Extraordinary Transformation Towards GYN Health & Survivorship

Alaska’s first women’s cancer and obesity intervention program brought to you by Let Every Woman Know – Alaska

Click here for more information in the LEWK_EXTRA-TOUGHS_Online_Brochure_2016 PDF.

*Made possible through the generous support of Alaska Run for Women.



What is the EXTRA-TOUGHS program?

The EXTRA-TOUGHS is an exciting program founded by Let Every Woman Know – Alaska to provide an integrative team approach to sustainable weight loss, healthy lifestyle, and survivorship for gynecologic cancer and breast cancer survivors.

What does this program entail?

  1. Custom designed group fitness exercise 3 times a week with the EXTRA-TOUGHS group at Run Wild Fitness.
  2. Enroll in Nutrition University as part of the EXTRA-TOUGHS group. Track your diet and have access to easy recipes, take place in weekly weigh-ins, and receive online and in-person support.
  3. Participate in weekly support groups with fellow EXTRA-TOUGHS to address successes and challenges together.
  4. Receive incentives such as introductions to oncology massage, yoga, and acupuncture.
  5. Upon completion of the 3 month program EXTRA-TOUGHS are encouraged to continue into the maintenance phase of the program with ongoing access to group fitness, nutrition and support groups.
  6. In addition, when appropriate, members may receive a referral for bariatric surgery to make a more drastic difference in weight loss.

Why is there a need?

Obesity is rapidly becoming the #1 preventable cause of cancer. There are 50,000 new obesity related cases of cancer per year in women; obesity associated women’s cancers include endometrial and breast cancer.  A shocking 49% of endometrial cancer in the US is attributable to obesity. In addition, we now know that obese women who are diagnosed with early stage gynecologic cancers are at greater risk of dying from their multiple obesity-related co-morbidities than their cancer.  Diabetes, hypertension, hyperlipidemia, coronary artery disease, COPD, and sleep apnea are among the life threatening health problems that obese cancer survivors often face. The Let Every Woman Know- Alaska EXTRA-TOUGHS is a program designed reach obese women cancer survivors whose health would greatly improve and lives could be saved by dramatic weight loss. The next step to survivorship is the development of a healthy lifestyle. Weight loss through exercise, diet modification, and bariatric surgery, when appropriate, reduces the risk of gynecologic & breast cancers, decreases mortality rates from co-morbid conditions, and improves quality of life both pre and post cancer diagnosis.

Am I ready to commit to change?

One of the most important things you can do to change your lifestyle for the better is to understand your readiness for change. In other words, you might want to lead a healthier lifestyle and get in better shape, but there is a difference between wanting it and being ready to do the work. Readiness is essential to success! Maintaining a healthy weight can save your life. The EXTRA-TOUGHS program is the perfect opportunity for you to make a positive change in your lifestyle. Becoming a member of the EXTRA-TOUGHS is a commitment. Commit to your health. Commit to your changing your life for the better.


Monday, Wednesday and Friday 7:00am -8:45am

Week 1:

Initial Evaluation – Set goals and establish baseline

Enroll in Nutrition University – First weigh-in and nutrition introduction

Begin group fitness exercises – 1 hour, 3 x week

Weekly Support Group Meetings – Wednesdays 7:45-8:45am


Continue with group fitness, nutrition and support groups.

Week 4:

Congratulations on your 1 month accomplishment!

Re-assess baseline and goals, and continue with group fitness, nutrition and support groups.

Week 5-7:

Continue with group fitness, nutrition and support groups.

Week 8:

Congratulations on your 2 month accomplishment!

Receive a complimentary introduction to oncology massage, re-assess baseline and goals, and continue with group fitness, nutrition and support groups.

Week 9-11:

Continue with group fitness, nutrition and support groups.

Week 12:

Congratulations on your 3 month accomplishment!

Continue with group fitness, nutrition and support groups through your last week and receive a final discharge evaluation to discuss accomplishments and the next steps: Maintenance phase and/or bariatric surgery.

How can I get involved?

To become an EXTRA-TOUGHS member or learn more about this program please contact us.

This group is limited to women who fit the following criteria:

  • Diagnosed with a breast and or gynecologic cancer
  • Completed primary treatment (ie surgery, chemo, radiation)
  • Body Mass Index (BMI) ≥ 30

2014 Climbathon - JMH and crew