87 yo independent active female recovering from total hip replacement. Had 4 vessel CABG last year. Has CAD, CHF. Depression, CO~45%,minor Basal Ganglia CVA and developing renal failure. Weight loss of >40 lbs in past year. No appetite, muscle wasting disuse atrophy, anemic. Marinol not as effective appetite stimulant and she is sensitive to mental status changes on Marinol increasing probability of falling again. Need safest appetite stimulant to nourish muscle mass to regain strength to weight bear/ambulate in PT for independence at home or even with assistance of only1 person.
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