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She is 97. She has dementia, but still knows me and gets around okay. I have offered her Boost, but she doesn’t drink it. Is this part of the illness?

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Weight loss is usually part of a poor appetite or problems eating. She may have dental problems or swallowing problems. She may be constipated (should poop every 3rd day at the very least and have light-colored urine). She may not be eating nutrient-dense foods (proteins and produce). She may not be taking in enough calories though she may be eating a lot of low calorie foods (sugar free, salads...). She may also have medical problems that should be evaluated by a medical doctor.

Try giving her calorie dense supplements that are high in protein and higher calorie. Consider ones with fiber if constipation is a problem. 5 cans a day can meet calorie and nutrient needs short term.
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Get your mother evaluated by her doctor but appears to be she is dying. Her lost appetite could mean her organs are shutting down.
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Read this website:
https://optoceutics.com/why-do-dementia-alzheimer-patients-stop-eating/?srsltid=AfmBOopTPPoMD3lK91_Lbutmt4LsyckRZwN_Uy_xxk6I4dCr7FQrmiO3

In part, it says:

Why Do Dementia & Alzheimer’s Patients Stop Eating? What To Do And Not Do
Written by Christopher Ravn, on 6-25-24/updated on 4/18/25
Scientifically Reviewed by Mai Nguyen

Loss of appetite and changes in eating habits are common challenges for individuals with dementia and Alzheimer’s. These changes can be distressing for caregivers and family members, as proper nutrition is crucial for overall health and well-being. This comprehensive guide explores the various reasons why dementia and Alzheimer’s patients may stop eating and provide practical solutions and strategies to ensure they receive adequate nourishment and maintain a healthy diet.

TABLE OF CONTENTS
1. Why Do Alzheimer’s And Dementia Patients Stop Eating? 
2. Do Dementia Medications Affect Appetite? 
3. What Can Help To Encourage Appetite In Dementia Patients? 
4. What Happens When Dementia Patients Stop Eating? 
5. Why Do People With Late-Stage Dementia Stop Eating And Drinking? 
6. What Are The Psychological Reasons Dementia Patients Stop Eating? 
7. What Exact Stage Of Dementia Do Patients Stop Eating? 
8. What To Do If Dementia Patients Stop Eating? 
9. Health Implications Of Not Eating In Dementia Patients 
10. Frequently Asked Questions About Why Do Dementia Patients Stop Eating? 
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MEHuff: Prayers forthcoming.
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It could be a loss of taste or smell, trouble with vision or medications. I would check with the doctors. Best of luck to you. ❤️
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I can recommend Hospice Nurse Julie’s videos on YouTube and also Atul Gawande’s book Being Mortal. Both do much to explain what is normal at the end of life and what we can do.

Eating less is definitely one of the signs as others here have described, it actually helps the person have a more peaceful death since the body naturally goes through a process of shutting itself down and there’s an anesthetic effect.

Unexplained weight loss however is something for the doctor to look at.
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I faced the same issue. My mom was 93 and just abruptly started to refuse food. She lost interest in everything she typically loved to eat. I tried everything. She simply had no appetite. I did engage hospice and they predicted 6 weeks and she passed a few days later. She was in no pain. That was in 2022 and I still question did I do enough or too much. I think her body simply was ready to go. She had dementia and was not aware that she was failing until the very last day. You simply cannot control or fix everything.
Let her know you love her, minimize her discomfort and make her feel safe.
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My MIL was in LTC for 7 years, always a little on the heavy side. At 89, her appetite started to wane. She didn't have any health issues other than a spot of squamous cell skin cancer on her shin, which we chose not to treat. Then from Sept to Nov she lost 10 lbs and her doctor and the facility recommended she transition to hospice. She was on hospice for less than a week when we got the call that her heart rate had dropped. When we gathered in her room she was non-responsive and passed within 30 minutes, peacefully, no morphine or any other pain medication. We won't ever know the actual and it doesn't matter to us. I'm assuming you're living together. I would take her to her primary doctor now. At some point you may want to consider hospice care, and it'd be good to have a current exam and get input from her doctor. I'm not suggesting a whole bunch of testing, but a general exam and a discussion about hospice. May you receive peace in your heart on this journey.
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This is what happens when ones life is drawing near its end, so definitely bring hospice on board now, and let them make sure that she's kept comfortable as she leaves this life for the next.
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Its likely failure to thrive. Ask moms doctor for a hospice evaluation to be ordered. Weight loss is a criteria for acceptance. My mother passed from advanced dementia at 95 and still knew me by name.

Best of luck.
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MEHuff May 31, 2025
Thank you. I never expected to be going down this road. She just seems like she is slipping away. It is so hard to watch. I am always town between “am I doing to much or do I need to do more” at this point I don’t know what that looks like. Any way thank you.
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