Navigating Nutrition During Chemotherapy: A Doctor-Patient Chat
Doctor-Patient Chat:
Ms. Lim: “Honestly, doc, chemotherapy is exhausting, and I’m struggling with my appetite. I don’t feel like eating at all. What should I be eating?”
Doctor: “I understand, Ms. Lim. Chemotherapy is challenging, but the good news is that eating the right foods can help reduce side effects and even improve the effectiveness of your treatment.”
What to Eat During Chemotherapy
Protein is crucial. It helps repair your body and keep muscles strong, which is important when treatment weakens them. Aim to include protein in every meal—options include chicken, tofu, eggs, and legumes like beans and lentils.
Hydration is equally important. Chemotherapy can make it harder to drink fluids, but staying hydrated helps flush toxins, supports overall health, and keeps you feeling better. Water, herbal teas, and broths are great choices.
Doctor: “Have you tried ginger for nausea? Ginger tea or ginger chews can help with that.”
Ms. Lim: “I didn’t know that! I’ll give it a try. What else should I eat?”
Doctor: “Instead of forcing yourself to eat large meals, try smaller meals throughout the day. Chemotherapy can affect your appetite, so grazing a little at a time can be easier than finishing a whole meal.”
What to Avoid During Chemotherapy
Alcohol can also be tricky. Some cancer treatments don’t mix well with alcohol, and it can irritate your stomach. It’s best to consult with your oncologist before consuming alcohol.
Doctor: “This isn’t about following a strict ‘diet,’ Ms. Lim. It’s about listening to your body. If you feel better with toast and tea instead of a big meal, that’s perfectly fine.”
Ms. Lim: “Thanks, doc. That helps take the pressure off. I’ll try to be more flexible.”
The Importance of a Dietitian
Studies show that a personalized meal plan from a dietitian can help reduce nausea and other chemotherapy side effects. A dietitian will ensure your meals are nutritious, easy to digest, and aligned with your treatment, appetite, and local food preferences.
In Malaysia, dietitians can guide you in making the most of local dishes like grilled fish, tofu, and legumes, ensuring they support your treatment plan.
Doctor: “I recommend seeing a dietitian if you haven’t already. They can ensure your meals help you feel better and stay strong.”
Ms. Lim: “I didn’t realize how much a dietitian could help. I’ll make an appointment.”
Reducing Cancer Risk with Diet
The World Health Organization (WHO) classifies processed meats like bacon, ham, and salami as Group 1 carcinogens, which means they are strongly linked to cancer. Red meat is a probable carcinogen (Group 2A), so it’s best to limit intake. The Australian Cancer Council recommends eating little, if any, processed meats and no more than 455g of cooked lean red meat per week. You can replace red meat with fish, chicken, eggs, or legumes, which offer all the necessary nutrients.
In Malaysia, local dishes like satay, beef rendang, and sausages are tasty but should be eaten in moderation during chemotherapy. Opt for grilled fish, chicken, or plant-based proteins like lentils and chickpeas instead.
Doctor: “I know these foods are tempting, but it’s better to choose lean meats or fish. Moderation is key.”
Ms. Lim: “I see! I’ll try to make healthier choices.”



