Cancer Maintenance After NED: A Multi-Axis Metabolic & Precision Survivorship Framework
2026 Evidence Update | NED • Minimal Residual Disease • Cancer Recurrence • Metabolic Health • Survivorship • Repurposed Therapies Important: This article is an evidence-informed framework for discussing long-term cancer survivorship and recurrence-risk reduction with a qualified oncology team. It is not a universal cancer-maintenance protocol and should not be used to self-prescribe prescription medicines, veterinary drugs, supplements, fasting regimens, or other off-label therapies. Key Takeaway Achieving NED (No Evidence of Disease) is an important milestone, but it is not synonymous with a guarantee that cancer can never return. The modern survivorship question is therefore broader than simply: "Is there cancer on the scan?" A better question is: "How can we systematically reduce recurrence risk, detect molecular or clinical relapse as early as possible, preserve physical function, and maintain long-term metabolic and immune health?" This ...