My husband was having such a hard time of swallowing and we were afraid he would lose his ability to swallow and he was on the peg. The dr. told him he had to swallow at least 2 tsp a day. My husband said he cries the pain was so bad when he swallowed. The dr. replied "Then you force yourself to freaken swallow and you freaken cry!! When he spoke to my husband like that it really jolted him. Which is exactly what he needed at the time! There is no easy way out of this tunnel, can't go around it or over it just Through it!!! Praying for all. LJ