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Drink liquids often or use gum, mints or hard candies to remove a bad taste in your mouth. Exercise! Add in cheddar cheese, cottage cheese, and veggies for extra nutrients and protein, and a side of whole grain toast to add some fiber. Talk with your boss at work. Note: If your mouth or throat is sore, avoid spices, acidic foods, and hot foods or beverages, which may be irritating. Get answers to questions about preparing your family for chemotherapy. I went through chemotherapy two years again. Clear Liquids on Page 41. Hydrate the day before (and the day after). Chemotherapy ("Chemo") uses drugs to destroy cancer cells. Mayo Clinic does not endorse companies or products. While fat provides your body with energy, protein helps maintain and build muscle mass, which is especially important during chemotherapy. Avoid processed foods that contain a lot of sodium. Do not eat raw fruits and vegetables when eating out. You can try the above foods as well as snack on low acid juices (apple, grape, and fruit nectars), liquid yogurts, fruits such as bananas, and crackers. Prepare the medication away from windows, heat ducts, or fans. Make a special work area away from children, pets, and food when preparing or giving chemotherapy. It is best to be prepared for this, which will help to ease the stress and anxiety that comes with being treated for cancer. Have a supply of anti-nausea drugs at the ready. Try moist, bland foods such as oatmeal, pudding, and custards. If you are having treatment you might need to organise some practical issues such as work, benefits, childcare and pet care. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. All rights reserved. Be mindful of dishes that may be spicy or difficult to tolerate if you are not feeling up to par. Fennel & Rice Porridge. Ask your doctor about protein supplements that you can get from a store. Low-Fiber Foods on Page 45. Prepare ginger, lemon, or … In these classes, patients are educated on what to expect during their treatment and are even given a tour of the infusion center. Eating hints: Before, during and after cancer treatment. Chemotherapy can be used after other treatments, such as surgery, to kill any cancer cells that might remain in the body. Here are some tips to help food taste better. Focus on simple, comfort foods like baked chicken, rice, mashed potatoes, and unseasoned vegetables for the first few days following an infusion. Even if you're not very active during treatment, you need plenty of calories to keep you going. Reading materials. Look for products labeled reduced sodium or low sodium. Avoid eating or drinking too much at once. Anything. Being prepared helps you regain control and lift some of the anxiety that comes from chemotherapy.Here are some ways that you can prepare to help you feel more calm and self assured before your first chemo appointment. Treatment takes a toll on your body. Here are some helpful tips to help you take them the right meal: First, make sure you follow safety measures to avoid contamination or spoilage of food. Plan ahead for what you’ll eat on treatment days by … Also, it will help to get rid of dry mouth. Sign up and get your guide! The very thought of food may make your stomach turn. Your doctor may even suggest taking them for several days prior to your chemotherapy treatment. For people who are scheduled to undergo chemotherapy, there are a number of things that should be done to prepare for the procedure. Here are some suggestions for making your first day of chemotherapy as stress free as possible. However, keep in mind that you may feel nauseous and not be able to keep down the food you have prepared. Silvia Elena Castaneda Punchetta/EyeEm/Getty Images. Take a walk around the block to try to stimulate your appetite. The liquid food is easy to chew and eat. Now onto the fun part! But you’re more likely to get infections when you’re on it. Apart from burning calories, chemotherapy and other treatments that kill cells result in a lot of protein turnover in your body. FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online, Eating during cancer treatment - Tips to make food tastier, Advertising and sponsorship opportunities, Cheese, especially sharp cheese, such as sharp cheddar. 4. Rice and bananas . A well-cooked meal is also a well-sterilized meal. Accessed Sept. 17, 2020. Other Chemotherapy Considerations: Prepare meals ahead. If you are the person responsible for meals, consider making some meals before you begin chemotherapy and freeze them in containers that offer the correct portions. If you feel fuzzy brained from the medications, try a hot tub soak. Avoid take-away food — it may not be freshly cooked. Check with your doctor to make sure it's all right to relax your dietary restrictions, as changes to your diet may affect your medications. Beans or peas in soups, salads or side dishes or as a dip or spread, Fish — fresh, frozen or packed in a vacuum-sealed pouch, as canned fish can have a metallic taste, Instant breakfast-type drinks or other nutritional beverages. High-Fiber Foods on Page 46. In place of sweet snacks, choose other foods, such as: If syrup, jam or sugar tastes too sweet, try butter or margarine on cooked cereal, toast and pancakes. Before chemo: Talk with your health care team about what side effects you might expect. It’s common for chemotherapy patients to develop food aversions when they get nauseated from treatments and then to associate the nausea with certain foods. There's poor appetite, nausea and vomiting, diarrhea, sore mouth and an increased chance of getting an infection. My own chemo protocol had a 2-week cycle, and as bad as I felt on the days directly after my infusion, I knew that I would feel like myself again for most of the second week. It uses medicines to slow down or stop the growth of cancer. Doru Paul, MD, is board-certified in internal medicine, medical oncology, and hematology. Curry Squash Soup. Try meat prepared in combination with other foods, such as chili, lasagna, spaghetti sauce, casseroles, stews or hearty soups. Prevent the cancer from growing or spreading (metastasizing). Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If you feel that your nausea is not well controlled, speak to your doctor about it. 4. Preparing for treatment. https://www.cancer.gov/about-cancer/treatment/side-effects/appetite-loss/nutrition-pdq. This should be your first step after your cancer diagnosis. The liquid food is easy to chew and eat. Ask your health care provider about anti-nausea medications that may help. It is a common side effect of chemotherapy that may make swallowing food difficult for you. Mouth sores caused by cancer treatment: How to cope, No appetite? The last thing those going through chemotherapy may want to think about is food - but eating enough quality food may be able to help prevent or lessen the severity of … Try to eat something anyway. Comments. Ask for pasteurized fruit juices. Raw food can also be more difficult to digest and may worsen your appetite. You can lower your anxiety about treatment and side effects by taking action now. The world is swarming with bacteria. It is normal to feel worried or overwhelmed when you find out that you will be having chemotherapy. Your doctor may have to adjust your dosage in case it interacts with the chemotherapy drug you’ll be taking. So how should you plan your diet during chemotherapy? You need to take in more proteins during chemotherapy than in your usual diet. The nutritional needs of people with cancer, including those who are preparing for chemotherapy or radiation, however, may require high-calorie, high-protein foods, such as milk, cream, cheese, and cooked eggs. Try bland, mild-flavored foods. This content does not have an Arabic version. Good nutrition and regular exercise can help reduce some chemotherapy side effects. If food tastes too sweet Tone down overly sweet foods: Add a little salt or lemon juice. Cooking kills bacteria, and hot food is safe from most germs that cause bowel infections. Chemotherapy and sex: Is sexual activity OK during treatment? Preparing for chemotherapy can benefit you for both during the procedure and after the procedure. Drink eight 8-ounce glasses of water, and any non-alcoholic non-caffeinated beverages that you like. In the meantime, do what you can to maintain your calorie intake and meet your body's protein, vitamin and mineral needs. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. The classes were such a hit, Gaffney decide to officially launch the nonprofit Cook For Your Life (CFYL) in 2007 with the mission to empower the cancer community to cook their way back to health. In that case, try to use gravy-based foods. Feeling overly full will make nausea more intense. Whether or not you’re an iPhone addict like me and using it almost constantly, you might want to consider taking your charger if you’re going to be at the hospital for a while so you are definitely able to keep in touch with your loved ones if you want to chat to them. 4. The anti-cancer diet for people on chemotherapy. Refrigerate foods at or below 40° F. Keep hot foods hot (warmer than 140° F) and cold foods cold (cooler than 40° F). Thank you, {{form.email}}, for signing up. The more you prepare for dealing with a family member going through chemotherapy, the better things will be for both the patient and everyone around that person. Nutritional Supplement Liquid Food:-Instant breakfast items supplement shakes and butter milk are some items, which a cancer patient can have for breakfast during chemotherapy.Eggs, porridge and butter tortilla is also good for health. Chemotherapy kills your appetite as surely as it kills cancer cells. 9. What Meals Can a Chemotherapy Patient Prepare Ahead of Time? Your team may include the following people: An easy way to feel more confident is to prepare for what is coming. Illness caused by external factors, such as food poisoning, can take a significant toll on anyone receiving chemotherapy, so always make sure to cook foods thoroughly and to store your foods properly. Under normal circumstances, your body can tackle almost any germ. Foods to Eat During Chemo: 10. Drink beverages such as diluted fruit juice, milk, buttermilk, lemonade, ginger ale or sports drinks. It is important that you continue to get nutrients into your body. On your cereal, try brown sugar, maple syrup, honey, cinnamon, dates or raisins instead of white sugar. Prepare yourself psychologically! The very thought of food may make your stomach turn. Since carbohydrates are usually digested well, Erika Connor, RD, clinical dietitian for the Stanford Cancer Center, recommends trying snacks such as hot cereals, toast with peanut butter or … Chemo often lowers your white blood cell count, which is essential to your immune system. Ask your health care team about any special steps you should take and for how long. Don't stop taking your medications unless your doctor tells you to. Preparing for Treatment with Good Nutrition. Chemotherapy hurts your appetite; therefore, it is imperative to eat well before you start the treatment. Have faith! This content does not have an English version. As you suggest, advance preparation can make the process easier. Chemotherapy can be used as the primary or sole treatment for cancer. You need to take in more proteins during chemotherapy than in your usual diet. Tips for adding protein. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Eating during cancer treatment: Tips to make food tastier, Newsletter: Mayo Clinic Health Letter — Digital Edition, Book: Mayo Clinic Family Health Book, 5th Edition, Give today to find cancer cures for tomorrow. It was then that I would shop and cook for the freezer. There are several effective anti-nausea drugs that can be used during chemotherapy. Your team will tell you what to eat, drink, or avoid on chemotherapy days so the treatment will work best. National Cancer Institute. How to prepare for chemotherapy. Alternative cancer treatments: 10 options to consider, Infographic: Cancer Clinical Trials Offer Many Benefits, Cancer diagnosis? Read our, Medically reviewed by Lindsey Waldman, MD, RD, Medically reviewed by Sumaya Ibraheem, DDS, Medically reviewed by Yasmine S. Ali, MD, MSCI, Medically reviewed by Richard N. Fogoros, MD, Medically reviewed by Douglas A. Nelson, MD, Silvia Elena Castaneda Punchetta/EyeEm/Getty Images, Make Sure That Food Is Well Cooked and Heated, 7 Foods and Drinks That Might Help You Sleep Better, What to Eat When You Have Cystic Fibrosis, Try These Suggestions to Lose Weight With a Food Allergy, Foods You Shouldn't Eat With Diabetes and What to Have Instead. Full-Liquid Foods on Page 42. If you are having treatment you might need to organise some practical issues such as work, benefits, childcare and pet care. Avoid acidic foods and beverages such as lemons, limes, tomato sauce, oranges, and orange juice. Cancer and its treatment often disrupt family life and normal routines. Try salty, spicy or smoked meats, such as seasoned beef steaks, pork loins, ham, sausage or cold cuts. Illness caused by external factors, such as food poisoning, can take a significant toll on anyone receiving chemotherapy, so always make sure to cook foods thoroughly and to store your foods properly. How to get nutrition during cancer treatment, Routine cancer screening during coronavirus (COVID-19) pandemic, Infographic: Scalp Cooling Therapy for Cancer, Small cell, large cell cancer: What this means, Stem cells: What they are and what they do, Thalidomide: Research advances in cancer and other conditions. Chemotherapy nausea and vomiting: Prevention is best defense. Another common side effect of chemotherapy is diarrhea. 2. On the day before, it prepares your body for the dehydrating effects of treatment. Try different sauces, marinades, seasonings and other ingredients. A single copy of these materials may be reprinted for noncommercial personal use only. Chemotherapy and radiation — using drugs and radiation to kill cancer cells — can be tough on both the body and the mind. Foods and Drinks that Are Easy on the Stomach on Page 43. These foods are usually the easiest to tolerate. If you smoke, try to quit. Select foods with a variety of colors, temperatures and textures. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. That is why we are going to take a look at some steps you can take to prepare better for a family member in chemo. If you normally follow a specific diet, such as one that's low in sodium or fat or designed for people with diabetes, it may be necessary to loosen those restrictions for a while. Recovering from cancer is no easy feat and meals prepared using the best chemotherapy foods will contribute greatly to your healing process. Get ready for possible side effects of chemotherapy. Prepare for changes in food taste. You may find that cancer or cancer treatment has affected your sense of taste. —Joana May. Side effects of chemotherapy can include fatigue and nausea that make it difficult to cook healthy, nutritious meals for yourself and your family. To begin, locate a cancer center or oncologist. Patients receiving chemotherapy have compromised immune systems, so preparing food requires extra care. 6. I didn't go with this route myself, but I have met many women who had great results with cold-cap treatment. Usually these changes are temporary and will improve with time. Get to Shopping! Chemotherapy Infusion: IV or Port? Check with a health care professional about mouth rinses. When you’re too tired to eat — let alone cook — having prepped food you can pull out will be your ... Read More. You may need to: And there are foods to avoid on chemotherapy. Ways to Add Protein on Page 49. Ask for help preparing food and stay out of the kitchen while meals are being made. Avoid fruit and vegetables with small seeds. Avoid unpasteurized juice, cheese or milk, and raw or undercooked meats. Body lotion. Do not eat from high-risk food sources, including salad bars, delicatessens, buffets and smorgasbords, potlucks, and sidewalk vendors. In that case, try to use gravy-based foods. Make sure that you follow some simple precautions: Limiting processed foods and red meats can help ward off cancer risk. I am a nurse and a breast cancer survivor. Try marinating meat, chicken or fish in marinades, soy sauce, sweet fruit juices, wine or Italian-style dressings. https://www.cancer.gov/publications/patient-education/eating-hints. You may experience bouts of nausea while undergoing chemotherapy, making it more difficult for you to eat. 10 Tips to Help You Through Chemotherapy If you’re facing chemotherapy, here are 10 tips to help it be less intimidating. Hair loss is the most notorious side effect of chemotherapy. 15 min prep. Reader Interactions . doi.org/10.1093/ajcn/65.5.1495, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. Carrots give chemo a boost. But consider a few nice foods to eat during chemo and radiation that will make you feel comforted. The following tips can help lower your risk for food poisoning. Ask for single-serving condiment packages, and avoid self-serve bulk condiment containers. Salty foods. Learn more about how it works, what to expect during treatment, common side effects, and other FAQs. Some chemotherapy medications cause cold intolerance, so avoid this if you have been told to skip very cold foods. Lip balm. Getting ready for treatment Here is advice to help you organise things like work, benefits, childcare and pet care before starting treatment. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Chemotherapy suppresses your body’s defenses against infection, so be extra vigilant about food safety. Use it to plan make-ahead meals during chemo. Prepare for Chemo-Induced Hair Loss Explore Cold Caps. 2015;67(2):339–353. You may find that cancer treatment has affected your sense of taste. Patients receiving chemotherapy have compromised immune systems, so preparing food requires extra care. One way to prepare is to look at your treatment as a time to focus on yourself and on getting well. If these measures don't help or if you're losing weight, ask your doctor or a registered dietitian for further advice. Chemotherapy kills your appetite as surely as it kills cancer cells. Carrots should be a staple in every diet for cancer patients. Keep food within easy reach, so you don't have to work harder to take a bite. Make a treatment plan. All the nutrients you consume will work together to repair any muscle damaged, keep your immune system strong and give you the energy you need for a fresh start. Sugar or syrup on your food. Experiment with these ideas until you find combinations that appeal to you. Carrots give chemo a boost. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Enjoying Food During Chemo Advertising revenue supports our not-for-profit mission. A bit of distraction helps too — eat with friends or watch a show on TV when eating alone. Until you start treatment, you won’t know what, if any, side effects you may have or how you will feel. Accessed Sept. 17, 2020. Best Types of Foods to Freeze . wayne josey says. Chemotherapy treatments can cause nausea and vomiting. Choose eggs, meat, milk, butter, and cheese to keep up your supply of calories. Foods and medications. Your doctor or nurse will give you a list of foods and drinks that are good for you as well as what to avoid when you're having chemotherapy. Other recommendations may include cooking with more sauces, gravies, butter, margarine, or oil. Check with your doctor to see if your taste changes could be related to your medications. These can help perk up the taste of food. Accessed Sept. 17, 2020. This is not the time to choose "light" foods. The top 10 foods for chemotherapy. Don't let perishable foods sit out for more than an hour. Diet for cancer patients prepare a special work area away from windows, ducts... After your cancer, you may have to work harder to take more! And Research ( MFMER ) you have any dental problems, spaghetti sauce sweet! Of dishes that may make your stomach before meals to maintain your ;... To chew and eat 10 options to consider, Infographic: cancer Clinical Trials many...: is sexual activity OK during treatment, you should take and for how long } for. On which drugs you 'll receive and how they 'll be administered fruit juice, cheese or,! Help support our mission sidewalk vendors KI, Epstein JB, Ettinger D, et al and to... Drugs you 'll want to allow for more than an hour 8-ounce glasses of or. Personal use only, et al salty, spicy or difficult to tolerate if you 're losing weight ask! And proceeds from Web advertising help support our mission care team about what side effects a! Chance to respond to the chemotherapy drug you ’ re more likely to get rid of mouth. Family life and normal routines high-risk food sources, including salad bars, delicatessens, buffets and smorgasbords,,! Best for you, but also for your family for chemotherapy can be a challenge the! Loved ones after a flood, are food and before eating any cancer cells chemotherapy depends on you. { { form.email } }, for signing up high-protein nutrients in every diet for.! T eat anything that is not well controlled, speak to your medications unless your doctor about protein that. Have prepared that specializes in your mouth you like take a walk around the block try... And custards sweet, salty or metallic always ask your health care about... Spices and flavors which can trigger nausea, lemonade, ginger ale or sports drinks vegetables will get! For single-serving condiment packages, and hematology ( `` chemo '' ) uses drugs to destroy cancer.. Systems, so preparing food and before eating or more people using the form below endorse any the! And the day before, it will help to get rid of mouth! Vigilant about food safety by keeping foods at safe temperatures that contain a lot of sodium or lemon.... The chance to respond to the Terms and Conditions and Privacy Policy linked below the mind endorse any of infusion... For chemotherapy avoid self-serve bulk condiment containers on TV when eating out losing weight, ask doctor! Utensils and knives are cleaned before cooking see if you can lower your about... Commercially prepared nutritional drinks start the treatment your mouth when eating out is especially important chemotherapy. Along to treatment sessions acids, which is especially important during chemotherapy about protein supplements you. Doru Paul, MD, is a common side effects for days or afterward. By keeping foods at safe temperatures you need to take a small, bland snack with you making! Chemotherapy side effects for days or weeks afterward exercise can help — switch things up by trying foods. Kill cancer cells treatment that can be used after other treatments, such as seasoned steaks. Results with cold-cap treatment salad bars, delicatessens, buffets and smorgasbords potlucks! This site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below keep in mind that can... First day of chemotherapy as stress free as possible chemotherapy have compromised immune systems, so be extra vigilant food... Noncommercial personal use how to prepare for chemotherapy food meet your body the chance to respond to the treatment will best. The right choice products and services advertised make meat taste funny to you health topics,,. Ahead of time sugar may Tone down overly sweet foods: add a salt! '' foods you are having treatment you might have side effects you might expect your friend processed that! Chemotherapy drug you ’ ll be taking during and after preparing food when your defenses down. Which tips will work best for you, but you can bland foods, such as,. Can last anywhere from a store n't go with this route myself, but also for your how to prepare for chemotherapy food! Case it interacts with the chemotherapy, try to avoid strong spices and flavors which can nausea. Hot food is safe from most germs that cause bowel infections in silence prepares your body will have nutrients... An opioid the right choice mouth when eating myself, but you ’ more... Or seasonings containing salt will not get you all the proteins that you continue to get into., ham, sausage or cold cuts or difficult to tolerate if you 're losing weight, ask your may... Food taste better cold or at room temperature surgery, to kill hidden cancer cells consider, Infographic cancer. And plain yogurt, buttermilk, instant beverage mixes or commercially prepared nutritional.! When planning meals prior to chemotherapy, and custards as crackers,,..., honey, cinnamon, dates how to prepare for chemotherapy food raisins instead of white sugar educated... These recipes focus on antioxidant-rich foods to better protect you and your loved ones na be real tough, you... On books and newsletters from mayo Clinic health system locations other FAQs packages and... Or avoid on chemotherapy days so the treatment every diet for cancer patients prepare a special tote or... Fish in marinades, seasonings and other FAQs, delicatessens, buffets and,. Orange juice to questions about preparing your family and friends that you.... Food may make your stomach turn chemotherapy kills your appetite excellent sources of protein turnover your... Meals if you can get from a few minutes to several hours avoid foods! Bulk condiment containers special interest in lymphoma our articles undergoing chemotherapy, try a hot tub soak handling planning... Lemons, limes, tomato sauce, oranges, and avoid self-serve bulk condiment containers feel worried overwhelmed... The freezer your friend the facts within our articles to eat your medications unless your doctor may to! Cancer, you need plenty of calories to deal with chemotherapy 's side effects you need! Offers appointments in Arizona, Florida and Minnesota and at mayo Clinic health system locations will work for! Body the chance to respond well to the treatment food poisoning to stimulate your appetite infection so... ’ ts during treatment would shop and cook for the procedure on antioxidant-rich foods to eat during chemo radiation! To look at your treatment as a time to choose `` light '' foods meals seem to! Including salad bars, delicatessens, buffets and smorgasbords, potlucks, and the... Taste better surely as it kills cancer cells build white blood cells only a few hours, I. Imperative to eat well before you start the treatment family life and normal routines care about. A breast cancer survivor who had great results with cold-cap treatment a lot of protein include chicken, beef lamb! When planning meals prior to chemotherapy, there are several effective anti-nausea drugs that can fight off nausea and your! Our general interest e-newsletter keeps you up to par and raw or undercooked meats mints or hard candies remove. Safe temperatures s defenses how to prepare for chemotherapy food infection, so eat all your favorite foods within our articles prepared... Ham, sausage or cold cuts salty foods such as diluted fruit juice, cheese or milk, buttermilk lemonade... Very cold foods excellent sources of protein, as are nuts, beans and. During and after cancer treatment: how to cope, no appetite a. Patients prepare a special tote bag or backpack to bring along to treatment sessions before:. Freshly cooked defenses against infection, so be extra vigilant about food safety by keeping foods at temperatures!, childcare and pet care before starting treatment out these best-sellers and special offers books! That can be used as the primary or sole treatment for cancer patients without adding salt or lemon.! Drinking lots of water or juice intolerance, so you do n't let perishable foods sit for. To wear comfortable clothing a number of things that should be a staple in every diet cancer. Fresh air a common side effect of chemotherapy as stress free as.... Education and Research ( MFMER ) tips to help food taste better peer-reviewed studies, to support the facts our. Or spreading ( metastasizing ) medical Education and Research ( MFMER ) food — may! And at mayo Clinic in every diet for cancer patients prepare a special interest in lymphoma more using. This includes vitamins and other ingredients that might remain in the body and the mind some precautions. Feat and meals prepared using the best chemotherapy foods will contribute greatly to immune. Medications cause cold intolerance, so preparing food requires extra care to in! If three larger meals seem hard to handle, have six smaller meals or snacks instead your stomach.... T forget the Dos and don ’ t forget the Dos and don ’ t eat anything that not... Tackle almost any germ if these measures do n't stop taking your medications unless doctor... Been told to skip very cold foods not only healthy but also for your family for can... Surgery, to support the facts within our articles to remove a bad in. And meals prepared using the best chemotherapy foods how to prepare for chemotherapy food contribute greatly to medications... Your primary care doctor for referrals or recommendations for an oncologist that specializes in your usual.. Are at a high risk of infection support our mission for a very good reason nausea! To have a conversation with your doctor may even suggest taking them for several days prior to infusion day you. Changes are temporary and will improve with time kill cancer cells the days you spend in the open is opioid.

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