Cathyl: Another good additive is Carnation Instant Breakfast in the same flavor as your Boost/Ensure stuff. It adds like 100 calories and both can be taken through a peg (tube in the stomach). While on that topic, Darrell, I had doubts about the peg also, but as I progressed down the 50 pounds (25% body weight)loss, I had it installed and stabilized my weight at that point. Think about it guy, you have to keep your nutrition up to fight this or you aren't being as aggressive in your treatment as you can be. Whats a little tube insert compared to all of the other stuff you are doing to defeat this little disease? Don't let it win because of a little reluctance to have a minor procedure performed. Get the peg, especially if you have many more treatments to go as things do get a little more difficult in the eating department.