Two Tragic Losses, One Urgent Message: Why Colorectal Cancer Is Surging in Young Adults — And How to Protect Yourself

Two Tragic Losses, One Urgent Message: Why Colorectal Cancer Is Surging — and What We Can Do to Protect Ourselves

In the span of just a few weeks, two heartbreaking stories have shaken many of us awake.

Actor James Van Der Beek recently shared that he lost a close friend to colorectal cancer — a young, vibrant man whose only early symptom was blood in the stool. No pain. No dramatic warning signs. Just a subtle signal that most people would brush off.

By the time he sought help, the cancer had already advanced. It moved fast. Too fast.

And then, closer to home, we lost Jeff, another life cut short by colorectal cancer. His passing wasn’t just tragic — it was shocking. Another relatively young man. Another aggressive cancer. Another family left with questions and grief.

Two different lives.
Two different stories.
One disturbing pattern.

Something is happening, and pretending otherwise doesn’t help anyone.

The Rise of Aggressive, Fast-Moving Cancers in Younger Adults

Colorectal cancer used to be a disease of older adults. Today, it’s one of the fastest-growing cancers in people under 50. Doctors are reporting cases that progress unusually quickly — cancers that don’t behave like the ones we saw 20 or 30 years ago.

Many clinicians have begun using the term “turbo cancers” to describe these aggressive, fast-moving forms.

So what changed?

From my perspective — as a pharmacist, educator, and someone who has spent years studying post-COVID physiology — two major forces keep showing up again and again.

1. Post-COVID Immune Disruption and the Spike Protein Burden

Whether someone had COVID, received mRNA vaccines, or both, the spike protein has been shown to linger in the body longer than originally believed. Research has documented its ability to:

• Disrupt immune signaling
• Trigger chronic inflammation
• Contribute to micro-clotting
• Stress mitochondria
• Interfere with immune surveillance

Immune surveillance is the body’s early-warning system — the mechanism that identifies abnormal cells before they become a threat.

When that system is overwhelmed or confused, cancers can grow faster and evade detection.

This doesn’t mean COVID or vaccines “cause cancer.” But it does mean the post-COVID immune landscape is different, and ignoring that reality puts people at risk.

2. Ultraprocessed Foods and the Colorectal Cancer Connection

At the same time, we’re witnessing record consumption of ultraprocessed foods — especially among younger adults. These foods:

• Damage the gut microbiome
• Increase inflammation
• Spike insulin and blood sugar
• Introduce chemical additives and emulsifiers
• Deplete essential nutrients
• Promote oxidative stress

Colorectal cancer is strongly tied to diet. And the modern diet is more processed than at any point in human history.

When you combine a stressed, dysregulated immune system with a gut environment inflamed by ultraprocessed foods, you create the perfect storm for early-onset colorectal cancer.

Jeff’s passing. Van Der Beek’s friend. The rising statistics. They’re all pointing to the same underlying crisis.

So What Can We Do? Strengthening the Body’s Defense Systems

The encouraging part is this: the body is incredibly resilient when given the right support. I’ve seen this in my own recovery journey and in countless people I’ve worked with.

Here are the pillars I emphasize for restoring immune intelligence and reducing cancer-promoting inflammation.

1. Foundational Supplementation to Rebuild What Modern Life Depletes

High-potency vitamins and minerals support:

• DNA repair
• Antioxidant defenses
• Mitochondrial energy production
• Immune cell function
• Detoxification pathways

In today’s environment, foundational supplementation isn’t optional — it’s essential.

2. Anti-Inflammatory, Whole-Food Nutrition

A simple rule: If it’s made in a plant, be cautious. If it comes from a plant, eat it.

Focus on:

• Colorful fruits and vegetables
• Clean proteins
• Healthy fats
• Fermented foods
• Fiber-rich plants

Avoid:

• Seed oils
• Processed meats
• Refined carbs
• Artificial additives
• Anything with a shelf life longer than your dog

This alone dramatically reduces colorectal cancer risk.

3. Transfer Factors for Immune Intelligence

Transfer factors help the immune system “remember” how to respond appropriately — not overreacting, not underreacting. They support:

• Immune modulation
• Faster recognition of abnormal cells
• Improved resilience during chronic stress
• Balanced immune signaling

In a post-COVID world, immune intelligence matters more than ever.

4. Gut Repair and Microbiome Support

Because 70% of the immune system lives in the gut, restoring gut integrity is non-negotiable.

This includes:

• Probiotics
• Prebiotics
• Digestive enzymes
• Eliminating inflammatory foods

A healthy gut equals a more intelligent immune system.

5. Systemic Enzymes for Circulation and Inflammation

Post-COVID research has highlighted micro-clots and fibrin buildup. Systemic enzymes — including nattokinase — support:

• Healthy blood flow
• Fibrin breakdown
• Reduced inflammatory load
• Better nutrient delivery

This is especially important for anyone dealing with long-COVID symptoms, fatigue, or unexplained inflammation.

The Bigger Picture

Jeff’s death. Van Der Beek’s friend. The rising tide of early-onset cancers.

These aren’t isolated tragedies — they’re signals. Signals that our immune systems are under unprecedented stress. Signals that our food environment is working against us. Signals that we must take ownership of our health in a new way.

But we are not powerless.

By restoring nutrient density, supporting immune intelligence, reducing inflammation, and strengthening the gut and vascular systems, we give the body the tools it needs to repair, defend, and thrive.

If you want help building a personalized plan — or you’re dealing with post-COVID symptoms, inflammation, or immune challenges — reach out. This is the work I’m most passionate about, and I’m here to help you navigate it with clarity and confidence.

Contact me today to start protecting your health against the rising threat of colorectal cancer in young adults.

Sodium Restriction in Heart Failure

Sodium Restriction in Heart Failure: My Review of Dr. Mandrola’s Analysis

Dr. John Mandrola’s April 2022 article, Sodium Restriction in Heart Failure: Another Dogma Felled by Randomization, offers a compelling and refreshingly honest look at the SODIUM-HF trial — a study that challenges one of the long-standing dietary recommendations in heart failure management: strict sodium restriction.

As a pharmacist and health educator, I found his review both enlightening and practical. This post summarizes his key points and reflects on what they mean for clinicians, patients, and advocates of evidence-based care.

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The Burden of Heart Failure Management

Dr. Mandrola opens by acknowledging the heavy burden placed on heart failure patients — from medications and appointments to lifestyle changes and dietary restrictions. Sodium restriction has long been part of that burden, despite limited evidence supporting its effectiveness.

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The SODIUM-HF Trial: What Was Tested?

Presented at the 2022 ACC Scientific Session and published in The Lancet, the SODIUM-HF trial was a pragmatic randomized study comparing:

• General sodium advice vs. strict sodium restriction (1500 mg/day)

• Enrolled patients with class II–III heart failure

• Conducted across 26 sites in 6 countries

• Primary endpoint: death, cardiovascular hospitalization, or emergency visit

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The Results: No Significant Difference

The trial found:

• No statistically significant difference in clinical outcomes between groups

• Slight improvement in self-reported health perception in the low-sodium group

• No reduction in death, hospitalizations, or emergency visits

Dr. Mandrola quotes the authors’ clear conclusion: "In ambulatory patients with heart failure, a dietary intervention to reduce sodium intake did not reduce clinical events."

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Limitations and Criticisms

Dr. Mandrola thoughtfully addresses the trial’s limitations:

1. Small Sodium Gap

The control group consumed ~2000 mg/day — not the high levels seen in typical Western diets. This narrowed the gap between groups and may have muted potential benefits.

2. Statistical Power

Fewer events occurred than expected, reducing the trial’s ability to detect a true difference. Still, the high P-value (.53) suggests a false negative is unlikely.

3. Patient Selection

Critics argued the trial enrolled patients who were too stable to benefit. But Dr. Mandrola counters that these patients reflect real-world heart failure care — and that modern therapy already drives event rates low.

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Clinical Implications: A Pragmatic Shift

Dr. Mandrola’s takeaway is pragmatic: we no longer need to push patients toward ultra-low sodium targets. Avoiding excessive sodium (e.g., >3000 mg/day) remains wise, but the energy spent enforcing 1500 mg/day could be better used elsewhere — like optimizing medications or encouraging exercise.

He frames adherence as a reservoir: reducing unnecessary burdens preserves capacity for interventions that truly matter.

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Final Thoughts

Dr. Mandrola praises the trial’s authors for their humility and transparency. They resisted the urge to spin the results, offering a clear, spin-free conclusion. That integrity is rare — and commendable.

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Sodium Intake and Cardiac Issues: A Broader Perspective

For decades, both myself and Dr. Joel Wallach have emphasized that sodium intake has little direct correlation with cardiac issues. This perspective is supported by a notable study conducted by Harvard University, which found that sodium intake alone is not a significant factor in heart disease risk for most individuals. The study suggested that other factors, such as overall diet quality, potassium levels, and lifestyle, play more critical roles in cardiovascular health.

This insight aligns with the findings of the SODIUM-HF trial and challenges the long-held dogma that strict sodium restriction is essential for heart failure management. It encourages a more nuanced approach that considers the broader context of nutrition and patient well-being rather than focusing solely on sodium reduction.

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As someone who advocates for patient-centered, evidence-based care, I find this trial and Dr. Mandrola’s analysis to be a valuable contribution. It reminds us to question dogma, prioritize what works, and respect the limits of our patients’ time and energy.

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Credit: This post is based entirely on Dr. John Mandrola’s article published April 6, 2022, on Medscape. Dr. Mandrola is a cardiac electrophysiologist in Louisville, Kentucky, and a respected voice in clinical research and medical commentary.

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Author: Keith Abell, RPh, CMTM CVP — Pharmacist, health educator, and advocate for evidence-based wellness.

The Hidden Threat: How MSG, Glutamates, and Excitotoxins Are Damaging Our Brains, Hearts, and Health

For decades, the food and chemical industries have assured us that additives like MSG and aspartame are harmless. They’re marketed as flavor enhancers, sugar substitutes, and “safe” ingredients that make modern foods more convenient and appealing.

But beneath the marketing lies a growing body of research showing that excitotoxins — especially glutamates and aspartame — can overstimulate nerve cells, disrupt hormonal systems, damage DNA, and contribute to a wide range of chronic and degenerative diseases.

This long‑form guide brings together everything we’ve covered about MSG, glutamates, and excitotoxins — including the hidden names they appear under — and explains why avoiding them may be one of the most important health decisions you ever make.

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What Are Excitotoxins?

Excitotoxins are compounds that overstimulate nerve cells to the point of dysfunction or death. The most common dietary excitotoxins include:

• Monosodium glutamate (MSG)
• Free glutamates (from hydrolyzed proteins, yeast extracts, “natural flavors,” etc.)
• Aspartame (which breaks down into aspartic acid, methanol, and formaldehyde)

In small, natural amounts, glutamate is a normal neurotransmitter. But when consumed in large, concentrated, or “free” forms, it becomes toxic — especially to the brain, heart, endocrine system, and developing nervous systems of infants and children.

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Natural vs. Processed Glutamates: Why the Difference Matters

Glutamates in whole foods like tomatoes and seaweed are bound within large protein structures. These must be slowly broken down during digestion, and the liver regulates how much glutamic acid enters the bloodstream.

But when proteins are hydrolyzed during food processing, they release free glutamates — unnatural, rapidly absorbed amino acids that bypass the liver and enter the bloodstream at levels 20–40 times higher than normal.

These spikes overwhelm the body’s natural defenses and overstimulate glutamate receptors throughout the body.

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Where Glutamate Receptors Are Found — And Why That Matters

Glutamate receptors exist throughout the entire body, including:

• The brain
• The heart’s electrical conduction system
• The GI tract
• The lungs
• The pancreas
• The adrenal glands
• The reproductive system (including sperm)
• Bones
• Retinal tissue in the eye

This means excitotoxins don’t just affect the brain — they can disrupt nearly every organ system.

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The Hidden Names for MSG and Free Glutamates

Manufacturers know consumers avoid MSG, so they hide it under dozens of innocent‑sounding names. Any ingredient that contains less than 99% pure MSG can legally be labeled however the manufacturer chooses.

Here are the most common names used to disguise glutamates:

Common Hidden Names

• Hydrolyzed protein (any type)
• Hydrolyzed vegetable protein (HVP)
• Hydrolyzed plant protein (HPP)
• Hydrolyzed soy protein
• Textured vegetable protein (TVP)
• Autolyzed yeast
• Autolyzed yeast extract
• Yeast extract
• Yeast nutrient
• Soy protein isolate
• Soy protein concentrate
• Whey protein
• Whey protein isolate
• Caseinate (sodium, calcium, or other forms)
• Gelatin

Additives That Often Contain Free Glutamates

• Natural flavoring
• Natural flavors
• Flavoring
• Spices (when not single‑ingredient)
• Seasonings
• Broth
• Stock
• Bouillon
• Carrageenan
• Enzymes
• Malt extract
• Malt flavoring

Food Categories That Commonly Contain Hidden Glutamates

• Soups and broths
• Chips and snack foods
• Frozen meals
• Salad dressings
• Protein powders
• Plant‑based meats
• Fast food
• Sauces and gravies

If you see these on a label, you’re almost certainly consuming free glutamates — even if the label says “No MSG Added.”

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Excitotoxins and the Heart: Arrhythmias and Sudden Cardiac Death

When MSG or aspartame is consumed, blood glutamate levels can spike dramatically. These surges overstimulate glutamate receptors in the heart, contributing to:

• Arrhythmias
• Coronary artery spasms
• Electrical conduction disturbances
• Sudden cardiac death

Athletes are especially vulnerable. Low magnesium — common in heavy sweaters — makes glutamate receptors hypersensitive, creating a perfect storm when combined with high‑glutamate meals and diet drinks.

Yet most cardiologists have never been taught that glutamate receptors even exist in the heart.

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Excitotoxins and the Brain: Neurodegeneration on the Rise

Neurodegenerative diseases are skyrocketing:

• Alzheimer’s
• Autism
• ADHD
• Parkinson’s
• Dementia

Researchers often look for a single cause — mercury, aluminum, pesticides, herbicides — but miss the bigger picture.

These toxins all damage the brain through excitotoxic mechanisms.

And we are exposed to hundreds of excitotoxic compounds every single day.

From chemical‑laden shampoos and aluminum‑based deodorants to aspartame‑sweetened drinks and glutamate‑rich processed foods, the modern lifestyle creates a constant, cumulative toxic load.

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Excitotoxins and Vision: A Silent Epidemic

The eye lacks a blood‑brain barrier, making it extremely vulnerable to excitotoxins.

Studies show elevated glutamate levels in the vitreous humor of people with:

• Diabetic retinopathy
• Macular degeneration
• Glaucoma

Aspartame adds additional risk through methanol, formaldehyde, and aspartate — all toxic to retinal cells.

Even a simple meal of commercial soup and a diet soda can deliver enough excitotoxins to damage retinal and brain cells.

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Infants and Excitotoxins: A Critical Warning

Soy contains naturally high levels of glutamates, and food processing releases even more free excitotoxins. This raises serious concerns about soy‑based infant formulas, which also contain:

• High fluoride
• High manganese
• High free glutamate levels

No major studies have yet examined the link between soy formulas and sudden infant death — but given what excitotoxins do to adults, caution is more than justified.

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Aspartame: DNA Damage and Long‑Term Risk

Aspartame breaks down into:

• Aspartic acid (an excitotoxin)
• Methanol
• Formaldehyde
• Formic acid

Radiolabeled studies show formaldehyde attaching directly to DNA — damage that is extremely difficult for the body to repair.

Even a single diet soda can cause DNA injury that lingers for long periods. Repeated exposure increases the risk of mutations and cancers.

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The Food Industry’s Role: A Growing Problem

Since 1945, the food industry has doubled the amount of added excitotoxins every decade.

By 1972, over 262,000 metric tons of MSG were added to processed foods annually.

Today:

• Over 4,000 products contain aspartame
• More than 100 million people consume it regularly
• Diabetics — the group most vulnerable to excitotoxic eye damage — are aggressively targeted by marketing campaigns promoting aspartame‑sweetened products

The result is a population increasingly exposed to compounds that overstimulate, inflame, and damage the nervous system.

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So What Can You Do?

You are not powerless. You can dramatically reduce your excitotoxin exposure by:

• Avoiding MSG, hydrolyzed proteins, yeast extracts, and “natural flavors”
• Eliminating aspartame and other artificial sweeteners
• Choosing whole, unprocessed foods
• Reducing chemical exposure from personal‑care products
• Supporting your body with antioxidants, minerals, and flavonoids
• Maintaining an alkaline internal environment
• Using clean, organic, chemical‑free products whenever possible

Small changes add up — and your brain, heart, and long‑term health depend on them.