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Eating for weight gain: We need to PUMP (*clap*) you up!

My little man is so very, very little.  At 16 months old, he weighs about 18 and a half pounds.   Not that we're in a rush for him to sit in a forward-facing car seat, but we have often thought that most one-year-olds will be facing forward already (good thing he mostly rides in a bike seat;  he faces forward all the time.)  He is a vibrant, inquisitive, and capable child.  He is developmentally spot on.  Still, his gain of9 ounces over a 3.5 month period was a bit alarming to us and our health care professionals.

Some have suggested that we give him Pediasure, for a bulky, reliable cocktail of carbs, fats, and protein.  Primary ingredients:

Water, Sugar (Sucrose), Corn Maltodextrin, Milk Protein Concentrate, High Oleic Safflower Oil, Soy Oil, Whey Protein Concentrate, Medium-Chain Triglycerides. 

Wait a minute.  Can't I just mix some water, milk, sugar, and oil and call it Mamasure?  Needless to say, I was not comfortable offering the Pedia-cocktail to my toddler.  Instead, I am digging deep to come up with healthful, easy-to-eat, nutritious, wholesome foods that he will love: lots of granola with coconut oil, avocados on tortillas, pancakes/waffles/biscuits with butter, whole milk products, some meats, and grains.  Lots of good grains.  I welcome your thoughts and suggestions on good whole foods that can help bulk up our little people with healthful alternatives to the Pediasure.  I also welcome links to recipes!

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This is one post I'm going to have to file away. My kid is in the same boat: 2nd percentile at 11 months and slipping steadily. The pediatrician isn't too concerned since he is gaining, albeit slowly. He's 17 pounds. We've done much the same as you but in baby version. Good luck! I hope you get great suggestions that I can use, too.

I haven't had this issue, but have some co-workers that have confronted it. one suggestion was to make a smoothie with avocado in it - you can add in other flavors the kiddo may like, and it'll be supplemented by all the goodness of avocado. Best wishes.

My little girl is a wee one...always has been...but is healthy and we don't go through clothes and shoes so fast! What about kefir?

A reliable pediatric naturopath can help you discover if there is anything in your child's diet preventing proper absorption of the nutrients he needs to gain steadily. Our child's food sensitivity test was astonishingly helpful in that regard-- she quickly began to make up for lost time in the weight gain department when we knew which foods to eliminate or cut back on.

And I just wanted to mention that, as far as car seats go, the longer you wait to flip them, the better! You probably already know this stuff, but in case you don't, here is a site worth checking out: http://www.car-safety.org/rearface.html

I was a wee one & my son was always pretty lean. Avocados are great. I've heard smoothies can be successfully utilized to put weight on kids. I used to let my kid eat whole milk yogurt as a bedtime snack at that age- he particularly liked Greek Yogurt and thought for years that THAT was ice cream. My sister basically let's her wee son at that age dip all his veggies in a small side cup of olive oil. You should be dousing his whole grains in olive oil. As long as no one in your family is dieting, I'd also double up the oil/butter content in things like pancakes made from scratch.

One thing that has been super popular in our house is a whole multi-grain porridge of sorts - we call it 'breakfast soup.' I have a hand grinder (you could probably do this in a coffee grinder every morning) and just very very roughly grind equal parts regular oats, wheat berries, and barley. You want cracked what/barley consistency. So say I have 2/3 cups of this grain stuff, I add it and 1/4 cup cornmeal into 2 cups of milk in a saucepan (use whole milk... those of us on a diet can use half skim and half water) with 2 tablespoons of brown sugar (or honey) and a dash of salt. Cook on medium for about 8 minutes (make sure you stir regularly) until a porridge consistency. You could add a healthy dollup of butter for your kid's portion to up the fat.

I mostly hopped on to let you know about a newish meal replacement drink called Orgain (http://www.drinkorgain.com/) - a play of off organic. I have mixed emotions about giving a kid concoctions (certainly whole foods are better), but I'd give it over Pediasure any day. In 11 ounces, you get 255 calories with 7g of non-saturated fats, 16g of whey/milk protein (this is over twice that of Pediasure), and sugars are rice and evaporated cane juice+veggie/fruit blend. The chocolate flavor is delightful; I bet the vanilla would make a great smoothy base. New Seasons carries it, usually near the vitamins/ensure type stuff.

Our daughter is 4 1/2 years old and I have been there, and continue to be there. My daughter hit the 20 lb mark at 20 months. At 4 1/2 yrs she is just shy of 30lbs.....third percentile. We used to give her cheerios with butter, lots of avocado and as much good grains and fats as we could. I found though that this never helped that much...her little body seemed to need x amount of food intake and then she would not eat more. I worried a ton when she was little, I worry sometimes now but she is bright, happy and so full of life. One thing I do find curious is I have come across several people with children at this low end of the wt percentiles recently and statistically it seems this shouldn't be the case if there are so few children at that end of the percentile chart. Good luck to you. I have never taken my daughter to naturopath but may do that after reading other post. I also try to remember genetics and that my husband's mother is super small.

Wow I started writing, then realized that the post above read exactly like what I had written. My daughter is 4 1/2 and barely 27 lbs. We make sure she gets plenty of coconut oil, avocado, butter, whole milk yogurt, whole milk, etc. And I don't worry about it. I'm 5' and 100lbs and my husband is 6' and 160lbs. Neither one of us are going to win any weight competitions and I'm practically a hobbit. We DO see a naturopath, along with a regular pediatrician, and none have every expressed a concern past the 1 yr mark (and only then they cared nothing for charts - just that she show a steady increase over time).

My 5 year old just hit 30 pounds at the doctor the other day and that is only because he was clothed! That would be the .33 percentile. For a long time I was worried, even had labs done at his 3 year appointment because I was afraid something was wrong. He's just little and has consistently stayed on his growth curve; it's just at the bottom. Perfectly healthy, eats like there's no tomorrow. So, I say keep an eye on it, but also know that some kids are just down at that end of the scale.

As an aside, I have heard that some kids that are small have their tonsils removed and they grow, amazingly enough. I don't know if this is true, but I suppose it's worth asking about. Obviously I don't think size is the only reason to remove tonsils, but I imagine there is a medical piece going on that might be part of it.

Milkshakes with a protien powder?

Yummy protein bars? I've seen some out there with 20 grams of protein in them.

My nephew was a skinny little toddler, and even now at 5 and a half is still pretty slim. At the advice of a nutritionist, he drank half-and-half as his milk source for a long time - I think he only switched over to whole milk within the past year. He liked whole-milk yogurt as a dip for veggies. Don't forget hummous! And nuts are good if there are no allergies - smash 'em up and mix them into breads/pancakes/etc.

I second the kefir or the slightly pricier Stoneyfied Farms YoBaby whole milk yogurt drink, my daughter especially loved the peach flavor drink. When we stopped breast feeding at 18 mos, she wouldn't drink milk (still doesn't at 6) So we did a lot of full-fat yogurt and smoothies those years.

My 5 y.o. daughter has been in the bottom percentile for weight since she was an infant. It was especially worrisome when she was 5 mos - 12 mos old, and we made a lot of progress with smoothies. I second all of the above recommendations to bulk up a smoothie - avocado, coconut milk, full-fat greek yogurt, nut butters.

I have to recommend "Avocado Baby" it is a very funny picture book about a small baby who develops super human strength when his worried mum starts feeding him "avocado pears". It was quite popular when I was living in Europe but hasn't seemed to catch on in the states.

http://www.amazon.com/Avocado-Baby-Red-picture-books/dp/0099200619

My son was a preemie, but had bumped up to 25% within a few months, but then around 9 months dropped to the 3% where he has stayed despite all our efforts (including specialists, nutritionists, pediasure, lots of rich foods offered, etc.). After reviewing months of food data it became clear that his calories remained stable, but the more pedisure I fed him the less real food he ate. I could try to fool him into eating more by putting avocado on toast, but he would just eat half as much. After well over a year (perhaps even two) of trying to change his body weight and leading to a lot of food battles between myself and my son I went back to the book that resonated with me "Child of mine: Feeding with love and good sense" by E. Satter. She advocates offering a variety of healthy foods chosen by the parent (including of course butter, avocados, whole milk, etc.), but that the child must be able to choose what goes on his plate and in his mouth. In my case, the more I pushed him to eat, the less he ate. And I learned he would happily eat a good variety of nutritious food, but if offered, he would choose easy liquid calories (sweet pediasure). He remains healthy but lean at age 4-- and still 3rd percentile. I feel confident that no matter what his size, he is learning good eating habits for life-- listen to your body.

If your child is eating well, gaining some weight, is active, and is meeting other milestones on time and the doctors are not concerned with malabsorbtion (sp?) problems I would not worry about it too much. My dd was almost 10 pds at birth due to my gestational diabetes but only weighed about 15 pounds at 12 months and 17 pds at 18 mos. but she was a great eater, ate a variety of fresh fruits and vegi's, yogurt, healthy grains, beans and tofu. She did not like to drink milk (which is what the dr. suggested for weight gain and refused vegi's if I put butter on them) I also did not want to build unhealthy habits of eating for later in life. I finally took the advice of a lactation consultant to not worry about her if she was doing ok in all the other areas. She is now almost 8 and is the 75th percentile for height and in the 30th for weight. She is healthy and strong and has developed great healthy eating habits.

This may be too simple but my 16 month old was on the skinny side and didn't eat much at each sitting. I bought him a snack cup a couple of months ago (the plastic one that has the soft plastic top that they can put their hands in but, in theory, it doesn't spill.) I keep it stocked with raisins, apples, Os, etc. Well, he's put five pounds. He seems to be a grazer - he just doesn't like big meals and likes to eat small portions more often. It's working for us.

pdxmomto2,
I would love to know where you found the Stonyfield YoBaby whole milk yogurt drinks? My 3 yr. old daughter is in the same boat being in the 10%tile for weight, and has never taken to whole milk since stopping breastfeeding at 17 months. She loves the YoBaby yogurts, but have searched in a number of grocery stores and have been unable to find the yogurt drinks. Thanks for this topic; I try not to worry about her growth because she excels in all areas, but its always in the back of my mind and just want to offer her all the nutrient rich foods she loves.

What about quiches? Eggs and lots and lots of cheese and cream.
Not a daily menu item but I Just made homemade whipped cream: 1 cup of heavy cream (you can buy organic at Trader Joes), 1 tsp of vanilla extract and optionally 1 tsp sugar. I gave this to my 1 year old for his birthday on a homemade banana muffin and its great served with blueberries and bananas too. I assume very fattening as well :)

We went through this for a little while too... He's still quite slim, but has turned into a fairly good eater. See if he will take a spoon full of cod liver oil in the mornings? My kids love it. I prefer the Lemon Flavored one. We smeared toast with butter and liverwurst in the mornings. Scrambled eggs. Coconut or almond milk. Whole milk yogurt, cubes of cheese. Avocado slices or smeared on toast. Our Naturopath suggested anchovies because they are so high in good fats and protein but he never really ate them....

Thank you, thank you for all the suggestions. I did not mention that our little man - in weight - is not even on the percentile charts. He is negative percentile! In height, he is on the chart. Somewhere on the <5% scale.

I do want to encourage healthy eating habits, and I fear that giving bars/pediasure will result in a reliance on those products for nutrition.

The good news is that he is an enthusiastic and eager eater. He loves to eat. I almost cannot believe he doesn't gain more weight, as he eats a LOT! We just need to be more conscientious about what he eats (steer him toward higher-fat foods). In all our focus on the higher-fat/protein foods, I realize that I have been omitting the lower calorie foods that he loves: apples and pears. He was probably a little constipated for a day or two!

Thanks again. Keep the suggestions coming!

We went though a similar phase with my daughter. If you are OK with dairy, I found that a great way to add extra calories. We actually gave her organic half-n-half rather than milk and added butter to practically everything. I tried to stick with organic whenever possible. We also gave her lots of avocado, nut butters on crackers and bread, and cheese. She couldn't eat eggs, but they would be a good solution. Maybe a cheese and veggie omlette made with butter. Yum! She also enjoyed refried bean and cheese (with avocado) quesadillas made with butter. Top his fruit with cream or full fat yogurt.
Once my daughter put on some weight, we just tapered off the really fatty stuff back to regular milk instead of half and half and less butter in everything, and it was fine. She still loves butter (don't we all!) and is still on the lighter side, but a very healthy 6 year old.

My daughter is 22 months and just now 21 pounds. She did not really put on weight from 7-12 months. We discovered at 12 months that she had enlarged adenoids leading to disturbed sleep. She was not reaching deep enough sleep to be getting growth hormones in her body. We had her tonsils and adenoids removed and she quickly put on weight. She also ate ridicuouls ammounts of food for days after the surgery. I think she was soo hngry but just got exhausted while eating. She could finally breathe while eating after the surgery. She went from negative percentiles to the 3rd % I still do worry a bit but just try to make sure she eats healthfully. I aslo have just come to accept that she is going to be a pettite little tyke.

If your child eats like crazy but isn't gaining weight, make sure her or she is tested for celiac disease. There is a simple blood test for this. The classical presentation is with anemia and diarrhea in addition to the weight loss/failure to gain weight, but many, many people with this condition are lacking the classic symptoms and the consequences if untreated are serious.

Please don't just take your child off gluten to see if they improve. Get the blood test run first.

I'm posting this not just as advice to the original poster--hopefully her doctor has already ruled out celiac. Just keep celiac in mind when you're dealing with a child who doesn't gain weight or has persistent anemia.

My daughter was premature and had trouble putting on weight when she was younger. A couple of things we tried with good results: tossing pasta in olive oil before topping with sauce to add some extra healthy fat and slipping avocado, rice-based protein powder (my daughter had/has a milk allergy) and avocado into smoothies. Nut butters are great too, provided your child doesn't have an allergy. My kids have always been into dipping things, so I'd let them dip apple slices, carrot sticks, pretzels into peanut butter or cashew butter instead of hummus a few times a week - they loved it.

This is so helpful and it's reassuring to know there are others out there with the same challenge. Our son has been off the charts for weight since he was four months old and continues to be at nine months. We've been working on getting him back on the charts with our pediatrician, a pediatric gastroenterologist and a nutritionist and have even been in the hospital with a "failure to thrive" diagnosis. Our son has had blood and urine tests to check for any metabolism/absorption issues, a sweat test for cystic fibrosis and an endoscopy. We haven't found any physical causes except for a potential allergy to milk proteins, so I've been off dairy and soy (30-50% of kids who are allergic to dairy are also allergic to soy) which is warranted since he had blood in his stool that signaled this allergy but this change hasn't resulted in a consistent improvement in his weight gain. The good news is our son is developmentally on track and is a happy, easy-going little boy and is finally achieving the rate of weight gain our pediatrician recommended back in September. Here's what we've learned so far: The issue is not being off the charts but if your child's rate of weight gain slows - potentially signaling a metabolism issue - and/or if your child's proportions are off. (As an example, our son is above average for height but off the charts for weight.) Nutritionists are a great resource. We are working with one from Legacy Emanuel Children's Hospital. We asked her to recommend a nutrition plan based on our son's current feeding schedule and it's a helpful resource since it includes minimums to strive for with liquids and solids as well as a target daily caloric intake range. In addition to all the suggestions in previous posts, consider egg yolk and even egg yolk mixed with mayo. We also mix 1/2 teaspoon olive oil for every 2 T. of solids which adds 20 calories. The nutritionist has also emphasized meat since it is so high in calories and protein. Meat and olive oil is even better. And we target 20-28 ounces of breastmilk or formula per day since that is also high in protein and important nutrients. The good news: after slow weight gains since September our son is now gaining around one ounce per day, the pediatrician's target. We think this is the result of high calorie foods, my and my husband's greater focus on our son's eating - offering food even more often and creating a setting with few distractions (we took him out of daycare and my husband has been staying home with him until we can find a nanny) and staying healthy (another reason we took him out of daycare - he was catching colds and ear infections that were reducing his appetite). It is good to test for allergies and any physical issues that relate to any metabolism issue. Worse comes to worse, you can always go the feeding tube route (this is used when your child does not meet his or her minimum food intake per day) but obviously that is to be avoided if possible. But it's not as scary as it sounds. We've asked our doctors and nutritionist: why is our son's weight and rate of weight gain so important if he is so normal otherwise? They explain that it's important to find out if there is a metabolism issue plus he needs to have some fat for growth, much less to give nutrients to his brain, muscles and bones. Needing some fat on his body has been the issue for our son. But again, our current approach after lots of learning seems to be working! I hope this helps someone. Hang in there!

Not that this was your question, but the tide is turning toward keeping children rear-facing until age 2, so don't feel bad about that!

There is good evidence that, while there are higher rates of leg injuries when older toddlers are rear-facing in car accidents, the mortality rates are lower.

My guy is also on the smaller side, pediatrician said its more about the carbs and calories than protein. just think of all the foods you would cut out to lose weight and have your little one double up on them full fat milk, cheese, yogurt, butter, bread, tortillas, rice, pasta. If only I had the energy & metabolism of my 3 year old!

Great to read this suggestions! I've got a 16-month-old who's just over 18 lbs. Potential allergies; we're not sure yet.

Nutritionist suggested heavy cream and olive oil. Naturopath suggested broths, seeds, meat, coconut oil, ghee, butter, whole-milk yogurt. Girl hates avocados, unfortunately. Horrifyingly, family doc pushed the pediasure product for toddlers-ewwwwww.

Like several of you, we wondered what the big deal was w/being in the "negative" percentile for weight. Turns out her rate of growth is really slowing down, which is weird (all tests are normal); but, in addition, it means fewer reserves. Which we are finding out after 3 weeks of stomach bug (back-to-back lovelies: the urping one, and then the runs one. erg! poor girl). She's s skinny-minny but right on track.

We have two petite ones who don't eat dairy, so we do things like chocolate pudding made out of avocados, almond butter and coconut oil (http://ohsheglows.com/2010/02/25/the-best-chocolate-pudding-you-will-ever-taste/) or smoothies with avocado, coconut oil and fruit.

My child was about that size and our doctor never worried. Those growth charts are based on formula-fed babies in Ohio, if I remember correctly. Lots of healthy children could have different body types and growth patterns. At three, he is now healthy and growing well, though still on the small size.

Here is our fave fave fave recipe...lots of healthy sugars, fats, proteins, and nutrients:
http://www.food.com/recipe/raw-vegan-brownies-315265

You can also make various larabar-type treats at home for variation:
http://enlightenedcooking.blogspot.com/2008/02/home-made-lara-bars-energy-bars-part-3.html

Other favorite foods: guacamole (if we let him make it, he eats a lot as he goes)

Cottage-cheese blueberry pancakes (we use a Bob's Red Mill mix, double the egg for extra protein and to hold it together, plus a heaping tablespoon of cottage cheese.)

Meatballs (with ketchup)

Apple slices with peanut butter and raisins on top

Smoothies (many varieties. We keep frozen bananas and other fruit in the freezer and blend with kefir, soy milk, almond milk, a little juice, etc. One favorite is kefir+banana+peanut butter+cocoa powder, you could add honey too to make it sweeter.)

I add a lot of coconut butter to things for our baby. It's got more stuff in it then plain coconut oil. I'm glad that you're exploring the issue and working with your ped.... I hope you get some good answers and that he is healthy and starts to get on the charts soon. It looks like you are feeding him GREAT stuff. Are you feeding him meat? I don't eat meat myself except for seafood, but my kids eat it because it is another nutrient dense food.

What also has worked for me to get my grazing kid to eat more protein is to have him finish his lunch as his afternoon snack. Otherwise, he will tend to live on crackers and apple slices (good foods, yes, but not brain food), and never eat any protein. So, if he finishes half his burrito for lunch, I give him the other half for his snack.

really off track, but i was wondering what kind of bike seat and helmet are you using for your little one? And can u point me in the right direction on where to purchase in Portland? Thanks so much

My son has always been little. We have several meals in the freezer that are calorie dense. these meals would kill any healthy diet. His favorite; homemade mac and cheese with pork. It has lots of butter, heavy cream, and a ton of cheese with pork. We also have added bacon/pork fat to most dishes since he loves it.......Pork is our new staple.

This comment thread is a gold mine! Just wanted to chime in with my own "me too;" my daughter is 7 1/2 and barely 40 lbs. Every other developmental milestone is normal (on the slow side, but regular progress), and a number of docs have assured us it's just her own little growth pattern.

Same situation here -- my daughter was not even on the chart for weight until she was 2. At 4 she's in the 2nd percentile. Totally healthy, totally vibrant. However, one thing that really helped was cutting down on calorie-laden liquids, like milk. She put on more weight and ate a lot better when she was getting most of her calories through, good, whole, solid, natural foods. I also watch the sugar really carefully because her body is going to regulate itself according to calorie intake, not nutrition -- so I try to maximize every bite. The good news is that she'll eat just about everything (except cheese and peanut butter. I know.). The bad news is that I've packed on an extra 10 pounds from having all that delicious whole milk yogurt and guacamole in the house. :)

Oh, and I can't resist another comment for humor's sake -- we talk so much about nutrition in our house that when we went to leave cookies for Santa, my daughter said, "Mama, let's leave him some chicken! He needs his protein!"

Me too me too me too! Thanks so much for posting this. My 19 month old girls is only 16 lbs, 10 oz and her twin is a "whopping" 19 lbs, 4 oz. The nutritionist had me doing smoothies, but my daughter wouldn't eat them. She's very fickle--something she likes one day she will not like the next day, so it's very frustrating for me as I don't want to get sucked into the picky-toddler drama.

Her milk is 80% whole milk, and 20% heavy cream plus 16g of Carnation Instant Breakfast. As for food--lots of casseroles ('cause you can fill them up with a lot of cream, butter and cheese. I make a few [use a muffin tin so they're pre-portioned] and then freeze them), peanut butter, avocado, ice cream (make sure it's Haagen Dazs as there are more cals per serving then other ice creams), grilled cheese, nutella, etc... and a lots of melted butter. I also make sure (per nutritionist's suggestion) to still give fresh fruits and plain veggies so she still maintains a taste for them. Also, juice instead of water.

I hadn't heard about coconut oil or butter. Sounds like a great suggestion that I will look into.

I have had the same issue. All the food recommendations here are excellent, but the most important thing I can say is DON'T PRESSURE YOUR CHILD TO EAT! Once I stopped chasing my daughter around the room with a spoon and let her take control of how much she was going to eat she turned around 100%. We implemented a good eating routine ( 3 meals- 2 snacks, same time every day,no grazing, sit in the chair to eat, no pressure)she started gaining and has gone from the 3rd percentile to the 10th and still gaining steadily. Think about it, when you try really hard to get your child to do something what do they want to do? The exact opposite. Take away the pressure (that includes not praising them for eating too). Make it fun and you'll be suprised what a difference it can make.

My son was big until he turned 9 months. He weighed the same thing at 9 months, 12 months, and 18 months. Our pediatrician freaked out and started ordering tests to see if he had celiac or a growth hormone deficiency. It turns out he just nursed like a pig for the first 9 months and then wasn't crazy about solids. He's still a lite eater at 4 years old and is the smallest of his peers (29lbs and 38" tall). But he's developmentally advanced (always has been) and eats more variety now (shrimp, thai food, italian, tex mex, steaks, fish, most veggies) than most of his peers. We just focused on making every calorie count. If I baked with milk for him I used whole milk. He still eats whole milk yogurt. We used to give him nuts and cheese and yogurt a lot because he refused to eat meat until he turned 3.5. I refused to let him live on junk (pediatrician actually suggested frequent trips to McDonalds which I vetoed) so we focused on whole grains and I tried to get him to eat a lot of complete proteins without meat.

Wow, it is amazing and comforting to know there are so many people in the same boat! My daughter (15 mos, 17.7 lbs & ~3% for weight, 29 in. & ~7% for height, willful) is tiny. People are always surprised to hear she is over a year old. I have been struggling to get dense, calorie-rich foods down her gullet ever since she weaned herself (did I say willful) at 12 months. Her doc is not worried, as the gain is steady, but has us coming in for regular check-ups to ensure consistency. The thing that has worked for us to keep her above 0% is smoothies. She loves them and I can hide all kinds of things she wouldn't dare touch if I put them on her plate (avocados, peanut butter, milk). I also really like the suggestion about quiches. Who knows, she may take to them. If not, I wonder how well they blend?

Ditto! My son was born in the 90th, was in the 15th at 6 months and the 5th at a year. He is 19.5 lbs (my daughter weighed this much at 6 months)...So I worry and feed him all the fatty foods that have been mentioned.
Maybe its because he never stops moving? I know my son came out of the womb and crawled to my breast and he hasn't stopped since!

I just wanted to thank everyone for their suggestions - we have a foster/now adopted daughter w/a feeding tube. Long story short - for reasons that are pretty serious but 'overcome-able', she's been on pediasure since we've known her. It is so unnatural, nasty smelling and just plain gross. Now that she's adopted, we've considered going cold turkey. However, I'm scared she'll drop more weight and I have no idea what to feed her! I am so grateful to have stumbled on this post and comments! I think the coconut milk one is new for me. Most of the others we have been doing, on and off...it's encouraging to know others are in this boat! THANK YOU for sharing your thoughts and ideas!

I have a question for the general thread. My son is 14 months and in the 3rd percentile for weight but eats like crazy. He definitely has some food allergies and I'm guessing that that has something to do with it. Based on the following food allergies in our family, what do you suggest using to add calories? Allergies: soy, milk (maybe dairy), nuts and tree nuts, sesame, fish / shellfish, peaches. Also, most fruits and some veggies have soy on them so he's not supposed to eat most of them, even peeled. He specifically is allergic to sesame, dairy / milk and soy and is too young for nuts/tree nuts or fish/shellfish.
Thanks for your help!

girlie - here's a yummy recipe w/ some mostly healthy ingredients:

healthy hushpuppies

1 cup cooked lentils or beans of any kind really
1 wholewheat bagel turned into breadcrumbs (or about 1 cup of crumbs)
1/4 cup parsley
1/4 cup shredded parmesan
1 egg
herbed sea salt (or just salt)

Blend ingredients by hand, then make golf ball sized balls, being sure to emulsify the balls (ie squeeze the water out as you squish them into balls - great to calm the nerves before the dinner onslaught ;).

Bake at 375 F for 25-30 minutes.* No leftovers, sad.

*You can turn them half way thru cooking but I thought they were crispy enough all round w/o the bother.

This will sound weird, but my daughter now 6 was 4 years old and 22 pounds, failure to thrive. After many misdiagnoses including dairy allergy we found that although we do not know the cause (possibly liver), she grows if she takes enzymes with every meal except fruit. For some reason her body does not break down fat or protein on it's own. She is now "normal" sized and even has a cherub face, she is so normal in fact that I cannot tell you her weight off of the top of my head, because it is no longer a concern. The concern now is only why her body and so many children in this age group do not seem to break down proteins properly. On top of the enzymes at every meal (Creon prescription) we have begun the gradual transition to a whole food diet, from local farms.

my son weighed 25lbs at 12 months but he is very tall and slim, he is now 20 months and only 28 lbs but because he is so tall he looks slim.
recently he hasnt been eating and has lost a lot of weight and he is always jumping and burning his calories of.
i tried double cream in his milk and i think he has gained some weight as his face is looking a little fuller.

i understand how you feel. I have 3 kids, 2 that are 95th precentile or above and my youngest who is at barely the 50th percentile and barely holding. He was born at 9lbs 13 oz and now weighs in at 33-34 lbs at 34 months. At a year old he was barely 18 pounds. I know this isn't as drastic as the situation you're in, but I worry. He'll be 3 in less than 2 months and is just starting to wear 2t. He has reflux and food allergies, as well as pulmonary issues. He was put on pediasure about 6 months ago. He gained a pound and a half. I'm trying to find an alternative as well, since I would like to keep him on a healthier diet plus the price is crazy. We were getting them on WIC but recently dropped wic, so now can't afford it. any ideas are welcome!

i am 24 year old and my height is 6 feet but my weight is only 55 kg. i have tried everything eating much meals, drink milk, banana, dry fruits and other things but failed to gain weight. i have also go latrine 2 or 3 times in day two times in morning nd in evening. i also done gym for 2 month but failed to gain weight. pls suggest me why this happend. after 10 days i have problem of nightfall sometime daily otherwise once in a week. i have also conuslted with gasterologist and liverr speclist docter he examine all reports like LFT, sugar, stool test, HB, colonoscopy, anty TTG test but all report are normal. pls tell me the solution of this problem.

I wonder if this charts are based off high starch/high refined sugar/processed crap consumption? I too am in this situation and was made to feel very fearful when leaving the Dr. office. I was told to offer him pediasure or instant breakfast powders or other crappy processed foods. Yes, my 12 month old is a frustrating picky eater who is offered many HEALTHY choices daily and will eat what he will eat.....He does love pancakes and I make them from scratch using whole wheat or bean flours and alternative sugars (maple syrup or palm sugar) hiding pumpkin and carrots in them and frying them in GOBS of coconut oil. I cannot get him interested in Avocado but have recently came across some pudding recipes to "hide" it in....we'll see. He is growing taller and taller and smarter and smarter and smarter (and more handsome by the hour) So I think I will resign myself to worrying more about making him happy and healthy and loved and less about what some stupid chart says!

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