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Vitamin C

Vitamin C is an essential vitamin and most people know that lack leads to scurvy. The optimal amount needed to stay healthy is uncertain - the RDA (recommended daily allowance - which will keep scurvy away) is 50 - 60mg per day.

However Man and the primates are one of the few species on the planet who cannot make their own vitamin C (others include guinea pigs, a fruit eating bat and an Australian bird - the latter eat a lot of fruit and berries and have a huge vitamin C intake).

A 70kg goat, which is about man sized, converts glucose from its diet to over 13 grams of vitamin C per day, and can increase this as required when it becomes sick, up to over 100 grams.  So by these standards an RDA of 60mg (.06 grams) seems wholly inadequate.

All over the world people take vitamin C supplements and believe they avoid flu and other illnesses by doing so. The most famous supporter of this was Dr Linus Pauling, two time Nobel Prize winner, who himself took 10 grams or more every day.

Sadly, because there is little money to be made by selling vitamin C, few trials have been performed. (Most modern large trials are usually funded by drug firms, and they cannot patent vitamin C). However there is good scientific data showing that vitamin C can boost immune function, and has an anti viral action.

In diseased states, the need for vitamin C increases. This can be seen in animals who often increase their vitamin C production more than tenfold, and also in humans when the amount of vitamin C found in the blood and the urine falls dramatically during illness and stress. This suggests that in these conditions, the intake of vitamin C should be greatly increased.

Vitamin C and Cancer

This is a highly controversial issue.  In spite of the ever increasing evidence of the safety and efficacy of vitamin C in the prevention and management of Cancer, it is still  considered experimental.  As a starting point for anyone considering intravenous vitamin C as an option in Cancer, we recommend you discuss the articles below with a health professional, oncologist or doctor at our clinic.

Recommended Cancer Articles

Background

1. Gonzalez MJ, Miranda-Massari JR, Mora EM, Guzman A, Riordan NH, Riordan HD, Casciari JJ, Jackson JA, Roman-Franco A. Orthomolecular oncology review: ascorbic acid and cancer 25 years later. Integr Cancer Ther. 2005; 4(1):32-44.

2. Cameron E, Pauling L, Leibovitz B. Ascorbic acid and cancer: a review. Cancer Res. 1979; 39(3):663-681.

3. Cameron E, Pauling L. Supplemental ascorbate in the supportive treatment of cancer: reevaluation of prolongation of survival times in terminal human cancer. Proc Natl Acad Sci. 1978; 75(9):4538-4542.

4. Li Y, Schellhorn HE. New developments and novel therapeutic perspectives for vitamin C. J Nutr. 2007; 137:2171-2184.

Intravenous Vitamin C Therapy

5. Chen Q, Espey MG, Krishna MC, Mitchell JB, Corpe CP, Buettner GR, Shacter E, Levine M. Pharmacological ascorbic acid concentrations selectively kill cancer cells: action as a pro-drug to deliver hydrogen peroxide to tissues. Proc Natl Acad Sci. 2005; 102(38):13604-13609.

6. Chen Q, Espey MG, Sun AY, Lee JH, Krishna MC, Shacter E, Choyke PL, Pooput C, Kirk KL, Buettner GR, Levine M. Ascorbate in pharmacologic concentrations selectively generates ascorbate radical and hydrogen peroxide in extracellular fluid in vivo. Proc Natl Acad Sci. 2007; 104(21):8749-8754.

7. Padayatty SJ, Sun H, Wang Y, Riordan HD, Hewitt SM, Katz A, Wesley RA, Levine M. Vitamin C pharmacokinetics: implications for oral and intravenous use. Ann Intern Med. 2004; 140(7):533-537.

8. Riordan NH, Riordan HD, Casciari JP. Clinical and experimental experiences with intravenous vitamin C. J Orthomolec Med. 2000; 15:201-213.

9. Riordan HD, Hunninghake RB, Riordan NH, Jackson JA, Meng X, Taylor P, Casciari JJ, Gonzalez MJ, Miranda-Massari JR, Mora EM, Rosario N, Rivera A. Intravenous ascorbic acid: protocol for its application and use. P R Health Sci J. 2003; 22(3):287- 290.

Benefits of Vitamin C Therapy

10. Yeom CH, Jung GC, Song KJ. Changes of terminal cancer patients’ health-related quality of life after high dose vitamin C administration. J Korean Med Sci. 2007; 22:7- 11.

11. Riordan HD, Jackson JA, Riordan NH, Schultz M. High-dose intravenous vitamin C in the treatment of a patient with renal cell carcinoma of the kidney. J Orthomolec Med. 1998; 13:72-73.

12. Padayatty SJ, Riordan HD, Hewitt SM, Katz A, Hoffer LJ, Levine M. Intravenously administered vitamin C as cancer therapy: three cases. CMAJ. 2006; 174(7):937-942.


Literature Review

We are constantly reviewing the literature around vitamin C (Ascorbic Acid) in human pathology.  Here is a list of papers covering the vast area of Ascorbic Acid.  You can search the titles by entering a topic at the top of the page.  Some may be available online via PubMed, or at least as abstracts.  We have many of these papers on file at the Centre.




Article by Our Team
'Vitamin C: Evidence, application and commentary' originally published in New Zealand Family Physician, by the RNZCGP.  
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