He needs intervention with his weight loss, which is multifactal, possibly with an enternal feeding tube, medications, counseling, nutritionist, and speech, swallow therapist evaluation. Doctors get concerned when 10 percent of weight is lost unintentionally, and is considered cachexia or anorexia really, and he lost almost 15 percent. It is shown how one does during treatment, including maintaining weight, can effect prognosis, and too much weigt loss effects negatively, effecting healing, and bodies ability to fight cancer. As you probably know, and heard, he has one shot at this, but it's really up to him to fight or flight. Everyone needs help, and there are meds to increase the appetite, build muscle, reduce inflammation, improve mood, and easy ways to add extra calories to foods, plus other interventions mentioned. Thankfully, he has you by his side.

20 percent of cancer deaths are due to malnutrition from anorexia, cachexia, and cancer. Even 5% weight loss is a concern for some doctor's and clinician's. Here is a link for "Nutrition In Cancer Care PDQ" from the National Institute of Health, with plenty of information regarding thr proper need of nutrition with cancer, during treatment, recovery, therapy assistance, and others.

http://www.cancer.gov/cancertopics/pdq/supportivecare/nutrition/Patient/page1

Last edited by PaulB; 01-11-2013 09:30 PM. Reason: NIH nutrition link

10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
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10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
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02/19 Finally Cancer Free Took 10 yrs