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What do you recommend for patients who experience anorexia due to loss of appetite?

Which appetite stimulants are the most effective? How do you respond to patients who request medical marijuana?
4 Answers
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Radiation Oncology · Mount Sinai Medical Center Miami
Answered on · Updated on

"But to eat when you are sick, is to feed your sickness."- Hippocrates

A lot of preclinical work (Valter longo, Warburg etc) show he was probably right and the fact that tumors will preferentially have access to gluocse and proteins (ie PET scan-Warburg effect)

I would use steroids (dexamethasone or ...

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Radiation Oncology · Allegheny Health Network, Exercise Oncology Center
Answered on · Updated on

I would take this question a step further and ask what to do about muscle loss, which in reality is the bigger issue. Fat loss may not be such a bad thing for many patients with prostate, breast, endometrial and other similar obesity-related cancers. Cachexia and muscle loss, which is usually the re...

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Radiation Oncology · Northeast Alabama Regional Medical Center
Answered on · Updated on

I agree w/ @Dr. First Last. From experiences w/ fasting in general and its positive effects, very early data re: positive effects of fasting in cancer patients, decreased survival in certain scenarios with steroids like dexamethasone, and increased survival in head/neck cancer patients who lose weig...

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Medical Oncology · NEXT Oncology
Answered on

- Short answer: Mirtazepine, Steroids, Zyprexa. The increasing prevalence of immune checkpoint inhibitors often pushes steroids way down on my list.

- Regarding medical marijuana, this is particularly dependent on the state where you practice. When I was in Florida, I found the laws inadequate even ...

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