Most of the recommended substances in the PDF were already part of my daily regimen. It didn't matter. I had an adenocarcinoma of the Ampulla of Vater in the presence of high grade dysplasia. The post Whipple procedure pathology graded it PT3a, PN0, R0. Stage IIb. The carcinoma was invading the duodenum on one end and 0.5cm into the head of the pancreas. No lymph node invasion detected. Clear margins on the surgical resection. A recent PET CT scan showed a 5.4 SUVMax on the anastamosis connecting the pyloric valve to the jejunum. A value above 6 bears follow-up examination. A PET scan uses a glucose molecule labeled with a gamma radiation emitting isotope. Each cell type has an expected Standard Uptake Value (SUV). The radiologist needs to be aware of the SUV expected vs SUV observed to make an informed decision when evaluating "hot spots" on the scan.
I'm not thrilled with how my gut operates post-Whipple, but I'm confident that ignoring the problem would have progressed to full-on pancreatic cancer very quickly. Based on the pathology/histology reports, I have a 32% prognosis for making it 5 years post Whipple. Better than PanCan.