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Hi, Karen,   Actually, you have hit upon the reason your mother is constantly hungry - your mother doesn't remember that she ate. I often experienced this with my mother. I often would go to visit her at the nursing home after lunch. I'd ask her what she had for lunch and whether it was good. She'd look at me and swear that she hadn't eaten lunch.   The nursing home often had a mid-afternoon snack time (often ice cream, which satisified my mother's sweet tooth). So perhaps you can add snack times mid-morning and afternoon. This shouldn't be a problem since your mother is underweight, and it might help stave off some of the constant hunger pangs.   Take care and keep us posted!   Dorian