General dietary recommendations
For females: intake of 2,500 to 3,000 kcal per day, with 1.2 g per kg of protein per day
For males: intake of 3,000 to 3,500 kcal per day, with 1.2 g per kg of protein per day
Daily micronutrient supplement should include vitamins A, B6, B12 and selenium.
Nutritional recommendations for problems related to wasting syndrome
Oral inflammationAvoid temperature extremes, highly seasoned foods and hard foods (e.g., chips); drink beverages through a straw.
AnorexiaConsume mild flavors, foods at a moderate temperature and appetizing foods. Oral nutritional supplements* such as Carnation Instant Breakfast, Ensure, Sustacal and Lipisorb (for oral and tube feeding) may be helpful if dietary intake is insufficient for sustaining weight.
NauseaConsume mild flavors, foods at a moderate temperature and appetizing foods. Useful oral supplements* include Nubasics (bar and soup), Lipisorb, Resource and Scandishake. Lipisorb and Peptamen may be useful in patients requiring tube feeding.
DiarrheaConsume lactose-free, low-fiber, low-osmolality diet. Useful oral supplements* include Isosource HN, Lipisorb (for oral or tube feeding) and Sustacal.
SteatorrheaConsume low-fat diet; supplements should contain medium-chain triglycerides. Useful supplements* include Lipisorb for oral or tube feeding and Peptamen and Reabilan for tube feeding.