Day 3 & want to vomit just thinking of the next fatty meal & other food Q

Question

Suggestions on how to get that 20gms fat down? I'm not used to eating this much fatty food and it makes me nauseaus. There is NO room left in my stomach for any healthy food and I don't want to vomit up the telaprevir.
I don't eat anything inbetween in the hope that I have an appetite for the next lot of tabs.
I made some vege juice last night to drink as part of my water requirements so that I'm still getting good nutrition but its all really hard.

Also what to eat to prevent constipation? 
I feel so bound up - have just eaten some acidophyllus yoghurt as part of my fatty meal to hopefully get things moving along.

Everyone says to drink lots of water. How much are you all drinking? I'm drinking at least 2litres per day. Is that enough?

No bad symptoms yet - touch wood but I'm sure they will come. Its very early days yet ...

Idyllic · Answer

The fat requirement is so gross. 60 grams of fat a day. Can you believe it?  The longer you hang around you will see lots of us struggled like crazy at first. The nausea can be unreal and rarely subsides on its own. As others suggested an antiemetic like Zofran (ondansetron) ought to help. Dimenhydrinate (Gravol, Dramamine) and Ginger are two other options often mentioned on here.

This thread has lots of posts that show how others managed the fat requirement:
http://www.medhelp.org/posts/Hepatitis-C/diet-on-incivek/show/1547942

There is plenty room for healthy food though. There are 14 grams of fat on a tablespoon of olive oil and only 2 grams of that is saturated fat. For the first time in years I actually used butter when cooking as well as pecans & walnuts. It only takes a small handful. Here is an article about the health benefits of nuts:
http://www.nutritionaustralia.org/national/frequently-asked-questions/general-nutrition/nuts-and-health

Above all I just wanted to encourage you to hang in there. It can be really rough at first and you are not alone!!

kittyluvr420 · Answer

I took incivek with a big glass of milk & a spoon of coconut oil. I was  too nauseated to eat for a couple of months. I lived on milk mixed with Carnation Instant Breakfast, tastes better than Boost. I drank at least a pint of water every hour I was awake. I drank more than a gallon a day. 
Good luck!

Star971 · Answer

For me I found that ensure has 11 grams of fat plus a little bit more than a cup mixed with it and laid down and tried not to move because I didn't want to puke. It helped me you just have to find what does it for you. There were times when I didn't even want to look at food and the thought of it made me sick. I hope this helps you out and you find what helps you. 

Good luck to you!

Advocate1955 · Answer

Nausea can be a side effect of the medications.  You can try drinking ginger tea, eating raw ginger, and/or eating candied ginger (available in Asian markets).  The main thing is to make sure to eat a meal with your Ribavirin, because it is more likely to cause nausea, and to eat your fat before or with your Incivek, because it's required to help with the absorption of the meds.  Drink your water a little at a time throughout the day, so that it doesn't make you nauseous.  Hopefully your anti nausea medication will come through tomorrow.  I think my husband's doctor recommended Metamucil for constipation, but with Incivek he wasn't constipated for very long!  
Advocate1955

Greta2012 · Answer

I drank strawberry milkshakes with the highest fat ice cream I could find, strawberries and whole milk.  I was able to choke that down easier than other fatty foods.

nzkiwilife · Answer

The nausea seems to have subsided for the moment. Touch wood. (Have other symptoms though which I will post in a new thread.) I feel really good today. Head is clear and breakfast was not too much of a struggle.
I'm kicking myself for not being more organised.
There is no after hours specialist medical support it seems.
I thought I was being proactive by getting a nausea script the day before starting but the postman didn't deliver and its a long weekend so I haven't got them yet. 
I think the acidophyllus yoghurt really helped by introducing millions more new bacteria into my gut that would feed off the new fatty diet. All the fat  has been a huge shock to my system. 
Btw; I've put on 3 kilos in 3 days. At this rate I'm going to look like a bus at the end of the 12 weeks.

BoceprevirGal · Answer

Oh, for constipation I used a product called FloraMax, that I got at the Health-food store. It was a combo of ground Flaxseed. psyllium husks, and oat-bran.  It is safe and natural, and can be taken with meals.  It worked for me, but not my husband.
   All those ingredients work well, so if you cant find that product, then
you could purchase them seperately. What kept my appetite up, was to kind of continually have small meals, thru-out the day. If I went too long without eating, I would feel nauseous, or lose my appetite.
   But keep in mind, I treated with the other Triple Tx med, Victrelis, so 
my fat requirement wasn't as important as yours.

copyman · Answer

The half of body weight in oz's of water thing is overrated. Drink gatorade juices, etc. Your body will tell you when you need hydration. No need to drown yourself. There was even a "theory" I read that to much water diluted the meds and caused treatment not to be as effective.

As for the 20 grams of fat. you can get by with drinking a glass of whole milk with pills until you get use to the meds. After that try and add fat. Doesn't need to be exactly 20 grams.
I only drank "whole" milk with my meds for most of my TX. Sometimes adding cheese, peanut butter, ice cream, etc. along with the milk.

Hope it gets easier for you
Best of luck

heart_in_the_keyes · Answer

when I was getting ready for the tx the lady from Invicek and our clinical coordinator gave us good suggestions for fatty foods...plus, told us we needed to make our own study and start reading labels...should be doing this already to watch sodium levels... went to half price book store and got a book that gave cal./carb./sodium/fat/protein counts of food and then made a list if food I liked.  I was ready...didn't really want to eat that much fat  but if if makes the Invicek work, then have to.  You have to be careful on yogurts because all do not contain fats. I love greek yogurts which are higher in fats and having been in India for a few years I make my own yogurt.  For constripation, eat fruits (Non-citrus) and raw vegetables, not just the juices...you need the fiber.  Hate it,  but start everyday with oatmeal, apple and cranberries mixed together made with 1/2 cup of milk.  Love avocados and cheese. If you are constipated you might have to watch the cheese.  The Invicek lady gave us packets of nuts and trail mix and you can go to their website for more info.   You do need water for your liver and kidneys....it helps... oh, you can have ice cream, real ice cream and there are so many things you just have to educate your self.  Avoid meat red and processed meats like the plague, watch sodium/salt intake and cut down on caffine and sweets.  Drink plenty of water. Even though I was approved for tx I couldn't do it because my doc took me off of it due to my liver being so decompensated.  I am ESLD stage 4 on transplant list...even if I had been able to withstand the tx I still would have had to have a transplant.  We got a book and website info for Invicek...they told us they would respond to all our questions.  The hardest part of doing tx for me would have been giving up citrus fruits.  Drinking water is hard but if I drink it out of a bottle it is easier for me.

pooh55811 · Answer

My doctor told me to drink at least a gallon a day. I drank at least a gallon of water a day (4 litres). I always had water with me. I drank it evey time I thought of it. Drinking more water should help relieve your constipation. 

I ate a lot of Greek Gods yogurt (very high in fat). I also ate 2 ounces of cheddar cheese, Havarti Cheese, or Brie cheese. Also avocado.

nzkiwilife · Answer

thanks for that barfoot1 - thats twice what I'm drinking at the moment so will have to increase that

nzkiwilife · Answer

Thanks all for the suggestions. Oh dear; I only eat one thing from that list (nuts but occasionally an avocado) Guess I'm gonna have a hard time for the next 11 1/2 weeks and I'm just going to have to force myself to eat some of the other stuff. Just had my 3pm meal - spinach with a big dolup of fatty aioli dressing followed by a nut/coconut/chocolate bar. Gawd I'm so full. No room for any water now!

rivll · Answer

Regarding fat intake, here is a great link from Advocate's journal with a list of foods;
http://www.medhelp.org/user_journals/show/333000/Incivek-Take-with-20-grams-of-fat

barefoot1 · Answer

i personally dont think 2 liters is enough...i was drinking over a gallon a day and that wasnt enough....

BoceprevirGal · Answer

I had this habit of heating up a tortilla on the (gas) burner, and then slathering organic peanut-butter on it, and then eating a brown cow yogurt. That fulfills the requirement (2 tablespoons peanut butter, and whole milk yogurt)
   After several weeks of this, I did get sick of this, and had to change things around slightly. I would drink keifer, and have a peanut-butter and jelly, etc.
    I did splurge, and spend more $$ then I normally would. I had to pamper myself, with foods that I found appealing.
  Oh one thing I enjoyed: a nice fattening breakfast, at a restaurant; bacon and eggs....coffee cake, coffee with cream, etc.  The weird part is: I only gained 10 pounds doing this, and felt quite healthy. I ate 3 yogurts a day, one each time I popped my pills. I think the probiotics worked great on my digestion