Eating during chemotherapy treatment
I will be starting conventional chemotherapy treatment in the next week or so. It was something I really didn't want to have to do, but after getting confirmation that I had lymph node involvement, it was pretty much a "no brainer" for me.
I've been doing what research I can about eating/nutrition during chemo, but wanted to get some opinions from you about the best route to go with my eating during treatment from those of you who took the same route of conventional therapy along with eating better.
Many folks are saying to do away with all dairy and meat products. That is doable for me, but how do I eat when those are gone? Many say that eating fresh veggies and fruits during chemo can get you sick too, so what is someone supposed to do?
I"m sure this whole forum is full of wonderful ideas/topics so if any of you can pinpoint me to a specific topic to read, that would be great. If any of you are willing to help me navigate my way through this, that is wonderful too.
Many of you have your own things going on and are terribly busy, and I understand..but any help in this maze of nutrition and eating during treatment would be very appreciated!
Hugs and prayers,
Tori
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Comments
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One thing I did during chemo is drink this great fruit smoothie every day. My naturopath's recipe. It was made with whey protein, rice milk, about a cup of berries, and nutrients that I needed to keep my Gi tract strong, which takes a beating during chemo. If you have an integrative medicine place you can go to, talk with them about diet. You will need lots and lots of protein during chemo, they can help you find the best diet. If you ask your onc or their nutritionist, they will tell you to eat & they don't really care what. I like the healthier approach better. Sorry you have to go through chemo, but it is manageable and I think more so if you watch how you eat.
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Thank you so much gfbaker!
But, forgive me for not being versed in whey protein, but doesn't that contain soy? I was told to stay away from soy since I'm ER/PR+.
Thanks!
Tori
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Tori -- As you've no doubt noticed, there are all kinds of theories and anecdotes about what should, or shouldn't, be consumed while on chemo. There are several things to consider, most importantly your digestive system, and your blood counts.
I don't know about not eating dairy. If you normally do consume dairy, and it doesn't cause any digestive problems, I doubt that chemo will affect that Fresh fruits and veggies -- as long as they are clean and free of pesticide residue -- are full of beneficial nutrients. I've never heard anyone say you should stay away from them during chemo.
There is (to my knowledge) nothing to eat that will help raise your white cell counts (and you need a good WCC to ward off infections). But, eating lots of protein (eggs, chicken, fish etc.) will help keep your red cell count at acceptable levels and help counteract the fatigue.
One thing you should definitely avoid is alcohol. Your liver has to deal with the chemo drugs and shouldn't be over-burdened with having to deal with alcohol as well.
There are concerns about supplements such as vitamins etc. and as many opinions (medical and non-medical) as there are patients and oncs!
An extremely important consideration is your intake of water Drink lots of it -- it helps flush the chemo out of your system.
Good luck! Linda
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Linda,
Thank you for your advice. I feel so overwhelmed with everything still, that just getting through chemo seems to emcompass my every thought right now. I
t's hard for me to even start thinking about eating the way I should to keep my body strong enough to make it through treatment.
Your words of wisdom have started to make me feel empowered.
Thank you!
Tori
DE COLORES!
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Truthfully, I just ate what I could... generally I heard to eat as healthy as possible (we all know the drill: lots of fruits and veggies, quality protein, complex carbs, avoid simple carbs and high fat) and I tried, but I reached a point where there was so little that appealed to me that nutrition was secondary to getting food that tasted OK and wasn't revolting. I could only eat fruit and beef (and I was a vegetarian for years, eating beef was so counter to what I was used to). Oh, and chocolate
You'll find what works best for you -- what foods appeal and what doesn't. Your body will let you know.
Whey is a milk by-product, not soy, so it's OK, but many protein supplements do have soy. Read labels carefully.
This website has some various nutrition articles that may or may not help you, starting at
http://www.breastcancer.org/tips/nutrition/
I second the recommendation to drink lots of water throughout chemo and any other treatment. In addition to flushing out the chemo drugs, it's also easy to get dehydrated during chemo, and drinking lots of water will help.
One thing that may help with eating and overall well-being is to keep some kind of exercise going, even if it's just short walks.
Chemo isn't fun but you'll get through it... and everyone is here to help. Hang in there, and good luck.
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Tori, if you're like most of us, your taste buds and sense of smell will strongly dictate what appeals during chemo. My default meal turned out to be a grilled cheese sandwich -- one of the few things that tasted good for some reason. In fact, I think the two (getting through chemo and eating better based on your bc dx) are separate issues. Focus on eating heathy things that appeal to you during chemo, and maybe use the time to read up on fine tuning your diet after chemo ends. It would be a shame to decide you should be eating more avocados or mushrooms or whatever during chemo, then end up hating them b'cuz of the way they tasted or smelled during chemo.
If you haven't read it yet, a book I highly recommend is Anti-Cancer, A New Way of Life, by David Servan Schreiber, M.D., PhD., an integrative specialist and 2x cancer survivor. It's packed with great information.
Good luck! And which chemo regimen did you finally decide to do? Deanna
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You will find that you crave certain foods (yes -- so many grill cheese sandwiches!) and others will turn your stomach. I found that with my taste buds so deadened I craved spicy foods and ate a lot of Indian food. That seems usual. I agree with dlb that you should eat whatever you feel like eating. This is a good time to cut yourself some slack.
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I lived on Carnation instant breakfast drinks (with fresh milk, not the canned stuff) and fruit cups, pudding cups, Boost drinks. I didn't much want meat, but would eat baked fish sticks sometimes, or soups.
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Remember the B.R.A.T. diet... bananas, rice, apples and toast when your belly isn't feeling good and plenty, 10-12 glasses, of water daily. I drank sport drinks too. Save your favorite foods for after chemo so you don't get sick from them and hate them forever. Drink before, during and after chemo to flush out the chemo drugs.
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Chemo was many years ago for me (thank goodness!) but I can still remember that the only thing I could seem to eat and keep down was a BIG bowl of my favorite Campbell Green Pea Soup! I would toast a couple of pieces of bread, butter them and then cut into little squares to pile into my soup. Oh joy!!! I am getting hungray thinking about it. That pea soup is my stand by for any time I don't feel up to eating anything else. So at chemo time, I think "you" have to find certain food you can stomach and everyone has different tastes.
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I agree with Veggy about the BRAT diet and TONS of water!!!
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Wow I thought I was the only person who wanted spicy during chemo! I like the advice of just going with what you want. Good idea.
For me, I did not want any starches at all and I was super aware that I did not want to put on weight so that seemed to work for me. I also did not want anything sweet and the idea of drinking a glass of wine was just out of the question as it tasted like vinegar. Just try to eat things that will help to heal you...no junk!
Default was Buffalo Wings!
Best,
climbergirl
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Ladies...
My eyes are full of tears because you are all so supportive and so upfront with your advice and words of wisdom...
There was a topic posted not long ago on this board that was titled "angels among us"...talking about the wonderful pople who reached out to many women who were just starting out on this journey or who came to them just when the "needed" them the most. It is at this very moment that I feel that wonderous feeling that they were talking about. You are those "angels" I need at this time in my journey.
Thank you from the bottom of my heart...
Tori
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There is a great cookbook called "The Cancer Fighting Kitchen" by Rebecca Katz. It is filled with flavorful recipes which combine ingredients that are meant to be appealing to those going through cancer treatments. It is also filled with nutritional advise about what your body needs when going through treatments be it radiation or chemo. It even tells you the best things to eat when you have no appetite. The recipes are so appealing that you will want to make them even if you don't need to!!
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As other people have mentioned, during chemo, just concentrate on eating what you can stand; get going on the healthy diet afterward your done. Everyone is so different..... about the only 'healthy' food I could force down were fruit smoothies, and canned fruits (which are probably not overly healthy), I couldn't stand any vegetables. What I craved was mashed potatoes with butter and cheese, and anything Mexican, the spicier the better. I would just sit and eat jalapeno peppers. Weird! It was probably lucky for me that chocolate tasted like chalk, or I would have gained 50 pounds! and more people actually gain weight than loss weight during chemo, so you might want to watch out for that. Also keep moving/exercising as much as you are able. I think it helps you get through chemo better, and KNOW it helps you rebound faster once you are done. Best of Luck! Ruth
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hello honey, I ate mostly soups and water for dehydration, you will know what you can and cannot take in, God Bless You. msphil
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Thank you wenweb, ruthbru, and msphil!
I will definitely look for the cookbook and will be coming back and re-reading all your suggestions as time goes by.
I officially start chemo this Friday, September 24th. Now that I have an exact date, I'm a bit more freaked out...it's daunting to think about, but I know I will be able to do it...
I keep remembering the saying that someone posted, "I don't have to be brave, I just have to show up".
peace and prayers to you all,
Tori
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Tori-May peace and healing be with you.
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Tori - Good luck to you with chemo. I have my last TC treatment next Monday. I have noticed that when I eat good, I feel good. When I try to use the excuse of "I'll eat better once chemo is done" and gorge on cheeseburgers I don't feel so good - fatigue wise. I second the rec for The Cancer Fighting Cookbook. There is a recipe for brocolli soup that I crave during treatment weeks. As well as a good smoothie recipe. Try to exercise even if it is a short walk. I found that helps with energy levels. I also tried to keep my protein intake up. The anticipation of chemo is far worse than the actual treatment. You will do great!
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Tori,
We all get different advice, I was told to stay away from fruits. But during the chemo, I could eat not eat very many sweet things because they tasted horrible. Food in general gets pretty bland until everything taste the same. Mashed potatoes were my best friend, I'd add shreaded cheese or cream cheese to add flavor & protein. I couldn't stand the taste of water so I drank mostly ice tea, milk & 7-up. So I would do what ever works best for you.
Sending love & prayers. NJ
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BE CAREFUL ABOUT OVERHYDRATING. Sorry to yell, but this is important. Yes, you need water. Drink water. But don't go crazy. I have a friend who drank so much water before her first treatment -- easy to do if you go at it as the one thing you can control -- and she ended up hospitalized and almost dying when her blood pressure plummeted. People do die from too much water. She was fine after a few days in the hospital and breezed through her subsequent treatments.
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I just finished chemo, and did remarkably well. What to attribute it to is anyone's guess, but I was vigilant about food for the most part. I may have slightly different thoughts on this, just one person's opinion.
60 grams of protein is the minimum recommendation from most nutritionists during chemo. I'm a long-time veg, it's really close to impossible to get that much protein from non-meat sources. I included chicken and fish during chemo.
While it can be hard to eat certain foods, I was not swayed by the McDonald's diet. This is not a time to mess around with tons of junk food, your body needs real nutrients (and after the latest studies on high fructose corn syrup, we should all probably run, not walk from most pre-packaged foods!). I treated myself, no need to go nuts here. But don't give in to garbage just because you are having a bad day on chemo. Smoothies are a lifesaver--I got lowfat milk and added protein powder and organic berries.
Watch out for salt, I lost my flavor for it. When I was in a restaurant, I thought they under-salted, and I would just keep going and going until I figured it out!
For ER positive tumors, there is growing concern that dairy is problematic. I have felt for a long time that cow dairy is generally not so healthy. I've switched over to goat and sheep cheeses. It's hard to cut entirely.
If you are going to be on Neulasta, fresh vegetables shouldn't be a problem at all. Talk to your doctor. I also recommend a visit to the nutritionist. Oncs and nutritionists, at least in this neck of the woods: never the two shall meet. So glad I worked with both.
Member's got a good point. The whole hydration craze forgets that on a nutritous diet, you get a huge amount of water from food. You can really wash away your nutrients with too much water. I drank 2-3 liters on treatment week, thereabouts otherwise.
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Wow!
Once again, I am taken aback with all of your thoughtful, useful, and important advice! I'm busy putting together my own "booklet" of the do's and don'ts for my chemo experience and I appreciate all the tips that you wonderful "warriors" are giving me!
in_cognito: I see you will be finishing T/C soon..congrats! I may have to look up your profile for hints and suggestions as well. I understand that everyone responds differently, but, even to get an idea of what may come will at least keep me on my toes as what to expect and how I can curtail any SEs, even a little bit.
I was exercising pretty regularly before my diagnosis and was even a "novice" runner. Since diagnosis I believe that I have "given in" to my pity parties for a time, but have started back slowly and will continue to exercise as much as I can during treatment, as I now see how beneficial is for so many people.
I know there will be some rough days ahead, but if I can prepare small meals in advance for the first 7-10 days, when I'm feeling a bit better, I can do that again.
I already drink 8-10 glasses of water a day, so that shouldn't be a problem....I know it can start to taste funny after awhile, so is using a straw okay to do?
Peace, prayers, and thanks to you all,
Tori
DE COLORES!
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If your friends offer to bring you meals, say YES in a big hurry! (or if they ask, "Is there anything I can do?" say, "Yes, you can bring over dinner Thursday night.") I found that to be so helpful for me.
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