In order to hopefully treat and prevent recurrence of leukemia we need to understand and — if possible — remove the underlying causes and risk factors. We need to ask: "What else is going on inside the body that might allow leukemia to develop?"
Accurate diagnosis of the factors behind leukemia consists of three steps:
recent light tobacco smoking
macrocytic red cells
smoking under 2 cigarettes per day
H2-blocker antacid use
regular hangnails
secondhand smoke exposure
minor mouth sores
low folic acid level
recently quitting smoking
reduced sense of smell
current birth control pill use| Cause | Probability | Status |
|---|---|---|
| Cigarette Smoke Damage | 93% | Confirm |
| Increased Folic Acid Need | 57% | Possible |
|
Have you suffered from any type of Leukemia?
Possible responses:
→ No / don't know→ Acute Lymphoblastic Leukemia (ALL) → Acute Myeloid Leukemia (AML) → Chronic Lymphocytic Leukemia (CLL) → Chronic Myeloid Leukemia (CML) |
Cigarette smoking is associated with increased risk for leukemia and may lead to leukemias of specific morphologic and chromosomal types. The association varies with age. In one study, smoking was associated with only a modest increase in overall risk for leukemia, but among participants aged 60 and older, smoking was associated with a twofold increase in risk for AML and a threefold increase in risk for ALL. Among older persons, risks increased with amount and duration of smoking. [J Natl Cancer Inst. 1993 Dec 15;85(24): pp.1994-2003]
Maternal folic acid supplementation during pregnancy was associated with a reduced risk of acute lymphoblastic leukemia in children in a study in Western Australia. [Lancet 2001;358(9297): pp.1935-40]