Nutrition and Multiple Myeloma


Multiple Myeloma Diet
When you have multiple myeloma, sometimes eating is the last thing you want to do. The symptoms of this blood cancer and the side effects of treatment can make it hard to have an appetite or eat as much as you used to. But getting the right nutrients and enough of them is an important part of getting well.

When to Eat
Eating small meals throughout the day can help reduce feelings of nausea. Instead of two or three larger meals, try having five or six smaller meals to keep your body fueled and comfortable.

What to Eat
Fruits and vegetables are full of antioxidants that help your body rebuild. If you are constipated from chemotherapy, you may want to boost your fiber intake. On the other hand, if you have diarrhea, your doctor may recommend a bland low-fiber diet.

What to Drink
It’s important to stay hydrated, so always drink plenty of broth or water. If you are struggling with constipation, your doctor may recommend prune juice.

Vitamins and Minerals
Your doctor may recommend a daily supplement to help you get what you need. These may include iron, vitamin D, fish oil, or folate. Some supplements can impact your treatment, so don’t start any without talking to your doctor first.

What to Avoid
Steer clear of raw or undercooked meats and fish, runny eggs, unpasteurized products, and unwashed fruits and vegetables.
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SOURCES:
American Cancer Society: “Lifestyle Changes After Having Multiple Myeloma,” “What is multiple myeloma?”
National Cancer Institute: “Eating Hints Before, During, and After Cancer.”
Texas Oncology: “Stages II-III, Multiple Myeloma,” “Multiple Myeloma Fact Sheet.”
Judy Berry, PhD, University of Rochester Medical Center; author, Do What You Can to Ease Side Effects of Treatment for Multiple Myeloma.
Nutrients: “The Role of Vitamin D in Hematologic Disease and Stem Cell Transplantation.”
University of Rochester Medical Center: “Do What You Can to Ease Side Effects of Treatment for Multiple Myeloma.”