The toughest adjustment for me with no saliva glands has been swallowing food . As my tastes are totally different to what I use to know has also been a struggle. I loved cooking but now I have to ask my partner whrn I am cooking how does this taste then I alter the food to his taste. With no saliva glands I now eat much softer foods. I really enjoy apple pie and cream i have to have the cream as it helps the food go down much better. I always carry a drink bottle with me. I have found that eating sugar free chewing gum has helped. I also carry a gel for dry mouth and take that quite often. I feel I have adjusted quite well to having no saliva glands. What I find hard is having no taste or little taste. Hopefully that will improve over the next couple years. I dont eat steak now and I dont like ice cream. But as i have told people it is a small price to pay as I am still alive