Bill, Being physically fit will help. I was diagnosed with right tonsil squamous cell carcinoma in Dec 2018. I am a long distance cyclist. I did not have a PEG. I went to a liquid diet at about week 4 of radiation and nothing warm or hot at soon after that. I didn't lose weight until after treatments ended and I was put on a very strong antibiotic. That was my downslide. From that point I have had stomach issues which compounded the mouth, taste and saliva issues. Basically even now I don't want to eat. And I am still losing weight. You have to weigh the negative longterm effects of the PEG. If you swallow well and are healthy I would do all I could to avoid it. I am sorry for your diagnosis hang in there. I hope you recover well! Deb
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