My apologies, because I know this subject has been done to death, but I'm curious for others' experiences. My 19 month old dd has always been on the "tall and lean" side. Since she became a toddler she's been slipping down in the weight percentages - at 6 months she was at 60%, at 9 months (after she'd learned to walk/run) down to 40%, 18 months hovering between 20-25%, and now at 19.4 months she's down to around 14%. I know someone has to be at the bottom, but she is still quite tall for her age (current height is at 88%) so it's not that she is just petite. (Her actual stats are 33.65" tall, 22.2 lbs.)
She is a very active, energetic girl who seems to have a small appetite and doesn't care to sit still to eat for very long. Since she started solids I've been very careful to feed her nutrient and calorie-dense foods, paying special attention to fat content (olive, coconut and flaxseed oils, butter, cream, full fat yogurt, avocado, nut butters). I wouldn't call her a picky eater, since she likes a lot of different foods - she just only seems to eat a little and her favorite, preferred foods are vegetables and fruit. She does not like cow's milk or alternatives (I make my own almond and cashew milk and offer it to her often, as well as offering cow's and goat's milk). She will sometimes sip a little on a smoothie but probably less than an ounce. Our method of feeding solids has been mostly BLW, so I offer her food throughout the day but don't force it. I let her graze - often she'll say "all done," get down from the table, go play and 10 minutes later will come back and want more (we tried keeping her at the table and taking the food away when she got down, trying to teach her that she had to eat her fill while the food was there -- but she would only eat the same amount). She is a child who rarely asks for food and if I didn't offer it many times per day, I think she'd go all day without eating.
I still nurse pretty much on demand. I did start, at about 16 months, to offer solid foods before nursing during the day and to nurse her after meals/snacks, not before. Her pedi suggested nightweaning as a way to get her to take in more food during the day, but I am not convinced that will help and am worried it will remove a source of calories.
I'm feeling conflicted because on one hand, she is a very healthy, active, strong, lively girl who is meeting all milestones and seems fine - just slim. But on the other hand, sometimes when I see how she is slipping in the percentiles, or when I'm holding her on my hip and I feel her knobbly little backbone against my hand, I really want to make sure there's not something I'm missing. I'm hesitant to take her back to the pedi because I think she might suggest weaning or adding a supplement like Pediasure (which is gross and I'm sure DD won't drink anyway). She also mentioned going to the nutritionist if she kept slipping. I saw the nutritionist when I was pregnant (I had GD) and frankly I don't have a lot of faith in her suggestions -- all she did when I saw her was show me the food pyramid and suggest I use artificial sweeteners.
Anyone else have a tall, lean toddler? Or one who thinned out dramatically at this age? Any advice? Can it be normal, or is there something else I should be doing/looking for?
I've wondered about a gluten intolerance or other food allergy, but she shows absolutely no symptoms.
Thanks if you got through this very long post.