From the Desk of a Doctor Newsletter

⚠️ Colon Cancer Is Rising — Even in Young Adults

For decades, colon cancer was considered a disease of older age.
That assumption is now dangerously outdated.

What the data show (U.S. cancer registries, 1999–2023):

  • Ages 20–24: +185% increase

  • Ages 30–34: ~71% increase

  • Ages 35–39: ~58% increase

Because of this trend, screening guidelines were updated — routine colonoscopy now starts at age 45, down from 50.

🤔 Why is this happening?

The answer isn’t simple — but it’s largely environmental.

People born after ~1980 largely grew up with:

  • Ultra-processed foods

  • Early and repeated antibiotic exposure

  • Altered gut microbiomes

  • More sedentary lifestyles

By the time these individuals reach their 20s–40s, the cumulative damage becomes visible.

🌾 A major factor that’s often overlooked: fiber

Fiber intake has quietly collapsed — and the colon is one of the first organs to suffer

Recommended intake
Women: 25 g/day
Men: 38 g/day

Average actual intake: ~14–16 g/day

👉 Over 90% of Americans do not meet fiber recommendations.

🧠 Why fiber matters

Dietary fiber is the single strongest and most consistent dietary factor associated with lower colon cancer risk.

What the data show:

  • Every +10 g/day of fiber~10–15% lower colorectal cancer risk

  • High-fiber diets → ~20–30% lower risk overall

  • Whole-grain fiber shows some of the strongest protection

This is one of the most robust nutrition–cancer relationships we have. (PMID22074852)

🥦 How to get enough fiber (the right way)

The best sources are whole plant foods:

  • Vegetables

  • Beans and lentils

  • Berries and fruit

  • Whole grains

  • Nuts and seeds

These foods don’t just provide fiber — they also support gut health, metabolic health, and inflammation control.

If you need help closing the gap

If you’re not getting enough fiber from food alone and want to supplement, my personal preference is BelliWelli — clean ingredients, added prebiotics, and genuinely good taste.

👉 Want an exclusive discount? Use code MYRO20 for 20% off your daily fiber here. I heard they just launched delicious, brand new fiber gummies

Want it fast? Grab their bestselling stick pack variety pack on Amazon here.

➡️ Bottom line:
Colon cancer risk is rising earlier — but fiber remains one of the most powerful, accessible tools we have to reduce that risk.

Dr. Myro Figura
About the Author
I’m Dr. Myro, a board-certified doctor and med school educator who somehow ended up with over 6 million followers watching my science videos on YouTube, Instagram, TikTok, and Facebook. I’ve published 60+ scientific abstracts and even written a book, but this newsletter is my favorite project. Here I get to share the good stuff — simple, actionable health tips delivered twice a week. Happy to have you here.

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