You mentioned that she is still losing weight, which means her combination of blended foods and Ensure is under the maintenance number of calories. For sure she won't get any pleasure out of her current eating restrictions, but at some point the loss of weight and nutrients will have negative consequences for her health. When I was in that boat, I kept a pad and pencil in the kitchen on which I kept a meal, by meal count of my calories, Ensure, blender drinks etc. If by 5 in the afternoon I hadn't received 2000 calories, then the extra cans of Ensure and the bag came out again to get me up there. Given my mood at the time and my depression, if Ingrid hadn't been on top of me about eating, I would have just blown it off and not put down the calories...I didn't like it, didn't enjoy it, it didn't taste good, and I couldn't have given a damn less about it..... The log kept me honest and my nutrition and weight where it should be. She even had me counting the calories of everything that went into my blender drinks, One scoop of protein powder 100, four strawberries 40, one banana 45, one cup of whole milk