meggles42's Journal, 28 September 2023

Spoke to nutritionist Tuesday about best diet for liver and pancreas, and for low hemoglobin. Recommendations are:
- 60-70g fat/day
- 80-90g protein/day (I’m usually 50-65.)
- 2200-2300cal/day while in treatment
- min 64oz fluid per day (which is also max due to heart)
- <2400mg sodium/day, but actually <2000 due to heart
- Adequate B vitamins
- Eat protein fat, and/or fiber with any carbs

Have been working on increased protein and it seems doable. Cottage cheese and other dairy, tuna, peanut butter, some fake meat (gardein). Even pasta has more protein than I would have expected, 14g in 100g. However, it’s been hard to keep the sodium and fat low enough and still reach the calorie goal. Juice can help here if I remember to drink it with meals so the sugar is combined with fat and protein. Maybe have to go back to 2% milk.

Appetite is good this week. Next week is radiation, it’s supposed to be very low side effects, most likely is mild fatigue. Hope it doesn’t mess with the diet. Week after that is the ERCP (bile duct stent replacement) which last time resulted in pancreatitis and several days on clear liquids. Very much hope this one will go smoother.
169.6 lb Lost so far: 79.8 lb.    Still to go: 9.6 lb.    Diet followed reasonably well.

Diet Calendar Entry for 28 September 2023:
2302 kcal Fat: 70.34g | Prot: 103.47g | Carb: 317.74g.   Breakfast: Quaker Instant Oatmeal Flavor Variety Pack - Maple & Brown Sugar, Cinnamon & Spice, Apples & Cinnamon, Ralphs Whole Milk. Lunch: De Cecco Linguine Macaroni, Kraft 100% Grated Parmesan Cheese, Rao's Homemade Marinara Sauce, Gardein Classic Meatless Meatballs, Ralphs Whole Milk. Dinner: Trader Joe's Freshly Squeezed Orange Juice, Tuna and peas. Snacks/Other: Wegmans Apple Cider, Ralphs Whole Milk, Hershey's Syrup, Great Value Maraschino Cherries, Hudsonville All Natural Vanilla Bean Ice Cream, Trader Joe's Honeycrisp Apple, Trader Joe's Small Curd Cottage Cheese. more...
gaining 7.0 lb a week

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