In this Jan. 24, 2017 photo, face transplant recipient Andy Sandness talks with physical therapist Helga Smars, right, during an appointment at the Mayo Clinic in Rochester, Minn. His facial muscles are growing stronger. He received speech therapy to learn to use his tongue in a new mouth and jaw and enunciate clearly. He's thrilled to smell again, breathe normally and be eating foods that were off-limits for a decade: apples, steak and pizza that he shared with his doctors. (AP Photo/Charlie Neibergall)