Sep 1, 8am Pacific - Cancer Introduction with Andrea - 1 hour

TRANSCRIPT:

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Good afternoon, good evening. I'm Andrea Leonard, and I am the president and founder of the Cancer Exercise Training Institute, and this year, also a 42-year cancer survivor,

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so I… I do come to it with a lot of personal experience, not just

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my cancer diagnosis, but when I was 15, my mom was first diagnosed with breast cancer, then I was 18 when I had thyroid cancer.

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She was diagnosed again.

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I can't think of the years right now, but basically, twice. So, she currently has stage 4 breast cancer, and has had it for 8 years, and the treatments are remarkable.

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There has been no further progression, and she's now 88 years old.

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Lost my father to, 3 different cancers.

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12 years ago, and basically my whole family, like many of you, has been just inundated with cancer, and in 1995,

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when I started this, was her first diagnosis. I happened to be training her breast cancer surgeon.

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I said, what do you think about writing a book on exercises for breast cancer? And for those of you who were alive and on computers at that time, the internet was just getting started,

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so I barely knew how to use a computer, and there was no research to speak of.

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So I worked with the chiefs of breast surgery at Georgetown, Johns Hopkins, and George Washington Universities for 3 years, and together we wrote Essential Exercises for Breast Cancer Survivors.

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And that was published in 2000, it's out of print now, you can still find it on Amazon.

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But, you know, it's dated, but it's still pretty special, because even back then, we touched on so many things that are now becoming evident, if you have not heard

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It is in the works, too.

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I'm gonna use the word mandate, and I don't know if that's too official, but we're going to say mandate, the continuation of care for cancer patients, and I think something goes to Congress,

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or whoever the powers that be, this is in the United States, of course, in September, October.

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So this is really huge, and I don't know enough about every other country to give you advice in that respect.

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But this is a prime opportunity to get this certification and to be ready to go, because oncologists are going to have to

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Refer to dietitians, to cancer exercise specialists, to psychotherapists who specialize in oncology.

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And while we have been doing this… so I originally started just with breast cancer, until 2004, and then my grandpa had lung cancer,

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my dad had prostate, bladder, myodysplastic.

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And I said, you know, there's a bigger need here. Obviously, breast cancer's huge, and it has… there's so many physical implications, as well as emotional.

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So I started the Cancer Exercise Training Institute in 2004, and we've trained about 20,000

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Health and fitness professionals in 60 countries, and…

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I'm super proud, and I'm grateful for everybody who has done this, but we need so many more people, because as I'll share with you some statistics.

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the numbers are staggering as far as how many cancer survivors are in this world. It's also a fabulous thing because we're seeing an increase in survivorship.

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So, you know, the cancer diagnoses, unfortunately, are not going away or going down.

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but people are living longer, so we are able… this is… this is always kind of how I've thought of it.

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you've got these two sides, let's call them mountains, and then there's a big moat in the middle, and so somebody gets out of

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treatment, out of surgery, and they're standing here, and they want to get to this other side, but there's no way, there's no bridge.

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So we become that bridge to get to the other side and get into survivorship. And now, after 30 years.

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they finally go, oh, this, this is necessary, when I have known that for a long, long time.

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For those of you who have just popped on, I would love to know

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you know, who you are, where you live, are you… what is your profession? Are you a cancer patient survivor?

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You don't have to share, but I… we're gonna be together for a while today and moving forward, and it'll help me to help you, and get to know you.

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So, feel free to put that in the chat box. Alright, we're gonna get some basic housekeeping out of the way.

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Now, I just got these, so these are the handbooks. 687 pages, broken into 4 modules.

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And I apologize, they are doing work outside, so I hope you don't hear the drilling, because it'll probably send me in a million directions.

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The first module, which is what we're starting to go through today, there is a practice quiz in the front to give you an idea of what the exam looks like.

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And then we move right into kind of the nuts and bolts of the program, but primarily Module 1 is going to be your cancer surgeries.

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With Module 2 finishing that off with breast cancer and breast reconstruction, and treatment.

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And then Module 3 and Module 4 get more into some practical application.

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My recommendation to you… now, you all have the downloads, or the PDFs, or, you know, so you can view it on your computer in

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your Teachable account. So, Teachable.com is your home base. You log in with your email address, you go to your courses, and for those of you who have an everything package.

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which many of you do, focus on the Cancer Exercise Specialist Advanced Qualification right now.

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Don't try and chip away at everything else.

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And when you are ready to take the exam, if you are on a payment plan, the payment plan does have to be paid in full.

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However, because the everything package is a little different, email Greg or I. So, you can… you can get ahold of both of us at andrea at thecancerspecialist.com.

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We both check that email box, so we are there to help you through this.

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any questions you have, any technical difficulties, Greg's gonna be working with you on marketing, which…

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is amazing, and I have so many things I want to say to you, I'm trying not to talk too quickly, but I've been working with him for nine and a half years, and he has really made such a difference,

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because instead of just giving you a piece of paper, which, although it's fabulous.

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He's going to help you build your business. He's going to help you wherever you are in this world to brand yourself and to get in front of the people who need you, whether it's going through the medical professionals,

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or it's going directly to cancer patients, to support groups. And so that's really amazing, and that's included

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In these live sessions. So, start off, like I said, start off with the 15th edition, which is what we are doing today.

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Now, my recommendation is don't start reading these, because as you can see, this is like a college

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textbook. It is overwhelming. My job today is to take some of that fear away, alright?

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So…

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First off, it's an open book exam.

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No more exam anxiety.

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Don't be afraid of that, don't be worried. You get 2 shots at the exam.

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After that, there is a $50 fee, but literally, in decades of doing this, there's less than two hands worth of people who have not passed on the second time.

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I have… I have terrible test anxiety, and so I set this up kind of for people like me.

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In the real world, pardon me, there's no way, unless you are, you know, you have some special gift, you are memorizing this.

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I have been doing this for 30 years, it is not memorized.

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And it's constantly changing, so this book literally was just released in August.

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The 15th edition, 2025-2026.

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content, evidence-based research. I update it every 2 years because the information is changing constantly.

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And so one of the things you might want to do, you can go to National Cancer Institute, Johns Hopkins, Mayo Clinic, they all have newsletters, and they're usually free.

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And so you can get those, and you can see what trials are going on, what treatments, and just kind of keep up to date, you know, over the next 2 years.

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I will also update you, as needed, through the Facebook group.

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So, for those of you who are on Facebook.

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go to groups, and look for Cancer Exercise Specialists. So if you look at the second-to-last bullet point there, it is plural, and ask to join.

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This is where other cancer exercise specialists who have gone through the course, are going through the course.

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You've got doctors, nurses, you know, the whole gambit of health and fitness, pilates, yoga, personal trainers, group exercise.

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Many of us are cancer patients or survivors, and this is a great place to network and ask questions.

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You can ask questions about the test, although be prepared for some really horrific answers.

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Circling back to the test, it may take you 10 hours, but you can come and go.

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Okay? So you can get started. I recommend that you have a piece of paper numbered 100 to 125, and you write your answers down while you're taking the exam.

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Because, God forbid that the, you know, the internet goes down, or something happens, and it doesn't save your information, you don't want to start over.

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The answers were not that technologically advanced, they don't shuffle, it's going to be in the same order, it's going to be the same questions, okay?

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You… you can technically take the exam at any time. I look at that as the cherry on the icing on top of the cake, and the reason I allow it to be open book is because if you have to find… everything that is on that test is either in the books,

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it's in the videos you'll see, it's in your Teachable, there's no trickery. Some things you actually have to use your brain and

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You know, go through a formula to figure it out.

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So don't expect you're gonna find, like, the exact answer, but it's all there.

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And if you have to take an hour, which I hope you don't, to find an answer, you're not likely to forget it.

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And so this is kind of that continuation of the learning process. You will always have this teachable

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access, and obviously, if you order the hard copy books, which you can also email andrea at thecancerspecialist.com, and I'll just give you the link to order them, as opposed to trying to navigate Teachable.

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It does take about 2 weeks to get them. They are printed on demand.

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And they're, you know, they're not… they're not super cheap, because we have to print one at a time, so we don't get bulk discount, and they're almost 700 pages, and they're full color.

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But I know if you're like me, you like to highlight and mark them up.

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You should be able to… we're working on the system right now, so we've just redone the certificates in the system, but you should be able to print it right when you pass that exam.

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And then you'll also get an email

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kind of a congratulatory, you know, welcome, and your CEUs on that.

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We do have most of the major CEUs. If there is something, that we don't have that you need, again, reach out to Greg and I.

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We can help you get the petition for it, so that you get… because, for example, ACE,

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is 3.5 CEUs. That's, like, technically, that's almost 2 years worth of CEUs, although they won't let you carry it over.

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And…

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forget this supported cancer exercise, you can use that, but Andrea at thecancerspecialist.com is probably better, because I will check it.

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more readily. One more thing, I'm going to give you a little… little secret for those of you who are on live today.

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I'm going to give you my personal email. It's another one.

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So if you have a pen, write it down, because what happens is we get hundreds of emails a day, and so you may not get the quickest response rate at andrea at thecancerspecialist.com.

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So I'm going to give you my phone number, and I'm going to give you my email address. You can text me at the phone number.

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Don't worry about waking me up, I turn my ringer off at night.

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If you are out of the country, put a 1 in front of this number, for the US, and you can write me on WhatsApp.

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I will put it in, the text box while we're… while we're, while I'm saying it. So it's 1503-502-6776 is the phone number,

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and then C-E-T-I-G-U-R-U, let me see if I'm spelling it right, at gmail.com.

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I posted that in the Facebook.

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group not too long ago, because people were getting frustrated, that they were writing, and I wasn't writing back quick enough.

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So, text, quickest way to get ahold of me, I'm really quick to respond.

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And, otherwise, send me an email, and I'm just reading through, seeing who everybody is.

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We've got North Carolina, DC, that's where I'm from, Pilates, couple cancer survivors.

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Thanks for sharing this stuff, you guys. So…

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this, this, and I'm about to get off this slide, but I'm trying to answer any questions that you guys would have.

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This…

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certification is for all health and fitness professionals, so this is an umbrella. Underneath that.

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We still have that kind of first line, which is going to be your doctors, your surgeons, your oncologists, your nurses, your physical therapists, occupational therapists, and then below that is that post-rehab,

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which is going to be your personal trainers, your yoga, pilates, group exercise, massage therapists.

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We are all going to be cancer exercise specialists.

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It's just that there is a spectrum, and there is a natural handoff, so that the doctor is going to refer to the PT or the OT, and then we, who are fitness professionals,

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which is what I am, so I left that out, I've been a personal trainer since 1992, and I have my master's in functional nutrition.

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But my expertise is exercise, so even if you have a nutrition certificate, if you are not a registered dietitian specializing in oncology,

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it is out of your scope of practice.

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to work with cancer patients who are in active treatment. And you will read about this in the book.

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But it's really important to understand what the scope of practice is. And I… I think, as I… I just finished redoing this 15th edition.

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This took a year, and, it was an absolute labor of love, because I was ready to leave

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I was ready to just trash the whole thing at one point. I was so frustrated. We had 3 editors quit on us, and so Greg and I did the best we could to put this together,

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to get it out to everybody. We are working at a quick revision, because there are an exponential amount of typos in this book, which

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makes me really sad, but nonetheless, the content is exceptional.

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There's just some little things that, after reading it 50 times each, we missed.

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This time, for any of you who have done previous certifications, I actually… you probably won't be able to see this, but I actually put citations

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directly in here, so that you could see the year, because this is being the 15th edition, people would say, well, what's new?

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And I'm like, I don't know, I just, you know, updated everything. Now, you will be able to see exactly what is new, when it was cited from, and it's an abbreviated citation.

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Throughout the text, but then at the end of the book, in the bibliography, it will give you the abbreviated citation, what page it's on, and then the full citation in case you want to explore further into that.

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I also really gave a lot of thought to, ease of understanding this.

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So, with each surgery, for example.

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again, I hope you can see this. You'll have what the surgery is, when it's used, like, why is it most commonly used, and then there's a blue line.

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And this is generally the first 1 to 6 months after surgery, okay?

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These are general exercise guidelines, and please hear me when I say general.

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Your job is to digest this information, and like a mathematical equation, we're gonna do A, we're gonna do the surgeries, B, we're gonna do the treatments, C,

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lymphedema, D, our assessment, and then we take all of that, we put it together.

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And then we individualize an exercise program for that person.

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So what you're gonna see in this book is not individualized. These are general recommendations, and then it's up to you, with your modality, yoga, pilates,

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physical therapy, what have you.

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to customize it to that person. And this may not make a whole lot of sense right now, but trust me, by the time we get to case studies, this will make a lot more sense as we go through.

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And this is just a rhetorical question, but this is really important, particularly with your marketing.

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The one thing that I pride myself on, you know, I started this mostly before other organizations did.

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And…

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I've always said this is a personal statement for me. This isn't just, oh, I'm gonna work with cancer, I'm gonna work with osteoporosis, or diabetes, or whatever.

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This is personal to me.

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And people have said to me through the years, we can tell. And that it's, you know, this is… this is about me.

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And I'm not… I'm not, like, you know, trying to say, oh, this course is me, and I'm so special.

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I'm saying, this is my… this is my marketing.

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You get me. So what is your marketing going to be? How have you been touched or impacted by cancer?

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Maybe, God willing, you haven't. And you just are like, you know what, I really want to help this population.

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I see a need.

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Maybe you have a friend, a relative, yourself, whatever the story is, just think about this, and Greg's gonna go through this with you as well.

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But most people don't just go, woohoo, I'm gonna take a cancer certification, this sounds really fun.

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And that's why there are not millions of us, because most people are terrified.

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of the word cancer, and they don't realize that cancer is not a death sentence, that the majority of people with cancer are going to survive, and we're going to help them survive well,

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and all of the studies now, and I've cited hundreds of them, I think there's, like, 700 citations in there.

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They all show, and there are definitely 13 specific cancers that are 100% exercised.

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there's a direct correlation, breast cancer being one of them, but that there is an increase in life expectancy for those who exercise versus those who don't.

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So, this is not just speculation or, you know, yeah, we really think this is proven over and over again.

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So, we talk about a cancer continuum, and we start with prevention.

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Now.

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some of us already had cancer, say, well, I've already had cancer, or you might say, my clients already had cancer, what goods prevention?

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Preventing a recurrence, preventing a new cancer. So, education is so important, and as I started off by saying,

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if you are not a registered dietitian.

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You cannot work with a cancer patient during active treatment. So, let's say you meet me, and I had

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I had it in 1984. Yes, you can absolutely work with me on a meal plan and talk about macros and micros and organic food and microplastics and everything else.

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Just not during treatment, okay? You want to be able to refer to a registered dietitian, and that's another great reason to be in the Facebook group, because you might be in Egypt, but there's somebody in Abu Dhabi who is a registered dietitian who possibly can work with your patient,

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your client on Zoom or whatnot.

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where was I gonna go with that? So, there… the… we added some new sections. There's a new nutrition section, and there is a new culinary medicine section.

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Really, really great. We've had some great contributors. Dr. Anna Schwartz, who is infamous, as far as cancer research, also going back to 1995,

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she contributed a section on GLP-1s.

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It is all science-based. It is not just somebody who wants to lose weight, this is all regarding, you know, oncology and the studies in terms of recurrence.

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So there are a lot of things that you can apply here for prevention, even if it is of a recurrence or future cancer.

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Now, the next stage is prehab, and there's typically a really short window of opportunity here, because

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somebody gets diagnosed, and first off, the last thing they're thinking about is, oh, I wonder what I'm gonna do for exercise.

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You know, their life is going before them, and, you know, if you've ever…

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If you're in that category, you know your life just stops right then. And I was too young to get it.

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I was 18… not too young to get cancer, too young to understand. I was 18, just graduated high school and wanted to go live at the beach for the summer, and

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They're like.

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you have cancer. And I'm like, oh, okay. And had my surgery and went back to the beach 4 days later, got sick as a dog, but…

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you know, there's a big difference between dealing with childhood cancer and adult cancer, and childhood cancer, even though I was 18, it's still considered childhood cancer,

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so you're…

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particularly under 18, you're still dealing with the parents, if you're doing any type of exercise programming.

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The parents have to be involved. So pediatric cancer is one of the 27 cancers that we cover.

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Even if there's a cancer that is not in this book, which there is, because there are over 200 types of cancer, you're going to understand how to work with that person based on the application,

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and just what I said, A, B, C, D, E. You understand the surgery, the acute and chronic side effects, you know, were their organs removed, were muscles removed, was there reconstruction?

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You understand the treatment, the acute and

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chronic side effects, lymphedema, so on and so forth. You can take any type of cancer, as long as you have all of the information from your patient or client.

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And apply it.

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So, prehab, again, real small window, but if you happen to be already working with somebody, perhaps, and they tell you they just got diagnosed with breast cancer, and they're gonna have an abdominal tram reconstruction.

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which you may, you know, you'll know what all these things mean after a while. Then you can start doing some things, like to work on their core, or to work on range of motion prior to surgery.

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It definitely is beneficial, but you're still gonna have to start all over again when they get out the other end, because most surgeries, there's gonna be probably 6 weeks before their doctor is going to release them.

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And up until now, or soon to be, the doctors are saying, exercise more, eat better.

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Okay, what does that mean?

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A cancer patient who goes to a gym.

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Or even goes to physical therapy, and that therapist has not been through oncology training, unfortunately is not getting what they need.

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If they go to somebody who has a precision nutrition certificate while they're in treatment, and that person doesn't understand that you shouldn't have grapefruit during chemotherapy, that there are certain herbs that interfere with the efficacy of treatment,

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that person can do more harm than good. So there is a place for us.

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throughout this continuum, with our modalities, and by the end, you're going to know where you fit, between me and Greg, helping you figure that out.

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During treatment.

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Study after study has shown that people who exercise, it minimizes treatment symptoms, the number one being fatigue.

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Everybody now. Now they say 100% of people will be affected by mind-numbing fatigue.

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So this is not like, oh, I didn't get enough sleep last night, I've been cramming for a test, or I pulled an all-nighter, or whatever.

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This is, like, literally, you can barely function.

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And…

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we have to understand the precise amount of exercise to prescribe during this time, because we don't want to deplete their energy even further.

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So, literally, you know, it is these scales of too much, not enough, and I'm going to give you every single bit of information you're going to need to figure that out for yourself.

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But having more energy, self-confidence, self-esteem, working on strengthening bone density, which, one of the side effects of chemotherapy, potentially,

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is osteoporosis and diabetes. So we've got to work on weight management and managing blood sugar, and we've got to work on building bone density.

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So these are long-term side effects that many patients are not even told about.

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But we will know this, and we can incorporate this into their exercise program.

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Excuse me.

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Lastly, we have recovery and survivorship.

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So, from immediate recovery, they just finished their last treatment, they just got released from the hospital.

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From that point on, you have to understand, and that's where we're gonna go, and we're gonna look

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At… at this blue-lined section, and we're gonna go… Okay,

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During the first 4 weeks after discharge, recovery is focused on wound healing, gradual return to basic function and management of fatigue, so on and so forth.

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And there will be limitations. It will say don't lift more than 5 pounds or 10 pounds, don't do core exercises, don't do rotational exercises, so

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If the person is outside of that time frame, then you're just going to use your own assessment to determine what they should be doing.

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Okay? Also, feel free, you guys, if you want to unmute and ask a question, you can at any time.

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Let me at least take a breath so I'm not midwind, or mid-speech, and also you can write it in the chat box.

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So what actually is the role of a cancer exercise specialist? And yes, my hair was lighter then.

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Until it all got ruined and broke.

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Design and deliver safe, evidence-based programs across the cancer continuum, that continuum being what I was just telling you about from prevention,

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prehab, during treatment, and afterwards.

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Understand both the physical and psychological side effects of all major cancer treatments.

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Now, that does not mean you're gonna have to have a PhD in psychology or anything, but you've got to be able to empathize and be compassionate, because if not.

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you'll never be able to work with this population. Cancer literally strips you of everything.

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It, from the physical, whether it is your hair, or your breasts, or a limb.

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To your job sometimes, many times your partner or spouse, your self-confidence, your self-esteem, your strength.

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And it leaves you at this crossroads where some people can't get out of that.

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emotionally, while others, you know, it's like glass half full, half empty.

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And so, I think just being able to listen and to know the appropriate response, which is also in your book, what to say when someone's diagnosed with cancer.

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I also have a coaching course

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Which you have access to if you bought the Everything Package, and that is a really great thing to incorporate, because as a personal trainer, I'm telling people what to do.

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Here you go, you're gonna do 12 reps, you're gonna do this, you're gonna, you know… but as a coach, I'm learning what motivates them.

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You know, that maybe they don't care about getting fit, or surviving, maybe they're just like, I quit, and whatever.

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But when we touch on a heartstring, like, well, what about

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seeing your daughter walk down the aisle, or don't you want to be able to lift up your grandkids? Don't… don't you want to be able to travel with your husband?

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And I'm actually not…

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I'm letting them give me those answers, but the coaching is fascinating, because you're really getting into what motivates them, rather than just dictating what somebody should do.

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So after you take this… after you finish this course, I would go on to that next. That'll really finish that off nicely.

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And then we're going to adapt programming. So if you're a yoga instructor.

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Let's say you're teaching a group class.

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You have no idea who is in your class, and you find out that this woman, had a double mastectomy 6 weeks ago.

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You need to know that this woman should not be doing a down dog, downward dog.

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you need to know that, oh, I can modify it. You guys also, who have the everything package, have the yoga, the yoga modification handbook PDF,

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okay? And so if you're not a yoga instructor, it is not going to make you a yoga instructor, but there are certain things that any of us can show someone to do, like a cat-cow or child's pose.

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And think of the reason why. I might have somebody do a child's pose at their desk.

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you know, a modified child's pose if they can't get down on the ground because they have limited shoulder flexion after a mastectomy, and that's something they can do throughout the day.

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So you can start to teach people how to incorporate things so that they don't have to set aside 5 hours a week.

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We know that American College of Sports Medicine says 150 minutes of low to moderate intensity cardiovascular exercise, or 75 minutes of high intensity.

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That's the goal!

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You're not taking somebody who is in, you know, deep fatigue and saying, we're doing 150 minutes, you're gonna do 30 minutes 5 times.

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No. For those people, I don't care if they do 5 minutes.

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6 times a day, or if every hour on the hour they try and walk up a flight of stairs, anything is better than nothing.

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So remember, you've got the standards, but standards, you know.

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it doesn't apply to everybody, and that's the problem that I have with, let's shove all of these people into one class and call it a cancer rehab class when you know nothing about the people,

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you know nothing about when they had their surgery, what they had done, what, you know, what side effects they're dealing with right now.

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So I will also teach you guys who do group exercise, or who want to do small group training, which is… which is great, because it's less expensive for the patient, and it… and we make more money as the practitioner.

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I will teach you how to do all these things as we move along.

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We're gonna learn how to, collaborate with oncologists, physical therapists, and other members of the care team, so think about that umbrella of the first line, and then,

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you know, the fitness professionals are that post-rehab.

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provide…

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Oh, screen clients for contraindications and adverse symptoms before every session.

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So, we'll go into things. Blood sugar being one of them. Somebody had pancreatic cancer, they're not producing insulin anymore, they are diabetic.

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You need to understand how to work with a diabetic. You don't let that person come in without a blood sugar monitor and without glucagon or some type of

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sugary substance that if their blood sugar drops, so this is all covered in here.

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There's also a lot of review of anatomy and physiology in Module 3, which God knows we all can use, even if you've been doing this for decades.

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If you quizzed me on insertions and origins, I would absolutely fail. By the way, when you do get to that section, those questions will not be on the exam.

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There will be questions about exercise, but not… not specific anatomy and physiology.

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That's just there for review. So, don't worry about, you know, studying…

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specific, like, citations or, what's the word I'm looking for?

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Like, 50,000 people in America have breast cancer. I don't… you're not going to be tested on those types of things.

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You're going to be tested on practical application.

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We want to provide emotional support within our professional scope. So, if you are not a therapist or a counselor, you know, have somebody to refer to, and know that this person should be referred.

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You know, if you're seeing some really alarming signs, make sure that they are getting help.

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We want to educate our clients on the proven benefits of exercise. That's gonna keep them motivated. So, for example, I started something, and I am… this is not multi-level marketing, I stand nothing to gain from telling you this.

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My husband and I started something called Prolon, and it is a fast-mimicking diet. And what sold me on it is that if you do it for 20 years, so I just turned 60,

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well, actually, 9 months ago now. But, if you do this for 20 years, cellularly, it reduces your age by 11 years.

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And these are NIH studies. Now, Prolon is just one version of fast-mimicking, so the fast-mimicking diets are what the studies are on, but to me, that's all I needed.

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I can do 5 days once a quarter, and it's not… it's not no food, it's just specifically, you know, calculated and whatnot.

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So, you just need to understand, again, what motivates somebody. Does 11 years, when I'm 80, if I can feel like I'm 69, heck yeah, I can do that.

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And even my husband, who's like.

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I'm not doing this. When I told him that, he's like, okay, I'll do it with you four times a year. So that's just an example of, you know, providing that evidence-based information to get people motivated.

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And then really important to document client progress. Make sure, you know, maybe you're doing a 50-minute session, and that last 10 minutes is writing down, you know, Susan came in today,

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she complained.

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That her left arm felt heavy. I did… I measured her circumference.

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There is an increase. There seems to be some pitting edema. I referred her to a certified lymphatic therapist.

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I will not start training her again until I receive a medical clearance from that person.

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So.

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Even if you had an initial medical clearance, John comes to you, he's 8 weeks out of a prostatectomy, his doctor says he is free, there are no restrictions.

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You're working with John for 6 months. John,

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something happens, and he has to go in and have another procedure. He must come back with another medical clearance form.

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Can you guys hear that horrible noise?

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No, okay, good, because it's like, they're drilling concrete or something.

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So we'll see how focused I can stay through this. Alright, key competency areas.

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Exercise Physiology. Now.

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not… you don't have to be a PT, or a personal trainer, or have a degree in exercise physiology.

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It's going to make your life a lot easier going through this course. For those of you who need more review, you're going to focus a lot on Module 3.

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And again, I am also here. I am a text away, I am… you can call me, but I… I…

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don't answer the phone, usually, because I get so many, you know, spam calls or whatever.

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But I'm here to help you get through this. So, you're gonna understand how cancer and how treatment affect the cardiovascular, the muscular, and metabolic systems, and how to adapt the program accordingly.

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So…

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Fred might need to focus on cardio, because he has all of these red flags for heart disease, or for, cardiomyopathy,

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whereas

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Jane might need to focus more on strength training, because she's had chemotherapy, and she's, on steroids, and she has all these red flags for osteoporosis.

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So, different people, the emphasis will be different in that

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hour, or in many cases, it'll only be a half hour at the onset, because they can't… you can't go from zero to an hour with people who you're just getting started with.

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And you're gonna have people who are just out of surgery, just out of treatment. You're gonna have people who find you 3 years later.

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And they've either been doing nothing, or they've been doing the wrong things, and you have to kind of go back and

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evaluate, and some things you can say, oh, this is great, we can keep this, but we're gonna tweak this a little bit, because I see this muscle imbalance that I want to help correct with,

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you know, X, Y, and Z exercises. You are not going to be an oncologist when you finish this course.

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You are not going to memorize what each of these treatments are, because when you get a client.

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who says, I have…

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cervical cancer, you are going to go to cervical… oh, okay, I flipped on pancreas.

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Somebody who has that. I'm going to go to that particular cancer, I'm going to look up the procedure they had, I'm going to look up what the side effects are, I'm going to look at the… everything is here for you.

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So, we go through 27 of the most common cancers. I reiterate that I'm here to help you if you get somebody who is not in that book to walk through it,

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because it really is just… once you understand the process, you'll be able to work with any type of cancer.

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Program design, individualized is key, so even if you are teaching group exercise, I'm going to teach you how to individualize it.

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And you're gonna make an exceptional program where people are gonna have less injury, and they're gonna get better results.

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They're gonna go tell their doctor, their surgeon, their oncologist, their nurse, whoever, you know, all of how great they feel, and that's how you're gonna get referrals.

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Progressive is the key here. It is a slow, gradual progression.

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If we do too much, too fast, you run the risk of A, you know, injury, slowing healing.

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or… there's half a dozen things I can think of, but the bottom line is, let's just avoid that, and let's start and progress slowly.

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The only time that becomes a challenge, really, is if you're working with somebody who's, like, a competitive athlete, or somebody, you know, like… like me, who works out every day, and that's, like.

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I have to work out, I have to work out. To get me to slow my roll is going to take a whole lot of effort, because I'm going to want to move faster than you're going to allow me to.

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And I personally, I'm going to do what I know is safe for that client, even if it goes against what they want.

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If they want to go work with somebody else, then…

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Have at it, I'm sorry to lose you, but I'm not going to intentionally do something that's going to cause you harm.

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And then lastly, client motivation. Understanding, being an empathic listener, motivational interviewing, which you'll read about in the coaching course.

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So, I'm not going to jump into that too much, but those are the basics.

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And so, 20 million new cancer diagnoses each year.

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53 million people currently living worldwide

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You know, as their cancer can be in remission, or, you know, maybe it's somebody like my mom who, you know, she's always going to have cancer, it's just a matter of controlling it.

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But we can help make their lives better and longer. So, there's a 67% 5-year survival rate across all cancer types.

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So that means if we take a general of all of them, that 67% of people will be alive in 5 years.

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And 40%, this is staggering, 40% of adults will face a cancer diagnosis in their lifetime.

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That's a pretty big marketing number. 40%, so, you know, more than one-third, close to one-half of everyone, do you want to prevent cancer?

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Let me show you how.

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Alright, we're going to finish today, the last 15 minutes. I'm just gonna start off.

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With a little bit of delving into, you know, what the cancers are, and then when we start on Thursday, we're gonna actually start breaking down, we'll pick a couple types of cancer, and I'm gonna break down how you would work with this person.

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But cancers are classified into, you know, different types. So.

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Carcinomas, sarcomas, lymphomas, leukemias,

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I can read all this to you, but I don't wanna… I wanna keep moving, so…

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One thing that I do want to mention is a lymphoma is a cancer of the lymph nodes and lymphatic system.

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This is not cancer that has spread to the lymphatic system, so I could have thyroid cancer that, you know, a rogue thyroid cancer cells gets into my lymph nodes,

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travels through my lymphatic system, and ends up in my liver.

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But it's still thyroid cancer. It's not liver cancer, and it's not lymphoma. It's the cancer of origin.

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And sometimes that can be difficult to detect. When my mom had her last recurrence with stage 4, it took them a while, like, all sorts of testing to figure out that it was actually breast cancer.

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not a new cancer, because the treatment depends on what type of cancer it is they're treating.

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Every cancer's treated differently.

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Skin cancer, obviously, we know, and then gliomas, which are brain and spinal cord tumors.

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So let me ask you guys a question and just play along with me. In the chat box, take 2 seconds and write down what you think the number one cause of cancer is.

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I'm not gonna talk until at least one person writes.

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Nobody's writing me.

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Alright.

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So, environment.

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That is, chronic inflammation, stress, environment… okay, you guys are smart. You got a good… we have a good start here.

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It is not genetics. So, people always say genetics. Genetics only accounts for 5-10% of all cancers.

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So, if it is environmental, if it is inflammation, can we control that?

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Yes and no, right? We can definitely control inflammation with what we eat, with stress, with sleep hygiene.

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All those types of things. Environment. You know, if you live in Shanghai and… or New York City, you're gonna be exposed to a lot more pollution than if you're living out in, you know,

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the mountains or at the beach somewhere. We can control what we're putting on our skin, in our mouths, on our hair.

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you know, all these things, and I'll go through that as well, but I've really started to give a lot of thought to these things through the years, because

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When you look at

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we call them, oh god, I'm gonna forget the name of it… a food… a food desert?

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I'm forgetting, there's a term for it, but basically people who don't have access to quality food, whether that be

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they live in Timbuktu, and there's no Whole Foods, or they can't afford it, which most of us can't.

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I mean, try feeding a family of four on all organic food and grass-fed this and that. It's very expensive.

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It's a lot easier to go to, you know, the grocery superstore and buy 10 pounds of ground beef with

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50% fat, we don't know if it's organic or grass… well, we know it's not. And so, when you look at different populations of people, and you see higher disease rates.

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A lot of it has to do with their access or ability to get quality food. With education, people aren't educated even about doing a breast self-exam,

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or about the fact that this lotion that you're putting on your skin, it's the biggest organ in your body, and if there are toxins in this, it's going right into your body.

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So, slowly through the years, even cleaning products.

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I… I won't let my dogs… this has nothing to do with cleaning products other than them licking the floor, I won't let my dogs go to a golf course anymore and run around, unless there's snow.

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Because they're laden with pesticides. Now they're linking Parkinson's with people who live downstream from golf courses.

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Lots of evidence for that now. So you let your dogs go run around on grass that people have sprayed with Roundup.

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or any other pesticide, why do you think dogs are getting more cancer? I mean, I know that's kind of off-topic, but is it?

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So think about your pets, your family, what they're eating, drinking, putting on them, in them, what they're breathing.

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all of those things are really critical. And so, basically, cancer happens when the cell division, which is normal, it goes awry, it goes unchecked, and the cells just continue to multiply out of control.

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I'm going to give you the Reader's Digest of this slide. But basically, the mechanisms that we have within our body that usually would put a stop to that, it doesn't work.

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So these continue… the cells continue to divide, and that's how eventually you end up with a tumor.

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And so, the immune system oftentimes is compromised, and this can absolutely be from chronic inflammation and oxidative stress.

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So if you haven't heard the term oxidative stress, everything that I just talked about is what leads to oxidative stress.

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I also have a couple interesting articles, and there's no fee for this either, on my substack, which is called Stronger by Design.

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On some different things that I take that also help to fight off oxidative stress and cellular renewal.

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Nads, N as in Nancy, A, D as in dogs, and Fatty15s.

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These are things I've done a lot of research on.

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They are… I have nothing to do with them, but they're all about cellular rejuvenation, which is a big thing these days.

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You know, externally, I suppose it can help also, but it's mostly healing from within.

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And metastasis, which means the cancer has spread, it has metastasized, happens when, you know, one little rogue cancer cell detaches, like I said, and it kind of gets on the

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the blood or the lymphatic highway, and it colonizes in a distant tissue.

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So that is when it is called metastatic disease.

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So here, we're going to kind of reiterate what I just said, so I'll go through this pretty quickly, but these are all factors that you can help.

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This is one of the number one things I would sit down with my client in that, you know, first or second session, and say, how many of these things apply to you?

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And don't try and have them change everything all at once. It's not going to happen. You're setting them up for failure.

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Pick one thing that they can change. So, I looked through this, microbial imbalance, food preservatives, and artificial additives.

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So, this week, I made a promise to somebody that I was going to stop eating bars for breakfast, because I've gotten into this habit of eating protein bars for breakfast.

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Probably don't know what any of the ingredients are in the bar. It's not real food.

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And our bodies do not know how to process it. So aside from, you know, being just, you know, oxidative stress, these types of things.

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it gives you digestive issues, because your body doesn't know how to break these things down. You know, when we were all created, there were no protein bars.

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So that was my one thing that I can do now.

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Over-the-counter and prescription medications. It's not necessarily the medication, but it's what is the filler, and so I try to always buy organic.

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you know, vitamins and stuff. Heavy metals, formaldehyde-releasing preservatives, parabens, and contaminants like benzene, ethylene, oxide.

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I don't know what any of these things are, but if you see them in your beauty products, which you will, you shouldn't be using it, because you're just basically rubbing poison into your skin.

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Plastics and chemical cleaning supplies. So, lots of research about

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microplastics, and anytime… and I… not perfect, you know, I'm gonna go buy a roasted chicken, which probably also isn't healthy, I try and buy the grass-fed ones, but they are hot, and they are in plastic.

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Which is absorbing the microplastics. If you microwave in plastic, it's going into your food.

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If you store food in plastic, it's going into your food. If you're drinking water out of a plastic bottle.

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So this isn't a one-off, this is years of us doing this that accumulate.

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So, I might say, could you go get yourself a medal?

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a drink container, and instead of drinking water from, you know, your plastic water bottles, take this with you and fill it up with filtered water,

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because the water we drink is also another issue.

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One being chlorinated water. And so people who swim… now, I've never done the research on this, but I'm curious if people who spend a lot of time in chlorinated water have a higher incidence of cancer.

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I do not know the answer to that. Alcohol consumption.

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sometimes I'm better than others. Alcohol is a very social thing for a lot of people, and

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I like a glass of wine, or a margarita, I'm not gonna lie, but I'm also well aware that if I have more than two 5-ounce drinks, I don't know,

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I think it's a week, that my risk of breast cancer increases exponentially.

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So, it's not just a little increase, it's exponential, and the biggest tie with alcohol is with breast cancer.

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So, I have friends who have had breast cancer who are winos, and I don't say anything, because I'm just like… I mean, I have said something, but they keep doing it, and it's like, you're just feeding it,

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feeding it, feeding it, feeding it.

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But again, I can't tell my client to stop eating processed foods, stop drinking alcohol, go buy organics, go change all your lotions, change your house cleaning products, all at once.

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Pick one thing, let's do it for a week or two.

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Radiation exposure and chronic psychological stress. There is such a connection with stress and cancer, because stress and inflammation, you know, it's all linked together.

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I had thyroid cancer, years after I had extensive radiation from a lot of dental work.

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They think that's why I got thyroid cancer.

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So, last year, I had to have a tooth removed, I had a, what do you call it, a root canal.

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Now I have to go have surgery on Friday, so if my face is this big on Tuesday, that's why I have to have surgery to do bone graft.

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So I can get a tooth. So I've had TONS of radiation this year. I went the other day to get a dental cleaning.

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And they're getting ready to do x-rays. I said, I'm not doing them. They said, well, we can't do this unless you have x-rays. I'm like, I'm not doing it.

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And I just lied, I said, my oncologist says I can't have any more radiation, because I know I can't have any more radiation.

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So they said, well, our liability insurance says that if you don't have two cleanings a year, and don't let us do x-rays, we can't see you.

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I said, well.

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I guess you're firing me then, because I'm not doing x-rays this year. So we have to be able to stand up for ourselves, and you need to empower your clients by teaching them this,

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too. As you learn everything I'm teaching you, stand up for yourself.

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Understand that these needless tests and x-rays and all this, you don't have to let the doctor tell you what to do.

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I mean, they are not God. And…

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I always second guess, because I know what, you know, what my options are.

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But my mother…

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Or other people, particularly, you know, who are seniors.

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They're scared to second-guess their doctor. They're scared to, you know, ask for a second opinion.

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So, these are all… I know I'm going off on tangents, but these things are all so important, and you can help people, and yourself, and your family in so many ways that you probably didn't expect you were going to get from taking this course.

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Toxic chemical compounds and pollutants, hydrogenated and trans fats, we've heard about this for years, air, water, and food pollution.

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So, there are wildfires, let's say, in Portland a couple years ago, and I have grapes growing outside, and it's raining ash.

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I'm not gonna eat those grapes this year, because who knows what is in that ash that is coming down on my grapes.

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So you've got to think about those types of things, and you know, if you're using Roundup.

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I think the multi-billion dollar payout that Bayer had for the victims who got lymphoma was pretty much an admission of guilt, although they say it's safe now.

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I'm not using it. Use 50% vinegar, it'll kill your weeds in a minute.

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Oil is heated to very high temperatures, so olive oil is fabulous. The Mediterranean diet is hands down the best, the healthiest diet you can be on.

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But if you heat olive oil, it can become carcinogenic at high temperatures.

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So, cook at lower temperatures, and you'll read all about this in the culinary medicine and the nutrition section about, you know, charring food and how that can become carcinogenic.

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Cigarette smoke, I mean, that's a no-brainer. Dehydration, making sure that we stay hydrated, avoiding excess sugar.

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Sugar is a real gray area with cancer because, you know, we know that, for example, with a PET scan, when they give you sugar and, you know, you see it all over and it divides quickly,

460

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so the assumption is that the more sugar somebody eats, their cancer's gonna grow.

461

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That has not been proven. Yet, I would still tell somebody.

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Cut out sugar. Let it be a treat once a week. I'm gonna tell somebody that anyway, because sugar increases your insulin, which increases human growth hormone,

463

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which stores fat. It goes on and on and on and on. So it may not directly lead to cancer, but it can lead to other comorbidities, which can increase your risk for cancer as well.

464

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And geophysical stress. So, living near power lines or waste sites, if you haven't seen Aaron Brockovich, or I think there's a movie called Black Water or Muddy Water or something, there are reasons that pockets of people who live in these areas where there's some toxin end up with cancers.

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And there's also a reason those properties are cheaper than other properties. So, anything that sounds too good to be true usually is, and that's something I try and live by.

466

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So let's just finish this today. We're rounding up that infection. Chronic irritation, and inflammation all equal oxidative stress,

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and that increases the risk of cancer. So…

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as… as we… and I'll stay on to answer any questions that you guys may have, but as… as you leave today, obviously think about any questions that… that you have about the… the course and… and anything moving forward.

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We're gonna jump right into actually

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Kind of exercise programming and breaking down cancer surgeries.

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On Thursday, but also think about something that you can change in your own life, that you can start to make a difference, and just one… one thing at a time,

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and if you have kids, if you have elders you're taking care of.

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pick one thing and make a difference. And so, I promise you, I am not gonna have a protein bar between now and when I see you again on Thursday.

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I'm gonna eat real food.

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I'll open this up. If anybody has any questions, you can unmute.

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You can write it in the chat box, or if you want privacy, you can just email me. Remember, use C-E-T-I-Guru, G-U-R-U, at gmail.com.

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If you need a quick answer, otherwise you can email andrea at thecancerspecialist.com to get Greg or I.

478

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Don't start reading the book downloads, okay? You've got practice quizzes in every section, so if… if you're going to go through,

479

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at least only do, like, one section at a time. So if you're gonna start off, you know, do just prostate cancer and go through the practice quiz before you read the whole book.

480

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Just, just take it, take it by bite.

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And then there are some examples, so I think I did prostate, lung, colorectal, and breast cancer.

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There's a PowerPoint video presentation that goes along with it, where I will walk you through how to put together the exercise programming, and that's what we're going to start doing on Thursday,

483

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but you have those in your Teachable, so…

484

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I don't see any questions, so I'm assuming that my talking a lot probably answered everything.

485

00:58:58.840 --> 00:59:00.790

Actually, hold on, I see something here.

486

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Okay, these sessions are… yeah, so the sessions will be recorded. If you cannot make it, no problem.

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Greg will send you the link, usually later in the day, because it takes a while for it to upload, and they will be in Teachable.

488

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You'll always have access to them, so…

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I guess, if you need me, you know where to reach me, and I will see some of you, if not all of you, well, I know not one person, on Thursday, and maybe we'll have some more people with us as well,

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and we will really jump right into it. So, thanks for introducing yourselves, and I look forward to working with you guys.

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Bye.

Complete and Continue

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Zoom Guided Training & Business Support - SEP 1-30 2026 - OncoVie® Cancer Exercise Specialist

Sep 1, 8am Pacific - Cancer Introduction with Andrea - 1 hour

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