The Flourish After Cancer Podcast

51: Your Blood Work Has A Cancer Marker Hiding In Plain Sight

43 min · 22. juli 2026
Billede af episoden 51: Your Blood Work Has A Cancer Marker Hiding In Plain Sight

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Your oncologist looked at your blood work and said everything looks fine. And maybe it does — on paper. But "fine" and "optimal" are not the same thing. There's a number sitting right there on your CBC, on almost every blood draw you've ever had, that most people are never taught to read. It's not a scary cancer marker. It's a window into how sharp your immune system is right now — and how much quiet inflammation your body is carrying. In this episode of The Flourish After Cancer Podcast, we dig into the NLR — the neutrophil-to-lymphocyte ratio — what it actually measures, what pushes it in the wrong direction, and what you can start doing today to shift it back. Because this number isn't fixed. It reflects what's happening inside your body right now — and right now is changeable. 💛 Episode Relevant Resources * E08 Is Your IGF-1 Fueling or Fighting Cancer? [https://www.podbean.com/eas/pb-yr5xt-1917a50] * E26 Inflammation, Immune Balance, and Cancer Recurrence [https://www.podbean.com/eas/pb-3qkt2-1a0aaf3] * E32 Is It Really Gone? How to Check for Recurrence Without a Scan [https://www.podbean.com/eas/pb-sukab-1a50c78] In This Episode * What the NLR is and why it's already sitting in your standard CBC * What neutrophils and lymphocytes reveal about your immune surveillance * The four everyday drivers that quietly push your NLR in the wrong direction * Why one number is never the answer — and how we read it properly * What actually moves the NLR back down You'll leave this episode with: * A clearer understanding of what your blood work is really saying * Four specific levers you can start moving right now * The confidence to ask better questions at your next appointment * A calmer, more empowered way to think about prevention I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

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52 episodes

episode 51: Your Blood Work Has A Cancer Marker Hiding In Plain Sight artwork

51: Your Blood Work Has A Cancer Marker Hiding In Plain Sight

Your oncologist looked at your blood work and said everything looks fine. And maybe it does — on paper. But "fine" and "optimal" are not the same thing. There's a number sitting right there on your CBC, on almost every blood draw you've ever had, that most people are never taught to read. It's not a scary cancer marker. It's a window into how sharp your immune system is right now — and how much quiet inflammation your body is carrying. In this episode of The Flourish After Cancer Podcast, we dig into the NLR — the neutrophil-to-lymphocyte ratio — what it actually measures, what pushes it in the wrong direction, and what you can start doing today to shift it back. Because this number isn't fixed. It reflects what's happening inside your body right now — and right now is changeable. 💛 Episode Relevant Resources * E08 Is Your IGF-1 Fueling or Fighting Cancer? [https://www.podbean.com/eas/pb-yr5xt-1917a50] * E26 Inflammation, Immune Balance, and Cancer Recurrence [https://www.podbean.com/eas/pb-3qkt2-1a0aaf3] * E32 Is It Really Gone? How to Check for Recurrence Without a Scan [https://www.podbean.com/eas/pb-sukab-1a50c78] In This Episode * What the NLR is and why it's already sitting in your standard CBC * What neutrophils and lymphocytes reveal about your immune surveillance * The four everyday drivers that quietly push your NLR in the wrong direction * Why one number is never the answer — and how we read it properly * What actually moves the NLR back down You'll leave this episode with: * A clearer understanding of what your blood work is really saying * Four specific levers you can start moving right now * The confidence to ask better questions at your next appointment * A calmer, more empowered way to think about prevention I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

22. juli 202643 min
episode 50: The Unsung Hero of Blocking Cancer: Your Lymphatic System artwork

50: The Unsung Hero of Blocking Cancer: Your Lymphatic System

Your lymph nodes were removed. Nobody warned you what that means for the years after treatment, and your medical team probably hasn't brought it up since. If you've been wondering whether massage is safe, whether you're at risk for lymphedema, or how to actually support your immune system through your lymphatic system, this episode answers all of it. In this episode of The Flourish After Cancer Podcast, Dr. Megan Bernard sits down with Babz Tobin, occupational therapist, certified lymphedema therapist, and founder of LymphFlow Yoga, to break down how the lymphatic system works, why it matters across all cancer types, and what you can do to support it starting today. You'll walk away understanding the difference between general lymphatic support and managing an active lymphedema diagnosis, and knowing exactly where to start. Episode Relevant Resources * Babz Tobin, OT, CLT: * Website: https://www.balancewithbabz.com/ * YouTube: https://www.youtube.com/@balancewithbabz * Instagram: @balancewithbabzyoga and @lymphflowyoga In This Episode * Why your lymphatic system is inseparable from your immune system, and what that means for cancer recurrence prevention * The truth about massage and lymphatic drainage after cancer treatment, including whether it can spread cancer cells and how to think through the risk-benefit question with your care team * How to move lymph fluid without any equipment, using breath, movement, and a two-minute self-drainage routine you can do before exercise * What lymphedema is, who is at risk after cancer treatment, and why catching it early changes everything * Hot tubs, saunas, compression on planes: what the 2024 evidence-based consensus guidelines say, and how to apply it to your life without saying no to everything Research cited: * Brunelle CL, et al. "Evidence-based recommendations regarding risk reduction practices for people at risk of or with breast cancer-related lymphedema: consensus from an expert panel." Medical Oncology. 2024 Oct 23; 41(11): 298. DOI: 10.1007/s12032-024-02510-6 | PubMed: https://pubmed.ncbi.nlm.nih.gov/39438352/ * Wong HCY, et al. MASCC clinical practice guidance for the prevention of breast cancer-related arm lymphoedema. EClinicalMedicine. 2024; 68: 102441. DOI: 10.1016/j.eclinm.2024.102441 * National Lymphedema Network therapist directory at nln.org I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

1. juli 202651 min
episode 49: The 4 Types of Women After Cancer Treatment. Which One Are You? artwork

49: The 4 Types of Women After Cancer Treatment. Which One Are You?

You've done everything right. The grocery list, the supplements, the meal prep, the research tabs that stopped making sense weeks ago. And underneath all of it, there's still this quiet, nagging question: is any of this actually working? If staying cancer-free has started to feel like a second full-time job, the problem isn't that you need to do more. It's that no one has helped you figure out what actually deserves your attention. In this episode of The Flourish After Cancer Podcast, Dr. Megan Bernard walks you through four distinct patterns she's seen in over 1,000 women working to prevent recurrence after cancer treatment. Each pattern looks different on the surface, but they all share the same root problem: too much unfocused effort, not enough direction. You'll leave this episode knowing exactly which pattern describes you, why it's costing you more than you realize, and what needs to shift. Episode Relevant Resources * The Cancer Recurrence Prevention Blueprint (free training!): https://flourishaftercancer.com/blueprint [https://flourishaftercancer.com/blueprint] In This Episode * Why cancer recurrence prevention is roughly 80 to 90% about your body's internal environment, and why that number explains why most supplement routines aren't moving the needle * The four types of women Dr. Megan sees most often in practice: The Researcher, The Rule Follower, The Overwhelmed Juggler, and The Healthy But Still Worried Woman, and how to identify which one you are * Why The Researcher's 12-supplement-a-day routine is most likely someone else's plan, and what getting your own personal data actually changes * How The Rule Follower's sense of control is costing her joy and connections, and the 80/20 shift that makes a cancer prevention plan livable long-term * Why The Overwhelmed Juggler's inconsistency is almost never a personal failure, and why the plan, not the person, usually needs to change I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

24. juni 202647 min
episode 48: Why Standard Labs Fall Short After Cancer (And How To Get More Ordered) artwork

48: Why Standard Labs Fall Short After Cancer (And How To Get More Ordered)

You show up to every follow-up. You ask the questions. And every time, you hear the same thing — "your labs look fine." But fine isn't what you're after. You want to feel amazing, confident, and clear on what you can actually do to protect your health long-term. The problem isn't your doctor. The problem is that the blood work being ordered wasn't designed to answer the questions you're actually asking. In this episode of The Flourish After Cancer Podcast, Dr. Megan Bernard breaks down why comprehensive blood work is one of the most powerful tools available to you after cancer, and why most women never receive it. She walks you through why your oncologist isn't ordering it (and why that's not their fault), and gives you practical, actionable tips for how to get it ordered yourself. You'll walk away knowing exactly how to navigate the system, advocate for your health, and start getting real answers about what's happening inside your body right now. Episode Relevant Resources * Blood Work Clarity Guide For Cancer Thrivers [http://flourishaftercancer.com/bloodworkclarity] In This Episode * Why standard post-cancer labs are only designed to check for one thing and what they were never built to show you * The difference between "normal" and "optimal" on your lab results, and why that distinction matters deeply after cancer * Why your oncologist isn't ordering comprehensive blood work and why it's not a failure of your care, just a different phase requiring a different toolkit * How to use your symptoms as leverage to get more comprehensive testing ordered at your next appointment * What to do when your doctor says no, including options you probably didn't know existed I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

17. juni 202630 min
episode 47: Protein After Cancer Treatment- Why You Need More (And Why the Fears Don’t Hold Up) artwork

47: Protein After Cancer Treatment- Why You Need More (And Why the Fears Don’t Hold Up)

A pattern that comes up regularly in cancer recovery communities is women who are genuinely trying to do everything right and ending up under-fueled, exhausted, and still not feeling like themselves because fear-based headlines have convinced them that one of their most powerful recovery nutrients is dangerous. In this episode of The Flourish After Cancer Podcast, Dr. Megan Bernard addresses the most common fears around protein and cancer head-on and walks through what the research actually says about each one. She makes the case for why protein is one of the most critical tools for recovery after cancer treatment, why the fears are rooted in real but incomplete science, and why avoiding protein is not playing it safe. You'll walk away with a clear, grounded understanding of what your body actually needs, and why the most important thing to balance is the evidence, not the fear. Episode Relevant Resources * The First 4 Steps To Staying Cancer Free After Cancer:  * E08 Is Your IGF-1 Fueling or Fighting Cancer? * E16 Three Keys To Losing Weight After Cancer In This Episode * Why you cannot starve cancer by avoiding protein and what protein restriction actually depletes instead (your immune system, your muscle, your bones) * The truth about glutamine, mTOR, and methionine: why each fear is rooted in real research that is being applied without the context your body actually needs * Why IGF-1 is something to test and monitor, not something to restrict protein over, and how Dr. Megan's team approaches it as a data point, not a threat * The surprising reason protein matters for bone health after cancer treatment, especially for women whose hormones were impacted by therapy * How much protein women after cancer actually need I’m Dr Megan, a board-certified naturopathic doctor. My team and I have worked with hundreds of women globally to rebuild their health after cancer and reduce recurrence risk using science-backed nutrition, lifestyle, and targeted supplement strategies — so they can feel confident, strong, and free to enjoy life again. ✨ Let’s Connect! Book a free Roadmap Call and let’s chat about how we can help: https://flourishaftercancer.com/nextsteps [https://flourishaftercancer.com/nextsteps] Follow me: Instagram: @MeganBernardND [https://www.instagram.com/meganbernardnd/] Facebook: @MeganBernardND [https://www.facebook.com/MeganBernardND] Website: https://flourishaftercancer.com/ [https://flourishaftercancer.com/] Medical Disclaimer: The information provided in these videos and podcasts is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult with a qualified healthcare provider before making any changes to your diet, medications, or lifestyle. Content is not a substitute for professional medical advice or care.

10. juni 202634 min