Hello Marta ,Isabella eats all her food by mouth ,she mostly eats low protien pasta and rices ,low protien pizza shells & breads...she has her breakfast in the am before school,at lunch time I bring her her formula (polycose duocal & cyclinex 2 mixture) and add her meds into it after she is done drinking it all I know she has taken her meds I leave her go with the class to lunch I bring her dinner everyday ...she usually has low protien pasta for her lunch,now and than I can get her to eat raisins ,strawberries or even oranges ,other than that she does very well ...we get he bloodwork checked every month and fly over to St.John`s in june or july for a check up with the genetic doctor ..usually in Nov we have a tele-health conversation so we dont have to go all the way there ..with tele-health we only have to go to St.John`s once a year now instead of every 6 months and it is better for us :) hope u are doing well ...if you want to ask me anything else I am willing to write you back ...hugs :)))