The Reporter (Lansdale, PA)

Can supplement­s help prevent skin cancer?

- By Dr. Daniel Shurman

Non-melanoma skin cancer is the most common cancer among Americans, with numbers exceeding that of breast, lung, prostate and colon cancer combined. We all know some tried-andtrue methods for preventing skin cancer, which include wearing sunscreen and avoiding prolonged sun exposure, but what may not be so well known is that dietary supplement­s can be beneficial as well.

Supplement­s backed by scientific research

While there are a number of recommenda­tions for supplement­s that can help prevent skin cancer, not many of them are backed by scientific studies. It is important to review the data and any scientific studies supporting the supplement before deciding if it’s worth adding to your daily regimen. One supplement that has been scientific­ally proven to reduce the incidence of nonmelanom­a skin cancers among people who have already had a basal cell carcinoma or squamous cell carcinoma is a form of vitamin B3 known as nicotinami­de. In a study of high-risk patients performed by Australian researcher­s, new nonmelanom­a skin cancer rates were down 23% in the nicotinami­de group compared to the placebo group over the span of a year.

But how does it work?

You may be wondering how a supplement that you ingest into your body can help protect your skin. In order to understand how nicotinami­de works to protect your body from skin cancer, it may be helpful to first understand how ultraviole­t radiation causes skin cancer. Ultraviole­t radiation causes damage to your body’s DNA and interferes with the immune system in skin cells, reducing the amount of energy the cells have available to repair damage. When DNA is damaged, it can result in uncontroll­ed growth, leading to skin cancer. So, rather than acting as a sunscreen, nicotinami­de prevents ultraviole­t light-induced DNA damage and immune suppressio­n as well as helps to repair UV-damaged cells. Basically, the supplement has been shown to provide skin cells with an energy boost, enhancing DNA repair and strengthen­ing the skin’s immune system. For patients with a history of non-melanoma skin cancers or suppressed immune systems, nicotinami­de can offer a promising prevention method.

What else do I need to know?

It’s important to note that during the study, the positive effects of nicotinami­de were only seen when patients were actively taking the vitamin, so it is something you have to add to your daily routine with consistenc­y. The supplement is inexpensiv­e and easily accessible over the counter. Adding Nicotinami­de to your daily routine does not replace the importance of eating a healthy, balanced diet full of vitamin-rich foods, wearing sunscreen (SPF 30 or higher) and getting regular skin cancer screenings from your dermatolog­ist.

Dr. Daniel Shurman of Pennsylvan­ia Dermatolog­y Partners in Amity Township completed his dermatolog­y training at Thomas Jefferson University. He is fellowship-trained in both Mohs micrograph­ic surgery and procedural dermatolog­y, and his research interests include medical genetics, antibiotic­s in dermatolog­ic surgery and wound healing.

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