Hi Timmycat, I don't have any experience of Cape but from what I found on my cancer center website loss of appetite (or anorexia) is one of the side effects of Cape and maybe, you would like to check with your medical team. Pls refer to pg 3 under organ site "gastrointestinal" for the side effect "anorexia" http://www.bccancer.bc.ca/drug-database-site/Drug%20Index/Capecitabine_monograph.pdf ps. Besides medicine which we may not want, I found some (GENERAL,NOT particular to breast cancer) dietary management suggestion on the website. Encourage or Promote adequate hydration and daily oral intake by: - Increase fluid intake as tolerated (e.g. soup, shakes, smoothies) - Promote high calorie/protein fluids with medications and throughout the day (e.g. full-fat milk, homemade smoothies, nutritional supplements). - Limit fluid intake to 30 minutes prior to meals to avoid feeling full and 2 hours before normal bedtime so as not to interrupt sleep. Small, frequent meals (5-6) per day. - High calorie, high protein foods (e.g. cheese/cottage cheese, eggs, Greek yogurt, nut butters, protein bars, avocados) - Eating largest meal when feeling most hungry regardless of time of day - Sitting upright for 30 to 60 minutes after eating to facilitate digestion - Avoid preparing foods with strong odours or ask caregivers to prepare such foods and avoid being present during the preparation - If fatigue or meal preparation are a problem, suggest the use of convenience foods (e.g. frozen foods, canned soups), take-out foods, catering service, family or friends preparing meals, or Meals on Wheels® - Oral nutritional supplements as needed to augment diet; particularly if patient has symptoms that interfere with nutritional intake or absorption (eg. Ensure, boost) - Manage contributors to anorexia eg. Chronic nausea, constipation, taste alterations - Avoid spicy foods and limit drinks with coffee and alcohol - Make mealtimes as relaxing and enjoyable as possible. Ask for help when preparing meals. Try keeping a daily log of nutritional intake
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