I plan to ask this question in my next visit at the end of May. It has not occured to me to ask the question in the past year since my formal dx on 3/16/11. Yes, it was my first anniversay with the GP label last Friday! I guess it did not come to me was because it was pretty stable in the past year. I finally feel it getting worse recently! It feels like I am not even passing liquid very well, not to mention my pureed diet. I started (pretty much) a full liquid diet last week. It does not seem to work that well. I feel bloated from just drinking my morning tea with milk. I don't even need lunch after my morning snack of a few pieces of crackers and caramel. Now my stomach is so big and I feel like it's going to explode. I thought about calling my NP for help...but what can I expect him to be able to do anyway? Anyway, just want to hear your experience in the mean time. Any information is greatly appreciated.