Hi, I'm 64 years old, Stage IV PCan with metastatis to liver. Cancer diagnosed 8.3.22. Started Folfirinox 9.7.22. I've done 5 rounds. Learned of metastatis to liver last month after full work-up at Mayo. I started this journey without any extra weight to lose so I have been very focused on trying to limit my weight loss.
In my experience: 1. I take anti nausea meds as prescribed whether or not I feel nauseated. I take Ondansetron when I get up in the morning and then another 8 hours later. I don't wait until I feel nauseated. 2. Walking out of doors helps me with nausea and sometime appetite- even if I can only go for 20-30 minutes. I get out almost every day here in Alaska (when I'm doing "take-home" chemo. I just stuff all the tubes etc..under my down coat). 3. About once a month, the Ondansetron hasn't been enough, if pot is legal in your state, consider getting an edible or some buds that are designed to reduce nausea and increase appetite . A friend gifted me buds that are only 30% THC. Nausea was reduced without getting stoned. 4. If you can, see a Registered Dietician with experience in working with cancer patients who are on chemo. The Pancreatic Cancer Network can tell you who is in your area. I got some good ideas about how to increase calories overall and also protein. 5. For me, the recovery from each Chemo session has been different. I felt worse after the first one than after number five. Give my best to your dad.