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**Levels in the National Dysphagia Diet **  Based on this analysis four levels semisolid/ solid food segment of the National Dysphagia Diet were deeloped, which include:  Homogenous, very cohesive, pudding-like, requires bolus control, no chewing required 2. **__Level 2__** __Dysphagia **Mechanically Altered**__   Cohesive, moist, semi-solid foods; requires chewing ability 3. **__Level 3 : Dysphagia Advanced__** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt;"> Soft- solid foods that require more chewing ability <span style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">4. **__Level 4: Regular__** <span style="line-height: normal; margin: 0cm 0cm 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span style="font-family: 'Times New Roman','serif'; font-size: 12pt;"> All foods allowed
 * 1) <span style="line-height: normal; margin: 0cm 0cm 10pt; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;">**__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Level 1. Dysphagia Pureed __**<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">