Shelli Hardy (@ShelliHardy4) profile picture
Joined August 2015
A11.1 You want to make sure you are seeing a registered dietitian (RD) or a registered dietitian nutritionist (RDN). A certified specialist in oncology (CSO) indicates a further specialty certification in caring for cancer patients. #PancChat
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A10.1 Often foods too high in fat and foods that are too spicy are not well-tolerated during treatment. Pancreatic enzymes can improve tolerance of fats. #PancChat
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A9.2 After treatment and for prevention , a diet including whole grains, fruits, vegetables, nuts, and healthy fats like the Mediterranean dietary pattern is great! #PancChat
A9.1 During treatment research supports a high protein diet, adequate hydration, and enough calories to maintain weight as the most important dietary recommendations. #PancChat
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A8. Increase intake of high calorie/high protein liquids and eat small, frequent meals when appetite is poor. Make each bite and sip count!#PancChat
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A7. Good nutrition is associated with better treatment tolerance, less missed treatments and improved quality of life scores. #PancChat
Enjoyed the discussion! Thanks again for letting me be a part of it! #PancChat
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A11 agree with resources listed including Pancan.org , Rebecca Katz The Cancer Fighting Kitchen, and AICR.org the CUP report pancreatic cancer #PancChat
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A9 if fried foods are not tolerated get a similar taste by dipping chicken in egg and bread crumbs and bake. If spicy foods no longer work consider flavoring with other herbs ands lives that are more mild (cilantro, basil,oregano). Consider lactose free dairy #PancChat
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A8 Nuts, nut butters, dried fruits, trail mix, Greek yogurt, cheese, avocado, tuna, salmon, egg, or chicken salad, creamed soups, beans any way you like! PancChat
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A7 Some that include both protein and healthy fat are salmon, tuna, nuts, seeds, peanut and almond butter. Beans, lentils, eggs, yogurt, cheese, milk, chicken, meat, and other fish are other good sources of protein. Avocado, ground flaxseed, olive oil are great fats! #PancChat
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A6 Be open with your team about any symptoms that are limiting your intake. Concentrate on eating a high calorie, high protein snack every couple of hours. Drink after eating but also consider high calorie fluids like soups and smoothies if fluids are easy to tolerate #PancChat
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A5 Our medical team evaluates the need for enzymes by asking questions about the stool, excess gas/bloating (especially after meals container more fat), and if there is weight loss even with good appetite. Pancreatic enzymes are titrated based on symptoms. #PancChat
A4 I always remind patients to remember the most important nutrition goals including higher protein intake, weight maintenance, and good fluid intake. Achieving these goals increases the likelihood that treatment will be tolerated . #PancChat
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A3 poor appetite is probably the most common and is often related to the side effects of chemo but also the disease itself. Poor tolerance of fats , even healthy one like avocado and nuts may indicate a need for pancreatic enzymes #PancChat
A2 The pancreas has an important role in digestion by producing digestive enzymes as well as helping to regulate blood glucose levels. When these functions are impaired these symptoms can develop. #PancChat
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A1 Some people experience reduced appetite, taste changes, early satiety, bloating, and/or change in bowel habits. All of these can lead to unwanted weight loss. #PancChat
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