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How do you approach and manage anorexia and appetite loss in people with advanced cancer?

How do you counsel patients and caregivers? Do you prescribe medications (''appetite stimulants'') with the goal to improve appetite even if they do not impact other outcomes?
4 Answers
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Medical Oncology · University of Wisconsin
Answered on

Anorexia/cachexia is often distressing to patients and families and it is this distress that is the target of many of the interventions for this syndrome as there are, in general, no effective therapies. Patients and families are routinely battling over the lack of eating as this causes further disc...

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Radiation Oncology · Allegheny Health Network
Answered on

Medical marijuana, if available in your state, is an excellent tool for battling anorexia. Unfortunately, there isn’t much data to provide guidance in terms of composition and dosing because of the legal standing.

Horne, PMID 34479658

Razmovski-Naumovski et al., PMID 35360989

I’ve also found that i...

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Medical Oncology · Oncology Consultants
Answered on

A low dose of zyprexa 2.5 mg po qd for 12 weeks also showed good effect.

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Radiation Oncology · Generations Radiotherapy and Oncology PC
Answered on · Updated on

Though nothing in this space is easy, a comparatively simple solution to improving calorie density is to encourage the use of “spreadables".

Full disclosure, I borrowed this expression from a colleague in eating disorders, but it makes sense for our patients too. Virtually, all spreadable foods (but...

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