Introduction
Triple-negative breast cancer (TNBC) is more aggressive and metastatic than other breastTriple-negative breast cancer (TNBC) is more aggressive and metastatic than other breastcancer types. Cytotoxic chemotherapy is presently the predominant systemic therapy for TNBCpatients. This case report highlights the influence of metabolically supported chemotherapy(MSCT), ketogenic diet (KD), hyperthermia (HT), and hyperbaric oxygen therapy (HBOT) in anoverweight 29-year-old woman with stage IV (T4N3M1) triple-negative invasive ductalcarcinoma of the breast. The patient presented with an observable mass in her left breastdetected during a physical examination in December 2015.