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How to start eating again after COVID?

4 min read

According to a study published in the Journal of Internal Medicine, up to 79% of people who lost their sense of taste during COVID-19 had it back within 30 days, but for many, lingering issues with appetite and flavor can persist for months. Learning how to start eating again after COVID is key to replenishing your body and regaining your strength.

Quick Summary

This article outlines a supportive recovery nutrition plan for rebuilding appetite, addressing taste and smell changes, and combating post-illness fatigue. It covers strategies like small, frequent meals, high-protein foods, and tips for making meals more palatable to aid your recovery.

Key Points

  • Start small: Eat smaller, more frequent meals and snacks instead of intimidating large portions to manage a reduced appetite.

  • Focus on protein: Prioritize high-protein, energy-dense foods to rebuild muscle mass lost during illness and boost strength.

  • Experiment with flavor: Combat taste and smell changes by adding strong herbs, spices, or tart elements, and try different temperatures and textures.

  • Practice smell training: Use daily olfactory training with four distinct scents (e.g., lemon, eucalyptus, clove, rose) to help retrain and restore your sense of smell over time.

  • Stay hydrated: Keep your body functioning optimally by drinking plenty of fluids throughout the day, focusing on nourishing liquids like milky drinks and soups.

  • Be patient and flexible: Understand that your palate may change, so continue to experiment with different foods and be patient with yourself during the recovery process.

In This Article

COVID-19 can significantly disrupt your body's systems, from triggering an inflammatory response that suppresses appetite to causing lingering changes to taste and smell. The journey to recovery, for many, includes intentionally and gently reintroducing food into your routine. The key is to be patient with yourself and to focus on nutrient-dense foods that provide the energy and building blocks your body needs to heal.

The First Steps: Rebuilding Your Routine

Returning to regular eating can be daunting, especially with a diminished appetite. Start with simple, manageable changes that don't overwhelm your system.

Eat Small, Frequent Meals

Instead of aiming for three large meals, which can feel intimidating, switch to 5-6 smaller meals or snacks throughout the day. This keeps your energy levels stable and prevents you from feeling uncomfortably full. Some easy ideas include a handful of nuts, a small yogurt cup, or a piece of toast with peanut butter. For those with low energy, pre-portioned snacks are an excellent way to ensure you're getting calories without much effort.

Prioritize Protein and Energy

Protein is crucial for muscle repair and recovery, especially if you've experienced unintended weight loss. High-calorie, high-protein foods should be your focus. Consider adding extra protein and calories by:

  • Stirring skimmed milk powder into whole milk, soups, and porridge.
  • Adding cheese, butter, or cream to sauces, vegetables, and potatoes.
  • Snacking on nuts, seeds, nut butters, and high-protein yogurt.
  • Choosing high-energy drinks like homemade smoothies with yogurt or pre-made nutritional supplements if solid foods are too much.

Hydrate and Rebalance

Staying well-hydrated is essential for all bodily functions and helps transport nutrients. Drink 8-10 cups of fluid per day, including water, diluted fruit juices, and nourishing drinks like milkshakes and soups. Avoid drinking excessive liquids with meals, as this can fill you up too quickly.

Make Meals a More Appealing Experience

If you're finding food unappealing, creating a pleasant dining environment can help. Use smaller plates to make portions look less overwhelming, and add visual appeal with colorful fruits and vegetables. Eating with family or friends can also make meals feel more enjoyable and less like a chore.

Overcoming Changes to Taste and Smell

Lingering anosmia (loss of smell) and ageusia (loss of taste) can be one of the most frustrating after-effects of COVID-19. As smell is a major component of flavor perception, these changes can make eating a difficult experience.

Flavor Experimentation

Experiment with strong-flavored foods and different flavor profiles. If savory foods taste bad, try more sour or sweet options, and vice-versa.

  • Enhance flavor: Add herbs, spices, mustard, or lemon juice to your dishes.
  • Change temperature: Some people find that cold foods are more palatable than hot ones. Try a cold chicken salad or a smoothie instead of a hot meal.
  • Embrace new textures: If you can't taste flavor well, texture becomes more important. Try combining crunchy and smooth textures, like adding nuts or croutons to a soup.

Smell Training

Smell training, or olfactory training, involves regularly smelling different scents to help retrain your brain to recognize them. This is thought to help repair damaged olfactory neurons over time.

  • How-to: Sniff four distinct essential oils or strong-smelling items (e.g., lemon, eucalyptus, clove, and rose) for 20 seconds each, twice daily.
  • Consistency: The key to success is sticking with the routine consistently for several months.

Managing Metallic Tastes

A metallic taste is a common complaint after COVID-19. To reduce this effect, use plastic or wooden utensils instead of metal ones, and avoid cooking or storing food in metal containers. Some find that marinades with acidic ingredients like lemon or vinegar can help mitigate the metallic taste in meats.

Comparison Table: Bland vs. Flavor-Forward Foods

To navigate your changing palate, here is a comparison of different food strategies based on your current symptoms.

Feature When Appetite is Low/Nausea Present When Taste/Smell is Distorted
Focus Easy to digest, bland flavors Strong flavors, varied textures
Example Foods Plain chicken, rice, eggs, tofu, boiled potatoes Foods with pungent or sour flavors: citrus, pickles, strong herbs (cilantro, rosemary)
Spices/Seasonings Minimal or none Add generously: garlic powder, chili flakes, ginger, mustard
Temperature Often warm or room temperature, not hot Hot or cold, depending on what is tolerated; some prefer chilled foods
Textures Smooth, soft foods like porridge, soup, smoothies Varying textures to engage senses beyond just taste
Hydration Drink between meals to avoid fullness Use flavorful liquids like juices or milkshakes to supplement nutrition

Conclusion: A Patience-Focused Approach to Recovery

Recovering your appetite and your enjoyment of food after COVID-19 is a process that requires patience, experimentation, and self-compassion. The changes to your senses of taste and smell, along with residual fatigue, are real side effects of the illness and not something you should ignore or feel guilty about. By focusing on eating small, nutrient-dense meals, experimenting with different flavors and textures, and staying hydrated, you can effectively support your body's healing. Don't be afraid to try new foods, embrace different preparations, and incorporate smell training into your daily routine. If you continue to struggle with a low appetite, significant weight loss, or difficulty swallowing, it is important to consult a healthcare professional, such as a doctor or registered dietitian, for personalized guidance. Gradually, with consistent effort, you can rebuild your eating habits and rediscover the joy of food. For more information and resources on recovery, consult reputable health sites such as the HSE website on Eating well while recovering from COVID-19.

Note: All medical advice should be sought from a healthcare professional.

Frequently Asked Questions

Start with bland, easy-to-digest foods like plain chicken, rice, eggs, tofu, or soup. As your appetite returns, you can gradually introduce more flavor and variety. For low energy, nutrient-dense liquids like smoothies or protein shakes are a good option.

To regain your appetite, try eating small, frequent meals every 2-3 hours instead of large ones, incorporate gentle physical activity like walking to stimulate hunger, and focus on your favorite foods first. Making meals visually appealing can also help.

A metallic or distorted taste (dysgeusia) is a common side effect of COVID-19, believed to be caused by the virus affecting the cells that support your taste and smell neurons. It is often temporary, and using non-metallic utensils can help.

Yes, unintended weight loss is a common side effect of COVID-19 due to reduced appetite, increased metabolism, and taste changes. Focusing on high-protein, high-calorie foods is crucial for rebuilding muscle and regaining strength.

Smell training is the practice of regularly sniffing a set of different, strong-smelling items (like essential oils) to help retrain and regenerate your olfactory neurons. It is recommended to perform this twice daily for several months for best results.

It is common to feel fatigued. Focus on convenient, ready-to-eat foods like yogurts, cheese and crackers, protein bars, or pre-prepared meal delivery services. You can also ask for help with cooking from family or friends.

Consult a healthcare professional if you experience rapid or significant weight loss (more than 5% of body weight in 3 months), if eating issues persist for more than a few weeks without improvement, or if you have difficulty swallowing.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.