Invasive breast cancers classified as estrogen receptor negative and progesterone receptor positive (ER-/PR+/HER2+ or ER-/PR+/HER2-) are relatively rare. In ER-/PR+ tumors, the relevant genes cause the cancer cells to express progesterone receptors, but not estrogen receptors. Women with ER-/PR+ breast cancer are more likely to be premenopausal.
Because this subtype is rare, we have not come across many studies that have found an association between the risk of ER-/PR+ breast cancer and consumption of a particular food or food group. Alcohol consumption has been found to increase the risk of this subtype in Chinese women.
Since women with ER-/PR+ breast cancer tend to be younger than the average breast cancer patient, we have prepared a list below of foods that have been shown to be associated with ER- breast cancer in premenopausal women.

Foods that reduce risk of ER- breast cancer in premenopausal women

The following foods have been found to be associated with reduced risk of ER- breast cancer in premenopausal women:

Supplements for ER-/PR+ patients and survivors

There is no supplement or combination of supplements that has been proven to reliably reduce the risk of ER-/PR+ breast cancer recurrence in women. Attempting to take advantage of the apparent treatment effects of micronutrients and other dietary components by using supplements carries the risk of adverse and paradoxical effects, including promoting breast cancer growth and metastasis.
What is known is that when a beneficial micronutrient is administered at low doses by consuming food, it is likely to have subtle chemopreventive effects, whereas when the same micronutrient is administered at high doses, it is more likely to have pharmacological effects, with mostly unknown results. It is best to obtain beneficial compounds by consuming food, if possible. The role of supplements is to make up for deficiencies that are difficult to correct through diet.
The following supplements generally have been found to be safe and beneficial for ER-/PR+ patients and survivors:
SupplementDosage
CoQ10 (if needed for heart health)100 to 400 mg/day
Fish oil (from wild-caught fish)1000 to 2000 mg/day
Vitamin D1000 to 2000 IU/day
Please consult your oncology team for advice concerning your situation and dosages. It might make sense to be tested for deficiency in vitamin D and plan for follow up to determine if your reading has reached a desirable level.

Foods that increase the risk of ER- breast cancer in premenopausal women

Butter, corn oil and coffee (for some women) have been found specifically to increase the risk of ER- breast cancer in premenopausal women. Those with ER-/PR+ breast cancer would probably benefit from following the guidance for triple negative breast (ER-/PR-/HER2-) cancer food and supplement choices.

Additional comments

ER-/PR+ breast cancer patients and survivors would benefit from eating a wide variety of the foods on our recommended food list and limit or avoid those on our avoid list, in addition to paying particular attention to the foods listed above. Please see our article on how to optimize your breast cancer diet for information on what to eat during all stages of treatment and recovery.
Below are links to recent studies on ER-/PR+ disease and diet.