An alternative approach to thickened liquids has been recommended to counter the risk for dehydration due to reduced fluid intake and dislike for thickened liquids. This approach, the ‘Frazier water protocol’, utilizes specific water intake guidelines and allows patients with dysphagia to consume water between meals.75 Although this technique has not yet been objectively assessed, experiences from the Frazier Rehabilitation Institute are impressive. Results suggest low rates of dehydration (2.1%) and chest infection (0.9%) in 234 elderly patients. With additional confirming results, this approach may become more widely used as a dysphagia intervention