F.E.A.S.T's Around The Dinner Table forum

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teecee

Hello

I thought I would post an example meal plan I followed at the start of our refeeding journey to show people just how much is required. I consider myself to be a good parent who is well educated however when we had our first meeting with the dietician it shocked me just how much I DIDN’T Know about nutrition!

Please if anyone else wants to post examples I’m sure it would help. We live in the UK so I am aware there are many variations of diets throughout the world and our forum. 


Below is copied from one of my early posts:

Breakfast - full bowl porridge made with full cream milk+ 2 slices toast with peanut butter+ banana+ glass of fruit juice.
Morning snack - bagel with cream cheese and smoke almon
Lunch 2x sandwiches (4x slices whole meal bread) with filling (tuna mayo or chicken mayo or ham and cheese etc) + full fat yogurt + crisps/cake
Afternoon snack - 4 x crackers with topping (mackerel pate)
Dinner - a dinner with a third carbs (rice or potato or pasta etc) a third protein (chicken, meats, fish etc) and third vegs + pudding (cheesecake)
Supper - bowl cereal plus 2 x slices toast with butter/jam/chocolate spread topping etc
In addition glasses of water with each meal/snack.
Please no semi skimmed milk or low fat dairy or low anything intact. She needs the fats/calcium to recover and undo damage to bones that restriction can cause. Osteoporosis is one of many issues our children can develop through restriction of nutrients.

When I talk about a third a third a third I mean an average sized dinner plate with each third of the plate full. 

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teecee
We were also told to avoid caffeinated drinks as this interferes with absorption of essential minerals. 
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ValentinaGermania
I think this is agreat idea, teecee. I needed to translate ours first and we also had that parts of the plate but we did 1/4 meat, 1/4 vegetable and 1/2 carbohydrates.
We started with a lot of safe food so not much variety in this first meal plan.

This was our first meal plan after IP:

Monday

Tuesday

Wednesday


Thursday

Friday

Saturday

Sunday

Porridge with milk + fruits

Muesli with milk

Bread with Jam and Honey

Muesli with milk

Porridge with milk + fruits

Muesli with Joghurt

Bread with Jam and Honey

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Joghurt + 3 Cookies

Vegetarian pattys with mashed potatoes and fried vegetable

Fish and rice and fried vegetable

Breaded cutlet with baked potatoes and fried vegetable

Pasta with spinachsauce

Fish and Rice with fried vegetable

Koettbullar mit mashed potatoes and fried vegetable

Fear food day:

z.B. Lasagne, Pizza etc.

Milchshake +½  apple + 3 Cookies

Milchshake + ½ apple + muesli bar

Milchshake + ½ apple + 3 Cookies

Milchshake + ½ apple + muesli bar

Milchshake + ½ apple + 3 Cookies

Milchshake + ½ apple + muesli bar

Milchshake + ½ apple + 3 Cookies

Bread with cheese and ham, 1 Joghurt, Smoothie

Toast with cheese and ham, 1 Joghurt, Smoothie

Bread with cheese and ham, 1 Joghurt, Smoothie

Toast with cheese and ham, 1 Joghurt, Smoothie

Bread with cheese and ham, 1 Joghurt, Smoothie

Toast with cheese and ham, 1 Joghurt, Smoothie

Bread with cheese and ham, 1 Joghurt, Smoothie

Keep feeding. There is light at the end of the tunnel.
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teecee

Thanks VG....Am I reading it right that you had 5x meals not 6? 

I suspect there will be lots of variations in different countries. That’s interesting. 

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Barberton
What a great idea teecee. When we started out I had no idea what equalled 'enough'. This sounds crazy, but we were fighting so hard to get what little we could into our d that it all became confusing to us. So having concise meal plans for new caregivers is really helpful, not vague lists of "one serve of carbohydrate' kind of wording.
D fell down the rabbit hole of AN at age 11 after difficulty swallowing followed by rapid weight loss. Progressing well through recovery, but still climbing our way out of the hole.
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ValentinaGermania
teecee wrote:

Thanks VG....Am I reading it right that you had 5x meals not 6? 

I suspect there will be lots of variations in different countries. That’s interesting. 



Yes, we had only 2 snacks from the start and left the idea of the 3rd snack for emergency cases. Here in IP it was normal to have only 2 snacks so we continued to do that at home.
Keep feeding. There is light at the end of the tunnel.
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Bobs

This is a great idea! We are finally seeing some success after upping the ante! She was losing due to restricting at school (even though she was being “supervised”at lunch). We added to the plan in consultation with the dietitian at CAHMs and closed the school loophole and now seeing an improvement. 

Breakfast - one large mugful of bran flakes with porridge oats on top with whole milk. Two croissants with butter.Half a large mug of orange juice

Mid morning snack - chocolate biscuit bar and two breakfast biscuits. Large mug of whole milk.

Lunch - cheese sandwich/ Soup with cheese sandwich/French toast etc. An apple. Large mug of whole milk.

Mid afternoon snack - bag of crisps, two breakfast biscuits. Large mug of milk.

Dinner - family home cooked dinner eg stew, cottage pie, macaroni cheese with two sausages. Two scoops of premium ice cream or an apple pie and squirty cream. Large mug of whole milk.

Supper - two slices of wheaten bread with butter. 3 large Brazil nuts and 20 cashew nuts and a large mug of whole milk. 

I also sneak a dessert spoon of double cream into as many mugs of milk as I can!! 

15 year old D. Started to feel low summer 2019. Fall out with friends October 2019. Depressed, self-harming and suicidal from January 2020. Diagnosed with AN July 2020. Slowly coming out of it and feeling hopeful for the future.
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Colette_71
oh my goodness, I had no idea it would be so much.
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ValentinaGermania
Colette_71 wrote:
oh my goodness, I had no idea it would be so much.


We often forget with the disease what normal portions are and what other teenager eat. Is there a sibling or a cousin or a good friend you can compare portions sizes with? To see what others eat at their age often helps to see what is "normal" again.
Keep feeding. There is light at the end of the tunnel.
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Scaredmom2019
Everyone is different with different needs and I always vote for more food but our meal plan was a lot less and we have managed the gains just fine.

Typical Menu:

Breakfast- smoothie with fruit, chia seeds, yogurt and milk.(500 calories)

AM snack- packaged fruit snack, a couple crackers 

Lunch- typical meal - sandwich, bag of chips, juice and cookie 

PM snack - chobani yogurt, dried fruit 

Dinner- pasta, roll, veggie, juice 

Late PM.snack - bowl of ice cream or some similar snack.
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teecee
It is important to regularly feed....no more than 3 hours in between snacks/meals initially and complex carbs before bed (slow release foods like wholemeal toast with topping/porridge...) to prevent them from being awoken by hunger as early. 
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cm72
Our meal plans changed quite a bit through the first year but right now we are at this:
Breakfast: 2-3 servings of cereal with 2% or full fat milk, 1/2 banana
Lunch: Ham and cheese sandwich (high calorie bread and 2-3 slices of cheese, lots of ham), applesauce, carrots, chocolate. Also can be either things too
Snack: Fruit and big amount of peanut butter or cereal or full fat yogurt with fruit and granola (high calorie)
Dinner: Varies widely and here is where we pack the most calories. Just last night we had chicken, pasta, bread and salad. She eats whatever we eat.
Snack: See previous snack. Once or twice a week is ice cream (full fat, big serving) or some kind of dessert.

We never pushed milk or juices with the meals. I wish we would have for extra calories but I wanted to make up most of her calories with actual foods.
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KLB
Our son is one of those who needs a huge amount of calories. He needed at least 5500 to gain in the early stages but now he needs more. We are trying to manage an extreme exercise compulsion at the same time in quite an unorthodox way so this also affects the amount of calories he needs. Below is a typical day. It's a LOT of food and everyday is a battle. We try to stick as close to the times as possible. Since he went back to school it's changed a little but the general premise is the same.

Meal 1 (0700) - 2 slices wholemeal toast with peanut butter & chopped banana (600)

Meal 2 (0900) - Porridge Oats (fortified with oil, cream, banana complan, ground almonds, seeds, coconut & whole milk (1450)

Meal 3 (1100) - 3 Scrambled eggs on toast (500)

Meal 4 (1300) - Stir fried turkey strips, fajita spice, vegetables and brown rice (1000)

Meal 5 (1500) - Chicken & Avocado Sandwich (500)

Meal 6 (1700) - Baked Salmon & Pesto, Green Vegetables, Roasted Sweet Potato (1100)

Meal 7 (1900) - Apple slices & peanut butter (400)

Meal 8 (2100) - "Healthy" Smoothie (500)

= 6050
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teecee

Cm72 yes our meal plans changed over time too. The one I posted was a very early one whilst refeeding. I forgot that initially we were giving her hot chocolate and glasses of milk too. 

KLB yes we have to alter and give more depending on our kids. I know yours was a performance swimmer. Mine was a performance tennis player. She is back playing tennis but only once a week now so we up the meal intake to accommodate that and it seems to work. We always encourage more but it is a slow road but as long as we are moving forward I accommodate. 

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