Letrozole and Vitamins

Hi everyone

Hope you are all doing OK today. Just wanted to get some opinions on Vitamins after active treatment and whilst on Letrozole. I keep reading about avoiding them during treatment (I only took Vit D as instructed) but what about afterwards and into the future?

Here’s my dietary issue – I have a raft of allergies and intolerances.  This means I need to avoid dairy, egg, wheat, yeast, gluten and particularly nuts (anaphylactic to them). I am also veggie. This puts me essentially on a gluten free and nut free vegan diet BUT I can eat fish. I am going for whole foods as far as possible and trying to avoid processed food if possible (not always easy when cooking for the family).  I am wanting to make sure I am getting the vits and minerals I need but am becoming a bit paranoid about doing anything that will affect the (post) cancer treatment.

I’ve had surgery, chemo and radio. Chemo finished in February. Rads finished in April. I am on Letrozole and currently Adcal (Vit D and Calcium from the hosp for a month following bisphosphonate infusion).

My digestive system has been a bit of mess for years, hence me now trying to stick to the above diet to sort things out. I am convinced that I was not absorbing a lot of my food properly due to years of IBS type symptoms so had intolerance testing done to try and work out what I was intolerant to, in addition to my nut allergy. Chemo and multiple courses of antibiotics then seemed to wreck what was left of my digestive enzymes.

Here is what I want to take (and have started taking but want to check its all OK):

• Good bacteria (acidophilus tablets)
• Ongoing Vit D (and might need some calcium as I don’t eat dairy) Oncologist has said that Vit D is fine to take.
• B12 or a B complex (as B12 only found in animal products)
• Occasional Omega 3 (except when I am eating oily fish – or could just increase the oily fish consumption a bit instead)

Since starting the above it is fair to say I have seen a huge improvement in my digestion but I am just wanting to check I am not jeopardising the ongoing breast cancer treatment (Letrozole).

My oncologist is very nice but I cannot get to speak to him without going via my BCN who is very busy and not really interested in dietary queries. So I am bit stuck and worrying about this.

I am wondering what, if any, supplements people are taking and what your oncologists have advised you about this? 

Maybe I need my own nutrionist!? (if only money would allow..)

Thanks very much. Sending virtual hugs to you all x