Pineapple, Banana and coconut cream smoothie

I made this last night with agave and it was the bees knees!  Original recipe here

Pineapple Banana & Coconut Cream Smoothie

1 banana (previously frozen is ideal but not essential)

1 c pineapple (I used canned in juice, but fresh would be great)

1/2 c coconut milk (canned, fresh, cream of coconut, or coconut creme concentrate)

1/2 tsp vanilla extract

1 c ice cubes

1/4 c sugar, optional or to taste (or honey, agave, sugar, stevia, vanilla NuNaturals stevia drops to taste)