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Our pancreas makes the enzymes that digest our food. When the pancreas is diseased or partially removed it often can't do its job. That is why so many PC patients need digestive enzymes.
The real trick is knowing how many enzymes to take! Dads doctor had us start with three, He was told to begin eating take an enzyme eat 1/3 of the meal take an enzyme eat 2/3 of the meal take an enzyme. We were told to take the enzymes along with the food. To take them before the meal there is nothing to digest, taken after the meal the meal has already passed.
So now if he is on the digestive enzymes here is an old copy and paste with lots of information and hope something here helps.
Here is a copy and paste of many discussions in the past on nutrition hope something in the mix helps. There are some appetite stimulant drugs your doctor can prescribe Marinol(marijuana in pill form) megace(It use to be said that megace can throw blood clots I'm not sure you can discuss it with your doctor) Hugs Lillie
Beverages: Milk, if tolerated. Lactose-reduced milk such as Lactaid. Coffee or tea. Sugar-free carbonated beverages, if tolerated. Unsweetened iced tea and fruit drinks. AVOID: Chocolate milk, condensed milk, milk shakes. Carbonated beverages containing sugar. Alcohol.
Breads: Whole grain or enriched breads, bagels, rolls, English muffins and crackers. AVOID: Breads made with dried fruits, nuts and seeds. Pastries, doughnuts and muffins.
Cereals: Unsweetened dry or cooked cereals. AVOID: Sugar-coated cereals. Hot cereals with added brown sugar or syrup. Coarse cereals (e.g. bran).
Desserts: Sugar-free frozen yogurt, puddings, custards, if tolerated. Plain cakes and cookies. Sugar-free gelatin (jello or jelly) between meals only. AVOID: All desserts made with chocolate, nuts or dried fruit. Sweetened gelatin. Ice cream, ice milk, regular frozen yogurt.
Eggs: Boiled, poached or scrambled. AVOID: Fried eggs.
Fats: Margarine, butter, vegetable oils. Salad dressings, mayonnaise, sour cream, cream cheese. Have all fats in moderation. AVOID: none.
Fruits: Fresh or unsweetened canned fruits and fruit juices. Fruit juice between meals only, and limited to half/cup a serving. AVOID: Sweetened fresh, canned and frozen fruits; dried fruits. Sweetened fruit juices.
Meat, Fish, Poultry, Cheese, Nuts, Dry Beans and peas: Lean tender meats, poultry, fish and shellfish, Eggs. Peanut butter. Cooked dry beans and peas. Mild cheeses, if tolerated. Plain or sugar-free yogurt, if tolerated. AVOID: Fried or highly seasoned meat, poultry, fish. Glazed ham. Those with sweet toppings and sauces, such as sweet and sour sauce. Sugar-sweetened yogurt. Nuts.
Potatoes, rice, barley, pasta. AVOID: Candied yams. Those with sweet toppings or sauces.
Soups: Any made from allowed foods. Spicy soups as tolerated. Between meals only. AVOID: Sweetened fruit soups. Soups made with heavy cream or high-fat ingredients.
Sweets: Sugar substitutes and items prepared with them in place of sugar. Sugar-free jam, jelly and syrup. AVOID: Honey, sugar, syrup, jams and jellies.
Vegetables: Cooked (fresh, frozen, canned) vegetables. Raw veg as tolerated. Vegetable juices between meals only. AVOID: Those prepared with added sugar or sweet toppings or sauces.
Miscellaneous: Salt in moderation. Mildly flavored sauces and gravies. Strongly flavored seasonings, spices and condiments as tolerated. AVOID: Sweet sauces and toppings.
NOTE: Drink liquids 30 Ė 60 minutes after your meal or snack. Liquids move your food through your stomach too quickly right now so you donít get the nutrition you need.
To identify sugar, look for anything ending in '-ose'...
Message Text Hi Bruce. First thought was marijuana but that might not go down well in your State. Then there are all those protein drinks like Prosure....Scandi shakes are supposed to be good for weight gain. Mmaybe a dietician from the hospital would suggest/send info too. Leaving little snacks in bowls around, like nuts and things she can eat a little at a time of perhaps... Give our love to her, and you
Viv xx p.s. some posts/discussions that might be handy:
*****Scandishake for weight gain was posted on 09/14/2005 05:07 pm by Katy katylayke @yahoo.com My husband just got several samples of this from his nutritionist. Has 600 calories in 8 ounces, it has the highest calorie count in the fewest amount of ounces, and he seems to tolerate it best of any of the liquid shakes he's had.
Btw, he also says it tastes best. His second choice is Nutriment, which you can buy in a supermarket (12 oz. with 360 cals.)
If anyone uses this, have you found a place where it's discounted? The best price I've found is from the company (4 packets for $7.75, plus shipping.)
Anyone who'd like to try it can get free samples by calling their 800 number, 800-4SCANDI.
They also have a tasteless, odorless powder that can be added to anything (liquid or food) that adds calories. It's called ScandiCal, and it has 35 cals. per tablespoon (a good way to sneak in extra calories.)
***Dad is using was posted 09/14/2005 09:34 pm by Rikkle Pickle E-mail Address:
Message Text My father is using scandishakes and likes them a lot. I highly recommend them.
****Shakes was posted 09/15/2005 01:19 am by jlynn E-mail Address:
Message Text My husband also used these shakes until he was able to regain his appetite. Our hospital pharmacy carried them for about the same price I think, but we had no shipping charges. Maybe you could ask your pharmacy to get them.
****foods, etc was posted on 09/12/2005 10:07 pm by laurie LI my mom likes Scandishakes - www.axcan.com - you can get free samples, like Prosure/Ensure but you have to mix them yourself w/ whole milk. The same company also makes ScandiCal - you sprinkle it on food to make it higher calorie. You can also get a free sample of this from the company. It is rather expensive, though. My mom also does well w/ cold things, like potato salad - I make it myself and add full fat mayo AND sour cream, to make it twice as fattening. Creamy soups. Pudding. Also, look into an appetite stimulant like Marinol...it may help increase the appetite. My mom has a really hard time w/ the whole food thing. Nothing is appetizing to her. Best of luck! laurie
****Harold was posted on 09/12/2005 08:28 pm by Lillie Harold eating is sometimes so hard. Ask for a precription for marinol. Marinol is marijuana in pill form and very legal.
On the pancan site they had a recipie place that caregivers posted recipies that their patients found easy to eat and that became my bible so to speak. Here is that site for you to make it easy http://www.pancan.org/Patient/Pancreatic/diet.html Check that your he is getting a balance of proteins,carbohydrates and fats.You might discuss with a dietician high cal. and protein pwders. I posted the smoothies a long time back here is a copy and paste Hugs Lillie
Prosure is specially formulated for Cancer patients http://www.prosure.com/ I'm not sure if they are for a diabetic unfortunately prosure wasn't out with dad. We used Scandi shakes and Glucerna(sp?) You can ask if prosure is for diabetics or if they make one for diabetics(I bet they do and I'd be interested in what you learn)
Also here is some smoothie things your hubby may enjoy. Hugs Lillie
Smoothie Making Made Easy: Getting Started
1. If your mouth is sore, skip the fruit that contains small seeds, such as berries. These tiny seeds can irritate a sore mouth. Instead add in another fruit such as a banana, peach, nectarine, or pear. Also, skip the flax seeds if your mouth is sore.
2. NEVER use raw eggs in a smoothie.
3. Thoroughly wash all raw fruits and vegetables before using them in a smoothie. If your white blood cell count is low (you are immune-compromised), be sure to check with your medical care team that it is OK to eat raw fruits and vegetables.
4. Prepare ingredients and place in the blender.
5. Blend ingredients together to desired consistency, adding additional liquid if needed. Depending on the 'strength' of your blender, you may need more or less liquid to make the mixture blend.
6. You can use frozen fruit instead of fresh. This will make a thicker smoothie.
7. For tofu, try a brand such as Mori-Nu. This type of tofu, which is sealed in rectangular, 12-ounce boxes, does not need to be refrigerated until it is opened. Look for it on the regular store shelf, possibly in the 'health food' aisle of your grocery store. Do refrigerate any left over portion of tofu after you open it at home.
8. If you can't finish your smoothie, store unused portion in the refrigerator or freezer. Re-blend later that same day to enjoy the rest of your smoothie (Do not store in the refrigerator for more than a day).
9. In any of these recipes, use whichever liquid you like. Try soy milk, rice milk, almond milk, oat milk, other grain milk, or regular non-fat milk. Vigor Aid and Balance are two fortified soy based 'milks' to try. Liquid supplements such as Ensure or Boost prosure (vanilla) can be used as well.
Note: Calorie and protein values are approximate and vary slightly, depending on which liquid base you use.
Banana Oatie 1/3 to 1/2 cup cooked oatmeal, chilled 1 banana (frozen if thicker smoothie is desired) 1 cup liquid base (milk, soy milk, Ensure, etc.) 1 tablespoon wheat germ 1 tablespoon honey 1 teaspoon vanilla extract (425 calories; 16g protein; 4g fat)
Raspberry Smoothie Delight 1/2 cup cooked, cooled white or brown rice 1 ripe banana 1 cup frozen raspberries 1 tablespoon ground flax seeds 1/2 cup plain low fat organic yogurt or soy yogurt 1/2 cup liquid base (milk, soy milk, Ensure, etc.) (669 calories; 18g protein; 8g fat)
Bursting Blueberries 1/2 package tofu (see #7. above, under 'Smoothie Making Made Easy'; this is about 6 oz of tofu) 1 banana 1/2 cup fresh or frozen blueberries 1 tablespoon canola, almond, or avocado oil 1 cup liquid base (milk, soy milk, Ensure, etc.) (470 calories; 23g protein; 22g fat)
Pineapple Power Shake 1 cup orange juice 1/2 cup pineapple juice 1/2 cup lowfat organic cottage cheese 1/2 cup liquid base (milk, soy milk, Ensure, etc.) (306 calories; 20g protein; 2g fat)
Berry Blast Shake 1/2 cup uncooked oats 1 banana 8 strawberries (fresh or frozen) 1 tablespoon ground flax seeds 1 cup frozen mixed berries (any type) 1 cup liquid base (milk, soy milk, Ensure, etc.) (649 calories; 21g protein; 13g fat)
Super Smoothie 1 cup liquid base (milk, soy milk, Ensure, etc.) 1/2 cup lowfat plain organic yogurt or soy yogurt 2 tablespoons protein powder (any type) 1 tablespoon almond butter 1 tablespoon ground flax seeds 1 tablespoon canola, almond, or avocado oil 1 banana (684 calories; 33g protein; 29g fat)
'Pina Colada' Power Smoothie 1 cup coconut/pineapple nectar 1 cup milk, soy milk or ensure 1 banana 1/4 cup frozen strawberries 1 tablespoon ground flax seeds 1 tablespoon protein powder (any type) (419 calories; 19g protein; 6g fat)
Cinna-Peach Smoothie 1 cup diced peaches (fresh or frozen) 1/2 cup lowfat plain organic yogurt 1/2 cup liquid base (milk, soy milk, Ensure, etc.) 1 tablespoon honey, pinch of cinnamon (260 calories, 12g protein; 2g fat)
Tasty Tropical Delight 2 ripe bananas 1/2 cup diced peaches (fresh or frozen) 1 cup mango, guava, or papaya nectar 1/2 cup liquid base (milk, soy milk, Ensure, etc.) 4 ice cubes (485 calories; 9g protein; 3g fat)
Banana-Apple Shake 1 banana 1/2 cup lowfat plain organic yogurt 1/2 cup unsweetened applesauce 1/2 cup liquid base (milk, soy milk, Ensure, etc.) 1 tablespoon honey 1 tablespoon oat bran 1 tablespoon ground flax seeds (424 calories; 16g protein; 7g fat)
For variety from the typical fruity smoothie, try this high protein jello and these two thicker, 'puddings'. You can whip them up in a hurry!
High Protein Jello 3 ounce package of gelatin (any flavor) 2 cups of water (as per package directions) 1/3 cup dried egg whites
Follow the directions on the package for making jello. Add dried egg whites to warm gelatin mixture. Just Whites is one brand of powdered egg whites found in the baking aisle of the grocery store. Stir gently for 2 minutes, until completely dissolved. A whisk works well for stirring. Place in fridge to gel. Makes four 1/2 cup servings. (109 calories; 9 g protein; 0.5 grams fat)
Pumpkin Pie Pudding 1 cup cooked pumpkin (canned is easy & convenient) 2 tsp canola, almond, or avocado oil 1/2 tsp cinnamon 1 tsp lemon juice 1 cup apricot nectar (270 calories; 3g protein; 9g fat)
Sweet Potato Power 1 medium sized baked, then cooled sweet potato 1 1/2 cups apricot nectar 1/2 package tofu (see #7. above, under 'Smoothie Making Made Easy'; this is about 6 oz of tofu) pure maple syrup or honey to taste (450 calories; 9g protein; 4g fat)
****marijuana was posted on 10/18/2005 07:28 pm by Anonymous Hi - my father had no appetitie and would practically cry before each meal. With the permission of the doc we tried marijuana and now one day later he has increased appetitie. It is also known to be great for nausea. Worth a shot. good luck to you and your brother
****Marijuana more effective was posted on 11/01/2003 11:01 pm by than marinol I've heard from a few doctors that marijuana is more effective at helping the appetite and better tolerated than marinol and that's part of why states try to have it legalized for medical use.
****appetite stimulant was posted on 11/01/2003 07:10 pm by Sandy H Well, I'll risk it and use my name regarding this subject. In my state, Colorado, the medical use of marijuana is legal. Talk is...will a doctor prescribe it? I don't knw if that is a problem, but it's just what I've heard. I have thought before that as an appetite stimulant, it would be a potentially excellent idea. You've got my vote. Sandy
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