@mcdonsco hi. I had stage 4. Discovered fairly late. Chemo and radiation followed by surgery. I'm 3 years post now. I eat normally. You soon find out what your new system can and cannot digest as this is where the problems occur. Chewing and swallowing is normal. Small quantities are very important. I get frustrated by this frequently but if I want to avoid vomiting it's a must. Happy to discuss further if you want. Everyone is a bit different and it's a bit of a journey of discovery. Fibrous meat like steak is a struggle for me and I have to avoid sweets as they give me late dumping but I know of others who can eat what they want.