@itlooksunny Welcome to Mayo Clinic Connect! You're doing just fine, we understand your dilemma.

Everyone seems to respond differently to a protocol of medications. Yes, fatigue is a big factor. Our body is fighting this new opponent of myeloma, and that takes a lot of energy! For me, I try to keep as normal a routine as possible. While there are days I cannot accomplish everything on that list, it spurs me forward to try.

As for diet. If your husband does not need to consider any co-morbidities and dietary concerns, here are some ideas. Eat what appeals to you. If water is not appealing, try adding some flavoring. I use True Lemon, True Lime, or True Orange as an additive to give my water just a bit of taste. In the morning, my go-to is a glass of crushed ice with water, and usually one of these packets. I am always looking for ways to increase my protein intake, as dialysis is hard on a person to keep up protein levels. Hummus with celery or carrot sticks, or chips is a good source. Peanut butter on crackers. My homemade protein shake has bananas or blueberries, greek yogurt, almond milk, and plant-based protein powder. You don't need a huge shake, about 10 ounces, to get a good "meal" in with lots of protein! Lean chicken in all forms, likewise fish.

You may find some information about the spine issues and aftereffects in the spine health group https://connect.mayoclinic.org/group/spine-health/

We're here for you! any other questions come to mind? How are you doing handling all this?
Ginger