A balanced diet, daily activity and exercise as tolerated, and participation in activities of enjoyment are important to maintain optimal health and well-being. A balanced diet can help combat fatigue and illness. Adequate intake of food and fluids also helps individuals tolerate treatment. Fluids are an essential part of a healthy diet. Your body needs fluids to function properly, like a car needs gas to run.

People with MDS may need to follow a special diet if they have a very low white blood cell count or are undergoing a stem cell transplant. Ask your health care providers if there are specific restrictions for you.

Things you can do:

1. The Dietary Guidelines for America 2015 (www.dietaryguidelines.gov) provide the basic principles of a healthy diet. 
2. Meet with a registered dietician to determine your daily caloric needs and how you might get these in the foods you like to eat.
3. Stay hydrated: Carry fluids with you wherever you go. If drinking a full glass causes bloating, take small sips throughout the day. Drink most of your fluids between meals.
4. Eat a balanced diet:
   1. Eat fruits and vegetables. Wash all fruits and vegetables well prior to eating. Eat dark green vegetables like leafy greens or broccoli and orange vegetables like carrots and sweet potatoes.
   2. Vary your protein choices with more fish, beans, and peas. Eat at least three ounces of whole-grain cereals, breads, crackers, rice, or pasta every day.
   3. Have three servings of low-fat or fat-free dairy (milk, yogurt or cheese) that are fortified with vitamin D to help keep your bones healthy. Consume only pasteurized milk, yogurt, cheese, and other dairy products.
   4. Make the fats you eat healthy ones (polyunsaturated and monounsaturated fats).

Additional Resources:

MDS Foundation:  multisite-demo.com      www.BuildingBlocksofHope.com

Cancer.net:  Nutrition Recommendations During and After Treatment

http://www.cancer.net/survivorship/healthy-living/nutrition-recommendations-during-and-after-treatment

Cancer.net: Food Safety:

http://www.cancer.net/survivorship/healthy-living/food-safety-during-and-after-cancer-treatment