Thank you, SusanW, I will check out GNC for the high calorie powder. Calories are where my concentration is now.

Christine,
You are a treasure.

I told my brother to eat his standard 3 meals a day and also drink 4 cans of Boost a day. He has been worried about his weight before he was diagnosed. He knows he has to gain before surgery.

This whole picture is slowly coming together. On March 13 I have an appointment at the VA with my oncologist. My husband is 100% disabled vet so I have access to the VA hospital. I am going to ask my onc if he can take my brother's case. It will make me feel more comfortable.

When I my tumor was typed I was strongly ER/PR positive and borderline Her2+. Almost all people with Her2+ have chemo along with a drug call Herceptin. We talked it over and decided to forgo chemo and Herceptin even though I am at high risk for recurrence.

I know that this onc will listen to my brother, explain the options to him and will support my brother's decision about treatment.

As usual the people on this board are so supportive and just plain helpful.