Inclusion Criteria:

• Diagnosis of gynecological cancer of any type or strong suspicion for cancer
• Patients must have begun postoperative oral intake of food prior to registration
• Had an open laparotomy, laparoscopic surgery, or cancer therapeutic surgery (not a subsequent surgery to manage a postoperative complication) that occurred ≤ 7 days prior to registration and that entailed more than a simple hysterectomy
• Creatinine ≤ 1.5 x the upper limit of normal (ULN)
• Absolute neutrophil count ≥ 1500/mm^3
• Platelet count ≥ 100,000/mm^3
• Ability to complete questionnaire(s) by themselves or with assistance
• Provide informed written consent
• Negative (serum) pregnancy test done ≤ 7 days prior to randomization, for women of childbearing potential only
• Willing to provide mandatory baseline blood samples for correlative research purposes

Exclusion Criteria:

• Symptomatic and/or untreated brain metastases
• Ongoing parenteral nutrition (receiving intravenous nutrition support at the time of enrollment); note: patients may be receiving maintenance intravenous (IV) fluids
• Current enrollment in any other trial that entails the concurrent administration of any other agent designed to enhance postoperative recovery
• Allergy to beef