Early Supportive Care and Nutritional Support in Adults With Pancreatic Cancer

Inclusion Criteria: * ≥18 years old * Newly diagnosed metastatic or newly recurrent pancreatic cancer or locally advanced pancreatic cancer * Planning to initiate chemotherapy under the guidance of Moffitt * Able to speak and read English or Spanish * Able to provide informed consent Exclusion Criteria: * Documented or observable psychiatric or neurological disorder that would interfere with study participation (e.g., psychosis, active substance abuse) * Undergoing concurrent treatment for a second primary GI cancer * ECOG status of 2 or greater * Receipt of chemotherapy in the past 6 months for recurrent pancreatic cancer * Use of parenteral or enteral nutrition * Presence of malignant ascites * The last two exclusion criteria were included because investigators do not anticipate that these patients would benefit from additional nutrition intervention.