Doctor's Appointment

Patient Support and Counselling 

Healthy Lifestyle Recommendations:

 

Your patient is encouraged to lead a healthy lifestyle. Here are some evidence informed recommendations about modifiable lifestyle factors for your information: 

Body Weight 

  • Body mass index (BMI): 18.5-25 kg/m2 

  • Waist circumference: less than 80 cm for women / less than 94 cm for men. 

 

Physical Activity 

  • Spread out exercise throughout the day and week, such as 30 minutes five days a week. 

  • Focus on moderate-intensity physical activity (brisk walking, jogging) and resistance exercise.  

 

Nutrition 

  • Avoid processed drinks and foods.

  • Eat a variety of vegetables, fruits, whole grains, and legumes. 

  • Limit consumption of red meats (such as beef, pork, and lamb), and avoid processed meats. 

  • Limit consumption of salty foods and foods processed with salt. 

Dietary Supplements/ Bone Health 

  • Vitamin D: 1000 - 2000 IU per day. 

  • Calcium: 1200 mg per day (from all sources). 

  • Treatment and follow up as per Canadian Osteoporosis Guidelines. 

Alcohol 

  • Limit alcohol consumption (<3 drinks/week). 

 

Smoking 

  • Practice smoking cessation as per the guidelines 

Immunizations 

  • Annual non-live influenza vaccination unless contraindicated. 

  • Other vaccinations as appropriate. 

 

Other cancer screening 

  • Age-appropriate screening for cervical, colorectal and other cancers. 

 

Other: 

Genetic counselling:

  • Patients should be encouraged to report any changes in their family history of cancer. All women from high-risk families should be offered a referral for genetic counselling. 

 

Family Planning:

  • Pregnancy while on endocrine therapy is contraindicated. The absence of regular menses does not equate to menopause in all cases. Non-hormonal contraception is generally recommended (i.e. condoms, IUD) while the patient is on breast cancer treatment (radiotherapy, chemotherapy and endocrine therapy). There is an increased risk of sub-fertility / infertility and premature menopause in women who have had previous chemotherapy. Referral to a fertility specialist may be considered.