prevent cancer and cure disease and have you live a longer life? What is anthocyanin? I can't even say it, but what does it doing in your body?
Dr. Dawn Mussallem (00:25:17):
You're saying it perfect. So anthocyanins, like many of these other phytonutrients we see in these vegetables and fruits that we have here, they have the opportunity to come into our body. And what we have is we have tumors, genes that will be turned on, and we have tumor genes that can be turned off. That's how they function with the cancer. And these different molecules can help to either make cancer turn off so that it's not likely to have this proliferation, or they can even turn on things called tumor suppressor genes. These tumor suppressor genes help to be the brakes on any cancer. So you have this really beautiful kind of symphony and orchestra going on in your body at a genetic level. It's very cool.
Mel Robbins (00:25:56):
And that purple potato can turn off the genes in your body
Dr. Dawn Mussallem (00:26:03):
That are causing a problem,
Mel Robbins (00:26:04):
That are causing cancer, and they can turn on the genes in your body that naturally
Dr. Dawn Mussallem (00:26:09):
The breaks
Mel Robbins (00:26:10):
Break the, that's crazy.
Dr. Dawn Mussallem (00:26:11):
It's exactly right. So imagine if you're doing a diet that's 60% ultra processed food and you're not consuming any vegetables and fruits, guess what? So this sounds easy. We have this here, and I mean, it's making us hungry. It smells delicious. Would you believe that 90% of Americans aren't getting what they need in terms of vegetables and fruits?
Mel Robbins (00:26:30):
I believe that. I hate that, but I believe it.
Dr. Dawn Mussallem (00:26:33):
I didn't believe it. So I did a study at Mayo Clinic and my cancer center. Guess what I learned? 95% of our patients aren't getting the recommended vegetables and fruits 95. Every day I come in, the majority of my patients at best are getting two to three servings of vegetables and fruits today. So the recommendation, there was a great study, and what the study did is it reviewed two prospective studies, meaning studies where people were moving forward and they measured how much vegetables and fruits they consumed. And then they reviewed additional studies in a meta-analysis. So this is a really high quality study of another 24 to 26 studies that they reviewed, which is really awesome. And what they showed us is that people who had two or less servings of vegetables and fruits a day versus people who had five,
(00:27:16):
Those people that had five, had a 10% reduction in dying from cancer, a 12% reduction in dying from heart disease. There was another really fun fact. There was a 35% reduction dying from respiratory disease. It made me scratch my head. I was like, what does that mean? That's what I said. I said, what does that mean? What does that mean? Well, let's think about COVID. There was some cool COVID research. There was a study last year that showed people on more of a plant-based diet of vegan diet, vegetarian diet, just got more plants that they had less COVID occurring. And during COVID, there were some healthcare studies and they showed that yes, indeed, people in more of these plant-based diets had less moderate severe COVID. And people who were on more animal predominant studies where they were missing out on some of this, they had a three and a half fold increased risk of more severe covid.
Mel Robbins (00:27:58):
I want to make sure I'm tracking because that was jaw dropping research. It is crazy. So you're saying that first of all, based on the research study that you did at Mayo, that cancer patients are not getting the recommended daily amount of vegetable servings that they need and 90% of cancer patients are not doing it. That's number one.
Dr. Dawn Mussallem (00:28:23):
All of America, 90% are doing it in my own cancer center, 95%.
Mel Robbins (00:28:28):
95?
Dr. Dawn Mussallem (00:28:28):
- And this was a group I also looked at the food insecurity. It wasn't part of this population. So it wasn't driven by food insecurity. It's driven by busy lifestyles and the fact that we just don't make time
Mel Robbins (00:28:40):
Or you don't know. You don't realize the power of food to heal and prevent. And I just want to make sure that as you were listening, I know you're going to be sharing this with people in your life who need to hear this research and who need to understand how what you eat is medicine. And there's research. The fact that there was a 10% decrease for people who had five servings of these kinds of vegetables a day in dying
Dr. Dawn Mussallem (00:29:07):
Of dying from cancer. It's major. And this is so easy. So this is a cool story. So a lot of folks, food is expensive right now
Mel Robbins (00:29:16):
And getting worse.
Dr. Dawn Mussallem (00:29:17):
And especially when you go to the grocery store to buy it. So I had a woman that actually did have food insecurity, and she's doing amazing. And she had a lot of chronic diseases, gets diagnosed with breast cancer and said, Hey, you need to help me. I want to change. She did her garden. You know what she does now? She goes online and she teaches people how to garden. It gives me chills. She transformed her cancer diagnosis and this deep meaning and purpose of helping others realize, Hey, food doesn't have to be expensive. You can grow it in your own backyard.
Mel Robbins (00:29:47):
Dr. Mussallem, why do vegetables like cauliflower, brussels sprouts, broccoli? Why do these prevent or cure cancer?
Dr. Dawn Mussallem (00:29:56):
These are some of the most powerful vegetables when it comes to breast cancer. And there's so many fun facts with it. So some vegetables are a little bit better raw than cooked. And this is actually one of 'em, the cruciferous vegetables. And a lot of people are like, ah, but it's so gross.
Mel Robbins (00:30:11):
Okay, so cru to tea plate. Let's see. Go ahead and pick up the cauliflower and the broccoli.
Dr. Dawn Mussallem (00:30:16):
So if we look at this cauliflower and broccoli, these are beautiful cruciferous vegetables. And maybe when I'm ready to cook these, I'll chomp on a few of these before I cook it. And you know why? Because when they're raw, there's an enzyme in them called Miro, okay? Okay. And that enzyme is really magical for trying to absorb the phytonutrients that are in the broccoli, the cauliflower, the Brussels sprouts, the arugula better and more effectively. Now, if you forget about it or you're at a restaurant and they bring your steamed broccoli, no sweat, but it's kind of fun to think, how can I get the most out of this vegetable that possible? Eat it raw. Or if you want to eat it cooked, just nibble on a little bit raw before you cook it.
Mel Robbins (00:30:55):
Now, lemme ask you a question though, because I have heard somewhere I don't know where, that you got to avoid the broccoli and cauliflower on accrued hay plate because it's very hard for your gut to digest it. But you're saying in the case of preventing cancer, curing diseases, living a more vital life, it's okay. Or you just chew it a hundred times versus 10 times or what are your thoughts on that?
Dr. Dawn Mussallem (00:31:19):
That's so interesting, and a lot of people may struggle with this in the beginning because their gut microbiome is a mess. So the more we introduce these foods into our dietary pattern, the better you do with it. But listen, everyone is an individual, and some people may struggle with eating these raw. Some people may not tolerate broccoli. You should listen to your body and the harmony of your body. There's a lot of internal wisdom in the body. So if a woman comes in and says, oh, I can't stand broccoli, I said, let's not consume it. Let's look through the other cruciferous vegetables that you can enjoy. Brussels sprouts, arugula, cauliflower, cabbage, cabbage. Everyone loves cabbage. It's one that seems to be very frequently appealing to patients when I visit with them, but there's many to choose from. And the easy thing chat, GPT is free. Go in and say what cruciferous vegetables are out there and it'll give you a long list of cruciferous vegetables and pick one. Try to eat 'em raw.
Mel Robbins (00:32:10):
So when you cook it, you don't lose the power it has to help prevent or cure cancer.
Dr. Dawn Mussallem (00:32:16):
You're still going to get benefit, but you're going to get a little bit more if you have a little bit of raw before you do it because you're going to get that enzyme. Now, there's a little hack you can do dry mustard seed, the seasoning, okay? If you decide you just want to cook these and you don't want to nibble on any raw, put some dry mustard seed, just sprinkle it on pop. Once it's cooked, it actually tastes delicious, and that dry mustard seed will help you absorb it.
Mel Robbins (00:32:37):
Fantastic. I'm going to do when I get home.
Dr. Dawn Mussallem (00:32:39):
It's so cool. Another thing that I'll often do is I'll already have the broccoli steamed, but I do a salad with some arugula in it. And arugula, it doesn't matter what you do, it doesn't have to be exactly the broccoli. If you just want to have any cruciferous vegetable at the same setting, just try to do some of your cruciferous raw. That's the message. And if not, put some dried mustard seed on it. Let's get all the bang for a buck if we can from these amazing ingredients. And it's really cool what they do. So when it comes to breast cancer, it helps to make estrogen into a less proliferative form
Mel Robbins (00:33:08):
Into a more what's proliferative mean?
Dr. Dawn Mussallem (00:33:10):
When we think of the breast tissue, we think of the fact that the breast tissue itself can be in a proliferative state where cells can grow more.
Mel Robbins (00:33:18):
Got it.
Dr. Dawn Mussallem (00:33:18):
And what the broccoli can do is it can transition the estrogen actually in our body to a form of estrogen that doesn't cause that proliferation. Proliferation is growth. So you can imagine if something's upregulating growth, that's not a good thing.
(00:33:32):
We want things that try to turn off that growth and it keeps that in check. There's many other things that the cruciferous vegetables do. It's like a master at detoxification. So often I have patients say, I'm going to go do a detox, but what do you recommend? I say, just eat healthy food. Get some broccoli. It's your natural detoxification. You don't have to go spend a bunch of money on a fancy detox. And I would actually rather people do it a more natural, safe way than go and put themselves through a major detox. So I just do it with the natural foods.
Mel Robbins (00:34:00):
Tell me about the black beans there. Let's talk about beans and why do they prevent cancer?
Dr. Dawn Mussallem (00:34:08):
So beans are really awesome. So there are so much benefit. This is an amazing plant protein. But when you think about plant protein, you're not just getting protein, you're getting fiber.
(00:34:19):
And fiber is obviously in all of these plants. So you only get fiber from plants. And fiber is magic. I mean, oh my gosh, we could talk for two hours on fiber. It's so important. And you hear a lot right now. Get protein, get protein, get protein. So yes, you need protein. There's no doubt you need protein. But the problem is, is the majority of Americans, just like the vegetables and fruits, they're fiber deficient. 95% of men are fiber deficient, and about 91% of women are fiber deficient. This is a massive problem. There was just something called we call an umbrella review. I mean, they did this very exciting review of all of the data to date. This was just published this year, 17 million person years in this study. And what it showed us is that there's class one evidence. This is like the highest quality evidence we have in medicine. That fiber can help to reduce dying from any cause, dying from heart disease. It can also reduce the risk of dying from pancreas cancer. In this class one evidence, what it's really exciting, there was another study, another review of the data that was just published that showed that fiber can help to reduce the risk of cancer by 22%.
Mel Robbins (00:35:19):
Okay, hold on. Fiber can help reduce the risk of cancer by 22%,
Dr. Dawn Mussallem (00:35:23):
22%, but we have 90% over 90% of people that aren't getting enough. So let's talk further. So I always think about food swaps with people. How can we maybe just swap one thing out? You don't have to do beans at every meal. And a lot of people say, oh my gosh, you're going to make me gassy. We'll just start slow. You don't need to do too much and cook 'em really good. So let's talk about this a little more. There's an enzyme in beans. This is so fun. It's like food is medicine, right?
Mel Robbins (00:35:47):
I love this.
Dr. Dawn Mussallem (00:35:48):
It's like fun facts. So there's this enzyme, it's called raffinose, and that's the gassy one.
Mel Robbins (00:35:52):
Raffinose is the gassy.
Dr. Dawn Mussallem (00:35:54):
It sounds like it's such an ugly word, why? You want to soak beans? So if you buy 'em dry, it's such an inexpensive, so much less expensive.
Mel Robbins (00:36:01):
Cheap too.
Dr. Dawn Mussallem (00:36:02):
So cheap.
Mel Robbins (00:36:02):
Buy the beans dry, Put 'em in the crockpot overnight. Yep,
Dr. Dawn Mussallem (00:36:05):
Soak 'em. You got it. You want to soak 'em and then rinse 'em really good. And then cook.
Mel Robbins (00:36:09):
Why do we need to rinse 'em? Really good.
Dr. Dawn Mussallem (00:36:10):
You're rinsing off that raffinose.
Mel Robbins (00:36:12):
So we're getting rid of the gas.
Dr. Dawn Mussallem (00:36:13):
Getting rid of the gas. Got it.
Mel Robbins (00:36:14):
Okay.
Dr. Dawn Mussallem (00:36:15):
So if you get gas, you kind of ask yourself, did I soak 'em long enough and rinse? Now I'm really busy. I know a lot of people listening are busy. I oftentimes just do canned beans. And so you want to rinse all that stuff off that it was soaking in. Rinse 'em, rinse 'em, rinse, and then heat 'em up. That's why people get gas.
Mel Robbins (00:36:31):
I always keep the juice. I don't want the juice because I don't want the juice in my body. You know what I'm saying? Don't.
Dr. Dawn Mussallem (00:36:36):
Okay. Okay. I have to share another study. Can I keep going please. Okay, so this one is super cool. So when we think about red meat, a lot of times people talk about how a carnivore diet can improve things like diabetes. This is very interesting. So there was recently a study published, and what it showed is that red meat and processed meat drives the risk of diabetes by about 60%.
Mel Robbins (00:36:59):
Wait, processed meat and red meat drives your risk to diabetes to 60%.
Dr. Dawn Mussallem (00:37:05):
Yes.
Mel Robbins (00:37:05):
What?
Dr. Dawn Mussallem (00:37:06):
Yes. And so this is the people that had the most versus the people that had the least. So any of these studies, when you hear people talking, you always want to scratch your head and say, I wonder what they're comparing it to. And oftentimes it's the most versus the least. So if you have a little bit of red meat, say 1, 2, 3 servings a week, that's not going to cause you to have diabetes. But if you're having red meat three times a day every day, that's a big problem. So what this study showed us, so it was really cool, we're talking about these food flips. If you flip out one serving of red meat or processed meat a day for beans or nuts, you reduce that risk of diabetes by about 30%. I mean, how easy is this? Think about if you're doing a Mexican meal where you have some meat that you put, skip the meat, do the beans, but the same seasoning in it. It's delicious. If you're doing soup, you could put maybe a few pieces of meat if you really like that meat stock flavor, right? It's not going to hurt you. Load it up with beans.
Mel Robbins (00:37:54):
Are all beans created equal? Are there beans that you like better?
Dr. Dawn Mussallem (00:37:56):
No. Do what you like. Do what you like. Do what's unique to you. I find in my patients, they seem to tolerate lentils and split peas initially. Best.
Mel Robbins (00:38:05):
Do those have just as much benefit lentils and split peas?
Dr. Dawn Mussallem (00:38:08):
Sure. Do what is you do, which one you enjoy the most? And I know for myself personally, I don't tolerate kidney beans. They make me feel icky. I will never have a kidney bean in my house. Black beans I love and lentils, they're so yummy. So it's really exciting. And sometimes I'll work with patients and I'll have them. I just had a woman this week who I gave her this suggestion. She's still doing it. She does steel cut oats with some lentils in it, and then she adds some cherries when she cooks it. She loves it. It's how she gets her protein. She's very committed to a whole food plant, predominant diet, and she loves getting some of those lentils as their protein source in the morning. So you can get really creative with these things. They take on the flavor of whatever you're cooking.
Mel Robbins (00:38:49):
Dr. Mussallem, why does edamame prevent cancer?
Dr. Dawn Mussallem (00:38:54):
Really exciting data. So this is the biggest myth that's out there.
Mel Robbins (00:38:58):
Biggest myth that's out there.
Dr. Dawn Mussallem (00:39:00):
Biggest myth that's out there that edamame causes cancer. So the majority of your listeners are going to be like, I think Mel said that wrong. Mel just said, why does edamame prevent cancer? Mel is right. 100% edamame are amazing. But several decades ago there was research done in rodents and we're not rodents, right? So this is how lab data can get very dangerous. You hear these studies in the lab or in this preclinical meaning pre before the clinic in this lab data that these lab studies are preventing X, Y, and Z disease. These studies need to be replicated in the human being. So in these lab studies with rodents, they showed that yes, consuming too much soy actually caused mammary tumors. I remember this. Remember this, don't eat soy. It's going to cause tumors in your breast tissue. That was the worst science ever because humans do not metabolize soy the way that rodents do.
(00:39:48):
We could use our common sense with this. We could look to Asia. We see in Asia, people have very low levels of cancer in their breast, very, very low levels. And so if we really apply to the human data, the research is beyond exciting. There are very few things we can consume that God forbid you ever got breast cancer would reduce your risk of dying. And OMI one of those. And one of the most influential times you have that edmo is you're a young girl. And if you're a man, it's not going to make you grow boobs. And if you're a young boy, it's going to be very protective for his prostate too. So we know that soy is also good to reduce the risk of prostate cancer. There's even some research that says it reduces the risk of lung cancer and it's amazing for the gut microbiome.
(00:40:27):
But let me talk about breast cancer because a lot of women with breast cancer avoid soy, even though that we know this data that it looks protective, they avoid soy. Well, the American Cancer Society's 2022 data on nutrition and exercise update dedicated three paragraphs to the safety of soy and breast cancer survivors. And it didn't just show safety In this beautiful meta-analysis, it showed that there was a 25% reduction in breast cancer coming back. And this was most pronounced in women with the most aggressive type of breast cancer when that's estrogen receptor negative. But even if women had estrogen receptor positive, breast cancer was still benefit. So it's really amazing. And how this works is there's two receptors in the breast. The estrogen receptor beta is where that soy likes to bind. And remember we talked about proliferation. That's where we turn off the proliferation is estrogen receptor beta.
Mel Robbins (00:41:16):
So when the soy binds with the beta, it turns off the proliferation of estrogen, which increases the spread of cancer. And by turning it off, you're preventing it from coming back and you're also fighting it if you have it.
Dr. Dawn Mussallem (00:41:30):
That's exactly right. And then our natural body's estrogen binds that estro receptor alpha preferentially. And that's one that turns on this proliferation.
Mel Robbins (00:41:38):
So beta turns it down. Alpha turns it on.
Dr. Dawn Mussallem (00:41:40):
You got it?
Mel Robbins (00:41:41):
Got it.
Dr. Dawn Mussallem (00:41:41):
So cool.
Mel Robbins (00:41:42):
Okay, so explain that part again about the alpha. What does it do?
Dr. Dawn Mussallem (00:41:45):
That's where the body's natural estrogen when bind that turns on this proliferation. So the soy does this really favorable thing at the level of the breast where we get protection, and that's exactly what we see in these studies, and it's a plant protein, so it's super cool. So how many women, I mean hot flashes, right?
Mel Robbins (00:42:02):
Yes.
Dr. Dawn Mussallem (00:42:03):
What do we do with those?
Mel Robbins (00:42:05):
I had one last night. I literally was sleeping at the hotel with my leg outside the comforter in order to try to regulate my temperature. Yes. What am I eating? You? What do I need to eat? Dr. Mussallem for hot flashes.
Dr. Dawn Mussallem (00:42:17):
Would you start eating these right now?
Mel Robbins (00:42:19):
I already eat. I need to eat more edamame. Clearly I order it when I'm out and occasionally I'll make it home, but I need to eat. I am about ready to take that cup of it and just throw it back right now.
Dr. Dawn Mussallem (00:42:30):
I love it. So this is amazing. When patients come in to see me and they have their hot flashes, which I'm working with women, 75% of breast cancers are estrogen receptor positive. So these women are on anti-estrogen medications from the age of 20 all the way to late eighties, I see women. And so they have massive hot flashes. Oftentimes the number one thing I start with is soy. There's great research done by Neil Barnard. He's repeated the study twice to show that edamame a half a cup a day, in addition to eating a healthy plant-based diet reduced, wait, you're ready for this? It reduced moderates severe hot flashes. You're on the edge of your seat by 88%.
Mel Robbins (00:43:05):
Wait, what's
Dr. Dawn Mussallem (00:43:05):
It's crazy?
Mel Robbins (00:43:06):
Wait, all I have to do is have a half a cup of edamame a day and I could experience an 80% decrease in hot flashes?
Dr. Dawn Mussallem (00:43:13):
88% reduction in moderate to severe hot flashes. He repeated this study and there was another one that showed as high as 92% reduction. Dr. Mussallem, you know what I say? Let's eat some omo. Yeah. Pass me the damn madama right now. Gets better. Okay, you ready? It gets better. It's even better. So in this study, you know what else they showed us? Tell me their moods felt better, but it's even better. This, their libido picked up. Oh my gosh. They felt sexy again.
Mel Robbins (00:43:35):
Chris is going to be shoving this at me. Eat some edamame Mel.
Dr. Dawn Mussallem (00:43:38):
Yeah, I have a funny story. I actually did talk for this Super Bowl last year, right around Valentine's Day, and I presented this data and they said, I'm buying Tama on my way home. Every man there. So it's pretty cute. But yeah, so eat your Tama. It's a great source of plant protein. It's delicious. You could do Tama, you could do tofu, you could do Tempe, you could do soy milk. Super easy.
Mel Robbins (00:43:54):
I like the edamame.
Dr. Dawn Mussallem (00:43:55):
I do too,
Mel Robbins (00:43:56):
I do too. So now I'm getting my fiber. I am getting my amino acid leucine profile protein count.
Dr. Dawn Mussallem (00:44:02):
It's a complete.
Mel Robbins (00:44:03):
I'm also getting my hot flashes decreased by 80%. I'm binding to my beta, whatever they were called in my breast. So it's turning down the cancer and estrogen stuff. I can't explain it quite like you did it, but I kind of understand it and my mood's going to be better. I think you just saved my marriage. I hope so. Beautiful. And it's already hot flashes and my, well, we're celebrating our 29th wedding anniversary this weekend.
Dr. Dawn Mussallem (00:44:28):
Oh, that's beautiful. Happy anniversary.
Mel Robbins (00:44:30):
I think edamame can always make it a little better. I'll be eating that every day.
Mel Robbins (00:44:36):
Let's talk about kiwi. Oh, kiwi. So I see kiwi.
Dr. Dawn Mussallem (00:44:38):
Oh my gosh,
Mel Robbins (00:44:39):
Why does Kiwi prevent cancer? And I see you smiling. You love kiwi. Tell me why you love kiwi so much. Dr. Mussallem,
Dr. Dawn Mussallem (00:44:45):
These little things, they're so cute, but they help with regularity, meaning poop. So I would say 90% of women coming in to see me, they're not having any bowel movements. And they feel bloated. They feel fulled. I mean it's, I can't imagine how people feel. Some people say they don't have a bowel movement for 10 days.
Mel Robbins (00:45:03):
Oh, that sounds horrible.
Dr. Dawn Mussallem (00:45:05):
It's really bad because when that poop sits inside you, you're auto toing, you're reabsorbing all those chemicals into your body. It's just sitting up.
Mel Robbins (00:45:10):
Wait, what? Hold on a second. So when you're constipated the waste, which is poop, it's just sitting there in your system, you're reabsorbing the waste. It's trying to get out.
Dr. Dawn Mussallem (00:45:19):
Yeah, it reabsorbs what? Yes, you want to get rid of that waste. Ideally, people are supposed to have a bowel movement after each meal.
Mel Robbins (00:45:28):
You're supposed to have a bowel movement after each meal?
Dr. Dawn Mussallem (00:45:30):
No one does that because in America, we're in this fast pace of we kind of as kids learn that no, you go maybe after breakfast when you're home and maybe after dinner if you're lucky. No one typically is going after each meal, but ideally that's best. Oftentimes patients transition this more plant predominant diet, and they'll call my nurse and say, I think something's wrong. She put me on this diet and I'm pooping. I'm having a bowel after each meal. And the nurse's like, oh, no, no, no. She loves that. So this is cool though. So let's say someone is just struggling. They are constipated for whatever reason. Maybe it's their treatment. We give Zofran for nausea, for cancer patients. It causes a lot of constipation. Kiwi two kiwi a day after about a week or two can help you with that constipation.
Mel Robbins (00:46:07):
Why?
Dr. Dawn Mussallem (00:46:08):
It just helps with the different sorts of soluble fibers and mucinous fibers and proteins and whatnot that are in this. It helps with it, but it is better than that at the level of DNA. These are rich in vitamin C, but at the level of our DNA, it can help to reduce oxidative stress. Think about an antioxidant. We take antioxidants to fight cancer. We take all these expensive pills and powders, right? Just eat your kiwi. But I love this with the skin, right? The skin is so great because it's more fiber for you. So this is a wonderful food to add in. It helps that overall diversity of what you're consuming.
Mel Robbins (00:46:41):
Now, why does a kiwi prevent cancer?
Dr. Dawn Mussallem (00:46:44):
It's super cool. So this really gets on the cellular level, which can you imagine? That's how hypo, that's so cool.
Mel Robbins (00:46:50):
Food is medicine.
Dr. Dawn Mussallem (00:46:51):
It's so cool. So at the level of DNA, it can reduce oxidative stress. So we go, when we buy antioxidants, we spend all this money on pills.
Mel Robbins (00:46:59):
Wait, hold on. What is oxidated stress? I see it on packaging, but what actually is it?
Dr. Dawn Mussallem (00:47:06):
So oxidative stress is what comes from us from everything as simple as breathing oxygen from the environment to having any stressors in life to just really living. We get this oxidative damage that builds up certain foods can even kind of cause this trigger as well. But what these little magical fruits do is they go in and they help to turn off that oxidative stress. They come to the rescue basically.
Mel Robbins (00:47:27):
So life basically has turned on the oxidated stress in your body at a cellular level, and you eat a kiwi. And not only is it helping you with constipation, but it's flipping the switch off on stress at a, I can't say the word molecular level
Dr. Dawn Mussallem (00:47:46):
Exactly. It's the level of our DNA, like our genetic makeup. It's super cool and it helps to repair that DNA. So it's really a magical fruit, but it's like this, with all these vegetables and fruits, these all have these magical powers within these phytonutrients and molecules that just help the body and rescue it. The body has such wisdom to heal itself, but we just have to give it the tools to do this.
Mel Robbins (00:48:07):
And is it better if these are raw? Do you get more benefit if you're eating these raw, I mean, clearly just eat 'em, but if you can just pop fresh kiwi in your mouth, if you can do it that way, it's better.
Dr. Dawn Mussallem (00:48:19):
Exactly. So there's two vegetables that are better cooked, and that's carrots and tomatoes. And both of those are actually better. With a little fat, you get more of that lycopene. You absorb it in the tomato and the betacarotene in the carrot. So those are two vegetables that would be better to cook them than raw in terms of extracting all those phytonutrients. I mean, I love raw carrots, so I ate 'em all the time. It doesn't mean don't eat raw carrots. It just means if you really wanted to go and reap all the benefits and how you would extract those phytonutrients best, cook them in a little bit of olive oil, nice, extra virgin olive oil.
Mel Robbins (00:48:50):
Amazing. Amazing. And is it true that even if you have a patient that comes in with a cancer diagnosis to your practice and they've really just let themselves go? I mean, I think for women in particular, as we're taking care of everybody else and we have a really busy life and it's easy to get the stuff grab and go and not find time to exercise. Even if you've made, now that you're realizing, oh my God, I got to put the boxes down and the cans away and I got to get back to a really more sensible whole food diet. Can you really reverse the stuff that you've done? Can your body really flip the switch even if you've let yourself go for while? Is this available to all of us at any age?
Dr. Dawn Mussallem (00:49:29):
Oh, I love this. You ready?
Mel Robbins (00:49:31):
Yes.
Dr. Dawn Mussallem (00:49:31):
Get on the edge of your seat because you're going to for this one. So if we're young in the age of 20 and we start eating better, yeah, you can imagine for women, we can add 11 extra years to her life for men 13 years.
Mel Robbins (00:49:41):
Wait, hold on a second. Say that again.
Dr. Dawn Mussallem (00:49:44):
Yeah, so if you're 20 and you say, Hey, I'm listening to this show and we're going to start eating all these vegetables and fruits and more whole grains, plant proteins, just a little bit better. Doesn't mean you need to be vegan, that you can add 11 years if you're a woman onto your life expectancy of healthy years. If you're a man 13 years, but it gets better. You ready? Keep ready? Yes. If you're in your sixties, so you really beat yourself up, you're 60, you get your breast cancer diagnosis.
Mel Robbins (00:50:12):
Uh oh,
Dr. Dawn Mussallem (00:50:12):
You can add eight years life expectancy. Wait, what? Wait, it gets better. Okay, here's the goal. Ready to drum roll. You ready? Yes. If you're 80, I have concepts and they're 80. They're like, why am I seeing you? I'm 80. Granted she's outlived the life expectancy of most women in our country. Can you really help me? I say I absolutely can. And here's a study that proves it. You can add 3.4 years of life expectancy. It's so cool.
Mel Robbins (00:50:38):
Just through the changes in food?
Dr. Dawn Mussallem (00:50:40):
Yes. By eating healthier. It's truly amazing. So healthy living really comes with its own benefits and we see in this science, this is longevity central. Now everywhere on social media, every big city you go to, it's anti-aging clinics everywhere you go, and these programs must be built on healthy living because there's no magic bullet that's going to help you age healthy and feel wonderful in that time, like healthy living will. And we know that about 75% of that healthy aging equation is modifiable. It comes from our lifestyle.
(00:51:17):
So it's so important to really lean in, show up for ourselves. It's never too late. Even if you have this cancer diagnosis and we know if you are diagnosed with cancer, that can be a hard time for some people. They're busy with their treatment, they don't feel good, and they're processing a lot. And the cancer research really says it really kind of starts in these studies about a year after the diagnosis. I want my gals to get as busy as they can at the time of diagnosis because we know that if we can get as busy as we can during treatment, that they just feel better. They have improved quality of life. There were two recent studies that explored this and they were very fascinating, small studies, but they give us a snapshot of how cancer patients do during treatment, and one actually did a whole food plant only diet, like a vegan diet. They supplemented them with some protein powder and what they showed is, yes, these patients during chemo had less fatigue. That's what I see in my patients.
Mel Robbins (00:52:10):
I as you're listening, want you to think of every 20-year-old in your life. I want you to think of anybody in your life that has gotten a cancer diagnosis. I want you to think of anybody in your life, in your sixties and your eighties that may or may not have taken good care of themselves. And I want you to share this episode with them because it's an act of love. It is a generous gift to give the gift of Dr. Mussallem to the people that you care about. So we've talked so much about the foods that you can eat that activate the natural intelligence in your body to prevent or cure cancer.
Mel Robbins (00:52:45):
Let's talk about the top five foods that we should avoid that cause cancer.
Dr. Dawn Mussallem (00:52:52):
You know where I'm going to start, right? No ultra processed foods. Okay, so anything in a box? No, not necessarily because we are in a busy fast-paced life, so we need easy solutions. Me included. What I do is I spend a lot of time in the grocery store and I tell my patients, listen, you're going to too. This takes time.
Mel Robbins (00:53:14):
What am I looking for when I'm in a grocery store?
Dr. Dawn Mussallem (00:53:16):
You're going to look at that ingredient list on the box, on the package, whatever it is you're buying that's not in the produce aisle. So as soon as you go in the aisle, when you're on the perimeter, it's kind of like whole foods. Soon as you're in the aisle, look at those labels and see what's in the ingredient list. If there's words in there that you're like, what the heck is that? Put it back on the shelf. Okay. You just don't need it. So look for those ultra processed foods on the ingredient list with words that we have no clue what they are. There was a study that was really, really fascinating. It was done out of the UK and it showed that almost 30% of the food by weight was ultra processed food and for every 10 point increment increase in that ultra processed food, yes, it certainly drove the risk of cancer, but this is a really startling statistic.
(00:54:00):
It drove the risk of dying from breast cancer by 16% and increased the risk of dying from ovarian cancer by 30%. These numbers create almost a visceral response. Almost makes me sick to share that because that's really harsh to think that fake food can have that kind of impact and we know that it drives risk of chronic disease, these fake foods, diabetes, heart disease, all these things. The number one killer of women and men is heart disease and we know these ultra processed foods just wreak havoc there too. There was another study when we start to think about, well, what constituents are ones I really need to be careful of? So there was another study done among 92,000 individuals from France. They followed them for almost seven years. Okay, here's another one. So this is a hard one to believe. It drove the risk of breast cancer with the consumption of Mono-and glycerides
Mel Robbins (00:54:48):
Who mono and
Dr. Dawn Mussallem (00:54:50):
Listen,
Mel Robbins (00:54:51):
Okay, what is it?
Dr. Dawn Mussallem (00:54:51):
This is in everything. So those wrap sandwiches that we make, yes, either they're healthy, we're doing a good job, we're trying to eat a healthy veggie wrap. Many times these wrap sandwiches to get it so it rolls nice.
Mel Robbins (00:55:02):
Yes,
Dr. Dawn Mussallem (00:55:03):
They add that Mono-and glycerides to make it roll. Nice
Mel Robbins (00:55:05):
Mono-and glycerides. That's what I'm looking for.
Dr. Dawn Mussallem (00:55:08):
Mono-and glycerides drove the risk of breast cancer by 24%. Okay, prostate cancer, it drove the risk by 46%.
Mel Robbins (00:55:15):
Did you hear that? Gentlemen? Do not eat that.
Dr. Dawn Mussallem (00:55:18):
But listen, these Mono-and glycerides are in a lot of stuff. So we have people that hear maybe what I'm saying, they're like, oh, maybe I should be vegan. That is not my message. My message is whole food plant predominant. That's really where I want people to be is that whole food component. The vegan ice creams. I had a patient before I came here yesterday, she was doing vegan ice cream thinking she was doing good. I just said, just do the regular ice cream. How often do you do it? She goes, once a week, enjoy your ice cream. You don't need the fake stuff
Mel Robbins (00:55:47):
Because there's a lot of fake stuff in a lot of that stuff.
Dr. Dawn Mussallem (00:55:49):
Just because it says vegan doesn't mean it's healthy. Look at the ingredient list. Get rid of those monoglycerides. Carrageenans drove breast cancer risk by 32% for a long time. We found this a lot in plant milks. People are trying to be healthier and then we find these ingredients that aren't good are in these foods. So take a look at the ingredient list. It's really, really important and just try not to do those chemicals that wouldn't otherwise be good for your body.
Mel Robbins (00:56:12):
What are the other ingredients? If you had to have five that we're really looking for on the back of an ingredient list, don't go near it. One of 'em was the mono.
Dr. Dawn Mussallem (00:56:20):
Yeah, mono-and glycerides
Mel Robbins (00:56:21):
Mono-and glycerides. The other one was the
Dr. Dawn Mussallem (00:56:24):
The carrageenans,
Mel Robbins (00:56:26):
Carrageenans. Give me a couple others.
Dr. Dawn Mussallem (00:56:27):
And the food colorings at the government policy level, they're really starting to get rid of food colorings. There's so many ingredients on the ingredient list, they kind of try to twist around that. It's really hard to even know what these ingredients are anymore. So it's such a huge umbrella and net of words that are on there. I just typically say, let's just try not to do the foods that we bring into our home that have these words that we have no clue what they are. There was a study that was looked at this weekend. I actually called my good friend Dr. Mussallem. We do a lot of studies together with gut microbiome. She's big into immunotherapy and man, this is scary. It said individuals on immunotherapy who consumed sucralose. So these are in these sugar-free beverages. We didn't think that these things actually seem to sinister is a lot of people point them out to be.
(00:57:14):
They're definitely not a health food, but do they really cause harm? Like people point them out to be, probably need a lot of it to really cause harm, but they found that the lace reduced the effectiveness of immunotherapy in the treatments that are curing cancers that the SLA messes with the gut microbiome. This is what it's suggesting. So this is a shout out. Let's really try to skip these artificial sweeteners. Lean in on something like dates or use honey or maple syrup or if you're on more of a calorie restriction, look at stevia or monk fruit. And even when you buy those, take a look at the ingredients because guess what, in this natural food industry, everyone's coming to the market and some of those foods are a little more processed than they should be.
Mel Robbins (00:57:56):
So the stevia is okay, the monk fruit is okay,
Dr. Dawn Mussallem (00:57:58):
Green light
Mel Robbins (00:57:59):
Here and there, green light,
Dr. Dawn Mussallem (00:58:01):
Total green light, total green light.
Mel Robbins (00:58:03):
But with a product with stevia or monk fruit, you still want to look and see. Is there something else scary hidden in there?
Dr. Dawn Mussallem (00:58:10):
I think so. There's some of these packets of the stevia that add erythritol. I will be first to say, I think that research was exaggerated. You would need a lot of erythritol to really cause a true problem in terms of cardiovascular health, but you still want to avoid it. Exactly. And it gives you a lot of GI upset. So why do it? It's going to make your belly feel bloated. Anything that has that all on the NOL is usually a sugar, alcohol, sorbitol, erythritol, and your belly is just going to hurt if you do too much sugar-free candy and you're like, it feels like you have razor blades in your stomach. So just be cautious with those sugar alcohols. Again, not all of them are definitely doing harm that we know of for sure. The erythritol is one that's definitely on the watch list because it seems to make platelets, the cells that help to clot the blood. It seems to make 'em a little stickier, but again, it would take so much. It's more of a cellular reaction in the body and response to stress that releases some erythritol. If you consume it, does it do the same thing? That's what we need to find out. Some of this research is done in isolated situations in the lab that when applied to the human doesn't really work directly in that mechanism, but still you don't need it.
Mel Robbins (00:59:19):
Got it. And so if you're looking at something derived from dates or honey or bananas or something like that or stevia without the rol or however you say it or monk fruit we're good.
Dr. Dawn Mussallem (00:59:31):
Exactly. Medl dates. I mean it's God's candy. They are so healthy and they don't drive your blood sugar up. It's the coolest thing. They almost have this insulin sensitizing feature. So if children want a delicious snack, take a medl date, take the pit out and put a pecan in the middle, it's like heaven.
Mel Robbins (00:59:52):
Good. Amazing. And other than ultra processed, what are the top foods Dr. Mussallem to avoid because of cancer?
Dr. Dawn Mussallem (01:00:01):
So processed meat kind of in the processed foods and maybe, but processed meat is a class one carcinogen. That's right. So it's linked to the increased risk of several cancers, but it especially drives that risk of colorectal cancer. I mean this has been a lot of stuff. So this is pepperoni, this is sausage, this is bacon, this is even chicken nuggets. This is lunch meat.
Mel Robbins (01:00:23):
You are out for the charcuterie board. I mean is there any kind of salami or bruschetta or any of that stuff if you get it from your local farmer, are we okay or is it just big buying it behind the deli counter situation? So let's have an honest
Dr. Dawn Mussallem (01:00:35):
Conversation. So what I share with people is how much of this are you going to consume and you're in this social gathering, you may have a piece what once or twice a month. That's just not enough to hurt you. The body is resilient, but if someone's having it every day, that's when it adds up. You've got to live. And if you love having some of that charcuterie, and we certainly know in the Mediterranean countries, and I think a Mediterranean diet can be very healthy if that's what you do. Just because I don't do it doesn't mean that I think that it's going to kill you. But what I'm here to say is yes, processed food is considered a carcinogen. So are cigarettes. If you smoked one cigarette four times a year, that's also probably not going to cause cancer. But that would sound ridiculous as a doctor if I said go and have a cigarette once in a while, but why do we frown down so much if I say, yeah, you should avoid processed meat.
(01:01:17):
People get very protective around the discussion of food. So I'm just here to kind of talk some sense into what that really means. I share this with my patients like speeding on the highway. When you get in your car, put on your seatbelt, let's keep yourself safe. Speed is posted 65, you're going 67, 68. You're not going to get a ticket, especially if you're doing everything else right? Stay in your lane, get your vegetables and fruits, get your fiber, get what you need. Don't throw the whole meal away. If you have the charcuterie, lean in on some avocado and get some whole grain crackers. Enjoy yourself.
Mel Robbins (01:01:47):
I love you. You're my new doctor. That's all I'm saying you're my new doctor.
Dr. Dawn Mussallem (01:01:51):
I won't be eating the charcuterie by the way.
Mel Robbins (01:01:53):
That's fine.
Dr. Dawn Mussallem (01:01:54):
Don't ask me.
Mel Robbins (01:01:54):
You know what, let them them. I'm happy to have a couple pieces of salami, yes, with some avocado and some olives,
Dr. Dawn Mussallem (01:02:00):
But no one enjoys me when I'm at a party because everyone behaves and it's all the people behind me that are doing all this stuff and everyone in front of me is like doing and they go to the back and do it.
Mel Robbins (01:02:09):
Honestly, I think I would enjoy you anywhere. So don't worry about that. Let them think what they're going to think.
Mel Robbins (01:02:14):
So you talked about exercise. Let's talk about how exercise, particularly when you have a cancer diagnosis or you are battling some other illness, talk to me about the healing properties and exercise.
Dr. Dawn Mussallem (01:02:33):
There's this really cool mechanism that takes place that we're still doing research on. It appears that exercise during that period of chemotherapy improves cancer outcomes. We see this with metastatic breast cancer too. So it's extremely exciting. And the one hard thing with cancer treatment is oftentimes people lose muscle and that's the metabolic tissue. So if you can try to do your cardiovascular work to try to really keep that cardio respiratory meaning the heart and lungs as fit as possible, but also even trying to lift some weights during your cancer treatment, it can really help to maintain that muscle, which is going to make your survivorship easier. Like I shared the statistics with breast cancer is you exercise as a breast cancer survivor can improve outcomes by 50%,
Mel Robbins (01:03:21):
Meaning the cancer doesn't come back?
Dr. Dawn Mussallem (01:03:23):
Yeah, it improves survival from all causes from breast cancer by up to 50%. It's a really powerful number. If someone cornered me and said, what is the most important thing a cancer patient should do? I wouldn't really answer one. I would refuse to answer one. There's like three things at the top of list.
Mel Robbins (01:03:38):
What are the top three things a cancer patient should be doing? Dr. Mussallem?
Dr. Dawn Mussallem (01:03:42):
Well I would start number one is love, love self, love others. It starts there. It's that simple because if you don't love yourself enough to show up for yourself to exercise, move your body and take time to find the healthy food, you're not going to be able to do it. So we got to start there,
(01:03:55):
Love self, and then love others. Just open that heart and be kind. It feels so good. I love you. I love all you. I love you too. It just feels good. You say that and you elevate the energy of the room. And if you do that, you're going to be more energized. You're going to have more pep in your step even during that chemo to go walk. And it's kind of a responsibility even to help others. We feel good. So we should be kind of good stewards in the world to share that energy with people that aren't doing as good today to help them. So starts with love, show up for yourself, move your body. You don't need to be running marathons. Just go for a little walk. I say, Hey, five minutes counts. Even if you're walking around your kitchen, hey, do a few dance moves. I don't go dance with your husband, it doesn't matter. Just move. You don't need to go to a gym.
Mel Robbins (01:04:36):
Love, move. And what's the third thing every cancer patient should be doing?
Dr. Dawn Mussallem (01:04:42):
Yeah, hey, it's the food and that's my favorite. Food is love because it brings, it's going to give you the energy, nourish your body, help you with regeneration, actually turn off those tumor promoter genes, turn on those tumor suppressor genes and it's just going to optimize everything from your mood to your sleep even, which we'll talk to in a little bit here to that gut microbiome and beyond. So the food is fun, let's do it.
Mel Robbins (01:05:04):
Absolutely love this. Let's talk about sleep. Does sleep help you prevent cancer?
Dr. Dawn Mussallem (01:05:10):
Sleep is rough, man. So I love a pretty healthy lifestyle, but I sleep like a baby, but I just can't find time for sleep these days. I would just rather be activated and alive. But listen, that sounds funny, right? That's not actually a funny thing. We need sleep. Sleep is when our brain gets its bath.
Mel Robbins (01:05:28):
Talk to me, what do you mean your brain gets a bath?
Dr. Dawn Mussallem (01:05:30):
Seven to nine hours is what it takes for the brain to get its little washing to get rid of all those toxins. So you need to, I just joke with my patients like, yeah, no stinky brains, get your sleep. I just had to talk to the Mayo Clinic staff. I said that they all these very brilliant, the smartest people in the world are kind of like, okay, patients love that stuff. Academics, they don't always find it cute, but this is the truth. Wash your brain. Sleep hygiene, we call it sleep hygiene for a reason because your brain needs its bath, but there's things we can do to improve the quality of our sleep. And really what's so important is that when you wake up, you get that first morning sunlight, getting that first morning sunlight, reset, that circadian rhythm and the man, we need to be careful with the screen exposures because all that blue light that's emitted, especially if you don't wear the blue blockers on your glasses, it just drops and drops and drops your natural melatonin. So when you go to bed at night, you either can't fall asleep or if you do, you can't stay asleep. And it's because of all of that blue light, especially after sundown. So aim for those seven to nine hours of sleep and we know that's when your body's regenerating. There's studies that actually show us in people who do shift work
(01:06:34):
That there's increased risk of cancers. And listen, these people can't help it. That is what
Mel Robbins (01:06:39):
What is the connection between not getting good sleep and cancer risk?
Dr. Dawn Mussallem (01:06:45):
There may be a lot of things contributing to that. Is part of it that if you're not sleeping, are you just not as energized to do as much exercise? This is where it's hard to control for confounding variables. So what is it that's driving that? But we know that one of the main mechanisms is you're getting that restorative period in your body that is very, very critical in terms of optimal health from all health conditions.
Mel Robbins (01:07:10):
So when you talk about the fact that if you get seven, eight to eight hours of good sleep, right, and you prioritize that, it's also when your brain is getting a bath and it's clearing out the toxins. Why does that matter when it comes to preventing cancer or diseases or curing yourself of the different health things that you're dealing with?
Dr. Dawn Mussallem (01:07:32):
You know what, I think Mel, the biggest reason why individuals who don't get enough sleep aren't as healthy as they should be, that goes right in line with that cancer discussion is because it really disarms metabolic health. So moving beyond that brain health into what else is happening in the body, we know in people that aren't getting adequate amount of sleep or good quality sleep, that it really is interfering with optimal metabolic health or control of blood sugar during the day.
Mel Robbins (01:08:00):
So when you say metabolic health, what should I, as somebody who's not a medical doctor, with all your experience and expertise, what should I hear in plain language?
Dr. Dawn Mussallem (01:08:12):
It's tricky, right? And again, we chatted about how 93% Americans fall in this bucket of not being metabolically healthy. I really would love if doctors checked something called a hemoglobin A1C in their patients. This is an average blood sugar level over a three month period of time. Hemoglobin A1C, A1C, it's a simple blood test. It was tricky though because oftentimes Medicare doesn't like covering it and doctors just need to code properly and really try to get that test checked. And at the end of the day, if your doctor doesn't check it, just do the things that we're talking about because we know those are the things that'll move you forward with being more metabolically healthy. Get the seven to nine hours of sleep. We know if you get less than that, generally we see a little bit of an insult to that metabolic optimization during the day. The blood sugar control just isn't as optimal.
Mel Robbins (01:08:56):
Well, it kind of makes sense because if I really think about both the jaw dropping research that you're talking about,
(01:09:05):
But then the common sense side of this, which is in order to prevent disease, in order to prevent cancer, in order to actually cure yourself of chronic diseases or of cancer and make yourself healthier, you have to boost your immune system. You have to manage stress, you have to put your body in the best place it can be in order to do the job of helping you get healthy alongside what the medical interventions are. If you are getting good sleep, it means that you're putting yourself in the best position to do that. And if you're getting lousy sleep and you're not prioritizing it, then you're already waking up and you're at a major disadvantage because your insulin's all over the place. Your hormones are all over the place. You're stressed out because you haven't slept, which impacts your immune system, which of course just common sense tells you that would impact your ability to truly show up for yourself and fight the thing that you're dealing with or prevent anything worse from happening.
Mel Robbins (01:10:11):
So could you explain just why you keep referring to muscle being really important for your cancer patients and muscle being something that's important for preventing cancer? What medically speaking is the reason why muscle is so important when it comes to preventing cancer or curing it?
Dr. Dawn Mussallem (01:10:32):
I love that and it's such a perfect segue. We're talking about metabolic health.
(01:10:36):
The muscle is what takes up the blood sugar. So when you exercise, if you eat a meal and you go for a five or 10 minute walk, those muscles are going to take up some of that blood sugar. That's a great thing to do. And so muscle is what's so critical. The fat just sits there. It doesn't do anything metabolically, but the muscle requires some maintenance, right? It needs energy. And so that's where the blood sugar is going to go and your body takes it up and that's what is so important and so awesome and in strength, you need strength to be functional so you don't fall as we get older. And so muscle is critical and I think muscle also partners. So importantly with bone health, that's a big thing that I see in my breast cancer patients, especially in those anti-estrogen medications. I was a hospital physician for the first 10 years of my career at Mayo Clinic and it was nothing that broke my heart more than a breast cancer survivor that was cured of her breast cancer. 78 years old falls and breaks her hip because she has massive osteoporosis from all those anti-estrogen she took. So we've got to think about muscle so you don't fall keep you strong when you strengthen your muscle by doing the resistance training, you keep those bones strong too. So you get all kinds of benefits by doing those strengthening exercises to keep the muscles strong.
Mel Robbins (01:11:43):
Now we've just talked about the magical ability to prevent cancer and cure cancer based on the fact that food is medicine. We've talked about things that you should avoid because they activate very bad things in your body that can cause cancer. But isn't it true that someone can be doing everything right? You can have a really healthy lifestyle, you can be working hard to manage your stress. You can be eating a whole food diet or even vegan, you can be reading all the labels, you can be getting your exercise and you still get cancer, you still get some sort of disease. I would love to have you talk to us about how important it is when that happens to not blame yourself.
Dr. Dawn Mussallem (01:12:31):
It's so important and there's really amazing research that shows in individuals who took really good care of themselves their whole life and they get this cancer diagnosis. I'm that example, right? There are studies that show that they improve their cancer outcomes and they get credit for all that good year of taking care of themselves that they did over their life expectancy.
Mel Robbins (01:12:50):
Hold on. I want to make sure that the person listening and watching just got that. You are basically saying if you have been taking really good care of yourself and all of a sudden you get this diagnosis that everything that you've done that was positive before the diagnosis counts and the research shows that you are in a better position because of all that positive work that you've done and the good choices that you made and focusing on your health. You're literally based on the research in a better position to beat this disease and to have a more positive outcome.
Dr. Dawn Mussallem (01:13:28):
That's exactly what I'm saying.
Mel Robbins (01:13:29):
Oh, I love that.
Dr. Dawn Mussallem (01:13:30):
It's so beautiful. But there's a really beautiful message here. There was a nurse's health study that did a nice job with this, with nutrition, and it showed that individuals that did more of a healthy diet, not a perfect diet, but just eating a little healthier, a little more vegetables and fruits, little lower in fat, little less red meat, don't do the sugar sweetened beverages that yes, if you were living a healthy lifestyle and you continued on that trajectory, you had a much better breast cancer outcome. But guess what this study also showed if you learned that, oh my gosh, I've been given this cancer and there's such a lesson here for me to start living healthier now, I'm going to start maybe with having a few breakfast better each week. It doesn't need to be perfect right out of the starting bat, but what they found is that those individuals who all of a sudden pivoted and became more healthy, that they also had that improved risk after the breast cancer diagnosis. So it's never too late regardless of what your adversity is to try to just make yourself a little bit healthier, you'll feel better, have more vitality and can help those cancer outcomes.
Mel Robbins (01:14:24):
Well, what I love about your approach as both a physician and the fact that you are also a cancer survivor is that you are very clear in your personal story and with all of the patients that you see in your own clinical practice, all of the research that you're doing at Mayo, that it's both, that when you get that cancer diagnosis, first of all, react however you're going to react, process whatever emotions you're going to process. But by God, you want them to double down on vitality. You want them to double down on healthy choices right now because the research really proves that it increases your health outcomes in a super positive way. Whether you started healthy or not, you got to double down on that right now. But in your clinical practice and as a medical doctor, you do prescribe chemotherapy, radiation, you do recommend surgery, you do lean on all of the incredible medical interventions that are available to people Now along with exercise, love yourself, really focus on the foods I'm telling you to eat. Why Dr. Mussallem? Do you have your patients do both.
Dr. Dawn Mussallem (01:15:39):
It's critical. There are studies that show this. I would say my biggest success story is when I have a young woman come in and she is refusing chemotherapy and treatment and she comes to see me because her hope is that I'll give her a natural remedy to get rid of her cancer. And what I really hope is that we can meet her where she's at, but yet give her the evidence to show the support of these conventional therapies and the need that they have in the place of an aggressive cancer. And so what the studies have shown is that patients that refuse a traditional cancer treatment instead only go the alternative route that they have a two and a half fold increased risk of dying.
Mel Robbins (01:16:17):
Hold on. I want to make sure everybody hears this because obviously your decisions about your own body are your choice. However, it is critical with all the misinformation being spread right now that you understand the facts and the research from a medical doctor and a researcher who's been doing this for decades. So I want to be clear that you just said that somebody that refuses the traditional medical interventions like chemotherapy and tries only all natural, that you have a two and half times, you're two and a half times more likely to die. Is that right?
Dr. Dawn Mussallem (01:16:52):
That's right. And if you look at all the studies, the average, this is really scary and this isn't meaning to scare people because everyone has their own reason for doing what they do. But as a doctor who's sitting in that room and look in the eyes of a 30 5-year-old that's telling me she doesn't want to do chemo, these studies help me to convey that message. Not that I'm trying to evoke fear, but I just wanted to understand the reality of what she's actually committing to.
Mel Robbins (01:17:14):
What do you say to somebody in that put us at the scene? We're in a consultation with you. I realize you're not my doctor and this is hypothetical, but if you have somebody that's just like, no, no, no, I just really think that I can, I understand the power of food, which is true, but what do you tell that person about the facts in that moment that they should consider?
Dr. Dawn Mussallem (01:17:36):
Yeah, so I share the broad range and what the range shows is between 30% and 470% increased risk of dying, 30 to 70%, 30 to 470% risk of dying for not doing treatment. And this is especially really witnessed in these cancers. We do a good job with curing like colon cancer, breast cancer, even lung cancer. And so this is what I see. What I see is I have women, I have women, she does not want to do treatment, and that's okay. This is her life. I'm just here to give her the I don't take it personal. I've told my colleagues, listen, it is not your job, my job, any of our jobs to rob or to convince people to do chemo. It's our job to give them the information, to give them the support that we have all these natural therapies that can help you feel fine during treatment. And I share with them my journey, how I did this that well, we can have you still have your normal life pretty close to that. There's some treatments that are much harder and there's some women that really, I'm just going to say suffer, but that's the rare, I don't have as many women in that bucket that are really struggling with chemo. I have more that are attaining their vitality by doing some of these holistic measures. But there's always some people that really do have a hard time and there's just some chemotherapy regimens out there that people require that are just very, very harsh on the system. And it's not because they're doing anything wrong, they're doing quite frankly everything, but by not doing the traditional therapy to go after that cancer. And what's interesting to me is most of these individuals, many of them coming in, we're already living the healthy lifestyle.
(01:18:59):
So think about that. I'm like the cancer became one with your body while you were living this good lifestyle. I have nowhere to pivot and turn. There's nowhere really to take you. And there certainly is no magic bullet. And I know that within the naturopathic community, the thought is, well, a lot of traditional chemotherapies come from natural substances, but they're not regulated. We don't know the dose. We don't have the science to drive that forward. So this is all personal preference. This is why I went to traditional medical school because I really wanted to be able to support my patients through the lens of holistic care, but also be able to rely on the conventional treatments that cured my cancer personally. And I just really stand behind that. And so that's what I would suggest for individuals is please find the oncology team that hears you, hears your concerns, acknowledges your vulnerability and your fears, and let's hear your fears.
(01:19:51):
Why are you scared? And Mel, I just see women really find a different connection with their life during cancer treatment. I mean, my days, it's just I have the best job in the world. It's the most beautiful thing to be at that intersection of love and life and kind of death. Every breath we take, we're dying. It is true. All of us are dying. But when you're given a cancer diagnosis, it's a little harder. I mean, it's right in your face and it's so hard for these women, these moms, these wives, these daughters, and oftentimes they're the one that takes care of everyone. And now this is the first time who's going to take care of them. So I love being able to be there for them in this space.
Mel Robbins (01:20:29):
Dr. Mussallem, what do you think the biggest mistake people tend to make when they get a cancer diagnosis?
Dr. Dawn Mussallem (01:20:38):
I think the biggest mistake is they fight it. Meaning they're given the diagnosis and all of a sudden it's very natural to do this. But they have this almost prolonged state of resistance. And for me and in my patients that seem to be able to regain their vitality a little quicker because at first, yes, the carpet's put out from underneath you, you have this fluoride thought. Don't ever place judgment on what you are doing.
(01:21:07):
This is not a time for self-judgment because just trust your emotions, trust your feelings, have some reflection. Maybe even think of journaling and writing down what that means. Sometimes we can make more sense of it, but what I would say is that the acceptance of the diagnosis gets you out of that place of just resistance so much faster. It's not going to change. It's there and resisting it isn't going to make it better. It's actually going to make you worse. And so if you can just try, and some people will confuse this with positive psychology, and it's not because this is hard. I sobbed, yes, I was scared. I was scared of dying. Even though I'm comfortable with my mortality, actually I was still scared of dying. Not because I was going to miss out on life, but because my family, they would be sad.
(01:21:55):
Our friends, there's so much that you process during this time, but if you can accept the diagnosis, figure out what treatment strategy works for you and move forward all while taking better care of yourself, it seems like it's just an easier path. In addition to that acceptance, I find reframing it again is taking that cancer word and flipping it around to something that'll be meaningful to you that'll give you a little bit of maybe almost meaning behind it. Can you give me an example? Yeah. I mean for me it was what could I learn from this cancer diagnosis to one day be able to elevate humanity through the lessons that I was given. I just feel so blessed that I was able to get through my cancer treatment actually easy.
Mel Robbins (01:22:35):
Well, I want to go back to that moment in your life because at the time of your cancer diagnosis, you're in medical school, you're 26, right around that time you also lost your husband. It was just you and your young daughter. Can you talk to the person listening about what it was like to be raising your daughter when you were also mourning the loss of your husband? What was that like? I'd love to have you talk to the person who's listening right now.
Dr. Dawn Mussallem (01:23:11):
Yeah. This is when I learned that there's nothing harder in life than when something happens outside of you. I feel like I was given this gift of just innate resilience, innate joy. I was just born a very happy person when my husband passed away. And so it was very interesting. I actually had finished my cancer treatment and we were given a gift of growing our family. I wasn't not supposed to be able to have children. That was the other thing. They came in, you're never going to be able to have children.
Mel Robbins (01:23:39):
Oh my gosh. They're like, you have three months to live. No children.
Dr. Dawn Mussallem (01:23:42):
She's pregnant. What on earth do we do with this? Right? And so delivered this very healthy little girl. Her name's Sophia Amazing, one of the first individuals ever to be able to do this after a bone marrow transplant.
Mel Robbins (01:23:53):
Wait, hold on a second. You had a bone marrow transplant and then all of a sudden you're pregnant and you deliver your daughter Sophia, and you were one of the first people ever to have a successful pregnancy and deliver your daughter after bone marrow. You're one of the first.
Dr. Dawn Mussallem (01:24:12):
Yes, because women, usually the ovaries would shut down. And so from all the chemo they gave and they didn't have time to do fertility preservation in me, they had to start chemo immediately when I was diagnosed because I was so sick in that cardiogenic shock. So they didn't have a chance and I was okay with that. And I just said, trust, one day I'll adopt. That was kind of my solution. I always look for solutions. Whenever someone threw an obstacle, I was quick to say, okay, what direction do I go? Where is my survival skill? This is natural. We look for survival. And so that was how my brain registered like, okay, this threat, okay, I'll pivot here. And that was my happy place. I just always seek the happy place. It's like a chest match or a maze if you may. So this is what was really interesting though, is after my daughter was born, because I had had that high dose chemo radiation, I had to do several months of radiation. It was right to my heart is a few weeks after my daughter was born. I wasn't feeling well again, and I thought the cancer was back. But this time that whole narrative flipped. Now I'm mom, I'm a wife.
(01:25:11):
I didn't want anyone to know. So I just was quiet. I was terrified. But it started getting worse and worse. Went to the emergency room. I was again in a cardiogenic shock. They did an ultrasound on my heart and my ejection fraction was eight single digit, how much blood my heart pumped forward. It's called an ejection fraction was 8%. I was in advanced heart failure. So that was really difficult.
Mel Robbins (01:25:36):
How old were you?
Dr. Dawn Mussallem (01:25:37):
At that time? I was 29.
Mel Robbins (01:25:39):
And how old was your daughter?
Dr. Dawn Mussallem (01:25:40):
She was just born. She was a newborn. So after I had delivered her, this was just a few months later, so it was really, really difficult. But fortunately, this is when Mayo Clinic became my place for healthcare. I became a physician there. I was doing my medical training there, and they filled my heart with hope. They said, we'll do medications when the medications don't work, we'll have to do procedures and the procedures don't work someday you may need a heart transplant. Let's start with the medicines. I got better. I was able to go back to residency, but it was only better for about two years. And then in 2007, I took a nose dive. I had to take time off of work, and it was just a short time later that my husband died unexpectedly.
(01:26:20):
So it was awful. I mean, Mel, there's nothing worse than that, that joy, that elation. I remember that morning so vividly, and we always wake up at 4:00 AM He was just like me, very high energy, just the most beautiful human to ever walk the planet. And he wasn't feeling good the night before. So he said, go sleep with Sophia honey. So I did that. Woke up, figured he was still sleeping. She wakes up Maha, where's dad? He's sleeping, honey, eight o'clock rolls around, something's wrong. All of a sudden I knew I went, I knew, and I walked into the bedroom and he had died in sleep and I remember it. So it was yesterday. I just remember hitting him, don't do this to me. And it was just like that joy. It was like that Disney ride that everything just free falls. And I just remember I didn't become depressed, but I remember I could handle no stimulation for a full year after he died.
(01:27:14):
I couldn't listen to music. I didn't want any noise. I didn't want anything. I just wanted to be still so that I could be present for my daughter, give her the love she needed, and kind of just figure out where do I go now? And there was this, oh my gosh, I don't know what to do. And I just kept asking that question. I was raised Catholic and I always believed in God, but I was never faithful. I was like, oh, you go to church on Sundays, whatever. During time in church, I think about a thousand other things. I don't know who's a cute boy in high school? Really crazy. But you get cancer and you become much closer to God. That kind of gives you more spirituality and you're like, but still, I was young. I kind of careless with that whole thing. When my husband died, I became one with my faith and belief in something bigger than myself.
(01:28:02):
For me, that's Jesus, that's God, but whatever, it's for you. It doesn't matter. You have to believe in something bigger than yourself. And so for me, that strategy, being able to hand over any problem to God, to Jesus is what worked for me. And the concept of heaven is how I knew my husband was okay. So I got stronger after he died. It took about a year for me to get stronger, but there was no handbook. And you still grieve. I was just in California doing some work out there and on the countertop in the hotel, I was in the marble. There was a heart. I have it on my Instagram, a beautiful, perfect heart. I just started sobbing, and I'm not kidding you. That night I went to bed. I swear I felt a hand on my shoulder. There's all these messages still just these loving, embraces, and so loss, grief, suffering.
(01:28:49):
It's our opportunity to really transcend that hurt, that pain that suffer and just arises place and awakening in a different capacity, in a different appreciation for life where it's just so precious and you never lose that person that died. It's really this acknowledgement of the persistence of love and how blessed am I to have the best love story in the world where some people will never experience that. It was very hard though. And that's why when I look in the eyes of the caregivers or the patients I'm helping, or when I occasionally have a patient who dies, which is actually very rare, I don't see women dying as much nowadays. But recently, I've actually had two very close patients of mine die, and it's so hard to see their children and their spouses and my heart just goes out to them. What I would say is these women that die, die in grace. And if I fast forward through my heart failure, I got stronger. I went back to work. I even did a hospital fellowship, became a hospitalist at Mayo, and the heart started getting weak again. And so this is when I transitioned to the outpatient setting and I started the integrative breast oncology program at Mayo Clinic. It was actually an opportunity for me to get out of the hospital so I could try to function as a doctor with advanced heart failure. And this was a good seven years after my husband had passed away.
Mel Robbins (01:30:07):
So you're living and practicing medicine and running this clinic at the Mayo Clinic treating patients with cancer while you're managing heart failure.
Dr. Dawn Mussallem (01:30:20):
Yeah, it was hard. No one really knew. And now when I look back, life was so hard, but I had to work. You have to work. You have to do what you do. Life circumstances are what they are. And for me, work isn't work. It's purpose and meaning. It's being able to touch the lives of others through that lens of love. I mean, it really is. And so I think what kept me alive was my daughter, my mom and my dad, that love that I have for my family, but my patience, they elevated that purpose and reason that I was alive. And I had this mission to try to figure out this program. And so fast forward, I was listed for heart transplant and I was on the transplant list for over 12 months with not one matching heart. There's 103,000 people on the transplant list, 103,000. Every day 17 people die for heart transplant is a smaller number. About 3,900 people are on the heart transplant list. And every day one person dies. That doesn't get a heart. That could have been me. They couldn't find a matching heart because of my body size, my blood type. There's a lot that goes into that. And I was dying. I was actively dying. And this was in 2020. And then in 2021, new Year's Eve rolled around and I was starting to decompensate. They admitted me to the hospital for supportive care and after a few weeks they found a matching heart. So here I'm alive and more youthful because of this, because I received a 29-year-old woman's heart. That has been the biggest gift in the world. If we think,
Mel Robbins (01:31:48):
What's it like to have somebody else's heart in your body?
Dr. Dawn Mussallem (01:31:53):
There's so many lessons. So it was interesting. So a few weeks before my heart transplant, a good friend of mine who's a psychiatrist, said, Dawn, do you even want this transplant? I'm like the crazy things we say to people by the way, and especially as a doctor, what you say really matters. I'm like, I need one, but why do you say this? Please inform me of your wisdom. Do share because they say that you acquire the personality of your donor. I'm like, oh, great. Well, I actually love my personality, so this is a wonderful thing. So guess so my colleague, who's also a dear friend, sits at the head of my bed. We have a matching heart. You would think I'd be elated, but I'm not. I'm actually like, whoa, what do you mean you have a matching heart? I've been waiting 18 years for a heart.
(01:32:30):
You think I'd be like beaming. Thank you. You have a heart. But all of a sudden the reality hits. I'm like, okay, what does this mean? Is it a spiritual heart? Is it an emotional heart? Is it just a physical heart? What is the heart, by the way? Is there this other element, this other entity of the heart that is powerful? And I started thinking, am I going to lose that? My good friend told me that, wow, your personality is going to change and all this stuff starts flooding my brain. And then he goes on to tell me, your donor is an IV drug user with hepatitis C. Yeah.
Mel Robbins (01:33:06):
Did you stop and think maybe I don't want this heart?
Dr. Dawn Mussallem (01:33:09):
Yeah, that's exactly what I did. I judged. So this is the biggest lesson I learned with my transplant is judgment. So within a few hours after I learned this, I said, okay, I need to think about this. What's going through my mind now is, okay, am I going to lose this heart? That is amazing family history, childhood, that was bliss and beauty. My daughter being born, my husband passing away, it made a lose all this and I'm going to take on a IV drug. What does that mean? But then after a few hours, I'm like, wait a minute. This is a woman that decided to donate her heart. And all of a sudden I had this knowing that this was the right heart for me. I feel receiving her heart. I don't know what her circumstances were. You write a letter to the donor family at six months and they never responded back to me. And that's okay. I don't know what the circumstances are, but I feel she may not have come from the beautiful life that I did.
(01:33:59):
And she enters this body and we dance to the harmony of life together. It's so cool. So if you are not an organ donor and you would like your heart one day to dance in harmony life, I am one of, I'm one representative of all those transplant patients out there. They're just like me. They are unapologetically alive and living lives of meaning and purpose. And this is a shout out. If you're not an organ donor, please be one. Because why succumb to the ility of death when you can allow your organ to kind of arise as this place of deep meaning and purpose with that next person's life. They're there for their family and humanity at large. So it's just incredible. So here I am.
Mel Robbins (01:34:35):
What a beautiful, beautiful story and message and call to action.
Dr. Dawn Mussallem (01:34:42):
Yeah.
Mel Robbins (01:34:42):
Thank you for sharing that. There is somebody right now who's listening and watching and spending time together with us, and they've gotten a diagnosis that is terrifying and they may feeling grief or fear or they're heartbroken or they're devastated. You have been there. You are with people when they get these diagnoses. I know that people are going to be sharing this all over the world, this conversation with you and all the tools and hope that you are infusing us. But I would love to have you speak directly to the person that has received that life-changing medical diagnosis. And what do you want to say to them right now and what do you want them to know?
Dr. Dawn Mussallem (01:35:32):
Yeah. What I would say is without these life experiences, I never would have understood how to unpack vulnerability in a way that you can trust it and to move you beyond this hope, which kind of to me has this connotation of question to this place of true knowing that you too can experience what I did and find those lessons. It's not evident upfront. And don't judge yourself for having moments of blame for maybe having fear because it is scary, regardless if you have faith or not. It is still scary if we think we're going to die. But what I found is that when I trusted that there was something far greater than me outside of me that was kind of managing all this, and I surrendered that to them, that I could show up for myself in a way that mattered so that I could be the best version of myself. And that starts with loving ourself. From there, I felt like I got stronger. I was able to acquire such deep wisdom that now I'm able to find such meaning in my life so that I can share that meaning with you. And that's really truly the purpose of life.
Mel Robbins (01:36:45):
And you've talked a lot today about hope. I found it really encouraging and inspiring and awesome that as a medical doctor, treating cancer patients for over two decades at Mayo that you also said, oh, my patients are doing dynamite. Back years ago, people died a lot, but not today. And I would imagine that's because of the major advances in medical technology, medical treatment, and also when you combine it with the things that you spoke about today, loving yourself, exercising, and really eating in a way where your food is your medicine. You triple X your positive outcomes. So if the person that is listening right now got a breast cancer diagnosis, what do you want them to know? What's the good news here about where we are in the world today?
Dr. Dawn Mussallem (01:37:48):
Yeah. We are doing so amazing with curing breast cancer. I have so many amazing success stories, and we used to say that we can only cure early stage breast cancer. That's stage zero to stage three. Stage three is early stage breast cancer. We cure that all day long. But metastatic breast cancer, we say we can't cure you. It's a chronic disease. You're going to take a medicine the rest of your life, X, Y, and Z. Well, I have so many success stories of women. They still are on medicines. Some of those medicines can really interfere with some of their elements of quality of life. So that's where the healthy living and some integrative modalities rooted in science can help to support them. But I have one woman in particular name's Michelle. I share her story all the time. It's crazy cool. It makes mine look like boring. She had metastatic cancer to her brain. She was a former fitness competitor, exercises every day of her cancer treatment. Guess what? That tumor in her brain, have you ever heard of breast cancer? That's metas size of the brain going, it's gone. She travels the world talking about her incredibly inspirational story, and she never misses the workout. She's in the gym and talk about, I mean, the one medicine she was on, what causes peeling of her hands? And she would lift weights and they would bleed sometimes, and she would just push through. She's like, it's okay. She's like, I don't feel it. She's like, I take my mind someplace else. It's just these magic. I don't have all my women exercising that capacity.
(01:39:07):
But the ones that I would say that do the best are the ones that accept that diagnosis. They really use their mind in a way that's creative. They seek that sense of awe, that sense of wonder, that curiosity of how can I rise above this? That's what they do. They do what works for them. Maybe it's meditation, maybe it's yoga, whatever it is. Maybe it's cooking a beautiful dinner for their family, but just doing what's special for you. Be fully alive during this time. Trust the medicines you're doing and take really good care of yourself. It's important
Mel Robbins (01:39:34):
If the person listening takes just one action today, just one from everything that you have poured into us, taught us, shared with us. Explain to us today, what do you think the most important thing to do is?
Dr. Dawn Mussallem (01:39:48):
Love. It's life is too short. If I have someone coming in to see me and they're turbulent, the idea of changing their diet is too much. The idea of exercising is too much. Let's just talk about love. What's important to you when you wake up in the morning, when, what makes you excited? What tickles you? Why do you want to be alive? And let's just start there and let's rediscover why we love ourself, because so many people struggle with that. And it may be rooted from childhood traumas. And I feel like my journey was easy because I never had that, but many people have, and I've looked the eyes and these people, and I can understand why it's hard for them to think about eating healthy because they just have no reason to do it because they don't love themselves. So you have to first learn to love yourself again and allow yourself that because you're worth it. That's what I would say.
Mel Robbins (01:40:38):
Dr. Mussallem, what are your parting words?
Dr. Dawn Mussallem (01:40:43):
I'm always here for folks, and I would love to invite your listeners the fourth Monday of each month at noon. I do this little introduction to lifestyle for cancer patients, and I love this, and this is on Eastern time because it allows me to get into the science, but I don't really have the heart today. We were able to talk a little bit about the heart behind what we do, and that is kind of my parting message is, yes, we're here to continue to drive the science forward, but at the end of the day, whether you've been given a diagnosis that's cancer or of a chronic disease, whatever it may be, this is an invitation. I invite you to experience your aliveness. It's so important. Look for what's special in your life. Give gratitude if life is hard for you. Gratitude finding one little thing that you're thankful for each day will start to take you from that place of deficit and move you closer to this place of abundance. I just think it's so important. So I really think my parting message is just lean into your aliveness. Whatever is authentic to you in that word aliveness. That's where I want you to start because it's different for each person. And then once you've kind of figured that out, start to really continue to show up for yourself. Start eating better so you can energize yourself to move your body. Focus on getting enough sleep. That would be it. It's actually pretty simple.
Mel Robbins (01:42:04):
It's also how you love yourself.
Dr. Dawn Mussallem (01:42:06):
Yeah,
Mel Robbins (01:42:06):
You start taking better care of yourself. Well, I just have to tell you, I love you.
(01:42:12):
And if there is a human being on this planet that embodies aliveness, it is you. Dr. Mussallem, thank you, thank you, thank you for the extraordinary work that you do every day. Thank you for the work that you're doing in your clinical practice. Thank you for not only showing up here and making us smarter and tripling down on the research and the science and the facts of what works and what doesn't work. And thank you for giving us a really simple roadmap that based on the research will help us be healthier and happier and take better care of ourselves. I love you and I love everything that you're doing and that you stand for.
Dr. Dawn Mussallem (01:42:52):
Thank you, Mel. Thank you so much for the opportunity to be here, for being so real for all of us who listened to you for inspiring me during some of my hard days to keep going. So thank you and thank you all for listening,
Mel Robbins (01:43:03):
And thank you. Thank you for choosing to listen to something that is going to help you take better care of yourself. It's going to help you love yourself a little bit more. And I also want to thank you for sharing the magic of Dr. Mussallem with everybody that you care about. I mean, I think everybody wants her as her doctor, don't you? I mean, I know I do. I want to jump on a plane and go to Florida every month when I need to go see my doctor. I don't see my doctor that much, and if I'm following the advice, we don't have to.
Dr. Dawn Mussallem (01:43:32):
There you go.
Mel Robbins (01:43:32):
And in case no one else tells you today, I wanted to be sure to tell you as your friend that I love you and I believe in you, and your ability to create a better life and taking better care of yourself is a hundred percent how you're going to do it. Leaning into your aliveness is also how you do it. Alrighty, I can't wait to hear what you get out of this episode. Can't wait to hear what your friends and family get out of this episode. And I will be waiting for you in the very next episode. I'll welcome you in the moment you hit play. I'll see you there. And thank you for watching all the way to the end, and you're going to love this next video, and I'll be waiting to welcome you in the moment you hit play.
Key takeaways
When you accept what’s happening instead of fighting it, you free up the energy you need to actually heal, move forward, and show up for yourself.
Every time you eat, you have a choice: feed disease or feed vitality. Your food is either medicine or poison, and that truth starts in your own kitchen.
Exercise during treatment isn’t optional - it’s medicine. Even gentle movement can improve survival, lift your mood, and help your body fight.
The biggest mistake after a diagnosis is resisting reality. The second is trying to do it alone. Love yourself enough to let others help you heal.
Food is the leading cause of death in this country. Every ultra-processed bite steals from your longevity; whole foods return it. Choose wisely.
Guests Appearing in this Episode
Dr. Dawn Mussallem
Dr. Dawn Mussallem is a double board-certified physician in internal medicine and lifestyle medicine at Mayo Clinic.
She specializes in integrative oncology, cancer prevention, and whole-person care. A stage IV cancer survivor and heart transplant recipient, Dr. Mussallem combines 20+ years of clinical experience with personal insight to help patients heal through evidence-based lifestyle interventions.
- Check out Dawn’s Mayo Clinic Profile
- Follow Dr. Mussallem on Instagram
- Dive into Dr. Mussallem’s Research
- Read more about Dr. Mussallem’s Cancer & Transplant Journey
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