The Soy Controversy: Is it Safe?




There has been considerable (and understandable) confusion regarding the net effect soy has on the body. Is it healthy or harmful? Cancer-preventative or cancer-causing? Researchers of the benefits and dangers of soy are divided. Truth is, over the years, medical investigation has—in a very mystifying way—given us reason to consider both sides of the debate to hold some accuracy. Let’s delve into the two opposing positions commonly held, and discover the point at which they both, surprisingly, agree.
            The pro-soy argument is based primarily on statistics that indicate that the Asian population, which on the whole consumes a great amount of soy products, experiences a much lower rate of cancer frequency than most other nations [1]. While it is true Asian countries—in particular Japan—have a reduced rate of some cancers (most notably, breast, prostrate and bladder cancers), they exceed the U.S. in the rate of frequency of many other cancers (in name, gastric, colorectal, pancreatic and liver cancers).[2] People also hear about experiments which seem to point to soy supplementation as holding promise as an effective therapy for prostrate cancer and support for bone health,[3]-[4] with other theorized benefits of soy said to include lowered cholesterol and prevention of endometriosis.[5]
On the other side of the soy issue is one unsettling study after another. One such study indicates that although soy does lower serum cholesterol, it increases Lipoprotein (Lp) levels—which would heavily contribute to heart disease, not guard against it.[6] Another study proved that the chance of male infants developing hypospadias (a reproductive birth defect) doubled if their mothers adhered to a vegetarian diet (consuming soy) during the pregnancy (an indication of its endocrine disrupting effects).[7] Yet other studies: point out the high levels of trypsin inhibitors contained in soy (trypsin inhibition is known to cause pancreatic damage)[8]; document a clear association of infant formula containing soy with autoimmune thyroid issues[9]; and warn of the developmental malignancies and anomalies of the reproductive system that can be caused by the endocrine disruptors found in soy.[10] 
            What are we to do with this conflict in research? Soy has a perplexing suspect profile indeed! The main risk soy appears to present to the body (based on the research we have just sifted through) is leveled at the endocrine system: in specific, the thyroid, hormones and reproductive glands. Interestingly, the main point upon which both sides of the soy debate converge is within this vital system as well. Some researchers have come to the conclusion that soy has a dual nature when it comes to how it affects levels of estrogen (an incredibly important hormone present in many daily biological processes) in the body. This is true in many different ways. For example, when estrogen levels in the body are low, the soy phytoestrogens genistein and daidzein can bind to the estrogen receptor sites in the body and raise estrogen levels back up, while, when endogenous estrogen levels are high, the soy phytoestrogens have an anti-estrogenic effect.4 By the same token, in studies done on breast cancer, soy phytoestrogens have been shown to stimulate tumor growth and diminish the effects of tamoxifen (an anti-cancer agent) at low concentrations, and inhibit tumor growth and increase the effects of tamoxifen at high concentrations.[11] Not only this, but they affect the body in such a way that they exacerbate existing cancer, while being protective against cancer if none yet exists.2 This is all to say that soy affects hormones in our body in incredibly complex, sometimes beneficial, sometimes very detrimental ways—by all accounts, in ways we would be wise to be conscious.
The question in my mind at this point is this: Is soy’s cholesterol lowering and bone health supportive actions worth the multitude of debilitating adverse effects that just might be passed down to the endocrine system if proper monitoring isn’t maintained—causing imbalances that could manifest in chronic thyroid problems, birth defects, or even breast cancer? There are safer and—in the big picture—more effective treatment options for hypercholesteremia (garlic is excellent for this) and osteoporosis (evening primrose oil and black cohosh, for example)! 
So... to be safe, why not throw out the soy milk (in exchange for light and creamy almond milk), tofu (and replace with beans, organic dairy or animal protein) and protein bars packed with soy isolates (and instead go make some yummy homemade protein balls like these)? There's so many other options to choose from!

What side of the fence are you on in the soy discussion?  I'd love to hear your thoughts!



[1] http://www.wcrf.org/int/cancer-facts-figures/data-cancer-frequency-country.
[2] http://healthhubs.net/cancer/cancer-rates-in-the-usa-compared-to-japan/
[3] Shils, M., et al. [2006]. Modern Nutrition in Health and Disease, pp. 59-592
[4] Ganora, L. [2009]. Herbal Constituents, pp. 124
[5] http://www.webmd.com/food-recipes/how-good-is-soy?page=2.
[6] Nilhausen K and Meinertz H. Lipoprotein(a) and dietary proteins: casein lowers lipoprotein(a) concentrations as compared with soy protein. Am J Clin Nutr 1999;69:419-25.
[7] North K and Golding J. A maternal vegetarian diet in pregnancy is associated with hypospadias. The ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood. BJU Int 2000 Jan;85(1):107-113.
[8] Brandon DL, Bates DH and Friedman M. ELISA analysis of soybean trypsin inhibitors in processed foods. Adv Exp Med Biol 1991;289:321-37.
[9] Fort P and others. Breast and soy-formula feedings in early infancy and the prevalence of autoimmune thyroid disease in children. J Am Coll Nutr 1990;9:164-167.
[10] Bar-El DS and Reifen R. Soy as an endocrine disruptor: cause for caution? J Pediatr Endocrinol Metab 2010 Sep;23(9):855-61.
[11] De Lemos ML. Effects of soy phytoestrogens genistein and daidzein on breast cancer growth. Anna Pharmacother 2001 Sep;35(9):1118-21.

Image courtesy of: National Center of Complementary and Integrative Health

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