When you return home after your transplant, your immune system is still functioning below normal. You may also have increased nutrient needs due to medications or loss of muscle mass. Calories, protein, fluid, vitamins, and minerals are necessary for you to regain your immunity, maintain or achieve your weight goal, strengthen your muscles, and feel better!
Serum cholesterol and triglyceride levels can change after transplant due to medications including Cyclosporine and prednisone. If your cholesterol and triglyceride levels are elevated after transplant, have them remeasured two to three months after immunosuppressive drugs (Cyclosporine, prednisone, FK-506) are discontinued.
Take a multiple vitamin/mineral supplement for one year following your transplant to ensure you get the vitamins and minerals you need while your body and immune system are recovering. A generic brand is fine. If you are considering taking any supplement (including antioxidants and herbal preparations) in addition to the vitamin/mineral supplement that has been recommended, discuss its' safety with your SCCA dietitian.
When selecting a supplement, it should:
Recommended Supplements For Adults
Mature Balance, One-a-Day 55 Plus
Your protein needs were higher than normal early after transplant to allow repair of cell damage caused by chemotherapy and radiation. Protein continues to be an important part of your diet to promote recovery of your immune system. Your protein requirement returns to normal two to three months after transplant, unless you have lost a large amount of muscle or are taking prednisone. Protein-rich foods are listed below. Your dietitian will tell you your daily requirement.
|Food Item||Serving Size||Grams Protein|
|Cheese||1 oz. or 1" cube||7|
thigh or drumstick
|Chicken Noodle Soup, Campbell's Healthy Request Chunky||1/2 cup
10 3/4 oz.
|Cocoa, instant - mixed with milk||1 cup||11|
|Cooked beef, fish, lamb, pork: size of a deck of cards||3 oz.||21|
|Cottage cheese||1/4 cup||7|
|Hot dog||1 (10/lb.)||5-6|
|Ice cream or ice milk||1 cup||5|
|Luncheon meat: ham, turkey||1 oz.||5|
|Macaroni and cheese: Healthy Choice
|Milk (nonfat, 2%, whole, buttermilk)||1 cup||8|
|McDonald's hamburger, single patty
|Peanut butter||1 Tbs.||4|
|Pizza: meat, vegetable, cheese||1/8 of 12"||13|
|Franco American Spaghettios with meatballs||1 cup||11|
|Pudding||1/2 cup||2 to 4|
|Taco Bellâ: taco||1||10|
|Tuna||1 oz. 1/6 can||7|
|Yogurt: Yoplait fruit||6 oz.||5|
|Instant Breakfast (made with milk)||1 serving||15|
|ScandiShake made with 8 oz. milk||1 serving||14|
|Sustacal, Boost, Sustacal Plus||1 cup||14-15|
Calcium is essential for bone health, especially in:
Vitamin D is needed for calcium absorption and transport to the bones. Food sources include fortified milk (100 IU/8 ounces); canned tuna and salmon (200-300 IU/3 ounces).
|Adequate Intake||During Prednisone||Adequate Intake||During Prednisone|
|Adult Males||1000 mg||1500 mg||200 IU||800 IU|
with hormone therapy
|1000-1200 mg||1500 mg||200 IU||800 IU|
no hormone therapy
|1200-1500 mg||1500 mg||400-800 IU||800 IU|
Choosing a calcium supplement
If you are not able to get the amount of calcium you require from foods, you should take a calcium supplement. Choose a supplement with vitamin D if your intake of vitamin D from food and your multiple vitamin supplement does not meet your requirement.
There are two main types of calcium supplements: calcium citrate and calcium carbonate. The following table shows the differences between these supplements and the best time to take them. Note: if you are taking a prescription to decrease stomach acid or use antacids on a daily basis, calcium citrate is recommended (instead of calcium carbonate).
Can be taken any time during the day.
Must to taken with meals or snacks for best absorption.
Does not require stomach acid for absorption.
Requires stomach acid for absorption. Do not take with antacids.
Gentle on stomach.
May cause gas, constipation, bloating
Look for "USP" on label or box (confirms pill will dissolve in normal stomach acidity.)
Calcium Content of Selected Foods
|Food||Serving Size||mg Calcium|
|Cheddar cheese||1 oz. or 1" cube||200|
|Swiss cheese||1 oz.||270|
|Cottage cheese||1/4 cup||35|
|Cream cheese||1 Tbs.||12|
|Kraft string cheese stick||1 oz.||150|
|Kraft processed American cheese slice||3/4 oz. slice||100|
|Kraft parmesan cheese||1 Tbs.||69|
|Beans: baked or refried||1/2 cup||65|
|Calcium-fortified orange juice||1/2 cup||150|
|Cocoa, instant - made with water
made with milk
|Cream soup (made with milk)||1 cup||180|
|Ice cream or ice milk||1/2 cup||85|
|Macaroni and cheese:
Frozen: Healthy Choice
Made from box mix: Kraft Original
|Milk (nonfat, 2%, whole, buttermilk)||1 cup||300|
|Milk, calcium fortified||1 cup||400|
|McDonald's shake||1 shake (10 oz.)||325|
|Pizza: meat, vegetable, cheese||1/8 of 12" pie||100|
|Pudding: Del Monte or Snack Pack pudding cup
Jello pudding snack
Instant, made from mix
|Yogurt: Yoplait fruit flavor
Dannon fruit flavor
|Instant Breakfast (made with 8 oz. milk)||1 serving||500|
|ScandiShake (made with 8 oz. milk)||1 serving||400|
|Sustacal, Boost, and Sustacal Plus||1 cup||200|
|Citracal + D (200 IU vitamin D per pill)||1||315|
|Tums: Regular Strength
If you have nutrition questions after returning home, contact a SCCA dietitian:
Seattle Cancer Care Alliance
Nutrition Services Department
825 Eastlake Ave. E. - 6-206
PO Box 19023
Seattle, WA 98109-1023
Phone: 206/288-1148 Fax: 206/288-6615