Meatfluencer Dr Paul Saladino Becomes Herbivore: Here Are Shocking Reasons Behind His Switch

Updated Feb 8, 2025 | 03:02 PM IST

SummaryDr Paul Saladino believed so much in his meat-eating carnivore diet that he became a go-to person for many following the same plan, until recently, when he decided to quit.
Meatfluencer Dr Paul Saladino Becomes Herbivore: Here Are Shocking Reasons Behind His Switch

Credit: Canva/X

A carnivore diet is a restrictive diet that only includes meat, fish, and other animal products like dairy and eggs. More recently, it has been brought into the limelight by influencers and social media personalities. In fact, there is a whole community of "meatfluencer" who are sharing their meat-eating plans. One of them is Dr Paul Saladino MD, whose belief that there was no better way to prevent chronic diseases than a carnivore diet prompted him to write books and post videos regarding the same. He believed so much in this eating plan that he became a go-to person for many following the same plan, until recently, when he decided to quit.

Here Are Seven Reasons Why He Decided To Quit

Carnivore Diet Disrupted His Sleep

Switching to an all-meat diet isn't always straightforward, especially when it comes to digestion—a lesson Dr Saladino learned firsthand. He experienced sleep disturbances, likely due to the difficulty of digesting high-protein meals. Since protein takes longer to break down, it demands more energy from the body, which can interfere with rest.

According to Johns Hopkins Medicine, digestion slows by up to 50% during sleep. Additionally, many types of meat contain tyramine, a compound derived from the amino acid tyrosine. Increased tyramine intake can lead to health issues and also triggers the release of norepinephrine, a hormone that raises heart rate and blood pressure, making restful sleep harder to achieve.

He also experienced hypnagogic jerks—sudden muscle spasms that jolt the body awake. "I would fall asleep but then jerk myself awake like I was falling multiple times. It was stressful and traumatic, leading to poor sleep," he shared in his YouTube video.

Eating Only Meat May Have Triggered Heart Palpitations

Another concerning side effect Dr Saladino experienced was heart palpitations—episodes where his heart felt like it was racing or fluttering. While stress is a common cause, few would immediately link palpitations to meat consumption.

However, a sudden shift to an all-meat diet can lead to electrolyte imbalances. The elimination of carbohydrates lowers insulin levels, prompting the kidneys to excrete more sodium. This disrupts the balance of essential minerals like potassium and magnesium, which are crucial for heart function.

Muscle Cramps Became Persistent

Dr Saladino also suffered from frequent muscle cramps while following the carnivore diet. In a post on X, he emphasized the importance of maintaining adequate magnesium, calcium, and potassium levels to prevent cramping. He initially believed that animal-based foods provided sufficient minerals, but his ongoing cramps led him to reconsider.

"I started to think maybe long-term ketosis is not great for me,” he admitted on the *More Plates More Dates* podcast. “Probably not a great thing for most humans."

His Testosterone Levels Dropped Significantly

Dr Saladino also saw a decline in his testosterone levels after following the carnivore diet for over a year. "At the beginning of my carnivore experiment, my testosterone was about 800. After a year to a year and a half, it had dropped to around 500," he revealed.

The issue likely stems from excessive protein intake, which can elevate inflammation and disrupt hormone levels. A 2022 study published in Nutrition and Health found that consuming more than 35% of daily calories from protein can lead to various negative effects, including reduced testosterone.

He Had Chronically Low Insulin Levels

Because he largely eliminated carbohydrates—except for a small amount of fruit—Dr Saladino developed persistently low blood sugar. In his YouTube video, he explained, "I had very low insulin because I wasn’t eating carbohydrates, and the protein I consumed wasn’t insulinogenic enough."

While some diabetics report improved blood sugar control on the carnivore diet, its effects vary based on individual metabolic responses. For non-diabetics, low insulin can lead to hypoglycemia, causing symptoms like dizziness, confusion, a racing heart, and, in extreme cases, seizures or coma. Mild cases can be managed with fast-acting carbohydrates like juice or candy, but severe episodes require medical attention.

His Blood Test Results Showed Concerning Imbalances

Lab tests revealed that his magnesium levels were low, while his sex hormone-binding globulin (SHBG) was elevated—both potential red flags for long-term health issues.

A magnesium deficiency can cause numbness, tingling, fatigue, nausea, headaches, and muscle cramps. Since cramps often strike at night, low magnesium may also contribute to sleep disturbances.

High SHBG levels indicate an excess of circulating protein in the blood, which can increase the risk of heart disease, osteoporosis, and depression. To counteract these imbalances, introducing more magnesium-rich foods—such as leafy greens, nuts, beans, and yogurt—could be beneficial.

He Felt Cold All The Time

Electrolyte imbalances and metabolic disruptions can even affect body temperature, which Dr. Saladino experienced firsthand. "I was always cold,"he shared in his YouTube video.

Upon testing his thyroid function, he discovered that his total T3 and free T3 hormone levels were "not ideal." These hormones regulate metabolism, and low levels can slow down metabolic processes, leading to cold intolerance.

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Why a Stroke Can Change the Way a Person Eats, Speaks and Even Breathes

Updated Oct 29, 2026 | 10:10 AM IST

Summary​Patience becomes essential. Giving the person time to respond, speaking clearly, avoiding finishing their sentences and using gestures or writing when needed can make communication less frustrating.
Why a Stroke Can Change the Way a Person Eats, Speaks and Even Breathes

Credit: iStock

A stroke can be a life-changing event, not just for the patients but also for their family. As a complex neurological condition, it can affect a person’s physical abilities, communication and everyday independence, often bringing unforeseen challenges for both the patient and their loved ones.

While a stoke is often associated with paralysis, facial weakness or difficulty walking, its impact can extend far beyond body mobility. Depending on which part of the brain is affected, a stroke can change something as fundamental as the way a person eats, speaks, swallows or even breathes.

These changes can be frightening for both the patient and family. Someone who was eating normally may suddenly cough while drinking water. A person who spoke fluently may struggle to find words or produce clear speech. In more severe cases, problems with swallowing can allow food or liquid to enter the airway, creating the risk of serious respiratory complications.

Understanding these changes is an important part of stroke recovery because they are not simply inconveniences, but functions that can directly affect nutrition, communication, safety and independence.

When Eating Is No Longer Simple

Eating involves a surprisingly complex sequence of movements. The brain must coordinate the muscles of the face, tongue, throat and oesophagus to move food safely from the mouth into the stomach.

A stroke can disrupt this coordination, resulting in dysphagia, or difficulty swallowing. A person may cough or choke while eating, take much longer to finish a meal, have a wet or gurgly voice after drinking, or feel that food is getting stuck.

This is common after stroke. A 2024 systematic review and meta-analysis found that post-stroke dysphagia affected approximately 46.6% of patients overall.

What may look like a simple difficulty with eating can have serious consequences. If food or liquid enters the airway instead of the oesophagus, it can lead to aspiration and potentially pneumonia. In an Indian meta-analysis, dysphagia was reported in approximately 47.7% of stroke patients, while pneumonia occurred in around 20.4%.

This is why swallowing should be assessed after a stroke rather than assuming that a patient can safely eat and drink as before.

When Speech Becomes Difficult

Speech and language are different functions, and a stroke can affect either or both.

Some people develop aphasia, where they may know what they want to say but struggle to find the right words, understand language, read or write. Others may develop dysarthria, where the language itself may be intact but weakness or poor coordination of the speech muscles comprised of larynx, tongue, and vocal tract, make their speech incoherent.

For families, this can sometimes be misunderstood as confusion or lack of understanding. A person may appear unable to respond when they may understand everything but be unable to express themselves.

Patience becomes essential. Giving the person time to respond, speaking clearly, avoiding finishing their sentences and using gestures or writing when needed can make communication less frustrating.

Speech and language rehabilitation can also play an important role in recovery.

When Breathing Can Also Be Affected

Breathing is something we rarely think about until it becomes difficult. Yet the brain plays an important role in regulating breathing, while the muscles of the throat and chest help maintain a clear and protected airway.

A stroke can interfere with this system, particularly when it affects areas involved in swallowing, airway protection or respiratory control. Difficulty managing saliva, weak coughing and aspiration can all increase the risk of respiratory complications.

Importantly, breathing problems after stroke do not always present as obvious breathlessness. Repeated coughing during meals, changes in voice after swallowing, excessive secretions or recurrent chest infections may sometimes indicate that material is entering the airway.

Recognising these signs early can help doctors and rehabilitation teams intervene before complications become more serious.

Recovery Is More Than Regaining Movement

Stroke rehabilitation is often associated with physiotherapy and learning to walk again. While mobility is extremely important, recovery needs to look at the person as a whole.

A patient may regain strength but still struggle to eat safely or communicate effectively. This is why stroke care can involve neurologists, physiotherapists, speech and language therapists, dietitians, occupational therapists and other rehabilitation professionals, depending on the patient's needs.

Swallowing assessments, speech therapy, dietary modifications and targeted rehabilitation can help patients gradually regain function and confidence.

What Families Should Not Ignore

Families are often the first to notice subtle changes after a stroke. Coughing during meals, prolonged eating times, a change in voice after drinking, unclear speech, difficulty finding words or repeated chest infections should not simply be dismissed as part of ageing or weakness after stroke.

These signs deserve medical attention.

Recovery from stroke is not always a straight line. Some functions may improve quickly, while others require months of rehabilitation and continued support. What matters is recognising the problem early and addressing it appropriately.

Looking Beyond Paralysis

A stroke does not only affect how a person moves. It can change how they communicate, eat, swallow and protect their airway functions that are central to independence and quality of life.

For families, understanding these changes can replace fear with awareness. For patients, timely assessment and rehabilitation can help turn seemingly overwhelming challenges into manageable steps towards recovery.

The goal after a stroke is not simply to help a person walk again. It is to help them eat safely, communicate confidently, breathe comfortably and regain as much independence as possible.

(By Dr. Vaibhav Seth, Consultant - Neurology, Manipal Hospital, Kolkata)

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Times Network India Health Summit 2026 Key Takeaways: AI, Fertility, AYUSH, Cancer Care & More

Updated Oct 29, 2026 | 12:32 PM IST

SummaryThe Times Network India Health Summit 2026 featured several informative and insightful knowledge sessions and panel discussions on subjects like AI in healthcare, advancement in healthcare technologies, AYUSH, cancer care and more.
Times Network India Health Summit 2026 Key Takeaways: AI, Fertility, AYUSH, Cancer Care & More

Credit: Times Network

The Times Network India Health Summit 2026 brought together policymakers, clinicians, researchers and healthcare industry leaders to discuss the future of India's healthcare system, with conversations spanning medical innovation, access to treatment, mental health, women's health and preventive care.

The third edition of the Times Network India Health Summit & Awards was held in New Delhi on October 28 under the theme, The Blueprint for a Future-Ready Healthcare Ecosystem: Innovation. Access. Self-Reliance.

From the use of artificial intelligence (AI) in diagnostics to advances in fertility treatment and the need to strengthen public health infrastructure, various sessions explored several aspects of how healthcare delivery could evolve. Here are the key discussions and takeaways from the summit.

Anupriya Patel Highlights India's Healthcare Priorities Including Ayushman Bharat Coverage

Union Minister of State for Health and Family Welfare Anupriya Patel addressed the summit on building a future-ready healthcare ecosystem. With around 500 Ayushman Bharat cards issued, Patel also said that 132.5 million people had received free treatment under the scheme.

She said, "Anupriya Patel said that under the Ayushman Bharat scheme, eligible beneficiaries are entitled to free treatment worth up to Rs 5 lakh. Around 500 million Ayushman cards have been issued under the scheme, and 132.5 million people have benefited from it to receive free treatment."

She also addressed India's Viksit Bharat 2047 vision, stating that Union health budget increased from around Rs 37,000 crore in 2014 to more than Rs 1.06 lakh crore.

She said, "India is moving forward with a very big goal. Viksit Bharat in 2047. So, when we want to stand in the category of developed countries of the world, it is necessary that our citizens can contribute to this resolution with their full strength."

Also read: Infertility Affects 1 In 6 Couples: Experts Highlight Age, IVF Costs & Male Fertility At Times Health Summit 2026

Delhi Health Minister Dr. Pankaj Singh Addressed Air Pollution Crisis

Delhi Health Minister Pankaj Singh answered key questions about the city’s looming air pollution crisis. He said that the government's various pollution-control measures, including electric vehicle (EV) policy can help fight it. He also spoke about the need for long-term solutions.

Union Minister of State (Independent Charge) AYUSH Prataprao Jadhav, Madhya Pradesh Minister of State Narendra Shivaji Patel and Uttarakhand Cabinet Minister Subodh Uniyal, were also scheduled to address different aspects of healthcare policy and delivery.

Padma Bhushan Dr S K Sarin On Liver Health

Padma Bhushan Dr Shiv Kumar Sarin, leading hepatologist, gastroenterologist, and medical educator who also serves as the Senior Professor, Chancellor, and Director of the Institute of Liver and Biliary Sciences (ILBS), recently spoke about the dos and don’ts to maintain a healthy liver at the Times Health Summit 2026.

From ideal breakfast time to late night eating, the expert spoke about common lifestyle mistakes people make that could worsen their liver health.

Dr Sarin said, "Obesity during youth increases the risk of heart disease later in life. After the age of 40, eating one meal a day may have health implications. The total daily calorie intake should not exceed 300–400. Avoid eating late at night."

Also read: Unspoken Side Of Breast Cancer: Experts Discuss Recurrence Risk, Emotional Toll & Societal Impact At Times Health Summit 2026

Need For Investment In Ayurveda & AYUSH Sector

The session From Tradition to Therapeutics: The New Science of AYUSH was based on the role of traditional medicine in India's healthcare landscape.

Dr Biswaroop Roy Chowdhury, Founder of BRC Clinics Health, and Dr Tanmay Goswami, Founder of GOSVAL, discussed Ayurveda, its potential applications and questions surrounding its integration with modern medicine.

The speakers spoke about Ayurveda’s scientific research, evidence, AYUSH funding, clinical applications and integration with western medicine. The experts said that Ayurveda sector is valued at approximately $17–18 billion, while China's traditional medicine sector is estimated at around $30 billion, calling for greater investment in the sector.

Dr Chowdhury said, "Ayurveda is fastest, safest and works faster even in medical emergencies and trauma".

Mental Health: Suicide Risk, Screen Addiction & More

Mental healthcare was another focus, with Dr Deepak Kumar, Professor and Head of the Department of Psychiatry at the Institute of Human Behaviour and Allied Sciences (IHBAS), discussing The Next Frontier in Indian Psychiatry: Specialization, Geriatric Mental Health, and De-addiction Strategies.

The doctor discussed immediate threat of suicidal thoughts, warning behavioural signs, screen addiction and need for parents to supervise and limit screen use in children.

He said, "If we look at the numbers in our country, the total proportion is alarming. For example, the national mental health survey shows a lifetime prevalence of 13.7%. One in every 5 people has some psychological issue. Suicide statistics show 12 per lakh. Top 3 causes of death in young adults - one of them is suicide."

Also read: Leading Gastroenterologist Padma Bhushan Dr S K Sarin Shares Dos & Don’ts For Healthy Liver At Times Health Summit 2026

Aftermath Of Breast Cancer Diagnosis & Treatment

Women's health was featured prominently at the summit, with the knowledge session Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes.

The session featured Dr Meenu Walia, Chairman of Medical Oncology at Max Healthcare; Vaishali Iyer, Country Head of Communications, Patient Advocacy and CSR at Novartis in India; and Dr Pankaj Goyal, Senior Consultant and Unit Head of Medical Oncology at Rajiv Gandhi Cancer Institute.

The experts focused on the risk of recurrence, the emotional toll of breast cancer treatment, financial and societal hardships, body image issues, intimacy problems and other challenges patients face after leaving the hospital.

Dr Priya Parmar said, "Some unsaid things she faces are relationship issues, intense fatigues, post-menopausal symptoms, loss of a body part, loss of body image and your sense of self. Breasts are associated with femininity. And when you lose that, your attitude changes, intimacy issues come up, you don't know who to talk to."

Fertility Treatment And Parenthood

The panel The Fertility Revolution: Reimagining Parenthood in Modern India spoke about the evolving field of reproductive medicine and the challenges faced by people seeking fertility treatment.

The speakers included Dr Ranjana Sharma, Senior Consultant in Obstetrics and Gynaecology at Indraprastha Apollo Hospital; Dr Vimal Grover, Senior Director of Obstetrics and Gynaecology at Fortis LaFemme; Dr Hrishikesh Pai, Founder and Managing Director of Bloom IVF India; and Dr Abha Majumdar, Emeritus Consultant in IVF and Human Reproduction at Sir Ganga Ram Hospital.

The session brought attention to fertility preservation, IVF costs, male infertility, stigma women face, and the judgments that come with seeking IVF for starting a family.

Also read: Experts Discuss Ayurveda For Treating Lifestyle Disorders, Medical Emergencies & Trauma At Times Health Summit 2026

Why Menopause Is A Long-Overlooked Health Issue

The session From Silence to Care: Why India Can No Longer Ignore Menopause focused on menopause and the need to bring greater attention to women's health during midlife.

The session was led by Sanjith Shetty, Founder and CEO of Miror. He spoke about the suicide rates among menopausal women, along with other life challenges like divorces, retirements, and social isolation.

Digging Deeper Into Longevity Science

The fireside chat From LifeSpan to HealthSpan: Can Science Help Us Live Longer and Better? explored the science of longevity and the difference between living longer and maintaining good health for more years.

The conversation featured Dr Chirantan Bose and Dr Preetesh Bhandari, founders of Vytalyou. They spoke about the importance of maintaining muscle health, monitoring neurological health, and warding off lifestyle diseases like obesity and diabetes.

Other Sessions

The role of technology in modern medicine was explored in Precision Diagnostics: AI, Genomics & The New Era Of Personalized Care. The panel featured Dr Arjun Dang, CEO and Partner at Dr Dangs Lab; Dr Manish Vaish, Director and Head of the Institute of Neurosciences at Medanta, Noida; and Dr Belal Bin Asaf, Director of the Institute of Chest Surgery, Chest Onco-Surgery and Lung Transplant at Medanta, Noida.

The discussion focused on the evolving role of artificial intelligence and genomics in diagnostics, personalised treatment and improving diagnostic accuracy.

The future of specialised medical services was examined in The Next Frontier of Advanced Care: Scaling Capacity, Innovation & Clinical Excellence. The session brought together Dr V.S. Chauhan, Chairman and Managing Director of Prakash Hospitals and Institutions, and Prof. Dr Sanjeev Bagai, Chairman of Nephron Clinic.

The discussion centred on expanding advanced healthcare capacity, strengthening clinical excellence and leveraging innovation and technology to improve patient outcomes while making specialised treatment more accessible.

Addressing the challenges of equitable healthcare delivery, Reengineering Public Health Infrastructure: Last-Mile Delivery, Digital Health Equity, and Rural Access brought together Dr Anoop Saraya of the Institute of Liver & Biliary Sciences; Dr Charu Dutt Arora of AmeriHealth Home Healthcare, Asian Institute of Medical Sciences; Dr Gyanendra Kumar of Maulana Azad Institute of Dental Sciences; Girish Krishnamurthy, CEO of Tata Medical & Diagnostics; and Dr Jyoti Wadhwa of Apollo Athenaa Women's Cancer Centres.

The session focused on strengthening public health infrastructure, improving rural and last-mile access, and exploring the role of digital health and healthcare delivery models in bridging gaps in access to medical services.

List Of Awardees At The Times Network India Health Summit 2026

Dr Mohd Sharif
Sr.TitleCompany
1Excellence in Gynaecology, IVF & InfertilityDr. Hrishikesh Pai
2Lifetime Achievement Award for Excellence in HealthcarePrakash Hospital
3Leader in Menopause & Hormonal HealthSanjith Shetty, Founder & CEO – Miror
4Excellence in Integrated Healthcare, Medical Education & ResearchKALINGA INSTITUTE OF MEDICAL SCIENCES (KIMS) BHUBANESWAR
5Healthcare & Allied Health EducationGuru Ram Das Group of College, Malout
6Excellence in Formulation Development and Manufacturing InnovationMr. Nishant Berlia Co-Promoter, Apeejay Stya and Svran Group
7Pioneering Excellence in Ambidextrous Cataract SurgeryDr. Rakesh Gupta, Chairman & MD, Shreya Eye Centre
8Service Excellence in Spiritual Yoga and Holistic WellnessDr Manmeet kumar
9Excellence in AI- Powered Pharmaceutical SFA SoftwareM R Reporting
10Women Leadership Excellence in Pharmaceutical ManufacturingKalpana B Jain- Managing Director Micropure Healthcare Technologies
11Excellence in Healthcare CSR Implementation & ImpactMedical Warehouse
12Excellence in Patient-First Drug ManufacturingAkums
13Excellence in TPA for Overall PerformanceEricson TPA
14Excellence in Improving Public Health OutcomesTATA MD
15Service Excellence in PhysiotherapyDr Michael Manoj Chinnam PT
16Excellence in Preventive Medicine and Longevity SciencesVytalYou: Longevity Clinic
17Excellence In Embryo SafetyIndira IVF
18Excellence in Patient Journey: Consultation to Long-Term Follow-UpEugenix Hair Sciences
19Emerging Leader in Fever & Infectious Disease CareDr Navneet Arora
20Excellence in Medical Education and Multispeciality HealthcareNoida International Institute of Medical Sciences (NIIMS)
21Excellence in Affordable Medicines and Healthcare DeliveryAMRIT Pharmacies from HLL Lifecare Limited
22Excellence Global Healthcare Risk ManagementRoy Medical Assistance Opc Private Limited
23Excellence in Healthcare Service and Patient SafetyBombay Hospital
24Service Excellence in Real-time Health & WellnessMaharishi Ayurveda Hospital
25Excellence in Strategic Brand LeadershipAakriti Thakur
26Excellence in Sexual Health Research & Awareness

NISHA HEALTH CARE27Excellence in Holistic Sexual Wellness & CareDr. Anita Shyam28Service Excellence in Ayurveda Infertility CareVedaNova29Excellence in Clinical Psychology & Mental HealthcareDr Moumita Nandy30Excellence in Bone Cancer Implants and Joints Replacement SolutionsShagun Cares India Pvt. Ltd31Strategic Association & Valued ContributionOnextel Communication Media32Distinguished Contribution to Medicine and HealthcareDr Mohsin Ali, Padma Shri33Lifetime Achievement in Medical Science and Public Health LeadershipDr N. K. Ganguly, Padma Bhushan34Outstanding Contribution to Maternal and Child NutritionDr Arun Gupta35Lifetime Achievement in Liver Care and TransplantationDr. Arvinder Singh Soin

Rankings

Hospital nameCategoryZoneLocationRanking
Bombay Hospital and Medical Research CentreMultispecialityNational12
Bombay Hospital and Medical Research CentreMultispecialityWest4
Bombay Hospital and Medical Research CentreMultispecialityWestMumbai3
Marengo Asia HospitalMultispecialityAhmedabad1
Marengo Asia HospitalMultispecialityFaridabad2
Marengo Asia HospitalMultispecialityGurugram4
Marengo Asia HospitalMultispecialitySurat2
Indira IVFIVF / FertilitySuperclinic chain1
Paras HealthcareGroup of HospitalsNational3
Eugenix Hair SciencesTrichologySuperclinic chain1

As India’s healthcare landscape rapidly transforms through medical innovation, cutting-edge infrastructure, and patient-centric care, the Times Network India Health Summit & Awards 2026 celebrated the premier institutions, group healthcare networks, and single-specialty chains defining the benchmark of medical excellence nationwide.

The national survey evaluated institutions across a multi-stage methodology factoring in clinical parameters, infrastructural quality, patient outcomes, and peer recommendations across national, zonal, and city tiers. Below are the key award highlights and survey rankings unveiled during the ceremony.

Partner Details:

In association with – Onextel Communication Media

Co – Powered By - Novartis

Supported By - Health and Me

West Outdoor Partner – SIMCA

North Outdoor Partner – Heights Outdoor

Automobile Partner - Volvo

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Unspoken Side Of Breast Cancer: Experts Discuss Recurrence Risk, Emotional Toll & Societal Impact At Times Health Summit 2026

Updated Oct 28, 2026 | 08:59 PM IST

SummaryAt the Times Network India Health Summit and Awards 2026 in New Delhi, experts discussed the aftermath of breast cancer diagnosis and treatment.
Unspoken Side Of Breast Cancer: Experts Discuss Recurrence Risk, Emotional Toll & Societal Impact At Times Health Summit 2025

Credit: Times Network

The journey of a breast cancer patient does not end when their treatment comes to a conclusion. There is always a risk of recurrence, which makes regular follow-ups and adherence to treatment important.

At the Times Network India Health Summit and Awards 2026 in New Delhi, a panel formed by Dr Priya Parmar, Chief Operating Officer, Indian Cancer Society, Delhi, Dr. Jyoti Wadhwa - Principal Lead of Medical and Precision Oncology, Apollo Athena Women’s Cancer Centres, New Delhi and Apollo Hospital, Gurgaon, Dr. Meenu Walia, Chairman Medical Oncology, Max Healthcare, Dr Pankaj Goyal, Sr Consultant and Unit Head, Medical Oncology, RGCI, and Vaishali Iyer, Country Head, Communications, Patient Advocacy and CSR, Novartis in India, discussed the big picture after breast cancer treatment.

During a panel discussion titled “Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes,” experts highlighted the physical, emotional, social and financial challenges that women may continue to face after treatment among many more.

What Comes After Breast Cancer Treatment?

For many women, the period after breast cancer can involve more than medical monitoring. They may face fatigue, menopausal symptoms and changes in body image after undergoing a major physical change, while concerns about intimacy, fertility and relationships can affect emotional and mental well-being.

Dr. Priya Parmar highlighted how losing a breast or hair can affect a woman's sense of identity and femininity. Some survivors also face social stigma related to marriage and fertility, while sexual health and relationship concerns may remain difficult to discuss.

The burden can be greater for women who lack family support or have limited financial resources. These circumstances may affect not only emotional recovery but also their ability to attend follow-up appointments and continue treatment.

The financial strain can become particularly difficult if cancer returns and further investigations or treatment are required.

Dr. Meenu Walia said that treatment for advanced disease can add to the economic burden faced by patients and their families.

Also read: Vanessa Trump Recovers From 'Very Invasive' Breast Cancer, Reveals Early Sign Of The Disease

Risk Of Recurrence

The risk of breast cancer recurrence is not the same for every patient. It depends on the cancer's stage and subtype, tumour grade, lymph node involvement, response to treatment and whether treatment is timely.

Dr. Jyoti Wadhwa explained that different breast cancer subtypes can follow different recurrence patterns.

Triple-negative breast cancer tends to recur earlier, often within the first two to three years after treatment. Hormone receptor-positive, HER2-negative breast cancer, however, can return even 10 to 20 years later.

She also said that patients who achieve a pathological complete response after treatment given before surgery may have a lower risk of recurrence than those with residual disease.

However, a lower estimated risk does not mean the risk is eliminated. Continued monitoring is important even for patients who have responded well to treatment.

Also read: Beyond the Lump: Overlooked Breast Cancer Symptoms That Can Delay Diagnosis

Feeling Better Is Not A Reason To Skip Follow-Ups

One concern raised by the experts was that some patients stop taking prescribed oral hormone therapy or miss appointments after their symptoms improve.

“Your first attempt at treatment is always your best attempt,” Dr. Walia said, underlining the importance of appropriate diagnosis and treatment from the outset.

Follow-up care helps doctors monitor a patient's recovery, assess treatment-related effects and make decisions based on individual clinical circumstances. The appropriate schedule and any further treatment depend on the patient's diagnosis, risk profile and medical history.

Experts also cautioned against allowing the possibility of recurrence to dominate a survivor's life. Understanding individual risk should help patients make informed decisions, rather than leave them in constant fear that cancer will return.

Post-Treatment Care Needs More Than Medical Monitoring

The long-term effects of breast cancer also have implications beyond the individual patient. Vaishali Iyer, Country Head of Communications, Patient Advocacy and CSR at Novartis in India, highlighted an estimated 140 million productive hours lost due to breast cancer care, drawing attention to its wider economic impact.

Dr. Wadhwa emphasised the need to address treatment-related concerns, including menopausal symptoms and bone health, which may require attention even after primary cancer treatment has ended.

Dr. Pankaj Goyal, Senior Consultant and Unit Head of Medical Oncology at RGCI, stressed that doctors must build trust with patients and explain recurrence risks without causing unnecessary alarm. Discussions about care should also account for patients' personal circumstances and financial constraints.

The panel discussion, titled “Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes,” took place at the Times Network India Health Summit and Awards 2026.

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