Can I eat pizza during chemo? It’s the comforting food many turn to when going through cancer treatment. But is grabbing a quick slice actually safe when your immune system is compromised and you’re struggling with nausea? The idea of chewy crust and warm, gooey cheese may sound appealing, but how do you know if pizza is really okay to eat in the midst of battling cancer? Don’t worry, with a little effort to choose the right ingredients and reasonable portions, its possible to safely satisfy the occasional pizza craving during chemotherapy. Arm yourself with some guidelines from your medical team, listen your body’s reactions, and the answer can be yes, you can find a way to thoughtfully enjoy this favorite food while undergoing treatment. Pizza in moderation could be just one part of the nourishing diet you need to help provide strength for the fight ahead.
Contents
- What is chemotherapy and why is it important to watch my diet?
- Is Pizza Safe to Eat While On Chemo?
- Frequently Asked Questions
- Can a cancer patient eat pizza during chemo?
- What foods should be avoided on chemo?
- How does eating pizza during chemotherapy affect a cancer patient?
- How do I maintain a healthy eat during chemo as a colon cancer patient?
- What are the 10 foods chemo patients should avoid?
- Why is it necessary for a chemo patient to avoid certain foods during chemo treatment?
- Are all types of cheese safe to eat during chemo?
- Can the sense of taste be affected by eating pizza during chemotherapy?
- What foods should be eaten instead by someone undergoing chemo?
- How can eating right help a cancer patient undergoing chemo?
- Conclusion
What is chemotherapy and why is it important to watch my diet?
Chemotherapy is an effective cancer treatment, but the powerful drugs can unfortunately also damage healthy cells. This often affects the digestive system, making it harder to absorb nutrients from foods. Chemo can also suppress appetite while increasing nutritional needs. That’s why closely watching your diet during treatment is so important. Choosing the right nourishing foods and avoiding problematic items can help minimize side effects, keep your strength up, and support completing all prescribed treatment cycles. Work with your medical team to tailor your diet throughout chemo for the best results. With some thoughtful dietary precautions, you’ll be fueling your body to help fight cancer.
Understanding Chemo and its Impact on Nutrition
Chemotherapy works by killing fast-growing cancer cells in the body. However, it can also damage healthy cells, like those in the digestive tract. This can make it harder for the body to absorb nutrients from food.
Some common side effects of chemo that impact nutrition include:
- Nausea and vomiting – Makes it difficult to eat or keep food down
- Mouth sores – Can make chewing and swallowing painful
- Diarrhea – Leads to decreased absorption of nutrients
- Decreased appetite – Leads to weight loss and malnutrition
Eating well during chemo is important to help the body heal and strengthen itself to handle treatment. This includes eating enough protein, calories, vitamins and minerals.
It’s best to focus on eating healthy, nutritious foods that are gentle on the digestive system. Your doctor and dietitian can provide guidelines for the best diet to follow during your chemotherapy treatment.
Why Your Diet Matters During Chemotherapy
There are a few key reasons why your diet is especially important during chemotherapy treatment:
- Prevents weight loss and malnutrition – Chemotherapy can decrease appetite and lead to weight loss if calorie needs are not met. Getting adequate nutrition helps prevent muscle wasting and weakness.
- Supports immune function – Many nutrients like protein, vitamins A, C, D, and zinc support immune cell health. This helps the body better fight infections.
- Promotes healing and recovery – A nutritious diet provides the body with energy and building blocks needed to repair and regenerate healthy cells damaged by chemotherapy.
- Reduces side effects – Some foods can help minimize common GI side effects like constipation, diarrhea, nausea, and mouth sores.
- Maximizes treatment effectiveness – Being well-nourished can help you better tolerate higher chemotherapy doses. Malnutrition may limit the doses a patient can receive.
Following nutrition guidelines tailored to your chemotherapy regimen will help ensure you are getting the nutrients needed to maximize treatment benefits and cope with side effects. Work closely with your medical team.
Foods to Avoid While On Chemo
Certain foods should be avoided or minimized during chemotherapy treatment to help reduce side effects and infection risk:
- Raw fruits and vegetables – These are hard to digest and can irritate an already sensitive GI tract. Cooked fruits and veggies are easier to digest.
- Deli meats and soft cheeses – These foods increase risk of exposure to listeria bacteria, which can cause serious infection in immunocompromised patients. Choose pasteurized dairy.
- Alcohol – Alcohol can interact negatively with chemotherapy drugs. It may also exacerbate mouth sores and cause dehydration.
- Spicy and acidic foods – These can aggravate mouth sores and digestive issues like reflux. Avoid things like citrus, tomatoes, peppers, and hot sauce.
- Foods prone to foodborne illness – Skip high risk items like unpasteurized milk/juice, raw eggs, raw meat/fish, and spoiled/moldy foods to avoid infections.
- Junk foods and sweets – These offer little nutritional value and may cause issues like high blood sugar. Focus on nutrient-dense whole foods.
Maintaining good food safety practices is also important during chemotherapy. Work with your doctor and dietitian to personalize dietary restrictions.
Speak With a Doctor about Eating Pizza During Chemo
It’s important to consult your doctor and dietitian before eating pizza during chemotherapy treatment. Here are some key things to discuss:
- Your specific chemotherapy regimen – Some chemo drugs or combinations may interact with certain foods. Your team will know if any dietary restrictions apply.
- Immune function – If white blood cell counts are low, avoiding risky foods like uncooked veggies, deli meats and unpasteurized cheese may be advised.
- Digestive side effects – If struggling with diarrhea, constipation or reflux, your doctor can advise if pizza may worsen symptoms.
- Mouth sores – If mouth sores are present, the acidic tomato sauce may cause irritation. Soft, cooled pizza may be better tolerated.
- Blood sugar – If diabetes or hyperglycemia is a concern, limiting high-carb options like pizza crust may be recommended.
- Appetite – If struggling with appetite, pizza may be an option to provide calories and protein. But overdoing it may lead to feeling unwell.
The bottom line is that it’s okay to occasionally enjoy pizza during chemotherapy, but portion size and toppings matter. Speak with a doctor first to personalize advice.
How Can Certain Foods Affect Your Chemo Treatment?
The foods you eat during chemotherapy can impact your treatment in a few key ways:
- Absorption of chemotherapy drugs – Certain foods can alter absorption or metabolism of chemo drugs. Grapefruit, for example, can affect how the liver breaks down medications.
- Gastrointestinal side effects – Some foods may aggravate digestive issues like diarrhea and constipation, making chemotherapy-related GI effects worse. Dairy products are a common culprit.
- Immune function – Eating nutrient-poor foods like sweets and junk food can negatively impact immune cells. Getting adequate protein and antioxidants helps immune function.
- Risk of infection – Some foods raise infection risk, which is especially dangerous during chemo. These include unpasteurized products, deli meats, and contaminated produce.
- Nutrient reserves – Not eating enough nutrient-rich foods can deplete the body’s reserves, making it harder to tolerate chemo side effects. Maintaining muscle is crucial.
Discuss any new medications, herbs or supplements with your oncologist, as interactions with chemotherapy are possible. Emphasize fruits, veggies, lean proteins and whole grains in your diet during treatment.
Is Pizza Safe to Eat While On Chemo?
Pizza can seem like an ideal comfort food during cancer treatment, but is it safe to eat during chemotherapy? The answer is yes, pizza can be part of your diet in moderation. The key is focusing on the right ingredients, proper food safety and portion sizes. Opt for veggie or plain cheese pizzas with thin crust. Be mindful of toppings that could pose infection risks. Pair just a slice or two with healthier sides like a salad. Stay hydrated and take care of your mouth. While pizza shouldn’t be a staple, enjoying an occasional slice can provide calories, protein, and emotional comfort during chemo. As always, check with your medical team first for personalized nutrition advice.
Safety Concerns with Eating Pizza during Chemo
There are a few potential safety issues to consider regarding eating pizza during chemotherapy. It’s best to avoid certain foods:
- Raw vegetable toppings – Raw veggies like peppers, onions and tomato can increase infection risk when immune function is compromised during chemo.
- Delicatessen meats – Pepperoni, salami and other deli meats may contain listeria or other bacteria that can cause food poisoning.
- Unpasteurized cheese – Soft cheeses made from unpasteurized milk could contain harmful bacteria like E. coli, salmonella, or listeria.
- Foodborne illness – If stored improperly, pizza ingredients can develop harmful bacteria, viruses or molds. This causes heightened illness risk.
- Acidic tomato sauce – For those with mouth sores during chemo, acidic sauces may further irritate and inflame oral tissues.
- High sodium content – For some chemotherapy regimens, excess sodium intake can exacerbate side effects like edema or swelling.
To reduce risks, choose fully cooked meat toppings, pasteurized cheese, and well-washed produce. Only eat pizza that has been properly stored and freshly prepared. Speak to your oncology team for personalized guidance.
What Type of Pizza Should Be Avoided?
When considering what types of pizza to avoid during chemotherapy treatment, it is important to be mindful of ingredients and preparation methods that could pose safety risks for an immunocompromised individual. Certain qualities of some pizzas make them more difficult to digest or heighten the risk of exposure to harmful bacteria. Here are some varieties of pizza that are generally not recommended during chemotherapy:
- Deep dish or Chicago-style with lots of cheese and thick doughy crust can be hard to digest. Greasy toppings may also cause GI upset.
- Extra spicy pizza with spicy marinara sauce or pepper flakes can irritate mouth sores or upset stomach.
- Uncooked veggie toppings like onions, peppers or arugula increase infection risk. Cooked veggies are safer.
- Deli meat-topped with pepperoni, salami and other cured/processed meats raise listeria risk. Opt for cooked meats like chicken or shrimp instead.
- Extra cheesy with high amounts of cheese can deliver excess saturated fat and sodium. Limit to 1-2 slices of low-moisture, part-skim mozzarella.
It is safest to avoid deep dish, spicy, uncooked veggie, deli meat-topped and extra cheesy pizzas during chemotherapy. A thinner crust veggie or margherita pizza with only cooked toppings is a good option. It is wise to communicate with your medical team for personalized guidance on pizza consumption throughout treatment.
Will Eating Pizza Negatively Affect My Chemo Treatment?
Eating pizza in moderation will likely not negatively impact chemotherapy treatment. However, there are a few factors to consider:
- Fat content – High-fat foods like pizza can exacerbate certain side effects like nausea or diarrhea for some chemo regimens. Greasy toppings may be tolerated less.
- Acidity – For those with mouth sores, the acidic tomato sauce may cause irritation making eating challenging.
- Bacteria risk – If pizza ingredients are not handled properly, foodborne illness could develop, causing dehydration and malnutrition during chemo.
- Blood sugar – In diabetics or those prone to hyperglycemia, the high carb content of pizza may lead to blood sugar spikes and complicate glucose control.
- Appetite – While pizza may stimulate appetite, overdoing it may actually decrease hunger for healthier foods that provide a diversity of nutrients.
The key is moderation. Sticking to 1-2 slices of vegetable or plain cheese pizza made with gentler ingredients a couple times a month will likely not interfere with chemotherapy. Communicate with your oncology team for personalized nutrition advice.
Are There Any Benefits to Eating Pizza during Chemo?
While pizza is not the most nutritious food, there are some potential benefits to occasional pizza consumption during chemotherapy:
- Appetite stimulation – The carb-rich crust and savory flavor of pizza may help stimulate appetite, which is often suppressed during chemo. This can help maintain weight.
- Calories – Pizza can provide a concentrated source of calories and energy when appetite is poor and weight loss is a concern during treatment.
- Comfort food – Many patients have strong cravings for favorite foods like pizza during chemo. Providing some comfort can aid emotional health.
- Protein – The cheese and any meat toppings contain protein needed to maintain muscle mass and strength during chemo.
- Simple meal – When energy levels are low and cooking elaborate meals is difficult, easy pizza delivery provides a convenient meal option.
While pizza has some potential benefits, it should still be consumed in moderation as part of an overall healthy diet. Focus on more nutritious comfort foods like soups, pasta, or smoothies when possible.
Guidelines for Eating Pizza during Chemotherapy
Eating pizza can be a part of a healthy diet during chemotherapy when enjoyed occasionally and mindfully. However, there are important guidelines to follow in order to minimize risks and maximize nutrition, including:
- Stick to thin crust as thick, doughy crusts are harder to digest
- Choose veggie or plain cheese to limit fat, sodium and nitrates from meats
- Load up on veggie toppings like mushrooms, onions, peppers, spinach for nutrients
- Opt for part-skim mozzarella to cut down on saturated fat and calories
- Go easy on the cheese – 1-2 slices is plenty for one serving
- Make sure pizza is freshly prepared and reheated to above 165°F
- Consider a gluten-free crust if you have celiac disease or gluten sensitivity
- Ask for light sauce or order without if you have severe mouth sores
Enjoying pizza in moderation can be safe during chemotherapy by focusing on veggie toppings, limiting cheese, and reheating properly. Discuss guidelines with your medical team for personalized advice.
Frequently Asked Questions
Can a cancer patient eat pizza during chemo?
Yes, cancer patients generally can eat pizza in moderation during chemotherapy treatment. However, there are some important caveats:
- Consult your oncology team first. They may advise avoiding pizza if certain mouth sores, digestive issues, or food sensitivities are present.
- Stick to 1-2 slices of vegetable or plain cheese pizza a few times per month. Avoid meat-heavy or extra cheesy pizzas.
- Be mindful of ingredients. Prioritize cooked vegetables, limit acidity if mouth sores are an issue, and ensure proper food safety.
- Pair pizza with healthier sides like a salad to help balance overall nutrition.
- Stay hydrated and take care of oral health to manage pizza’s acidity.
While pizza shouldn’t be a dietary staple during chemo, enjoying a couple slices can be safe in most cases with the right precautions. Always follow the specific advice of your cancer care team. Focus on an overall healthy, balanced diet.
What foods should be avoided on chemo?
There are certain foods chemotherapy patients should generally avoid or minimize while undergoing treatment:
- Raw meat, fish, eggs – These items increase risk of foodborne illnesses. Cook food thoroughly to kill harmful bacteria.
- Unpasteurized dairy and juice – Unpasteurized products may contain dangerous bacteria like E. coli or Salmonella. Choose pasteurized options.
- Raw fruits and vegetables – Fresh produce can harbor parasites and bacteria. Cook vegetables and wash fruits carefully before eating.
- Deli meats and soft cheeses – Higher risk for Listeria contamination. Choose alternate protein sources.
- Alcohol – Can interact with chemo drugs and dehydrate the body. Best to avoid completely during treatment.
- Junk food and sweets – These offer little nutritional value. Focus on nutrient-dense whole foods.
- Spicy, acidic or greasy items – Can worsen digestive issues like reflux, nausea, diarrhea.
- Foods you have a sensitivity to – Some may develop new food allergies or intolerances during chemo.
It is important chemo patients follow safe food handling practices and communicate with their healthcare team about foods to avoid based on their specific treatment plan and side effects. Focusing on getting adequate nutrition from healthy whole foods is key.
How does eating pizza during chemotherapy affect a cancer patient?
Eating pizza in moderation during chemotherapy is generally safe, but can affect cancer patients in a few key ways:
- The high carb and fat content can exacerbate digestive issues like diarrhea, reflux, or nausea that are common chemo side effects. Greasy, acidic pizza may be poorly tolerated.
- Pizza ingredients like processed meats, soft cheeses, and raw vegetables can increase the risk of foodborne illness in immunocompromised patients.
- The acidic tomato sauce may further irritate and inflame mouth sores or oral thrush in patients already struggling with these issues.
- Excessive pizza intake can displace healthier food options from the diet needed to optimize nutrition during cancer treatment.
- For diabetics or those with chemo-induced hyperglycemia, the high glycemic load of pizza can be problematic for blood sugar management.
However, occasional pizza in moderation can provide calories, protein, and comfort. Patients should follow food safety guidelines, pair with vegetables, stay hydrated, and get approval from their oncology team before eating pizza.
How do I maintain a healthy eat during chemo as a colon cancer patient?
Here are some tips to maintain healthy eating as a colon cancer patient undergoing chemotherapy:
Focus on nutrient-dense foods: Choose whole grains, lean proteins, fruits, vegetables, nuts and seeds. These provide vitamins, minerals, fiber and antioxidants to support health. Limit processed foods.
Prevent nausea: Avoid greasy, fried foods which can worsen chemo-induced nausea. Eat small, frequent meals and stay hydrated. Ginger, mint and lemon water can reduce nausea.
Manage diarrhea: Choose bananas, rice, applesauce, toast, and yogurt which can help firm up stool. Limit caffeinated drinks, high-fiber foods, dairy, and raw produce which may worsen diarrhea.
Stay hydrated: Drink 8-10 glasses of fluid daily, and nutritional beverages like bone broth or electrolyte drinks if dehydrated from diarrhea. Avoid alcohol and sugary drinks.
Reduce infection risk: Thoroughly cook meats, eggs and seafood. Wash produce. Avoid unpasteurized dairy, deli meats and buffets to limit foodborne illness exposure.
Control blood sugar: Choose whole grains, nuts, beans, fruits and vegetables to manage blood sugar levels. Limit refined carbs and sugary foods.
Minimize colon irritation: Go easy on spicy, fried and acidic foods which can aggravate the GI tract. Steamed vegetables, broth-based soups and well-cooked grains are gentle options.
Check with your oncologist on foods to enjoy or avoid based on your specific chemotherapy regimen and side effects. Work closely with your healthcare team for personalized nutrition guidance throughout treatment.
What are the 10 foods chemo patients should avoid?
Chemotherapy can significantly impact the immune system and gastrointestinal tract, making it crucial for patients to be mindful of dietary choices during cancer treatment. Certain foods are best limited or avoided altogether in order to minimize risks and optimize nutrition. Here are 10 foods chemo patients should generally avoid and the key reasons why:
- Raw or undercooked meat, eggs, fish – Increase risk of foodborne illnesses. Cook food thoroughly.
- Unpasteurized milk and cheese – May contain harmful bacteria. Choose pasteurized dairy products.
- Raw sprouts – Bacteria like salmonella can contaminate sprouts. Cook thoroughly.
- Deli meats – Higher risk of Listeria and other pathogens. Choose alternate proteins.
- Raw honey – Can harbor clostridium botulinum spores in infants. Avoid giving to children under 1.
- Unwashed fruits and vegetables – May harbor parasites, bacteria, pesticides. Wash produce thoroughly.
- Alcohol – Can dehydrate, interact with chemo drugs. Best to avoid.
- Refined sugars and sweets – Offer little nutritional value. Prioritize nutrient-dense foods.
- Greasy, fried foods – Can worsen nausea, diarrhea, reflux side effects.
- Buffets and salad bars – Higher risk for food handling mistakes. Avoid self-serve areas.
By avoiding undercooked foods, unpasteurized products, and items prone to contamination, patients can reduce exposure to harmful pathogens during immunocompromise. Eliminating foods and beverages that may interact with chemo or exacerbate side effects also supports treatment tolerance and recovery. Always consult your oncology team for personalized nutrition guidance based on your regimen.
Why is it necessary for a chemo patient to avoid certain foods during chemo treatment?
There are a few key reasons why it is necessary for chemotherapy patients to avoid certain foods during treatment:
- Immune system suppression – Chemotherapy decreases white blood cell counts, weakening the immune system. Avoiding risky foods reduces exposure to foodborne pathogens.
- GI side effects – Chemo often causes nausea, vomiting, diarrhea, constipation. Some foods can worsen these symptoms, while others provide relief.
- Nutrient deficiencies – Chemo can deplete nutrients needed for recovery. Avoiding junk foods helps optimize nutritional intake.
- Treatment interactions – Some foods may interact with chemo drugs, affecting absorption or efficacy. Grapefruit, for example, can change drug metabolism.
- Oral health – Certain foods may irritate mouth sores or thrush in those undergoing chemo. Highly acidic foods often aggravate mouth tissues.
- Appetite – Some foods suppress appetite further, while others provide calories and nutrients despite poor appetite.
By avoiding problematic foods and focusing dietary choices on optimizing nutrition and hydration, chemo patients can enhance treatment tolerance, promote healing, and support the body’s ability to recover from the toxic effects of chemotherapy.
Are all types of cheese safe to eat during chemo?
No, not all types of cheese are considered safe to eat during chemotherapy treatment. Here are some cheese guidelines for cancer patients undergoing chemo:
- Avoid unpasteurized cheeses – These can harbor harmful bacteria like Listeria or E. coli. Stick to pasteurized cheeses.
- Limit soft cheeses – Varieties like Brie, feta and queso fresco have higher risk of bacterial contamination. Choose hard cheeses instead.
- Portion control – Due to the high saturated fat content, limit cheese to 1-2 oz a day. Avoid extra cheese on dishes.
- Watch sodium content – Many aged cheeses like parmesan are very high in sodium, which some patients must restrict.
- Lactose intolerance – Some develop lactose intolerance during chemo. Opt for lactose-free cheese or dairy alternatives.
- Allergies – Patients may develop new intolerances to milk proteins. Watch for allergy symptoms when eating dairy products.
Safe cheese choices include pasteurized cheddar, mozzarella, Swiss, Monterey jack, provolone and hard parmesan. Always consume cheese as part of a balanced diet. Check with your oncologist for specific cheese recommendations.
Can the sense of taste be affected by eating pizza during chemotherapy?
Yes, eating pizza during chemotherapy can potentially affect or interact with changes in taste often experienced by cancer patients undergoing treatment. Here are some key points about pizza and taste changes during chemo:
- Chemotherapy can lead to a metallic or bitter taste in the mouth that alters taste perception and enjoyment of foods. Pizza seasoned with salty, sweet or acidic toppings may overwhelm these taste changes.
- Mouth sores are a common chemo side effect that can make acidic foods like pizza with tomato sauce very painful to eat, limiting taste enjoyment.
- Some chemo drugs directly affect taste buds and cause changes in how flavors are perceived. Pizza spices may taste differently.
- Poor appetite and low saliva production during chemo can reduce ability to taste foods. Strong pizza flavors may be more appealing.
- For those with nausea, reflux or digestive issues during treatment, greasy pizza may worsen symptoms interfering with tasting or enjoying the food.
Communication with your oncology care team is important to managing taste changes and navigating food choices like pizza during chemotherapy. Staying hydrated and practicing good oral care can also help.
What foods should be eaten instead by someone undergoing chemo?
Here are some healthy food options that are recommended instead of problematic foods for those undergoing chemotherapy:
- Lean Proteins: Skinless poultry, fish, eggs, beans, tofu, nuts – instead of deli meats, bacon or sausage.
- Whole Grains: Oatmeal, brown rice, quinoa, whole wheat bread – instead of refined grains like white bread.
- Fruits and Vegetables: Fresh, cooked or frozen varieties – instead of juices, chips, sweets.
- Low-Fat Dairy: Milk, yogurt, cheese – instead of whole milk dairy, cream or unpasteurized products.
- Healthy Fats: Olive oil, avocado, nuts, seeds – instead of butter, fatty red meats.
- Beverages: Water, decaf tea, broth – instead of alcohol, sugary drinks, caffeine.
- Spices and Herbs: Basil, thyme, rosemary, garlic – instead of salt to flavor foods.
Focusing on whole, fresh foods prepared safely at home enables chemo patients to get needed nutrition while avoiding dietary pitfalls. Consult a dietitian to help adapt the diet throughout treatment.
How can eating right help a cancer patient undergoing chemo?
Eating right during chemotherapy is important and can help cancer patients in the following key ways:
- Prevents malnutrition, muscle wasting and unintended weight loss that can result from poor appetite and digestive issues during chemo. Consuming enough calories and protein is crucial.
- Provides strength and supports feeling well enough for patients to complete all prescribed treatment cycles. Nutrition enables resilience.
- Maximizes energy levels allowing patients to maintain activities and quality of life as much as possible.
- Supports immune system function to better fight infections. Chemo decreases white blood cells and eating right can compensate.
- Can help manage common side effects like diarrhea, constipation, nausea, mouth sores through food choices that prevent or alleviate gastrointestinal issues.
- Assists the body in healing and recovering from the toxic effects of chemotherapy drugs. Proper nutrition provides the building blocks for repair.
- Improves treatment effectiveness by enabling patients to tolerate higher chemotherapy doses. Malnutrition hampers drug efficacy.
Eating a balanced diet tailored to an individual’s needs throughout chemotherapy is vital to optimizing quality of life and treatment success. Registered dietitians can provide guidance.
Conclusion
Eating well during chemotherapy is crucial, yet some foods may need to be limited or avoided to manage side effects and reduce infection risks. Though not the healthiest choice, pizza in moderation is generally safe for most chemo patients as an occasional comfort food and source of calories, protein and carbohydrates. By focusing on ingredients, portion size, and safety guidelines, a slice of pizza here and there can be incorporated into an overall nourishing diet during cancer treatment. As always, check with your medical team before eating pizza or any new food items to personalize nutritional advice throughout your chemo journey. With the right dietary precautions to optimize nutrient intake and hydration, the powerful combination of proper nutrition and chemotherapy will help you gain strength to fight cancer.