Fruit smoothie: Blend fruit for example: banana, strawberries with milk plus ice cream/yogurt and honey or malt.

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Nourishing drinks Contact dietitian Telephone... Readymade drinks: Some shop-bought drinks can be a good high calorie (kcal) option. Below are just a few examples: Frijj Shaken Udder milkshakes Supermarket own-brand milkshakes Over the counter nutritional supplement drinks: Some nutritional supplement drinks are available from chemists and supermarkets. They often come in a wide variety of flavours, sweet and savoury. Examples include Complan and Meritene. Fortified milk: Add 60g (4 tablespoons) of skimmed milk powder such as Marvel or Nestle Nido or supermarket own brand to 568mls (1 pint) of whole milk (full fat). Use fortified milk to make up: Hot milk drinks: Coffee, Ovaltine, Horlicks, hot chocolate (avoid low calorie types). Double cream can be added to a hot milky drink, instant soup, Bovril or Marmite. Cold milk drinks: Milkshakes made with fruit juice, milkshake syrup or powder. Add a scoop of ice cream or yogurt for extra nourishment the higher the calories the better! Whisk or blend all ingredients together and chill. Fruit smoothie: Blend fruit for example: banana, strawberries with milk plus ice cream/yogurt and honey or malt. Ice cream soda: This can be made by adding lots of ice cream to a fizzy drink. Try to make every mouthful count. If you need extra nourishment, don t fill yourself up with water, Bovril, fizzy drinks, diet soups, tea or coffee instead use some of the ideas in this booklet. It is important to remember to try and have these drinks AFTER your meals as they can be quite filling. Source: Nutrition & Dietetics Reference No: 6358-2 Issue date: 21/2/18 Review date: 21/2/20 Page: 1 of 6

Recipes for nourishing drinks (all recipes make one serving unless otherwise specified): Easy milkshake 416kcal and 12.3g protein per serving 16g (3 teaspoons) Nesquik powder or other milkshake powder 1 scoop vanilla ice cream Add skimmed milk powder and milkshake powder to milk and stir thoroughly until well mixed. Add double cream and ice cream and whisk until ice cream is well blended. Fresh strawberry milkshake 500kcal and 18.7g protein per serving 2 scoops vanilla or strawberry ice cream 5 small strawberries Mash strawberries in a bowl using a fork until large lumps removed. Whisk milk, ice cream, double cream and milk powder together in a bowl until well mixed, then mix in the mashed strawberries. For a smoother consistency, you could use a blender for this recipe. Just add all ingredients to a blender and blend Nutty chocolate banana milkshake 488kcal and 21.3g protein per serving 2 scoops vanilla ice cream 2 tablespoons chocolate hazelnut spread 1 tablespoon banana milkshake powder Add all ingredients to a bowl and mix well until a smooth consistency is achieved. Banana and peanut butter milkshake 417kcal and 23.5g protein per serving 150ml whole milk 1 small banana 2 tablespoons plain yogurt 2 tablespoons skimmed milk powder 1 tablespoon peanut butter Mash banana Whisk whole milk, plain yogurt, skimmed milk powder and peanut butter together until well blended. Add mashed banana to mixture and whisk until well combined. For a smoother consistency, you could use a blender for this recipe. Just add all ingredients to a blender and blend until Page: 2 of 6

Raspberry delight (2 servings) 357kcal and 6.9g protein per serving 1 pot (150ml) of raspberry yogurt 100ml cranberry fruit juice 100ml double cream 15 raspberries (fresh or frozen) Mash raspberries in a bowl using a fork (if frozen, allow to defrost before trying to mash) until lumps removed. Mix yogurt, cranberry juice and double cream together in a bowl until well mixed, then add the raspberries and mix well. For a smoother consistency, you could use a blender for this recipe. Just add all ingredients to a blender and blend until Banoffee treat (2 servings) 280kcal and 10g protein per serving 1 pot of crème caramel 1 small banana 1 teaspoon golden syrup Mash the banana in a bowl using a fork until smooth consistency achieved. Whisk the skimmed milk powder into the whole milk Add crème caramel, double cream and golden syrup to the milk mixture and mix well. Add the mashed banana and again mix well. For a smoother consistency, you could use a blender for this recipe. Just add all ingredients to a blender and blend until Iced coffee/mocha 323kcal and 21.7g protein per serving 1 scoop ice cream 2 tablespoons skimmed milk powder 1 tablespoon cocoa powder/drinking chocolate (optional) 1-2 teaspoons instant coffee Add skimmed milk powder to milk and mix well. Dissolve coffee in a little hot water. Add the milk and ice-cream to the coffee mixture. Whisk and chill thoroughly. Greek cooler 307kcal and 21g protein per serving 1 small pot (125g) natural Greek yogurt 2 teaspoons honey Mix together milk and milk powder until Add in the yogurt and honey and mix well. Chocolate cream biscuit (blender required) 440kcal and 11.5g protein per serving 1 scoop vanilla ice cream 2 Oreo biscuits Page: 3 of 6

Custard Cream/Bourbon biscuit (blender required) 508kcal and 12.3g protein per serving 1 scoop vanilla ice cream 2 custard creams or 2 bourbon biscuits or 2 biscuits of your choice Lemon curd milkshake (2 servings) 372kcal and 9.6g per serving 4 tablespoons double cream 3 tablespoons lemon curd 2 scoops vanilla ice cream Whisk milk and milk powder together until Add lemon curd, vanilla ice cream and double cream and whisk until well mixed. Fruit smoothie (larger volume, blender required) 544kcal and 19.9g protein per serving 200ml whole milk 1 portion fruit of your choice (fresh, frozen or tinned) 1 scoop ice cream 2 tablespoon double cream 1 teaspoon honey Fruit smoothie (smaller volume, blender required) 319kcal and 15.7g protein per serving 1 small pot (125g) plain Greek yogurt 50g fruit cocktail or other tinned fruit of choice 3 tablespoons condensed milk Puree fruit, mix with condensed milk and yogurt. Chocolate magic 418kcal and 19.4g protein per serving 100ml evaporated milk 1 tablespoon of double cream 1 heaped tablespoon of drinking chocolate powder Whisk milk powder and milk together until Add evaporated milk, double cream and drinking chocolate and whisk until well combined. Caribbean crush (2 servings, blender required) 256kcal and 11.9g protein per serving 1 small pot (125g) plain yogurt 80g mango 2 tablespoon double cream Page: 4 of 6

Banana smoothie with added oat (blender required) 340kcal and 17.5g per serving 1 small pot (125g) plain Greek yogurt 120ml whole milk 1 small banana 4 tablespoon oats (optional) 2 teaspoons honey Cream shot (3 servings) 212kcal and 0.7g protein per serving 120ml double cream 3 teaspoons lemon curd (or other flavouring of choice, e.g. jam/milkshake syrup etc.) Add flavouring to double cream and stir gently until well mixed. Drink over the course of 24 hours, splitting into 3 x 45ml shots. Milky coffee 309kcal and 11.5g protein per serving Malted milk drink 383kcal and 12.3g protein per serving 4 teaspoons malted milk powder e.g. Ovaltine, Horlicks etc. Stir milk powder into milk until well mixed. do not boil! Add malted milk powder and stir until well mixed. Finally, add double cream and stir. Hot chocolate 283kcal and 12.8g protein per serving 1 tablespoon drinking chocolate Stir milk powder into milk until well mixed. do not boil! Add drinking chocolate and stir until well mixed. Finally, add double cream and stir. 1 teaspoon instant coffee Mix coffee with 50ml boiling water. Whisk milk powder into milk until well combined. do not boil! Add coffee and milk mixtures and whisk until well mixed. Finally, add double cream and mix. Page: 5 of 6

Calorific Cup-a-Soup 361kcal and 12.2g protein per serving 1 sachet of cup-a-soup Stir milk powder into milk until well mixed. do not boil! Add sachet of soup and stir until well mixed. Fizzy fruit float 232kcal and 1.7g protein per serving 100ml fruit juice 100ml lemonade 1 scoop ice-cream Whisk all ingredients together until well mixed. Fortified tinned soup 318kcal and 11.1g protein per serving ½ tin of soup choose cream of varieties where possible (if using condensed tin of soup, mix with whole milk) 30g grated cheese Warm soup as per heating instructions on tin. Add grated cheese and double cream and stir until cheese has melted. Once made, all homemade cold supplements can be kept in the fridge for 24 hours. These will need to be stirred before drinking. Hot drinks will need to be drunk immediately after preparation. After this time any uneaten homemade supplements should be discarded. A note about alcohol A small glass of wine, beer, sherry or your favourite alcoholic drink, taken half an hour before a meal, may boost your appetite. Alcohol is not advised with certain medications. If unsure please check with your pharmacist. There are also certain medical conditions for which it would not be advised to include alcohol. If unsure please check with your doctor. This leaflet is not suitable for people who need thickened fluids. Some recipes may also not be suitable if you follow a specific diet, e.g. diabetic or gluten free. If you are unsure, please ask your dietitian. Please ask if you require this information in other languages, large print or audio format: contact the Patient Advice and Liaison Service (PALS) on 01284 712555 Page: 6 of 6