I totally agree with you. It was mandatory to have the tube in place before I started chemo and radiation. It was a life saver for me and even using the tube I have lost over 50 pounds. Was 138 when I started and down to 86 pounds now. Good thing I am only 5 foot tall. My mouth is always so dry that I can't get anything even a touch chunky to go down. Even with the tube I really struggle on a daily basis to get enough 2Cal and ensure down along with as much water as I can take. 8 ounces at a time is all I can take before I feel like I have been to an "all you can eat" buffet and I ate it all. This is a daily battle and I am sure I would have not made it if I didn't have the feeding tube. I have spent a lot of time researching home made liquids I can get down the tube without clogging it up but alas am still using the the formula. Again, I believe, as was stated above it boils down to how much weight you can stand to lose from the start.