Charm,

Thanks so much for the information re your experience, tube size ~ mine is 14 and has no smaller extenders, so I believe I am good to go! I'll begin with one of the Drink Your Meals recipes once a day to replace one of my six cans of Jevity. I have really liked my regularity with the Jevity so I won't make any drastic changes and may just stay with a blenderized meal once a day. I do have a Vitamix and would not consider this change if I did not have one. AND thanks too re the disposable syringes: I have been receiving only 10 per month!! I am building biceps struggling with those for more than one day. I'll call my provider today. I agree that the seal degrades after 5 or 6 meals. Once again you have shared some valuable experiences to provide guidance for me and other OCF members.