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Dr. Shustina is an incredibly knowledgeable doctor who truly takes time to find root cause.
RG
Rochel Gordon
Condition · General & Women’s
Colon Cancer Prevention
Silent symptoms, gradual progression, and devastating consequences when caught late—colorectal cancer remains the second leading cause of cancer death in the United States, affecting over 150,000 Americans annually. Conventional methods use colorectal cancer screening to detect colon polyps and early cancer. The way we can truly prevent polyps from forming is by optimizing overall health, diet, microbiome, and stress. Our comprehensive prevention approach combines evidence-based screening with lifestyle optimization and personalized risk assessment to keep you ahead of this preventable disease.
What Exactly Is Colon Cancer Prevention?
Colon cancer prevention encompasses both primary prevention (reducing risk factors that contribute to cancer development) and secondary prevention (early detection through screening before symptoms appear). Colorectal cancer typically develops from benign polyps over 10-15 years, making it uniquely preventable when polyps are detected and removed before they become malignant. Effective prevention requires understanding your individual risk factors, implementing appropriate screening strategies, and optimizing gut health through lifestyle, stress management, and dietary interventions that create an environment less conducive to cancer development.
Types of Screening and Prevention Strategies
Colon cancer screening and prevention approaches vary based on individual risk factors and personal preferences. Each strategy offers different advantages and requirements for optimal effectiveness.
| Strategy Type | Primary Method | Screening Frequency | Considerations |
|---|---|---|---|
| Direct Visualization | Colonoscopy | Every 10 years | Gold standard; allows polyp removal during procedure |
| Stool-Based Testing | FIT, gFOBT, or sDNA-FIT | Annually to every 3 years | Non-invasive; requires follow-up colonoscopy if abnormal |
| Imaging-Based | CT Colonography (Virtual Colonoscopy) | Every 5 years | Less invasive than colonoscopy; may detect extracolonic findings |
| Combination Approaches | Flexible sigmoidoscopy + FIT | Sigmoidoscopy every 5 years + annual FIT | Targeted screening of lower colon with stool testing |
Why Colon Cancer Prevention Impacts More Than Cancer Risk
Comprehensive colon cancer prevention strategies address multiple aspects of digestive and overall health, as many risk factors for colorectal cancer—including chronic inflammation, poor gut microbiome health, high stress lifestyle, and metabolic dysfunction—also contribute to other chronic diseases. Preventive approaches often improve digestive function, reduce inflammation, optimize weight management, and enhance overall wellness. Additionally, early detection prevents the physical, emotional, and financial burden of advanced cancer treatment while maintaining quality of life and family stability.
Common Risk Factors and Warning Signs Include:
Modifiable Risk Factors:
Sedentary lifestyle and lack of physical activity
Obesity or excess body weight
High intake of red and processed meat
Low intake of fruits, vegetables, and whole grains
Smoking and heavy alcohol consumption
Type 2 diabetes
High stress
Age (nearly 94% of cases occur in adults 45 years or older)
Family history of colorectal cancer or adenomatous polyps
Personal history of inflammatory bowel disease (ulcerative colitis or Crohn's disease)
Genetic mutations (Lynch syndrome, familial adenomatous polyposis)
Changes in bowel habits (diarrhea or constipation)
Blood in stool or rectal bleeding
Persistent abdominal pain or cramping
Unexplained weight loss or fatigue
Iron-deficiency anemia
Feeling that bowel doesn't empty completely
Non-Modifiable Risk Factors:
Warning Signs to Watch For:
Diagnostic and Screening Options at Whole Gut Health
Evidence-based screening recommendations emphasize personalized approaches based on individual risk factors, with standard screening beginning at age 45 for average-risk individuals. At Whole Gut Health, we provide comprehensive screening options and risk assessment to develop the most appropriate prevention strategy for your needs.
Screening options may include:
Colonoscopy - The gold standard allowing direct visualization and polyp removal during the procedure, recommended every 10 years for average-risk individuals.
High-Sensitivity Stool Testing including FIT (Fecal Immunochemical Test) and sDNA-FIT tests to detect blood or abnormal DNA in stool samples.
CT Colonography (Virtual Colonoscopy) - Advanced imaging technique using CT scanning to visualize the colon, recommended every 5 years.
Flexible Sigmoidoscopy to examine the lower portion of the colon, often combined with annual stool testing.
Comprehensive Risk Assessment including family history evaluation, genetic counseling when indicated, and lifestyle risk factor analysis.
Advanced Diagnostics for high-risk individuals, including genetic testing for hereditary cancer syndromes and specialized surveillance protocols.
We customize screening protocols based on your age, family history, personal risk factors, and preferences to ensure optimal prevention outcomes.
Our approach
Why Whole Gut Health is different
At Whole Gut Health, we go beyond conventional symptom management and traditional functional medicine protocols. We trust your body's innate ability to heal itself when given the right support.
In Dr. Shustina's many years of practice, she has seen that many digestive diseases have their root cause in emotional traumas and unhealed wounds. When these underlying causes are healed, the body can heal from the inside out in a lasting way.
We focus on the mind-gut connection, incorporating energy healing techniques, personalized nutrition that evolves as you heal, and integrative approaches addressing mind, body, and spirit. If this resonates with you, contact our office to schedule your consultation and take the first step on your healing journey.
Our Colon Cancer Prevention Approach
Our Three-Phase Prevention Protocol Includes:
Phase 1 — Assessment and Risk Stratification
- Comprehensive personal and family history evaluation
- Assessment for high-risk factors requiring enhanced screening protocols
- Analysis of lifestyle and dietary risk factors
- Family history patterns suggesting hereditary cancer syndromes
- Previous polyp history and characteristics
- Advanced diagnostic evaluation when abnormalities are detected
Phase 2 — Personalized Screening and Early Detection
- Environmental and occupational exposures
- Evidence-based screening protocol selection based on individual risk profile
- Coordination of appropriate screening tests with optimal timing
Phase 3 — Lifestyle Optimization and Risk Reduction
- Inflammatory bowel disease requiring specialized surveillance
- Enhanced surveillance for high-risk individuals including earlier initiation and increased frequency
- Genetic counseling and testing when hereditary syndromes are suspected
- Comprehensive dietary counseling emphasizing anti-inflammatory nutrition
- Physical activity recommendations tailored to individual capabilities
- Gut microbiome optimization to reduce cancer-promoting inflammation
- Stress management and overall wellness strategies
- Ongoing monitoring and prevention maintenance protocols
Expert-Led, Personalized Care
Dr. Alexandra Shustina is a board-certified gastroenterologist and internist specializing in complex digestive disorders, gut health, and the gut–brain connection. Drawing from both conventional gastroenterology and integrative medicine, she takes a comprehensive approach to uncovering the underlying factors contributing to illness and guides patients toward lasting wellness.
At Whole Gut Health, every patient receives highly personalized care rooted in a deep understanding of digestive health, nutrition, the gut microbiome, and the interconnected systems that influence overall well-being. By combining evidence-based medicine with a thoughtful, individualized approach, we help patients move beyond symptom management and create a clear path toward long-term healing and vitality.
Frequently Asked Questions
Common questions, answered
What is colon cancer prevention?
+
Colon cancer prevention encompasses both primary prevention (reducing risk factors that contribute to cancer development) and secondary prevention (early detection through screening before symptoms appear). Since colorectal cancer typically develops from benign polyps over 10-15 years, it's uniquely preventable when polyps are detected and removed before they become malignant.
What are the different types of colon cancer screening?
+
Direct Visualization
- Primary method: Colonoscopy
- Screening frequency: Every 10 years
- Gold standard; allows polyp removal during procedure
Stool-Based Testing
- Primary method: FIT, gFOBT, or sDNA-FIT
- Screening frequency: Annually to every 3 years
- Non-invasive; requires follow-up colonoscopy if abnormal
Imaging-Based
- Primary method: CT Colonography (Virtual Colonoscopy)
- Screening frequency: Every 5 years
- Less invasive than colonoscopy; may detect extracolonic findings
Combination Approaches
- Primary method: Flexible sigmoidoscopy + FIT
- Screening frequency: Sigmoidoscopy every 5 years + annual FIT
- Targeted screening of lower colon with stool testing
What are the common risk factors and warning signs?
+
Modifiable Risk Factors:
- Sedentary lifestyle and lack of physical activity
- Obesity or excess body weight
- High intake of red and processed meat
- Low intake of fruits, vegetables, and whole grains
- Smoking and heavy alcohol consumption
- Type 2 diabetes
Non-Modifiable Risk Factors:
- Age (nearly 94% of cases occur in adults 45 years or older)
- Family history of colorectal cancer or adenomatous polyps
- Personal history of inflammatory bowel disease
- Genetic mutations (Lynch syndrome, familial adenomatous polyposis)
Warning Signs:
- Changes in bowel habits, blood in stool, persistent abdominal pain, unexplained weight loss, fatigue, iron-deficiency anemia
How is colon cancer screening conducted?
+
Evidence-based screening recommendations emphasize personalized approaches based on individual risk factors, with standard screening beginning at age 45 for average-risk individuals. Testing options include:
Colonoscopy
- Gold standard allowing direct visualization and polyp removal
- Recommended every 10 years for average-risk individuals
High-Sensitivity Stool Testing
- Includes FIT and sDNA-FIT tests
- Detects blood or abnormal DNA in stool samples
CT Colonography
- Advanced imaging technique using CT scanning
- Recommended every 5 years
Comprehensive Risk Assessment
- Family history evaluation and genetic counseling when indicated
Screening protocols are customized based on age, family history, personal risk factors, and preferences.
What does colon cancer prevention involve?
+
Our comprehensive three-phase prevention protocol includes:
Phase 1: Assessment and Risk Stratification
- Comprehensive personal and family history evaluation
- Assessment for high-risk factors requiring enhanced screening protocols
- Analysis of lifestyle and dietary risk factors
- Evaluation for conditions that increase cancer risk
Phase 2: Personalized Screening and Early Detection
- Evidence-based screening protocol selection based on individual risk profile
- Enhanced surveillance for high-risk individuals
- Coordination of appropriate screening tests with optimal timing
- Advanced diagnostic evaluation when abnormalities are detected
- Genetic counseling and testing when hereditary syndromes are suspected
Phase 3: Lifestyle Optimization and Risk Reduction
- Comprehensive dietary counseling emphasizing anti-inflammatory nutrition
- Physical activity recommendations tailored to individual capabilities
- Gut microbiome optimization to reduce cancer-promoting inflammation
- Stress management and overall wellness strategies
- Ongoing monitoring and prevention maintenance protocols
Why is it important to identify individual risk factors?
+
Different risk levels require different screening approaches - high-risk individuals may need earlier initiation, increased frequency, or specific tests like colonoscopy rather than stool-based testing. Personalized risk assessment ensures appropriate screening intensity while avoiding over-screening in low-risk individuals.
Can colon cancer be completely prevented?
+
While no prevention strategy is 100% effective, studies show that proper screening can reduce colorectal cancer risk by up to 18% and significantly reduce cancer-related deaths. Combined with lifestyle modifications, the vast majority of colorectal cancers can be prevented through early detection and polyp removal.
What makes your approach to colon cancer prevention different?
+
At Whole Gut Health, we combine evidence-based screening protocols with comprehensive lifestyle and gut health optimization. Our approach focuses on:
- Personalized risk assessment and screening protocols
- Integration of functional medicine principles with conventional screening
- Comprehensive lifestyle and dietary counseling
- Gut microbiome optimization to reduce cancer-promoting inflammation
- Long-term prevention maintenance rather than one-time screening
Who provides colon cancer prevention care at your practice?
+
Dr. Alexandra Shustina is a board-certified gastroenterologist and internist who serves as NYC's and Miami's premier gut health specialist. She has training in both conventional gastroenterology and functional gut health, with expertise in the gut microbiome and its role in health and wellness.
How do I get started with colon cancer prevention?
+
The first step is scheduling a comprehensive consultation where we'll:
- Review your personal and family history in detail
- Assess your individual risk factors and screening needs
- Develop a personalized prevention plan including appropriate screening protocols and lifestyle optimization strategies
Dr. Shustina is no longer performing colonoscopies. We welcome your colonoscopy records. If you need a colonoscopy while under our care, we will refer you to one of our network physicians who will perform your procedure on our behalf.
Contact our office to schedule your initial consultation and begin your proactive approach to colorectal cancer prevention - starting at age 45 for average-risk individuals, or earlier if you have risk factors.
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Dr. Shustina is a great doctor and healer! She is an expert and has great results. She has helped me and my family and I highly recommend her.
I know doctor Alexandra Shustina very well. She is a great physician. High integrity and good a good diagnostic.
Dr. Shustina is an incredible professional. She goes to the root level of the issue, not only superficial, so in reality there’s healing. And she is holistic meaning that her approach is from a whole, complete point of view and she provides it through her education, knowledge, wisdom and experience. Dr. Shustina was so patient with me, asking me question and guiding me how I could take charge of my health. Thank you Dr. Shustina
Dr. Shustina is truly exceptional! I met her at a health and wellness event and I was so blown away by her perspective on health. Dr. Shustina combines expertise in gastrointestinal health with a holistic approach, considering not just the physical symptoms but the whole person. Since meeting her I have invited her to talk at an event that I put together and I have also had my daughter be seen by her. She is now my go to person for everything Holistic and Gut related. Thank you Dr Shustina for everything!
Dr. Shustina is an incredibly knowledgeable doctor who truly takes the time to find the root cause of every patient’s illness. I am constantly awed by her excellent diagnostic ability and her efforts on behalf of her patients. She really goes above and beyond to treat and cure.
Dr Shustina is an outstanding and brilliant holistic physician with a wonderful understanding of the whole body. I highly recommend her!!
Dr. Shustina has helped me and my family improve our health. She is very knowledgeable in medical and in holistic and natural treatments and was able to find the source of the problem whc=ic created lasting results
Dr shustina is a wise and helpful doctor. She talks to you and consults with you about everything and spends a generous amount time asking questions about your health, grasping a full understanding of how your symptoms are making you feel, and what lifestyle you have. Our first appointment we spoke for a complete hour. I had struggled on and off with sibo for about 3 years before seeing her. I was extremely tired and had lots of symptoms of digestive issues. I saw 2 gastroenterologist before me they didn’t help much and they definitely did not consult with me for as thoroughly as she did. But upon seeing dr Shustina she was able to diagnosis me immediately and start a treatment plan that helped and got to the root cause of the issue. She has given me health and my life back and I can’t be grateful enough. Dr Shustina is the last gastroenterologist I need to see because I’m healthy and if problems happen in the future I trust her.
Dr. Shustina is the best doctor I have ever been to. She really takes the time and makes the effort to assess the root of the problem. She went above and beyond to help me a number of times with a variety of tools. She has the medical training and specialty along with a broad range of tools and experience to help patients in a natural and holistic way.
Dr. Shustina is very kind and very patient and has helped me change my lifestyle in a way that I thought I could not. By changing some things, she was able to help me heal my gut which was an area that I thought could not be healed. I highly recommend her!!
Doctor Shustina is the absolute best! It is hard to put into words how significant of an impact she has had on my well-being. She has helped me resolve numerous issues - from physical to mental- that other doctors dismissed, and she has spent countless hours answering my questions and teaching me lifestyle changes that have enabled me to thrive. She takes a whole person approach, focusing on root causes and not simply symptoms. She is not only a doctor but a friend, and she cares deeply about her patients. It gives me a lot of comfort knowing that whatever the issue is, I can come to Doctor Shustina for guidance and support. I could not recommend her enough! Thank you Dr. Shustina!
I recently had the privilege of consulting with Dr. Shustina. She is an outstanding doctor who truly understands the body's ability to heal itself and focuses on holistic remedies. I highly recommend Dr. Shustina for anyone seeking natural solutions and long-lasting relief. She patiently listened to me and answered all my questions. She provided me with holistic supplements and remedies that not only improved my symptoms but also enhanced my overall well-being. If you're looking for a knowledgeable and caring gastroenterologist who prioritizes natural remedies, Dr. Shustina is undoubtedly the ideal choice.
I have been under Dr. Shustina's care for the past 5 months which have been excellent. In these months, my digestive system has improved considerably. In my experience she is the first doctor which listens to her patients and works in treating the conditions and not only the symptoms. She is willing to explore alternative ways to achieve a better health. I highly enjoy the doctor-patient relation. I do highly recommend her.
Dr. Shustina is a fantastic doctor who truly cares for the patient. Her holistic approach attacks the root cause, leading to healing that lasts. Her expertise in gut health is evident, and the results reflect her vast knowledge and dedication towards each patient.
“I found Dr. Shustina after many months of searching for a board certified doctor who was able to incorporate holistic healing and nutrition into a treatment plan rather than simply diagnosing my symptoms and prescribing medication. Dr. Shustina has a wealth of knowledge and is helping me a heal years of gastrointestinal issues. p.s Her podcast, available on her site, is a GOLD MINE.”
Reviews
The body remembers when it's finally heard
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Dr. Shustina goes to the root level of the issue, not only superficial, so there's healing.
LG
Leah Glickman
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She has significantly improved my health. I was suffering from Ulcerative Colitis and now live normally.
ML
Monica LaBadia
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Dr. Shustina has helped me change my lifestyle and heal my gut in a way I thought impossible.
DL
Dalit Lonstein
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She listens to patients and treats conditions, not symptoms.
GS
Gabriela Salazar
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Dr. Shustina is the best doctor I have ever been to. She assesses the root of the problem.
MS
M. S.
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She is an outstanding doctor who understands the body's ability to heal itself and holistic remedies.
SS
Sibel Sebi Sharabi
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Dr. Shustina has a wealth of knowledge and is helping me heal years of gastrointestinal issues.
DC
Daniela Chaparro
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Dr. Shustina is an amazing doctor. She diagnosed my cancer early and saved my life.
MW
Mordechai Weinstein
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After one session with Dr. Shustina, my digestive pain went away.
TP
Taryn Parascand
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Doctor Shustina is the absolute best. She has helped me resolve numerous issues other doctors dismissed.
RS
Rachel S.
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Dr. Shustina is a fantastic doctor who truly cares. Her holistic approach attacks the root cause.
CS
Clay Simonsen
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