@josk The time might come when there is no other way to receive proper nutrition. I too refused even the thought of a feeding tube and held off for almost too long. Finally in 2024 after being hospitalized for the second time for aspiration pneumonia. I agreed. At that time I had become too frail to fight off any respiratory diseases and even smoothies had difficulty going down. I had lost 30 lbs. in less than 6 months. After getting the tube I thought it would extend my life long enough to get my things in order before passing. Then it dawned on me that I was gaining weight and energy and I might have some good times ahead. I also became aware of the people who have lived most of their life with a tube. I'm in my second full year and feeling good and living almost a normal life. Yes, there have been issues but so far they are minor. I do hope you won't be faced with the decision of tube or die. I wish I hadn't gone so long before getting one. Take care