I suppose this is a very individual decision. But my ALZ dad who has had a couple episodes of aspiration/pneumonia has been on pureed foods and hates it. Usually doesn't eat enough. Don't know if he just doesn't require the calories, has swallowing problems, or just plain hates the food. Over the weekend I was trying to help him eat and he wouldn't eat it and he snapped at me, you try it and see if you like it. I sort of liked the answer as it showed he had some moxie and preferences, etc. But does there hit a point where you say the heck with it? Leave the poor guy eat regular food, within reason, and whatever happens happens? Does the risk of aspiration go up many fold or just a bit?