[Mark Wegmet]

James, my solution to the same problem is as follows (I got my PEG in March).
I take Carnation Essentials as the basis for my “breakfast” and use a Ninja smoothie / blender to mix things up.
My supplements include 40gr of protein powder, 12gr of fiber, as well as several capsules, tablets, and gel caps in addition to the Carnation product.
I was given the same instruction of one item at a time with cleanings in between. This is what I do instead.
Using an 18 or 24 ounce smoothie cup,
1) I add all of the powdered items (protein, fiber, Carnation Essentials
2) I bought an electric pill grinder (spice or coffee grinder will work) and pulverize all of the tablets and add them to the cup
3) I “disassemble” any capsules with dry contents and add the contents to the cup
4) gel caps get added to the cup whole
5) finally for this step, I add 8 ounces of whole milk (the carnation directions say skim, but I want the extra calories).
I run this on the smoothie setting to blend everything together.
Following this, I add 1/2 banana and 3 – 4 ounces of a suitable fruit, both frozen. (e.g., strawberries for strawberry, with vanilla it can be blueberries, peaches, cherries, etc.) I run another smoothie cycle to blend this.
I strain this through a fine mesh strainer to remove seeds and any remaining gel cap solid bits into a 12 ounce smoothie cup and refrigerate.
I usually make a week’s worth of “breakfast” on Sunday. Note that I switched to a 32 ounce smoothie cup to start and doubled everything so I get two 12 ounce servings per make up – saves a little time.
One thing to note is that I cleared this with my nutritionist before I did it and my other “meals” are Jevity and/or 2CAL HN formulas both tube fed.
I can still take some things by mouth, so my ‘breakfast’ mix allows me to start drinking it, then switch to tube feed if I get tired of the time it is taking – or just tube feed, my choice.
You should also blend and restrain the mix before taking it – it warms it up some and removes other small bits that may have been missed.
I am using the bolus method of tube feeding with a 60mL syringe and each “meal” is 350 – 400mL with 100mL water flush before and after.
That’s probably more “how” than you wanted, but hope it helps. Good luck!