diet on incivek?

[cowboy3619]

my wife started the incivek etc. program today, we read that she should have a meal with 20 grams of fat before each dose... any healthy diet suggestions ??

[his3707]

not saying at all that you shouldnt do that.  my doc said with some fat and if nothing else make sure you eat Something.  I have had a very hard time eating 20 g of fat 3 times a day.  Lots of days I just dont feel Like I could eat anything when It is time to take the meds.  I just do the best I can in a yucky situation.  I do find my self justifying eating at Micky D's a little more.  I have found that I am getting weird cravings.  Big Macs, steaks, italian dressing, club soda,  avacados. Im sure there are more but if forgot them already.  

[frijole]

A couple of  suggestions on the labeling were -- 2 tablespoons of peanutbutter, bagel & creamcheese.

I checked the grocery store and a Klondike bar has 17 grams. (oh, would I ever be in trouble if I ate a Klondike bar every night for 12 weeks)

The labeling for Incivek clearly says eat 20 grams of fat for optimum benefit so what his3707 is saying is not for optimal absorption.  If I did the Incivek I would definitely want to max out the absorption so that 60 grams of fat is a definite obstacle for me.

[somuchmore2]

What is best way to get the 60 grams of fat while managing diabetes?

Also, for the longest time I thought low fat is best for compensated liver.....finding it hard to figure this fat diet out.

Any suggestion for diabetes on Invicek?

[elpasolady]

Just off the top of my head, I would suggest an avocado ( if, of course, you love avocados. like I do) . It has very healthy fat and many great nutrients.  During tx we need to eat healthy whole foods and this fits the bill. Nutritional info below. According to this, we would need to eat almost a whole med size avocado, but one could tweek that.
(it also gives us some good calories for those that don't want to lose weight)
@somuchmore2....I alway heard it was ONLY saturated fat that was very bad for the liver.

Macronutrients:
•Water: 125.13 g
•Calories: 289
•Protein: 3.39 g

•Carbohydrates: 14.95 g
•Fiber: 11.8 g
Sugars: 0.52 g

•Total Fat: 26.66 g
•Saturated Fat: 3.678 g
•Monounsaturated Fat: 16.952 g
•Polyunsaturated Fat: 3.142 g
•Cholesterol:0 mg
Micronutrients:
•Calcium: 22 mg
•Iron: 1.06 mg
•Magnesium: 50 mg
•Phosphorus: 93 mg
•Potassium: 877 mg
•Sodium: 14 mg
•Zinc: 1.18 mg
•Vitamin C: 15.2 mg
•Thiamin: 0.130 mg
•Riboflavin: 0.247 mg
•Niacin: 3.308 mg
•Pantothenic Acid: 2.531 mg
•Vitamin B6: 0.497 mg
Vitamin B12: 0 mcg

•Folate: 154 mcg
•Vitamin A: 254 IU
•Vitamin E: 3.41
Vitamin K: 42.2 mcg

Phytonutrients:
•Phytosterols: 143 mg
•beta Carotene: 109 mcg
•beta Cryptoxanthin: 47 mcg
•Lycopene: 0 mcg
•Lutein and Zeaxanthin: 469 mcg

[frijole]

It isn't that fat is good for the liver -- it is a temporary issue of absorption of Incicek.  -- so it is a case where you just have to do this for 12 weeks -- the benefits outweigh the downside.  

I think you will hve to do a little studying to come up with a plan on diabetes.  I would stick my foot in my mouth if i made any suggestions there.

frijole

[his3707]

The first couple of weeks I really tried to make sure I got the 20g at each dose.  As the side effects, nausea in particular set in I had to start being creative As I went along, the foods I was using, just one example full 16 ounch glass of whole milk with and with carnation instant breakfast.  Now I cant stand to even think about it. These foods get scratched off the list. As Im sitting up in bed with the pills in my hand as my eyes dart back and forth to the commode, Im terrified that the dose might come right back up.  Ive run out of things to eat.  Im too sick to think of what new stuff to buy at the supermarket.   Im at the end of week 7 with5 more to go.  that is 35 more days 3 times a day 105 more servings to go !  147servings down.  When the anemia sets in, and you cant lift your arm to spoon in the nasty tasting chocolate pudding that you use to love, you just do the very best you can.  I would chart my course ahead of time and have everything lined up.  When you cant get to the grocery store make sure you have your list ready so someone else can do it for you.  You might get more doses in with the full 20 grams.  Hopefully you will only have to take the two horse pills twice a day and that will certainly help.  if they get stuck in your throat, and dissolve at all since they are not coated,  At least the trial doses are not, watch out....  uggg! you might find your whole mind set about food will be altered, for how long,  lets hope not forever,    Not pretty, but That is MY real life experience in staying the course!

[can-do-man]

Hi ya kathy, myself i think eating Klondike bars or just icecream 3 times a day is a good ideal, not that my 401 depends on it..........:)

cando

[Gerbils]

I started on Incivek (week 2) and was told about the 20 mg of fat. I usually eat low-to-no fat so I wasn't sure how this was going to work. The pharmacist suggested cream cheese (about a one inch cube on something), ice cream, peanut butter, even chips. My stomach is apparently sensitive to these new meds and I have found that if I eat something with enough fat in it, the pills don't bother me. In the morning I put my cream cheese on 1/4 of a cinnamon raisin muffin and I am enjoying it! I haven't had full fat cream cheese in years. My midday pills I take with a small sandwich and a small bag of chips and that takes care of the fat quotient. My last pills are at bedtime and I have to make sure I get enough fat and whatever in my stomach so I am not nauseous (sp?) in the morning. I am using ice cream for that. A half cup of Haagen Dazs will do it just fine! I will keep an eye out for ways to get the fat for diabetics. Cream cheese, peanut butter and chips all should work. I have to admit I tried sunflower seeds which have enough fat but don't coat your stomach or anything. I was extremely sick to my stomach the next morning. I hope things go better for you, his3707. Anything can get old and I am still new to this.
G

[his3707]

Cowboy, i really need to add here that if your wife has you behind her supporting her as it sounds that you are in coming here yourself to get information for her, she will have the greatest chance of making sure she gets what is required for SVR!  I commend you for taking out the time to care for your wife.  She is going to need you 100% to help her in the diet area.  That is so important as you have seen.  She is not going to feel like putting a menu together lots of times.  Way to go Cowboy!  Your wife is very fortunate to have you!

[ribman]

my doctor told me during my treatment to eat whatever i wanted.no special diet just try to eat the fat with every meal.the peanut butter got old by the first week.i eat a fatty breakfast, bacon, eggs, sausage,cheese,cream cheese and ham bagel,whatever is pleasing to the palet and provides fat.dinner is easy to get the fat

[NorthIdaho54]

My rule of thumb was eat what my stomach could keep down, what my nose would let get past my lips, what my body craved and what was easy to make.

Here are a few suggestions:
Nuts - I always had a jar/can handy so I could eat a hand full before taking my Riba. Also peanutbutter on soda crackers or whole grain toast was easy.

Everyday I would fill up my blender with fruits on hand, big scoop of ice cream and fruit juice to make a smoothie.

Avocados halved and stuffed with mayo/tuna (I used the skin as a bowl so I didn't need to wash a dish)

[fredpacc]

Hi All,
I will be starting the Incivek in a couple of days and have been looking into the fat issue, so here are some suggestions for you. It would be really nice if everyone could add to the list so we can all vary our diets, and try to comply as much as possible. I wish every one the best - We Can Do This!!!


Taylor Ham - 6 gms/slice (you may know it as pork roll, if you are south of New Jersey!)
Egg – 5gms
American cheese – 5 grms/slice
Bran Muffin – 5 grms
Frozen Waffles – 3.5 grms each
Pancakes – 7.6, (4)
Biscuit – 5.1 grms
Granola – 33 grms / cup
Cream Cheese – 10 grms/ounce
Milk Chocolate – 10 grms/ounce
Cheeseburger 4 oz – 30 grms
Potato salad – 10 grms/ ½ cup (eggs Mayo type)
Hot Dog – 18 grms
Yogurt – 7.4 grms, 1 cup
Sausage Links – ?
Eskimo Ice cream – 17 grms
Nature Valley Roasted nut Crunch – 1 bar – 13grms
Peanut Butter – 8 grms/tablespoon

[somuchmore2]

Thanks a bunch.....I find these comments very helpful..

[lapis]

Oh his3707, I remember feeling as bad as you describe and I want to suggest Zofran as an anti-nausea med that really helped me.  I took it just once a day during the Incivek dosing and it made a difference, quelling the nausea that plagued me.

Here's my contribution to the food list:

French toast:  one egg beaten, soak a piece of bread in it, then fry it up with butter (sprinkle with cinnamon while cooking, smells so great!) and serve with Maple syrup, yummy meal any time of day!  This was a real treat while on tx!!

[cheesenrice]

there are good fats and bad fats as there good carbs and bad carbs - avoid the bad stuff

[curiouslady1]

Really?  Granola has 33 gms of fat per cup?  If so, that seems the most sane for mornings.  No grease and plenty of fiber.

[frijole]

There are some good ideas here.  I would worry the nausea would make me throw up my dose of incevik (if I was taking it).  I had not realized that hit so many people.  his3707 - I really appreciate your personal insights.

note to Can do Man -- I hope you get fabulously wealthy and your 401K grows to immense proportions because everyone on incivek is eating enormous amounts of ice cream.

bean

[screaming48]

I think we should all invest in ice cream the full fat kind, which I have not eaten in years. I do so like a sugar cone with chocolate, (i know boring) from Braums. Haven't had one in years think I might try it though.

[lupette]

Has anyone tried coconut oil or coconut butter? It is supposed to have many healhy benifits that make it sound like just the ticket! I am going to be starting on Incivek and the rest pretty soon and I think I will try adding this to my fat count.

[lupette]

Here is an interesting article on the subject of HCV and coconut oil:
http://www.hepatitis-central.com/mt/archives/2011/04/should_you_incl.html

[elpasolady]

Thanks for the link about coconut oil and hep C.  I read once that saturated fat can be as bad to the liver with someone with HCV, as alcohol.  I don't remember where I read it, but I remember it being a trusted source.  Ever since then I tried to stay away from coconut oil because it IS very high in sat. fats.
I may just reconsider, especially since i will be adding 60 gr of fat  per day to my diet once I start Incivek. Ugh...

[lupette]

Yes that is what I thought too! And I have avioded saturated fats religiously ever since I read that they are terrible for the liver and people with liver disease. Whenever I came across articles expounding about the health benifits of coconut oil, I dismissed them because I beleived what I had read before. Now that I will have to consume all this fat, I am rethinking and rereading all the stuff out there about coconut oil and I think I may actually try this stuff! I just finished reading a long thread of comments from people who were using it for different lengths of time and for various reasons. Most of them had positive results and only a few reported negative effects. There were a lot of people using it sucessuflly for acid reflux, heartburn, and nausea. Sounds like just the thing to me! There were also several reports that it was treating thyroid disfunction sucessfully. I have had hypothyroidism since my second round of tx for the HCV so again this stuff seems like it might be of benifit. Especially since I need to take fat 3x daily anyway (that was the dose everyone was cooincidentally taking on this thread.) ! I am even wondering if it might help with the fire in the hole stuff! Yuck not looking forward to this ! Oh well better to slay the dragon!

[lupette]

If anyone else is interested in coconut oil here are some links, both pro and con:

http://www.coconutresearchcenter.org/article10612.htm

http://www.coconutresearchcenter.org/article10612.htm

http://www.ncbi.nlm.nih.gov/pubmed/12353632

http://www.ajcn.org/content/early/2011/06/22/ajcn.111.012948.abstract

http://www.ncbi.nlm.nih.gov/pubmed/3137894

[streamline569]

I just found Table Top individual Pies. 4 oz equals 20 grams of fat. inexpensive and can get them sugar free.