@lizzyj58 My journey was similar in many ways to Jonesja's. I had more traditional chemo and radiation. I did have a feeding tube (through which my husband managed all nutrition and medication). We never had any issues and I was grateful I had it thru treatment. Reawakening all the muscles to swallow was almost a year long progression from liquids, pureed food, to solids. Two years out I still have to be mindful, but can eat most things. Still have trouble with chili peppers and jalapeños: my mouth is on fire! I, too, lost 30 lbs post treatment. I've regained 7-10 lbs. in the last year so I just look svelte instead of malnutritioned. The cancer treatment worked and I, too, am active and healthy and happy with my new 'normal'!