Michelle, David's suggestion of the VHC is a great one. I went onto carnation's website and ordered it directly from them. I also got the lactose free chocolate. It has less calories, 375, but my husband loves it. Anything that he will use to supplement his calories is worth it. He has a feeding tube but that doesn't cut all but itself. Sue

cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.