Need to Gain Weight? Calories measure food energy. Eating more calories than your body burns leads to weight gain. If your doctor and/or Registered Dietitian have advised you to gain weight, you will have to eat extra calories every day. Here are some general tips: Do not skip meals. Add snacks between your meals and at bedtime. Keep foods & snacks that are easy to prepare or get pre-packaged ones to keep around the house. Make meal time pleasant by cooking with friends or preparing special dishes. Plan meals around your energy level. If you are most energetic in the morning, make breakfast your biggest meal. Consider cooking extra batches of favorite foods on weekends. Try liquid supplements. Supplements such as Ensure®, Boost®, Carnation® Instant Breakfast™, or others pack in 250 calories per serving. The “Plus” versions of these products contain even more calories per serving. Most stores also carry their own brand, which can save you money! To gain weight, you may have to eat or drink when you don’t feel hungry. So, make everything you eat and drink count! Beverage Ideas - Many people find that it is easier to drink than to eat extra calories: Instead of water, drink cranberry juice, orange juice, fruit punch, lemonade, Kool-Aid®, chocolate milk. If you have medications to take, take them with beverages that have calories in them such as milk, juice, or sweet tea. If you like milk, drink whole milk instead of low fat or skim. Fortify milk by adding dry milk powder: 1 cup dry milk powder to each quart of milk. Add ice cream, Instant Breakfast™, protein powder, dry milk powder, or other flavored powders or syrups to whole milk (chocolate, strawberry, etc.). www.GInutrition.virginia.edu BB updated 12/2015 23 Ways to Add Calories to Every Bite Change to full fat dairy. For cream soups, custards, puddings, and milkshakes, use whole milk or evaporated milk instead of low-fat or non-fat milk. Half and half can also be used, but won’t pack as much protein. Use whole milk yogurt or kefir instead of the low- or non-fat kind. Flavored or fruited varieties have even more calories. Use whole milk/full fat versions of cottage cheese and sour cream. Use butter often. On vegetables, rice, potatoes, noodles, and breads. Noodles and rice are good fried, too. In hot cereals On sandwiches and crackers Cook meats, fish, poultry, or eggs in oil or butter. Fortify your breakfast. Use lots of butter, syrup, and nut butters (peanut, almond, cashew, etc.) on toast, pancakes, waffles, and French toast. Add butter to your hot cereals. Brown or white sugar and honey are great on cereals. Try maple syrup in hot cereals. Add nuts (especially good when toasted) and dried fruits to hot cereals and muffins. Dress up your bread. Add jam, jellies, Nutella®, and honey to bread, toast, or rolls. Use mayonnaise whenever possible – put it on both sides of your bread for sandwiches. Whole fat cream cheese makes a great mayonnaise substitute also. Use liberal amounts of peanut butter, whole milk cheeses, cottage cheese, or cream cheese. Add them to breads, bagels, or rolls. Avocado is a great addition to any sandwich. Add protein to everything. Add hard cooked eggs to vegetables and casseroles. Nuts and sunflower seeds provide calories and protein; eat as a snack or add them to salads, cookies, muffins, and hot cereal. Dry milk powder or whey protein powder can be cooked into gravies and other foods. Garnish with gusto. Enhance meats and vegetables with gravies, especially if protein-fortified. Add avocados to sandwiches, tacos, and salads, or smash them to make guacamole. They are also good on their own as a high calorie snack or side. Sprinkle lots of Parmesan cheese on vegetables, pasta dishes, and eggs. Dried fruits like raisins, dates, cherries, apricots, and pineapples are delicious alone or added to salads, cookies, muffins, and hot cereal. Use with nuts and chocolate chips to make trail mix. Don’t skip dessert. Make custards and puddings with eggs or egg substitute. Choose canned fruits in heavy syrup. Add chocolate or caramel sauce and cookie or candy toppings to ice cream or frozen yogurt. www.GInutrition.virginia.edu BB updated 12/2015 Ready-Made Nutritional Supplements* Milk-Based Products: Carnation® Instant breakfast™ or store brand equivalent Scandishake®/ScandiCal® http://www.aptalispharma.com/scandishake Mighty Shakes® (available in nectar- and honey-thick consistencies) http://www.hormelhealthlabs.com/ Magic Cup® Dessert (an ice cream or pudding suitable for dysphagia diets) http://www.hormelhealthlabs.com/ Eggnog around the holidays is power-packed with calories. Lactose-Free Products: Ensure®/Ensure Plus® (or store brand equivalent) Boost®/Boost Plus® (or store brand equivalent) Nutra-Shake® www.nutra-balance-products.com Boost® or Ensure® Puddings *Examples only; other products are also available. UVAHS does not endorse any product or brand. Many stores also have generic equivalents of these products. High Protein and Calorie Shakes The blender is your friend! Get creative with high calorie shakes and smoothies. Here are a few recipes to get your started. Calorie and protein amounts are listed per serving. Milk-Based Shakes You can substitute any of the following in place of milk: liquid nutritional supplements, soy milk, silken tofu, Lactaid® milk, or non-dairy creamers. BASIC MILKSHAKE ¾ cup milk (or substitute) 1 cup ice cream SHERBET SHAKE ¾ cup milk (or substitute) 1 cup sherbet, any flavor Put all ingredients into a blender, cover, and blend until smooth. Makes 1 serving. 360 calories, 10 g protein. Put ingredients into blender, cover, and blend until smooth. Makes 1 serving. 360 calories, 8 g protein Flavoring ideas: 1 to 2 Tbsp chocolate, strawberry, or caramel syrup ½ mashed banana ¼ to ½ cup fresh or frozen strawberries 1 to 2 Tbsp peanut butter 2-4 crumbled chocolate sandwich www.GInutrition.virginia.edu cookies HIGH PROTEIN MILK 1 quart low fat milk 1 cup nonfat dried milk powder Blenderize ingredients until powdered milk dissolves. Refrigerate. BB updated 12/2015 HIGH PROTEIN/HIGH ENERGY COCOA SUPREME SHAKEchocolate Instant Breakfast™ 1 envelope cup milk (or substitute) 8 oz ½ milk 1 package Instant 1 Tbsp chocolate syrup Breakfast® ¼ cup egg substitute ~10 mini marshmallows ½ cup ice cream Heat milk and add Instant Breakfast™ and Put all well ingredients into blender and syrup. Stir to blend. Topa with blend until Makes smooth. marshmallows. 1 serving. 470 calories, gm protein 355 calories, 13 g 22 protein NANA-PEANUT SHAKE ½ cup milk (or substitute) 1 banana 2½ Tbsp peanut butter 1 cup vanilla ice cream THE SUPER SHAKE 1, 8 oz can Ensure® Plus/Boost® Plus or equivalent 1 cup whole milk ½ cup ice cream KEY LIME DELIGHT SHAKE 2 cups vanilla yogurt 6 oz key lime yogurt 2 ripe bananas 1/3 cup milk (or substitute) Put all ingredients into a blender and blend until smooth. Makes 2 servings. 370 calories, 14 g protein Put all ingredients into a blender and blend until smooth. Makes 2 servings. 360 calories, 12 g protein COFFEE BUZZ 2 tsp of instant coffee, mixed in 1 TBSP water 1 cup milk (or substitute) 1 pack of chocolate or vanilla Instant Breakfast™ STRAWBERRY CHEESECAKE SHAKE (not sweet) 6 to 7 strawberries ½ cup cold milk ½ cup cottage cheese Honey to taste Blend all ingredients together. Makes 1 serving. 280 calories, 13 g protein Place milk in blender container. Add banana, peanut butter, and ice cream. Cover; blend on high for one minute or until thick and smooth. Makes 2 servings. 330 calories, 10 g protein Combine all ingredients in blender until smooth. Makes 1 serving. 270 calories, 18 g protein Hint: Use frozen strawberries for a thicker shake. MALTED MILKSHAKE ½ cup milk (or substitute) 1 Tbsp malted milk powder ½ cup half and half 1 package Instant Breakfast™ 2 cups ice cream 2 Tbsp Ovaltine® STRAWBERRY-BANANA FRAPPE (not sweet) Put all ingredients into a blender and blend until smooth. Makes 2 servings. 435 calories, 10 g protein Combine all ingredients in blender. Makes 2 servings. 275 calories, 9 g protein www.GInutrition.virginia.edu 1 2 1 1 cup milk (or substitute) bananas carton (8 oz.) strawberry yogurt Tbsp lemon juice BB updated 12/2015 Yogurt and Nondairy Shakes CREAMSICLE BREAKFAST SHAKE ¾ cup vanilla yogurt ¾ cup orange juice 1 pack vanilla Instant Breakfast™ JUICE SHAKE ¾ cup pineapple juice (or other juices) ¼ cup egg substitute (optional) 1½ cups vanilla ice cream Add all ingredients to the blender, cover, and blend until smooth. Makes 1 serving. 385 calories, 12 g protein Add all ingredients to the blender, cover, and blend until smooth. Makes 2 servings. 315 calories, 7 g protein FROZEN FRUIT SLUSH 6 oz can frozen fruit juice 4 Tbsp sugar 3 cups crushed ice HIGH PROTEIN FRUIT DRINK 8 oz Boost® Breeze/Ensure Clear™ or equivalent ½ cup sherbet 6 oz ginger-ale Add all ingredients to the blender, cover, and blend until smooth. Makes 1 serving. 350 calories, 9 g protein Combine all ingredients in blender and mix until slushy. Makes 1 serving. 615 calories, 0 g protein BREAKFAST SHAKE 6 oz. can frozen concentrated orange juice ¼ cup cold water 1 cup ice cubes 1 carton (8 oz.) plain yogurt Combine all ingredients except ice cubes in blender and blend until frothy. With mixture still running, drop in ice cubes one at a time. Makes 2 servings. 240 calories, 8 g protein GREEN SMOOTHIE 1 banana ½ cup frozen mango chunks ½ ripe avocado 1 cup baby spinach 1¼ soy or almond milk ½ tsp vanilla Add all ingredients to the blender, cover, and blend until smooth. Makes 1 serving. 485 calories, 11 g protein Pudding CHOCO PEANUT BUTTER PUDDING 2 cups chocolate pudding ½ cup peanut butter 2 ½ Tbsp nonfat dry milk 1/3 cup milk (or substitute) Mix ingredients together well in a bowl. Refrigerate. Makes 4 servings. 315 calories, 9 g protein Alternatives: Try substituting vanilla or butterscotch pudding, or try a different kind of nut butter such as almond or cashew. www.GInutrition.virginia.edu BB updated 12/2015
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