Rather than focusing on breast cancer, Wise Women choose to concentrate on keeping our breasts healthy through wise lifestyle and dietary choices.

The following tips may amaze you, since the actions and foods they suggest run counter to many alternative views of cancer prevention. They are supported with strong research, however - from the lab, with animals, and in long-term human studies. Thus, each of these tips has a solid scientific basis, unlike the assertions made by those intent on selling you their opinions and products.

Embarking on even one of these suggestions will definitely lower your risk of breast cancer. Using them all is even better. And as a special treat, I have added three extras. Look for lots more tips for keeping your breasts healthy in my book Breast Cancer? Breast Health! The Wise Woman Way, recommended by many oncologists and breast health specialists including Dr. Susan Love. And please visit my special breast health website: http://www.breasthealthbook.com

1. Be more active

Evidence continues to accumulate that a vigorous lifestyle is one of the best ways to cut breast cancer risk. A study of 20,624 Norwegian women found those who exercised or worked out regularly cut their breast cancer risk by 72%. (NEJM, 5/1/1997)

For breast health I walk every day, take a weekly yoga class, and do tai chi twice a week.

2. Eat more unrefined seed foods

All seeds provide phytoestrogens. Women who eat the most phytoestrogenic foods are four times less likely to be diagnosed with breast cancer than those who eat the least. "No study has shown a degree of risk reduction similar to that found for phytoestrogens ..." (Lancet, 10/4/1997)

Whole grains such as wheat, rice, corn, kasha, millet, and quinoa are unrefined seed foods. Beans such as lentils, black beans, pinto beans, lima beans, and chickpeas are unrefined seed foods. Nuts including peanuts, walnuts, almonds, and pecans are unrefined seed foods. And edible seeds such as sesame, sunflower, and pumpkin are unrefined seed foods. Fruits and vegetables that are eaten with their seeds - such as strawberries, blueberries, raspberries, kiwi fruit, summer squash, tomatoes, and cucumbers - count as unrefined seed foods. Even seeds used as seasonings count, such as cumin, coriander, caraway, anise, and dill seeds.

For breast health, I have replaced all refined carbohydrates - including white rice and white/unbleached flour products such as pasta, bread, cookies, crackers, pretzels, bagels, donuts, and cakes - with whole grain products.

3. Eat less vegetable oil; increase animal fat, especially from dairy products

"Diets high in corn oil leave animals especially vulnerable to chemically induced cancers" say researchers. (Science News, 6/24/89; 10/2/99) Frightening as this statement is, it is not true only of corn oil but of all vegetable (or seed) oils including those made from soy, sesame, sunflower, cottonseed, flax, and hemp.

If you are dubious about eating more animal fat and dairy products to reduce breast cancer risk, consider this landmark study reported in the Archives of Internal Medicine (1/12/1998). To determine if food affected breast cancer risk. The diets of 61,000 Swedish women between the ages of 40-76 were followed for four years. The results? For every 5 grams (about a teaspoonful) of vegetable oil consumed per day, breast cancer risk increased by 70%. In contrast, for each 10 grams of fat from meat and dairy products in the daily diet, breast cancer risk was decreased by 55%.

Another study, begun in the early 1970s, followed 4,000 Finnish women's diets for 25 years. Results recently released found that those who "drank the most milk had only half the breast cancer risk of those who drank the least."

American researchers agree. According to a report in International Journal of Cancer (2001), women who drank milk as children and continued drinking it as adults had half the rate of breast cancer of non-milk drinkers. (Yes, I do buy organic milk, but the studies used regular supermarket milk.)

Why? Galactose, the primary sugar in milk, slows ovarian production of estradiol, a cancer-promoting hormone. Additionally, milk is rich in CLA (conjugated linoleic acid), a fat known to suppress breast tumors in animals.

For breast health I use yogurt, cheese, milk, butter, and olive oil daily, and eat meat occasionally.

Remember that olive oil is pressed from a fruit, not a seed. Women whose diets are high in olive oil, and who eat meat and dairy products regularly, have the lowest rates of breast cancer in the world. (Journal of the National Cancer Institute, 1/18/1995)

4. Eat less tofu and soy beverage; eat more miso and tamari

While it is true that if you begin eating soy foods as a child and continue throughout puberty the breast tissues you create during your adolescence will be highly resistant to cancer until after menopause. However, if you begin eating unfermented soy (tofu, soy milk, and the like) after puberty, your risk of breast cancer increases. (Science News, 4/24/1999)

The active ingredient in soy - isoflavone - when given to breast cancer cells in petri dishes causes them to grow rapidly. (Extracts of dong quai and licorice have a similar effect.)

Miso and tamari - fermented soy foods - are the exceptions. Both are strongly cancer preventative, no matter when you start eating them. Animal studies have found both miso and tamari highly effective in preventing cancer, even in mice genetically programmed to get breast cancer. And the more you eat, the more you lower your risk of cancer.

For breast health, I use miso and/or tamari every day. I occasionally eat tofu or edemame. I drink no soy milk, and eat no other soy products of any kind.

5. Eat foods rich in antioxidants; avoid supplements of vitamins C and E

A diet that contains plenty of foods rich in antioxidants definitely lowers breast cancer risk. But supplements seem to do the opposite.

Doctors in Stockholm observed that, among breast cancer patients, treatment failures were higher for women taking vitamin E supplements - and the failure rate increased with dose. Studying this effect, researchers found that the anti-cancer benefits of fish oils "disappeared when [we] gave ... antioxidant vitamins