Hey Warriors, I wanted to share an honest update about my mumâs latest scan and what Iâve learned through this process â I hope it helps others make more informed decisions. Unfortunately, my mumâs recent PET scan results werenât good. For context, the previous scan in June showed a mixed response with one new lesion appearing. Because of financial constraints, we stopped IV Vitamin C and HBOT about four months ago, and I had planned to strengthen her protocol with additional off-label therapies â Low Dose Naltrexone (LDN), Doxycycline, Hydroxychloroquine, and Niclosamide â all discussed in Jane McLellandâs book How to Starve Cancer. My mum completed the 3-month Orthomolecular protocol back in June and thatâs when we saw positive but mixed results. At the time, my mum had strong faith in the NHS oncologists and their plan with immunotherapy (Keytruda). They werenât sure if the June scan reflected pseudoprogression or inflammation, and even though the radiologist advised a CT scan for clarification, the oncologists decided to wait until the next PET scan. Sadly, that delay cost us valuable time. The latest scan now shows more lesions, and we were told now that SRS/Gamma Knife is no longer an option. The oncologistâs words were: âItâs too late for that.â Also CA125 jumped from 395 to 1100 in 3/4 months. The NHS is an incredible resource in many ways, especially because it funds chemotherapy and immunotherapy, but most NHS doctors have little or no understanding of metabolic therapy. They tend to dismiss it or even speak negatively about it. I printed out research papers and handed them directly to the team, but they ignored them completely. My mum followed their advice because she trusted them, which is understandable, but this experience has changed her perspective. Now she wants to move forward under integrative expert guidance, possibly through Astron Health or a similar precision-medicine approach. From Jane McLellandâs book, I learned that adenocarcinomas (like my mumâs) are generally glutamine-driven, meaning they rely heavily on glutamine as a primary fuel source. We target glutamine in several ways â through fasting and exercise simultaneously, which deplete available fuel, and more importantly through the use of specific off-label drugs. One of the most powerful glutamine antagonists is DON (6-diazo-5-oxo-L-norleucine), though itâs out of reach for most of us due to limited access and high cost. Thatâs why itâs crucial to investigate or implement other off-labels that can impact glutamine metabolism indirectly. This is also where diet becomes strategic: a pescatarian approach, as Jane suggests, or a vegan keto diet during the kill phase makes a lot of sense for targeting both glutamine and methionine metabolism simultaneously.