
If you’re not sure where to begin, focusing on a few key nutrient‑dense foods can make eating well feel easier. Here are seven of the best foods to prioritize when you have multiple myeloma.
Dark Leafy Greens

Dark leafy greens like spinach, kale, and bok choy are some of the most nutrient-rich foods you can eat to support your overall health, says Natalie Ledesma, RDN, CSO, senior oncology dietitian at the University of California, San Francisco Helen Diller Family Comprehensive Cancer Center. “They’re rich in B vitamins. And greens like kale and bok choy are rich in calcium without putting extra strain on the kidneys. Spinach is also high in iron and folate, which can help with the anemia that many patients face,” she says.
When it comes to preparation, Ledesma favors cooked leafy greens over raw. “Cooking them makes the portion smaller and easier to eat, which can help if you have a low appetite or if chewing a large salad feels exhausting. A half-cup portion is all you need,” she says.
Cold-Water Fish

“Canned salmon and sardines with bones are worth seeking out, since the bones give you calcium for bone health,” says Ledesma. “They’re also a great option on days when fatigue makes cooking feel overwhelming.”
Berries

Be sure to keep some fresh or frozen berries on hand to add a touch of sweetness to yogurt, oatmeal, or smoothies.
Hydrating Foods and Drinks

“[Drinking fluids] helps flush the kidneys and reduce symptoms like nausea and fatigue,” says Ledesma. “It can also help manage digestive issues like diarrhea or constipation.”
Legumes

For a quick and convenient option, keep canned beans on hand to toss into soups, salads, or grain bowls.
Seeds

Whole Grains

The Takeaway
- Focusing on a high-fiber diet rich in whole grains, vegetables, and legumes can improve your gut health.
- Prioritizing protein-rich foods can help maintain your muscle mass, which can be affected by treatment.
- Staying hydrated is just as important as eating well. Aim for two to three liters of fluid a day to support your kidneys and manage treatment-related side effects like nausea and fatigue.

