Anyone with an Oncotype score of 61 choose no treatment after surgery?

That sounds about right from the article I read. Appendix A does mention flaxseed
https://pmc.ncbi.nlm.nih.gov/articles/PMC7848814/

An oncotype score of 25 and over in post menopause means that the cancer tumor will most likely shrink with chemo. Any there is no lymph nodes that are positive there is a 95% chance it has not spread (pretty good!). Also, surgery is 56% of the cure and the most impactful treatment of all. I believe the chances of lymphodima are around 20% and less if you exercise. Radiation has the lowest impact but still helps by minimizing local recurrence by 5-10%. And finally the AI will reduce all recurrences of BC by 50% - major if you are stage 3. I am also stage 3 grade 3 and urge you to at least consider surgery. I had a double reconstruction and it looks amazing (better than before). I can understand not wanting to poison your body with chemo but your oncotype awfully high. Chem aged me and I can understand why you would not want it. Although I had 8 rounds of chemo and don’t regret it as it brought it brought my cancer down from grade 3 to grade 2 in aggressiveness. In fact I had all of the standard interventions but also use functional medicine. I really believe in the metabolic approach to treating cancer with a ketogenic diet. No sugar, no flour (zero grains), high fat. See Thomas Seyfreid the cellular biologist from Boston College. Apparently if you keep your GKI - glucose ketone ratio below 3 the cancer won’t grow because it feeds on sugar. Also see Maggie and Brad Jones on the Jesse Chappus Podcast. I test my blood every day with diabetic monitors that prick the finger to measure blood glucose and ketones. The objective is to keep my glucose low and ketones high by eating the appropriate foods. I also practice fasting. Nutrition and exercise are really empowering (these is clinical trials showing that ground flax seed is as efficacious as tamoxifen for instance). If you absolutely don’t want to do any of the standard treatments at least consider surgery as it will give you the biggest bang for your buck. There was a celebrity on the news recently who skipped all the treatments and is now dead. Best wishes to you.

@myoga
Thank you for this reference. Although it mentions flaxseed as something to be careful taking with an aromatase inhibitors, it may be flaxseed in supplement form. When I asked my PA about flaxseed, she said it is okay when taken as a food, but not as a supplement which I assume is in a greater concentration.

Please lmk if I'm mistaken since I've resumed using flaxseed with yogurt.

As I understand the Oncotype report, you get a score (29 in my case) and you get an estimate of risk of recurrence (18% in my case). Then you have to consider if you want to reduce the risk of recurrence. In your case, I'm guessing the risk of recurrence is high.

In my own case, I had surgery, radiation, AIs. My original cancer center did not do Oncotype of women over 70. I had to switch cancer centers to get it. Given my risk of recurrence, I'm now taking Kisqali (CDK4/6 inhibitor) as well as AI (exemestane now, anastrozole previously).

If you don't have a copy of your full Oncotype report, get it. If you don't understand it, there are BC non-profits that will review it for you and explain. Also, although a person may get very unpleasant side effects from radiation and/or AIs, many do not. I did not. But people like me don't post often about having nothing to report!