Oh gosh! Poor thing. I was very sick with two of my pregnancies and anyone who hasn't experienced this simply can't understand that it is absolutely debilitating. Honestly, the only thing that helped me keep food down was Zofran. I can't imagine having Hyper Gravidarum and not being on Zofran. I'm not sure anything else will work. Is the nausea/vomiting not worse during her 1st trimester? It was for me. Maybe she should be on Zofran, even though she doesn't want to. Anything she puts in her body should be high in calories, fat and nutritious (although, I'm sure she's very aware of this). The only thing I could even tolerate in the mornings was a slim fast shake. However, I rarely kept them down. I'm sure I got some in me. All of the tricks don't really work; I tried it all (ginger pops, teas, peppermints, crackers, pressure wrist bands, promethazine, etc.). Worthless, I'm afraid. I'm really not giving you much info here other than saying that Zofran might be the only way. If she has the energy to do it, she should make herself protein shakes in the morning filled with fresh fruits, protein powder, kale and other veggies. I often ate plain old mashed potatoes or white bread for dinner. Not so nutritious. I remember tolerating homemade tortilla soup pretty well (plain, however. Chicken, broth, tortilla strips, onion and carrots). By the way, my daughter is a Zofran baby. She is very healthy and developing normally (she's 4 now). I didn't like the idea of exposing her to this drug but I felt I had not choice. Even with the Zofran, there wasn't much weight gain in the beginning and I was a worthless human being, on the couch most of the time. I was able to get off of it about half way through the pregnancy and keep foods down (just felt sick when I ate but stopped throwing up). Doesn't sound like she's quite as lucky. Lastly, I knew a lady with H.G. who had twins. They were Zofran babies too and were completely fine. I really think she's going to need to Zofran to properly nourish the baby. :(