Eating well during cancer treatment - Kia pai te kai i te wā maimoatanga matepukupuku

A guide for eating well during treatment

Adapted in accordance with Section 69 of the Copyright Act 1994 by the Royal New Zealand Foundation of the Blind, for the sole use of persons who have a print disability.

Produced 2012 by Accessible Format Production, RNZFB, Auckland

This edition is a transcription of the following print edition:

Published by The Cancer Society

Copyright 2012 Cancer Society of New Zealand Inc,

PO Box 12700, Wellington.

Fifth Edition 2007 ISBN 0-908933-70-3

Sixth Edition 2012 ISBN 0-908933-92-4

Every day you need: Ia rā, ia rā me whai koe i ēnei:

Calories (energy) are provided by: Protein / Pūmua

Protein maintains and renews your body tissues and helps your body defend itself against infection.

The American Institute of Cancer Research also has recommendations on healthy eating. To view these recommendation, visit the Institute's website:

http://www.aicr.org/new-american-plate/

Sources of protein are: Ahu mai ai te pūmua i:

Carbohydrates / Warowaihā

Carbohydrates provide fibre, vitamins (for example vitamin C), and minerals, such as selenium. They are an important source of energy.

Fats

Eat less of these foods or use sparingly, unless you are having difficulty maintaining your weight. You can choose from:

• butter, margarine

• oils, sour cream

• peanut butter

• coconut cream.

Fats provide energy and vitamins A, D, E, and K. If you are trying to lose weight, eat less of these foods or choose lower fat versions; for example lite coconut milk.

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Mōmona

Me iti ake te kai i ēnei momo kai me whakaomoomo rānei, atu i te tangata e noho tūpuhi ana. Pai noa iho te kōwhiri i te:

• pata, te margarine

• ngā hinu, te kirīmi kawa

• te pīnati pata

• te kirīmi kōkōnati.

Mā te mōmona ka whai kaha ka whai hoki i ngā huaora A, D, E, me te K. Mehemea kei te whakaheke koe i tō taumaha, kia iti ake te kai i ēnei kai, kia iti ake rānei te mōmona i roto i ngā kai, pērā ki te miraka kōkōnati lite.

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Fluids (drinks)

Aim to drink eight glasses of water (1500ml) or other drinks each day (more if your cancer doctor recommends it). Limit alcohol, coffee, tea, and caffeinated drinks.

Ngā momo wai

Me kaha to inu ia rā, ia rā, kia 8 ngā karāhe wai (1500ml), aha atu inu rānei (nui ake mēnā ka tohua e tō rata). Kia iti ake te inu kawhe, inu tī, me ngā inu caffeine.

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Vitamins and minerals

These help your body use the food you eat. The best source of vitamins and minerals is food. If you follow the guidelines outlined here, it is unlikely that you will need vitamin and mineral pills unless you are found to be lacking in something.

Ngā huaora me ngā manawa whenua

Ka āwhina ēnei i tō tinana ki te whakamahi i ngā kai ka kainga e koe. Ko te matamata pai mō ngā huaora me ngā manawa whenua, ko te kai. Ki te whai koe i ngā aratohu kua takoto i konei, e kore pea koe e hiahia i ngā pire huaora, manawa whenua hoki, inā rā, mei kore koe e mate i te hiahia mō tētahi mea.

Some people believe that if a little bit of a nutrient is good for you, then a lot must be better. There is no scientific evidence to support this idea. High doses of some nutrients can have harmful effects and some vitamins, herbal supplements, and minerals should not be taken during treatment. Discuss with your cancer doctor or dietitian any vitamin and mineral supplements you are taking or think you should be taking.

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Nuts and dried fruit

Snack on these between meals or add to cereals, puddings, and salads.

Pages 22 - 23

See page 58 for our ready to go snack recipe.

Powders that are mixed with milk or water

• Complan

• Vitaplan

• Sustagen classic.

These can be purchased from a supermarket. They do not meet all your nutritional needs.

• Ensure powder *

• Sustagen hospital formula. *

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Loss of appetite (not feeling hungry)

• Eat small, frequent meals and snacks rather than three big meals.

• Use a smaller plate and present meals attractively.

• Eat more at times you feel hungry.

• Serve your favourite foods often.

• If possible, eat with family or friends rather than by yourself, or try eating while watching TV or reading a magazine or newspaper to take your mind off the food.

• Choose fluids that provide calories rather than water, coffee, tea, or broth. Drink fluid after or in between meals, but not just before.

• Relaxing before meals can reduce anxiety.

• Try foods that are easy to eat; for example eggs, milk puddings, crackers, soups, spaghetti, macaroni cheese, chicken, fish, mashed vegetables, and fruit.

• Garnishing food with chopped herbs, watercress, onion rings, orange slices, nuts, or tomato wedges can make food more appealing.

• Chop food up into bite-sized portions to make eating less of an effort.

• Prepare enough for several servings when cooking so you can eat when you are hungry.

• Accept offers of meals from friends and family if you liv e on your own.

• Make use of ready-made foods.

• A short walk before a meal might make you feel hungry.

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Nausea (feeling sick)

• Not eating for an extended period of time can prolong nausea; therefore, try to eat small amounts regularly.

• Talk to your cancer doctor about anti-sickness drugs, and take them as directed.

• Keep up your fluid intake—sip drinks slowly or use a straw. Try ginger ale or lemonade, fruit juice, weak tea, yeast spreads made into broths, clear broths, fruit or vegetable juices, nectars, ice blocks, and ice chips.

• Eat your main meal at the time of day when you feel the best.

• Choose foods that do not have a strong smell.

• Try a short walk in the fresh air before eating or try some slow, deep breathing.

• Avoid fried, fatty foods, because they may make you feel worse.

• Dry foods such as toast or crackers might help (with drinks between meals).

• Rest after eating.

• Keep away from the kitchen if cooking smells put you off eating, or ask someone else to prepare your food.

• Generally, foods at room temperature have a mild smell compared with hot foods.

• Eat and drink slowly.

• Sit upright for meals and avoid tight clothing.

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Te hia ruaki

• E kore koe e hia ruaki ki te kore koe e kai mō te wā roa nā reira, me auau te kai ahakoa paku noa iho.

• Kōrero ki tō rata mō ngā whakapōauau patu mate, me te whai i ngā tohutohu mō te kai.

• Kia kaha te inu—engari me āta inu, me whakamahi ngongo rānei. Whakamātauria te inu paitu kanekane, ngā inu waireka, tī ngoikore nei, ngā momo hupa, ngā wai o te huarākau me te huawhenua, ngā poraka aihikirīmi me ngā kotakota hukapapa.

• Kainga tō kai matua i te wā o te rā e tino pai ana tō āhua.

• Kōwhiria ngā kai kāore i kaha te haunga.

• Me paku hīkoi ki waho i mua i tō noho ki te kai, me whakahā pōturi me te hōhonu ake rānei.

• Me karo ngā kai parai me ngā kai mōmona, i te mea ka kino ake tō āhua.

• Tērā pea he pai te kai i ngā kai maroke pērā ki te tōhi, ki te pihikete pakapaka i waenganui i ngā kai nui (me te inu hoki).

• Me whakatā i muri te kai.

• Kaua e noho ki te kīhini mēnā he anuanu te kakara o ngā kai e tunu ana, me tono rānei i tētahi atu hei tunu i ō kai.

• Ko te tikanga, he iti ake te kakara o ngā kai mehemea kei te rite te pāmahana ki te rūma inā, ka whakaritea ki te kai wera.

• Me pōturi ake te kai i ō kai.

• Me tūtika te noho ki te kai, kaua e mau kākahu kikī rawa.

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Taste and smell changes

Your treatment may cause your sense of taste or smell to change temporarily. You may not like foods which you once enjoyed, or find that you enjoy food which you previously disliked.

Here are some ideas that may help:

• Experiment with flavourings, such as lemon juice, herbs, chutneys and pickles, spices, pepper, celery salt, chocolate, fruit, or cheese.

• Add a little salt to foods that taste too sweet, and sugar to foods that are acidic (sour) or too salty.

• If you have lost your taste for meat, try marinating meats using soy sauce, honey, ginger, fruit juice, or wine before cooking. Or try canned or fresh fish, eggs, beans, nuts, lentils, or cheese instead.

• If your taste for salt is increased, eat small quantities of meats, such as corned beef, sausages, luncheon meat, bacon, ham, salty savouries, olives, anchovies, tinned or smoked fish, smoked chicken, tasty or feta cheese.

• Use fruit or fruit puree in ice cream or desserts, junket, milkshakes, or puddings to add extra flavour.

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Ka rerekē tō rongo me tō hongi kai

Tērā pea ka rerekē tō rongo i te kakara o te kai i te wā o tō maimoatanga. Tērā pea, kāore koe e pīrangi ki ētahi kai e pai ana ki a koe i ngā rā ki mua, ā, kua hiahia hoki koe ki ngā kai kāore koe i pīrangi i ngā rā ki mua.

Anei he whakaaro tērā pea ka āwhina i a koe:

• Whakamātauria ngā pūkara, pērā ki te wai rēmana, ngā rauamiami, ngā chutneys, me ngā pīkara, ngā namunamuā, te pepa, te tote hārere, tiakarete, huarākau me te tīhi.

• Poua he tote ki te ngā kai mēnā he reka rawa, me te huka ki ngā kai kawa rawa, totetote rawa rānei.

• Mehemea kua ngaro tō hiahia kai mīti, whakamātauria te pūkarakara mīti mā te whakamahi i te wairanu soy, te mīere, te paitu kanekane, te wai huarākau, te waina i mua i te tunutanga rānei. Whakamātauria rānei te ika kua puototia, te ika mata, te hēki, ngā pīni, ngā nati, ngā lentils, te tīhi rānei.

• Mena kua piki tō hiahia mō te tote, kainga he paku mīti, pērā ki te mīti kau mina-tote, te tōtiti, mīti luncheon, pēkana, poaka tauraki, mākarakara totetote, he oriwa, he korowhāwhā, ika mina-auahi te ika puoto rānei, heihei mina-auahi, tīhi reka, tīhi feta rānei.

• Raua he huarākau ki roto i te aihikirīmi, te purini rānei, te junket, ngā milkshakes, hei whakapūkarakara.

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Mouth or swallowing problems

There may be times when eating is physically difficult. You may have difficulty chewing or moving food around your mouth, difficulties swallowing, or pain in your mouth or throat.

Here are some tips to help:

• Avoid foods that may sting your mouth, such as acidic or highly spiced foods; for example pineapple, kiwifruit, citrus fruits, tomatoes, spicy and salty foods, very hot or icy cold foods and drinks.

• Avoid rough and crunchy foods, such as nuts, chips, and hard toast.

• Add dressings and sauces to make food moist.

• Try drinking liquids through a straw.

• Cook meat until very tender so you do not have to chew so much.

• It is important to keep your mouth clean to prevent infection and dental decay. It will help to clean your teeth with a soft toothbrush, and use a mouthwash after each meal. Check dentures are well-fitting. Ensure dentures are sterilised regularly to avoid infection.

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Mouthwash recipe

1 teaspoon salt

1 teaspoon baking soda

4 cups water

Add lemon juice for flavour if desired (although this may sting if your mouth is tender and sore).

If your mouth is too sore to eat adequately, pain relievers may help. Ask your cancer doctor or nurse for their advice.

Dry mouth

• Serve drinks with meals. Sip when eating.

• Suck on ice blocks to provide moisture. Ice blocks will also help you to make saliva.

• Tart foods and drinks may also encourage the flow of saliva.

• Try pineapple juice or lemon juice in ice blocks for a refreshing mouthwash.

• Avoid dry foods. Add gravy, sauce, custard, cream, milk, melted butter, oil, or dressing to make food moist.

Lemon juice is highly acidic and long-term use can lead to tooth decay.

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Soft foods

These are foods that are soft enough so that they can be cut with the side of a fork. Vegetables may need to be cooked for longer, and meat or chicken cooked longer on a lower heat with liquid to make them soft and tender.

Here are some soft food suggestions.

Pureed foods (food with no lumps)

Use a blender, stick blender, or food processor to puree foods so that they have a smooth texture with no lumps.

Constipation (hard bowel motions)

If you are constipated, increasing the fibre content of your diet can help:

• Eat regular meals.

• Do some exercise each day.

• Increase the amount you drink. Aim for 8 to 10 glasses each day. Hot drinks may help.

• Ensure you are having 5+ servings of fruit and vegetables each day. Eat raw or cooked.

• If too much wind is a problem, try avoiding vegetables that may cause wind or discomfort, such as cabbage, onions, cucumber, peas, and baked beans, and limit fizzy drinks.

• Choose wholemeal or wholegrain breads and cereals; for example porridge, Weetbix, All Bran, muesli, wholemeal bread, wheat germ, bran biscuits, or muffins. Use wholemeal flour for baking or in sauces.

See page 63 for our fruit kebabs with yoghurt and honey dipping sauce recipe.

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• Commercial products, such as Kiwicrush, Benefiber, Metamucil, or Stimulance may be useful.

• Kiwifruit, prunes, and their juices are helpful in preventing constipation.

• Add extra fibre to your food; for example one or two teaspoons of wheat bran flakes or oat bran daily. This can be gradually increased to an amount that will give you a regular bowel habit. The bran can be added to cereals or used in cooking. When you use bran to increase your fibre it is important to increase your fluids as well.

Diarrhoea (loose bowel motions)

Some chemotherapy drugs cause severe diarrhoea. If you have diarrhoea, contact your cancer doctor or nurse immediately. Following an acute bout, gradually start eating bananas, rice, apples, and toast.

• Drink more to replace lost fluids. Choose from diluted fruit juice, flat soft drink, vegetable juice, vegetable broth, weak tea, and nutritional supplements. Aim to drink at least eight glasses (1500ml) of fluid daily.

• Eat small, frequent meals.

Kōrere (mate tikotiko)

Ka puta te mate kōrere kino rawa atu nā ētahi o ngā whakapōauau hahau. Ki te pāngia koe ki te mate kōrere, me kakama tonu te whakapā atu ki tō rata matepukupuku, tō tapuhi matepukupuku rānei. Whai muri i te mate tikotiko me tīmata ki te kai panana, raihi, āporo me te tōhi.

• Kia kaha te inu hei whakahoki i te wai kua ngaro. Me kōwhiri mai i te wai huarākau kua waimehatia, te inu waireka kore mirumiru, inu huawhenua, wairenga huawhenua, tī ngoikore me ngā tāpiringa kai tōtika. Me whai kia 8 ngā karāhe inu (1500ml) i ia rā ia rā.

• Kia iti te kai engari kia maha tonu ngā wā kai.

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What is a low fibre diet?

Your dietitian or cancer doctor may advise you to eat a low fibre diet. A low fibre diet is when you have less of or none of these foods:

Eating a low residue diet

This is the same as a low fibre diet plus the points below:

• If you experience cramping pains, bloating, and diarrhoea (these can result if lactose (milk sugar) is not digested), you could try limiting the amount of cow's milk you drink to 300ml daily. Hard cheeses are usually well-tolerated. Cow's milk should be replaced with soy or rice milk, or nutritional supplement drinks. You will be able to tolerate lactose again after the diarrhoea has settled. Cow's milk may then be re-introduced. Many people do tolerate milk products, and they should only be avoided if not tolerated on a regular basis.

• It is wise to limit fruit and vegetables to three servings a day. All fruit and vegetables should be peeled and cooked without pips or seeds. You do not need to limit the fruit and vegetable juices you drink.

• Use white bread for toast and sandwiches. Use cream crackers and water crackers for snacks. Only use baked or cereal products made from white flour; for example white rice, noodles, spaghetti, cornflakes, and rice bubbles. Avoid pepper, curries, foods containing spices, alcohol, and fatty foods.

• Re-introduce foods one at a time so that you can judge their effect.

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Intolerance to some foods (food that makes you feel unwell)

If you have had bowel surgery, you may find for a time that your body can no longer tolerate some foods that were a part of your diet. It will take time for your body to adjust to the changes made by the surgery but, usually, it will slowly return to a normal or near normal state. After a time (it may take some weeks or months), slowly introduce a new food into your diet. Try one new food at a meal, and start with a teaspoonful. Once you find that your body accepts the new food, you can increase the quantity. You will then be able to do the same for another new food.

Fatigue

You may experience extreme tiredness (fatigue) during or after surgery/treatment:

• Eat small frequent meals.

• Have a variety of foods to keep meals interesting and appetising.

• Remove rules around eating.

• You may find nutritional supplements useful (see page 24 for more information).

Use ready prepared foods, have two to three pre-prepared meals in the freezer for treatment days or days that you have a lot of appointments.

For more information on managing your fatigue, read our Information Sheet "Cancer-Related Fatigue" on the Society's website (www.cancernz.org.nz).

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Fruit smoothie

Have your favourite fruit and increase your bone health at the same time. Experiment with your favourite fruit to create your ultimate quick and easy snack.

Ingredients:

1 pottle low fat berry yoghurt

1 banana

1 cup trim milk

1 drop of coconut essence

1 teaspoon flavoured milkshake mix

Directions:

Place all of the ingredients in a blender. Blend until smooth.

Serve in a tall glass with a straw and, if desired, garnish with a sprig of mint.

Cook's tip:

Add your favourite fruit into the mixture to suit your taste buds.

If you choose not to have cow's milk products, calcium fortified soy or rice products should be included as substitutes.

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Quick and easy wraps

Wraps are so versatile and easy, perfect as a snack, or a meal on the run.

Ingredients:

1 packet of wholemeal tortilla or naan bread (wraps)

1 Tablespoon oil

1 onion, sliced

400g pork, cut into bite-sized pieces

1 Tablespoon soy sauce

2 carrots, grated

2 cups cabbage, shredded

⅓ cup red capsicum, diced

⅓ cup green capsicum, diced

½ cup Edam cheese, grated

2 Tablespoon balsamic vinegar

100g hummus

2 Tablespoons sweet chilli sauce (optional)

Directions:

Place the vegetables and cheese in a large bowl. Mix well. Toss in the balsamic vinegar and set aside.

Heat the oil in a fry pan on a medium heat. Brown the onion and then add in the pork. Add in the soy sauce and stir regularly. Cook the pork until the meat is browned. The inside of the meat should be white right through, and the juices run clear.

Place the wrap on a plate and heat in the microwave for 10 seconds. Spread a teaspoon of the hummus and chilli sauce onto the centre of the wrap. Place a small portion of the pork and vegetables in the middle of each wrap, fold in the edges, and roll up.

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Cook's tip:

There is an endless list of fillings you can put into a wrap. Try adding stir-fries, falafel, refried beans, other cuts of meat, salads, and rice. This way, each wrap will be slightly different each time.

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Roast vegetable medley

Jazz up your roast vegetables by adding a variety of different vegetables, adding colour, flavour, and a boost of anti-oxidants.

Ingredients:

4 small-medium sized potatoes (skin on and scrubbed with a scourer to remove dirt)

1 kumara (skin on and scrubbed)

¼ pumpkin

2 carrots

1 parsnip

1 celery stick

2 courgettes

1 bulb of garlic

Favourite herbs (optional)

Iodised salt and pepper to taste

2 Tablespoon oil

Directions:

Preheat oven to 220°C.

Chop the vegetables into manageable sized chunks. Try to keep all of the vegetables around the same size for even cooking with the exception of the carrots and celery which can be bigger.

Arrange all of the vegetables except the celery in a large roasting dish. Do not put the vegetables in the same dish with any roast meats. Pour over oil and toss to cover all of the vegetables. Season with salt, pepper, and herbs to taste.

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Bake for 30 minutes before adding the celery and bake for a further 20 minutes or until golden and soft. Remove from the oven and allow to cool for 5 minutes. Serve with roast meats, fresh steamed green vegetables, and gravy.

Cook's tip:

Cook the vegetables in their own dish.

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Waldorf salad with a difference

This is a healthier option to the classic waldorf salad which has a high energy, creamy mayonnaise. This version is better for you, and still full of flavour.

Ingredients:

2 apples, chopped and left unpeeled

1 lemon, juiced

5 celery sticks, roughly chopped

1 carrot, chopped

1 cup grapes

100g feta cheese, cubed

Salt and pepper to taste

¼ cup vinaigrette or balsamic vinegar

½ cup parsley leaves (optional)

½ cup pumpkin and sunflower seeds (optional)

¾ cup walnuts, roughly chopped

Directions:

Place the apples in a large mixing bowl and toss through the lemon juice. Then add the other ingredients.

Place in the fridge or serve immediately as a side or a light main dish. Garnish with pumpkin and sunflower seeds.

Cook's tip:

Don't forget to put the lemon juice on the apples or they will turn brown.

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Ready to go snack

Jam-packed with energy, this snack is super easy to make and perfect for school lunches or a snack on the go.

Ingredients:

1 cup mixed, dried nuts

2 cups mixed, dried fruit

½ cup pumpkin seeds

½ cup sunflower seeds

½ cup chocolate buttons, roughly chopped

¼ cup shredded coconut

Directions:

Mix all of the ingredients in a large resealable bag or airtight container.

This can be portioned out into smaller containers or bags for midday snacks or served in a bowl for guests.

Cook's tip:

Keep your portions to a minimum. Dried fruit can be deceiving. Remember that fresh fruit shrinks a lot as it dries so a small handful of dried fruit contains the same energy as the full-sized fresh fruit. Nuts and seeds also contain a lot of energy.

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Mince pasta dish

This one-pot-wonder is a great way of preparing a nutritious meal. It's also a great comfort food with leftovers to freeze for another night.

Ingredients:

1 Tablespoon oil

2 onions, chopped

3 garlic cloves, minced

3 celery sticks, chopped

1kg minced beef

100g tomato paste

3 cups beef stock

3 carrots, sliced

2 cups broccoli florets

¾ cup corn kernels—fresh, frozen, or canned

2 cups pasta shells

1 teaspoon basil

¾ cup red capsicum, chopped

¾ cup green capsicum, chopped

Iodised salt and pepper to taste

2 teaspoon cornflour (optional)

Parsley and grated Parmesan or Edam cheese garnish (optional)

Directions:

Heat the oil in a large saucepan on a medium to high heat. Brown the onions, and then the mince before adding in all of the other ingredients, with the exception of the capsicums and mix well.

Simmer the ingredients for 10 minutes before adding in the capsicums. Cook for a further 5–10 minutes or until the pasta is al dente (almost soft) and the vegetables are soft.

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Add more water if needed. You want enough fluid to just cover the ingredients, allowing the pasta and vegetables to simmer and prevent the ingredients sticking to the bottom of the saucepan. If the mixture becomes too watery, combine cornflour and a small amount of cold water and add into the mince mixture.

Mix well.

Serve with grated Edam or Parmesan cheese and fresh parsley.

Cook's tip:

Use different vegetables depending on the season, such as leeks in winter, and courgettes in summer, or add frozen mixed vegetables.

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Fruit kebabs with yoghurt and honey dipping sauce

Fruit kebabs are a simple but effective way to make fruit look appealing. Encourage your kids to help make them— they're easy.

Ingredients:

1 cup plain yoghurt 2 Tablespoon honey

Use your favourite fresh fruit

1 red apple, diced (core removed, skin on)

1 banana, chopped into 2cm thick chunks

10 grapes

2 mandarins, broken into segments

3 kiwifruit, cut into chunks

1 Tablespoon lemon juice

6 bamboo skewers

¼ cup favourite unsalted, unroasted nuts (optional)

Sprig of mint, garnish

Summer suggestions: strawberries, melons, apples, kiwifruit, peaches, oranges, cherries.

Winter suggestions: apples, bananas, pears, mandarins, kiwifruit, grapes, persimmons.

Directions:

Place the honey in a heatproof cup and heat in the microwave for 30 seconds, or until it has become runny. Allow to cool for a minute, before mixing the honey into the yoghurt.

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Cut the fruit into chunks. Place apple and banana in a plastic bag. Pour in the lemon juice. Mix the ingredients in the bag to coat the fruit with lemon juice to prevent it from browning.

Thread the fruit and nuts onto the skewers, alternating between the different types of fruit making a colourful pattern.

Serve with the yoghurt dipping sauce, or pour the yoghurt mix over the kebabs and add the mint to garnish.

Cook's tip:

For the best effect, these will need to be prepared right before serving. Make up a huge platter of fruits and vegetables and encourage everyone to make their own with their favourite fruits.

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Reading

Beliveau, Richard and Gingras, Denis. (2007) Foods to Fight Cancer. Australia: DK Publishing.

Besser, Jeanne et al. (2009) What to Eat During Cancer Treatment. Atlanta: American Cancer Society.

Buckman Weinstein, Jodi. (2010) Tell Me What to Eat Before, During and After Cancer Treatment. USA: New Page Books.

Clegg, Holly and Miletello, Gerald. (2006) Eating Well Through Cancer. USA: Favorite Recipes Press.

Gourley, Glenda. (2010) The New Zealand Vegetable Book. New Zealand: Hyndman Publishing. (There's also a good website (www.vegetables.co.nz).)

Grant, Barbara, L. et al. (2010) American Cancer Society Complete Guide to Nutrition for Cancer Survivors (2nd ed.). Atlanta: American Cancer Society.

Katzin, Carolyn. (2011) The Cancer Nutrition Center Handbook—An Essential Guide for Cancer Patients and Their Families. Los Angeles: CFK.

van Mil, José. (2008) Healthy Eating During Chemotherapy. USA: Kyle Books.

For more suggestions, visit your Cancer Society's library or local library.

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Websites

American Institute of Cancer Research www.aicr.org/patients-survivors/

New Zealand Food Safety Authority Food Safety: When you have low immunity http://www.foodsmart.govt.nz/elibrary/lowimmunity.pdf

The suggested websites (other than our own) are not maintained by the Cancer Society of New Zealand. We only suggest sites we believe offer credible and responsible information, but we cannot guarantee that the information on such websites is correct, up-to-date, or evidence-based medical information. We suggest you discuss any information you find with your cancer care health professionals.

Pages 67 - 68

National Office

PO Box 12700, Wellington 6144

Telephone: (04) 494-7270

Auckland Division

PO Box 1724, Auckland 1140

Telephone: (09) 308-0160

Covering: Northland

Waikato/Bay of Plenty Division

PO Box 134, Hamilton 3240

Telephone: (07) 838-2027

Covering: Tauranga, Rotorua, Taupo, Thames, and Waikato

Central Districts Division

PO Box 5096, Palmerston North 4441

Telephone: (06) 364-8989

Covering: Taranaki, Wanganui, Manawatu, Hawke's Bay, and Gisborne/East Coast

Wellington Division

52 Riddiford Street, Wellington 6021

Telephone: (04) 389-8421

Covering: Marlborough, Nelson, Wairarapa, and Wellington

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Canterbury/West Coast Division

PO Box 13450, Christchurch 8141

Telephone: (03) 379-5835

Covering: South Canterbury, West Coast, and Ashburton

Otago/Southland Division

PO Box 6258, Dunedin 9059

Telephone: (03) 477-7447

Covering: Urban and rural Otago and Southland

Cancer Information Service

Telephone: 0800 CANCER (226 237)

www.cancernz.org.nz

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Eating well during cancer treatment / Kia pai te kai i te wā maimoatanga matepukupuku

We would like to read what you thought of this booklet, whether you found it helpful or not. If you would like to give us your feedback, please fill out this questionnaire, cut it out, and send it to the Information Manager at the address at the bottom of the following page.

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2. Did you find the booklet easy to understand?

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3. Did you have any questions not answered in the booklet?

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4. What did you like the most about the booklet? Enter Text

5. What did you like the least about the booklet? Enter Text

6. Any other comments? Enter Text

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Are you a person with cancer, or a friend/relative/whānau? Enter Text

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Thank you for helping us review this booklet. The Editorial Team will record your feedback when it arrives, and consider it when this booklet is reviewed for its next edition.

Please return to: The Information Manager, Cancer Society of New Zealand, PO Box 12700, Wellington.

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Information, support, and research

The Cancer Society of New Zealand offers information and support services to people with cancer and their families/whānau. Printed materials are available on specific cancers and treatments.

Information for living with cancer is also available.

The Cancer Society is a major funder of cancer research in New Zealand. The aim of research is to determine the causes, prevention, and effective methods of treating various types of cancer.

The Society also undertakes health promotion through programmes such as those encouraging SunSmart behaviour, eating well, being physically active, and discouraging smoking.

We appreciate your support

The Cancer Society receives no direct financial support from Government so funding comes only from donations, legacies, and bequests. You can make a donation by phoning 0900 31 111, through our website, or by contacting your local Cancer Society.