Uptown pretty much summed it up, and it's very a complex and multifactoral situation when it comes to weight loss, muscle loss from cancer treatment, cachexia, anorexia, and other side effects, especially in head and neck cancer patients who may already be nutritional deficient due to tobacco, alcohol dependency, and the tumor itself causing dysphagia, and other metabolic changes in the body. Other treatment related toxicities from chemotherapy, radiation can cause nausea, vomiting, diarrhea, mucocitis, aspiration, increased transit time, skeletal muscle loss, inflammatory responses, and a host of other problems, not to mention other medications that can cause muscle wasting like antibiotics, and a fetynal patch.



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
10/13 TBO/Angiograph
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
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs