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Fall, 1990
Nutrition and Cancer
"The
Gonzalez Study"
Robert W. Maver, FSA,
MAAA
(Former) Vice President and Director of Research
Mutual Benefit Life
Kansas City, Missouri
Dr. Nicholas James Gonzalez, who practices in New York City,
is using an innovative nutritional protocol to successfully treat far advanced
cancer patients. As a classically trained immunologist, he approached this innovative
therapy with a great deal of skepticism, but became convinced of its value during
an exhaustive five year research project.
In July of 1981, during the summer preceding his third year at Cornell University
Medical College, Dr. Gonzalez embarked upon an informal evaluation of a nutritional
approach to cancer. A friend had asked him to look into a dentist named Kelley
in Texas who had reportedly cured a patient of terminal cancer. What started
as a way to spend a summer vacation eventually developed into a five year research
project under the direction of former President of Sloan Kettering Institute,
Dr. Robert Good.
On his trip to Texas, Gonzalez was astonished to find case after case of appropriately
diagnosed advanced metastatic cancer patients who were healthy and active five,
ten, and 15 years after diagnosis. Kelley had made available all of his records,
well over 10,000 patients, and encouraged Gonzalez to contact any and all of
them.
Gonzalez returned to New York to ask for advice from Dr. Good whom he had befriended
when Good was president of Sloan Kettering and Gonzalez was a first year medical
student. Good eventually served as faculty advisor as the study evolved and
expanded to an independent research project during Gonzalez' senior year. Though
subsequently moving to the University of Oklahoma, Good continued under special
arrangement as sponsor and guide. When Good became Chief of Pediatrics at All
Children's Hospital at the University of South Florida, Gonzalez joined him
to complete the project.
Many of the patients followed under this study were examined by both Gonzalez
and Good. Dr. Good had suggested that as an initial goal, fifty terminal cancer
patients be identified who had done well on Kelley's nutritional protocol. The
patients were to have been diagnosed by appropriate specialists so that there
could be no doubt about the diagnosis of cancer.
An initial review of all records between 1970 and 1982 yielded 1306 patients.
Contacting these patients by mail produced over 1,000 potential candidates for
the study. At this point lengthy phone interviews were begun essentially starting
at the top of the list and concluding once enough patients (455) had been obtained
to ensure at least 50 that would meet Dr. Good's strict inclusion criteria.
Eventually the group of 455 patients was reduced to 160 that fit Dr. Good's
inclusion criteria. For each of these cases complete medical records were obtained.
Follow-up was extensive, including examination of patients, interviews with
family and physicians, etc. From these 160 cases, 50 representative cases were
chosen and presented in a 300 page manuscript detailing the study.
Another 200+ pages, copies of medical records, were included in this as yet
unpublished document. The 50 patients represented 25 different types of cancer.
There were 28 males and 22 females, ages 21 to 77 at the start of therapy and
33-83 as of the date of the study. Patients were included from 24 states and
occupation varied widely. Twenty-five of these patients were diagnosed at two
or more medical centers. Twenty-three were diagnosed at major institutions such
as Mayo Clinic, Memorial Sloan-Kettering, M.D. Anderson, etc. Forty-eight cases
provide biopsy confirmation of cancer. The other two, upon exploratory surgery,
were found to have large, inoperable tumors where the attending surgeon thought
the diagnosis obvious and did not want to risk biopsy. Median survival of this
group of 50 patients, all of whom had terminal or extremely poor prognosis,
was 10 years as of the date of study.
As extraordinary as these results were, Dr. Good thought a further step
was required. He wanted a numerator/denominator study. Dr. Gonzalez was to pick
one type of cancer, identify every patient seeing Kelley with this diagnosis
and follow up on all patients to establish a response rate.
Gonzalez chose pancreatic cancer, since the 5 year survival rate in orthodox
medicine is virtually 0%. All patients consulting Kelley between 1974 and 1982
were reviewed to produce 22 who had been diagnosed with pancreatic cancer.
The 22 broke down into three groups. Ten patients consulted Kelley only once
and never went on the protocol. All had died. Seven patients followed the protocol
only partially and sporadically, as determined by interviews with family members,
physicians, and records obtained from the manufacturer/distributor of the special
nutritional supplements. These patients had all died. Five patients followed
the protocol completely and achieved long-term remission, although one had died
(of Alzheimer's) after 11.5 years survival. The median survival of the three
groups was as
follows:
1. Never followed (10) = 67 days
2. Followed partially (7) = 233 days
3. Followed completely (5) = 9 years
At this point, Dr. Good and Dr. Gonzalez realized that even though Kelley's
results were extraordinary, in fact unparalleled in medicine, they were of little
use in the treatment of cancer unless they could be independently reproduced.
This is the stage of the research at present. For the last 3 years, Dr. Gonzalez
has been using Kelley's protocol with a few modifications of his own in the
treatment of terminal cancer.
The Research Division has been evaluating Dr. Gonzalez' results over the last
four months, including numerous site visits. We have interviewed patients at
length by phone, met with a number of patients and reviewed case histories of
some 40 terminal cancer patients. The results are indeed extraordinary.
We have seen excellent outcomes with a pancreatic cancer case (metastatic to
the liver) diagnosed at Mayo Clinic. We have seen return to work for over two
years in a case of metastatic melanoma previously operated on twice (unsuccessfully)
at Memorial Sloan-Kettering. We have seen long-term survival in terminal lung
cancers. We also have two MBL [Mutual Benefit Life] insureds under Dr. Gonzalez'
care, one of whom has come back from terminal ovarian cancer (two years ago)
to the point where she is preparing to return to work (this is an LTD claim).
The other refused a bone marrow transplant after experiencing recurrence of
Hodgkin's disease following three different regimens of chemotherapy and radiation
that produced short-term remissions. She has been on Dr. Gonzalez' protocol
for 15 months.
One of the attractive points of this therapy is the cost. Total cost of the
program runs about $5,000 to $6,000 per year. Supplements constitute 70% to
80% of the cost. There is generally no hospitalization involved. This is perhaps
10% of the cost we would expect to pay for a terminal cancer patient.
At the conclusion of his manuscript, Dr. Gonzalez stated that his hope was to
have this particular nutritional therapy evaluated further under controlled
clinical conditions in an academic setting.
Appendix
Dr.
Gonzalez' Protocol
The protocol, briefly described, consists of six basic components.
1. Appropriate diet - there are 10 basic diets with 94 variations ranging from
strict vegetarian to red meat depending on the cancer and the patient.
2. Intensive nutritional support - Depending on each patient's deficiencies,
vitamins, minerals, trace elements, electrolytes, and amino acids are prescribed.
3. Protomorphogen support - these are concentrates, in pill form, of raw beef
organs and glands.
4. Digestive aids - e.g., pepsin, hydrochloric acid, etc.
5. Pancreatic enzyme therapy - proteolytic pancreatic enzymes are taken orally
to attack and liquify tumors.
6. Detoxification - among the many regimens used is the coffee enema. The purpose
is to help the body eliminate the unnatural abundance of toxins and waste products
as tumors break down in the body.
------------------------------------------------------------------------
Nicholas
J. Gonzalez, M.D., P.C.
Linda L. Isaacs, M.D.
36A East 36th Street
Suite 204
New York, N.Y. 10016
Phone: 212-213-3337
Fax: 212-213-3414
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