Note: This high-calorie recipe is especially for teens with cystic fibrosis (CF), who need additional calories to meet their nutritional needs.

This classic is now packed with more calories and fat. The creamy cheese flavor is sure to win over even the pickiest eater.

Prep time: 20 minutes

Ingredients:

• 6 c. water
• 1 (7.25 oz.) package of macaroni and cheese dinner
• ¼ c. butter
• ¼ c. heavy whipping cream
• 2 tbsp. skim milk powder
• ½ c. cheddar cheese, shredded

Directions:

1. Boil the water in a medium pan.
2. Stir in the macaroni.
3. Boil for 7 to 10 minutes, stirring occasionally.
4. Drain the macaroni and return it to the pan.
5. Add butter, whipping cream, skim milk powder, cheese, and cheese sauce mix (from the macaroni and cheese dinner package).
6. Reduce heat to low and mix well until the cheese has melted.

Serves: 3

Serving size: 1 cup

Nutritional analysis (per serving):
563 calories
16 g protein
32 g fat
870 mg sodium
305 mg calcium

Note: Nutritional analysis may vary depending on ingredient brands used.

Variations and suggestions:
For extra flavor, add one or more of the following:

• 1 c. broccoli, steamed
• 2 hot dogs, boiled and thinly sliced
• 1 large tomato, diced
• 6 slices of bacon, cooked and chopped

Reviewed by: Allison Brinkley, RD, CNSC, LD/N
Date reviewed: July 2012