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How Much of Cancer Is Actually Preventable with Cancer Biologist Dr. Joe Zundell


In this episode, I sat down with Dr. Joe Zundell, a cancer biology expert and science communicator, to talk about what actually reduces cancer risk, and what’s just online hype.

Dr. Joe Zundell is an educator and a well published cancer biologist. His research focuses on the metabolic and epigenetic mechanisms which promote cancers with the intent to provide better treatments in the clinic.


After losing his mother to cancer at a young age, Dr. Zundell is leading a movement to embolden others with an effective biological education within a system that provides more confusion than it does clarity. His mission is to provide his education in cancer biology to open minded individuals enabling implementation of better choices to reduce cancer risks.



Big Picture: Is Cancer Just “Bad Luck”?

How much of cancer is modifiable?

Joe reframed the usual “genetics vs environment” debate as:

Modifiable vs non-modifiable risk

~50–90% of cancer risk may be modifiable (depending on environment, access to resources, and socioeconomic status)
~10% of cancers are strongly hereditary

That doesn’t mean genetics don’t matter. It means that for most people, behavior and environment play a significant role.

Important nuance: What’s modifiable depends heavily on socioeconomic status and access to food, healthcare, education, and safe environments. Prevention advice without context isn’t helpful.



The Biggest Misconception About Cancer Prevention

Joe’s take:

“People think they can biohack their way to good health.”

Social media promotes:

  • Single supplements

  • “Anti-cancer” powders

But cancer prevention is rarely about a magic bullet. It’s about boring, consistent fundamentals- sleep, exercise, nutrition, stress management ect. 



Diet: The Highest Impact Levers


Fiber Intake (especially for colorectal cancer)

This was one of the strongest points in the episode.

  • The average American consumes ~10–15g of fiber/day

  • Stronger risk reduction signals appear around 25–30g/day

  • Benefits may extend up to ~40g/day (hard to reach without intentional effort and very likely to cause gas/ stomach upset at this level)



Reduce Ultra-Processed Foods (UPFs)

Why they matter:

  • Hyper-palatable → easier to overeat

  • Linked to obesity and diabetes

  • Obesity & diabetes are associated with at least 13 different cancers

  • Often low in fiber, low in micronutrients, high in added sugar



Red Meat vs Processed Meat

  • Risk appears higher with processed meats than lean red meat.

  • Processed meats often contain preservatives (nitrites/nitrates) and high salt.

  • High-heat cooking (char/grill marks) forms carcinogenic compounds.



Alcohol

Joe was very clear:

Alcohol is a carcinogen.

Beer. Wine. Liquor. All of it.

Even 1–2 drinks per day may increase absolute lifetime cancer risk by ~1–5% which is actually pretty significant if you take into consideration someone's lifetime risk of cancer.

That’s significant.

Mechanistically:

  • Alcohol → acetaldehyde → cellular damage

  • Chronic exposure → liver fibrosis → cirrhosis → liver cancer

  • Also linked to pancreatic cancer and other types of cancer

There is no truly “safe” level—only lower and higher risk.



Exercise: Why It Actually Works

Joe explained two major mechanisms:

1. Immune System Support

2. Metabolic Health

Exercise improves:

  • Insulin sensitivity

  • Energy utilization

  • Metabolic regulation

Sedentary lifestyle is a known cancer risk factor.

Better metabolic health = lower risk pathways.


Sleep Disruption

Joe called sleep disruption a carcinogen, but  made an important clarification:

Not all carcinogens carry equal risk.

Example:

  • Alcohol = carcinogen

  • Smoking = carcinogen

  • Significant sleep disruption = carcinogen

That doesn’t mean they’re equally dangerous.

Severe sleep disruption contributes to:

  • Obesity

  • Diabetes

  • Circadian dysregulation

  • Possibly neurological disease



Environmental Factors Worth Addressing


Radon Testing

Radon is a radioactive gas strongly linked to lung cancer.

Joe’s recommendation:

  • Test homes before purchase

  • Retest periodically

  • Many states offer free kits


 Water Quality (Especially Private Wells)


Private wells may have:

  • Arsenic

  • Heavy metals

Key takeaway:

Test regularly, not just once.



Air Filters

Especially helpful if:

  • Poor ventilation

  • Urban air exposure

Also: change HVAC filters regularly.



Smoke Inhalation (Any Kind)

Joe was passionate here.

If you light something on fire and inhale it, you increase the risk of cancer

Cigarettes. Cigars. Herbal “boutique” smokes. Anything combusted.




Artificial Sweeteners (Yes, We Talked About Coke Zero)

Joe’s take:

Artificial sweeteners are not killing you.

You would need extreme doses to see meaningful risk signals.



Final Takeaways: Cancer Prevention Hierarchy

If you want the highest-impact moves:

  1. Don’t smoke (anything).

  2. Limit or avoid alcohol.

  3. Exercise consistently.

  4. Prioritize sleep.

  5. Increase fiber intake.

  6. Reduce ultra-processed food intake.

  7. Test for radon if you own a home.

  8. Address obvious environmental exposures.

  9. Maintain a healthy body composition


Not sexy. Not viral. But real.



If you enjoyed this breakdown and want more evidence-based prevention content, make sure you’re subscribed to the podcast and my newsletter.

We’ll keep cutting through the noise.




Visit Dr. Joe Zundell website here or follow him on instagram here



For more evidence-based health insights subscribe to the Modrn Wellness podcast and follow @dr.marypardee on Instagram.



Disclaimer: 

The information in this blog is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this blog is for general information purposes only. Modrn med and Dr. Mary Pardee make no representation and assume no responsibility for the accuracy of information contained in or made available through this blog, and such information is subject to change without notice. This blog does not provide medical services, diagnosis or counsel. You are encouraged to confirm any information obtained from or through this email with other source

and review all information regarding any medical condition or treatment with your physician. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this information.



 
 
 

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