I had a patient that just finished treatment for head and neck cancer. She was dependent on tube feeding for nutrition and was struggling with side effects from radiation including severe mucositis, nausea/vomiting, and thick secretions. The patient was admitted to the hospital for continued weight loss, tube feeding intolerance, and increased treatment toxicities. While she was inpatient, we tried numerous tube feeding formulas as well as various administration methods (bolus, gravity, continuous) to figure out a tolerable regimen for her. Each of the formulas we tried increased her thick secretions to the point where she couldn’t tolerate it. The last formula we tried was Real Food Blends. Within minutes, the patient stated she knew this was the formula for her. Her secretions did not increase, and she denied any nausea or vomiting. She discharged on Real Food Blends and even noted having more energy.