Hi Astro. sorry for not replying to your message. I found it too upsetting reading some of these posts. so sorry that your mum has lost her voice - this is one horrible disease. mum can still speak though she is getting progressively worse and she is having difficulty eating - altho the stress of this whole thing makes her not want to eat anyway. she was on fortisips but they didn't agree with her so she's changed to a soy variety. she is also having some difficulty with her breathing so she is freaking out about that particularly as she is also an asthmatic. she see's her neurologist again this week. Keep strong.