Failure to Thrive - Why isn't my DD gaining weight? - Mothering Forums
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#1 of 30 Old 07-13-2012, 10:58 AM - Thread Starter
 
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Hello

My DD was recently diagnosed as Failure to Thrive. She has not gained any weight in the past 5 months. I have taken her to a dietician who says I breastfeed too much and need to cut back (havent done that yet though). I nurse on demand even at night. She also made some suggestions on increasing her calorie intake. She is allergic to dairy so she doesnt get the typical yogurt, cheese & milk that most toddlers get. but she eats pretty well.

 

We've been to a kidney specialist and ruled out any bone disorders. And her blood work & urine tests to date have come back fine. Now our Ped wants her to go to a GI doc. But I dread putting her through more testing. Sorry if I'm rambling here. I guess I am just wondering if there are any moms who have had similar experiences they could share with me. And suggestions on possible reasons why my DD isnt gaining weight. I don't need any diet recommendations though- I have already done a ton of research.

 

Thank you!

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#2 of 30 Old 07-13-2012, 12:53 PM
 
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my friend's daughter who didn't gain weight for some time ended up being celiac...so the testing may not be a bad idea.  i'm not sure that the girl showed many other outward signs either, but there was a family history.  she didn't grow in height or weight for nearly a year.  has your daughter been growing fine before this? is it height, weight, or both? i'm not sure of her age, but my son is about 20 months old and still weighs the same as he did at 1 year.  He has grown a ton in height though.  I am worried that he doesn't eat much solid foods (we are dairy, wheat, and corn free), but he nurses frequently as well.  In our case the doctor isn't concerned so long as he is nursing often.  I tend to think that there is an underlying issue that needs to be addressed. 
 


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#3 of 30 Old 07-13-2012, 02:36 PM
 
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Have you checked into traditional foods, WAPF?  They have lots of info on feeding toddlers healthy, nourishing foods for proper growth and development.  I would definitely include fermeted foods in her diet as well such as real, lactofermented saurkrauts and pickles, pickled beets, etc (can easily be made at home), kombucha, water kefir, (there is regular kefir but since she is dairy free I wont suggest it.  Do you think she would tolerate raw goats milk?  Thats what I make mine out of).  It will help her gets lots of probiotics in her gut to help with absorbing nutrients.  If you are looking into doing your own fermenting (very easy, like I said), you might want to check out the book Wild Fermentation.  Here is the site for wapf as well http://www.westonaprice.org/childrens-health/foods-to-tantalize-toddlers-and-preschoolers    How is your diet?  Because that will impact the nutrition of your breastmilk and what she is getting from you.

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#4 of 30 Old 07-13-2012, 03:48 PM
 
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How old is she?  It is not uncommon for toddlers to gain weight very slowly or not at all, and then go through a big growth spurt.


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#5 of 30 Old 07-13-2012, 06:16 PM
 
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How old is your daughter?  Breastmilk should be the primary source of calories for the full first year.  I tend to think it's safe up til age two even.  My ds1 went through something similar and it turned out to be a simple case of "professionals" not knowing anything about breastfeeding.


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#6 of 30 Old 07-13-2012, 06:36 PM - Thread Starter
 
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DD is 17mo and 16lbs. I will check out that link. Thanks for the responses! smile.gif
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#7 of 30 Old 07-13-2012, 06:39 PM - Thread Starter
 
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Babysmurf: we did the blood test for celiac but it came back negative. I still think it may be an issue though. do you know of a more accurate test?

1love: unfortunately because of her dairy allergy the allergist said no goat milk either greensad.gif
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#8 of 30 Old 07-13-2012, 11:58 PM
 
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Quote:

Originally Posted by Zenmama1 View Post

Babysmurf: we did the blood test for celiac but it came back negative. I still think it may be an issue though. do you know of a more accurate test?
1love: unfortunately because of her dairy allergy the allergist said no goat milk either greensad.gif

Thats ok, I think kids are just fine without dairy honestly.  Definitely check out the stuff that I provided, she does seem very small :(  Has she been checked (by someone who actually knows what they're doing, generally not a pediatrition) for any kind of lip or tounge ties?  I would also take her to a naturopath.  Be sure to optimize both of your internal flora with probiotic foods, which will help you both absorb nutrients better.  You could also check out the Traditional Foods area here on MDC http://www.mothering.com/community/f/365/traditional-foods

Another thing you could both start taking is fermented cod liver oil.  It's not as bad as it sounds :)  My daughter takes it plain, but she is NOT a picky eater, so unless your daughter is one that will eat anything you give her, try a flavored version lol.  I like livesuperfoods.com.  If you are going to give her kombucha I would also give her chlorella to bind to any toxins, mercury in particular.

I think good, solid nutrition should be your focus, and staying away from sugar, white flour, etc (if she gets any of this at all), because that food fills her up with nothing, no nutrients, just makes her full so that she cant eat food that DOES have nutrients!

Orgnaic food will have higher nutritional values and much lower amounts of toxins in them.

Even a simple thing such as you taking FCLO and coconut oil would improve your breastmilk and benefit her.

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#9 of 30 Old 07-14-2012, 05:56 PM
 
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Kids are fine without dairy.  I even find mainstream docs that know that it's not a necessary component of the human diet.  But the test for celiac coming back negative really means nothing.  There is no test in existence that is a bona fide accurate test for celiac.  Even within the medical testing community they argue about what test might definitively nail it and there is yet to be one--biopsy included.  The best thing to do is to just remove it from the diet and watch.

 

FTT is worthy of looking into food intolerances.  You're already dairy-free, but I would also remove soy.  The coincidence rate is very high.  And while waiting out adjusting to soy-free, figure out how to live without gluten (it's not usually as bad as it seems--truly).  I would also get some probiotics into her diet.


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#10 of 30 Old 07-15-2012, 05:19 AM
 
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Originally Posted by Zenmama1 View Post

Babysmurf: we did the blood test for celiac but it came back negative. I still think it may be an issue though. do you know of a more accurate test?
1love: unfortunately because of her dairy allergy the allergist said no goat milk either greensad.gif

 

There's two options; a GI scope or to just take wheat, barely, and oats (easily contaminated by gluten) out of your diets.  Obviously adjusting your diet is the easier option, BUT if she has big improvements and you then want to confirm with a scope, she will need to be eating gluten to cause the damage that the scope would need to find in order to diagnose.  Unless you have a large suspicion that she is Celiac (weird stools, stomach aches, etc), I would try modifying your diet; keeping those things out will give almost anyone better energy, and if you aren't using soaked grains, the phytic acid will act as an anti nutrient.  And honestly, it's way easier than cutting out dairy, IMO, so if you are already doing that, this won't be too much of a stretch.  It would be smart to stay away from the "gluten free" processed foods (since those can be very starchy and cause constipation, along with the fact that they don't have a lot of nutrition) instead use grains that are naturally gluten free (i.e. rice).  If you would need to avoid the gluten for a couple of months to see if she is growing better.

 

I also agree with 1loveforever's references on food...moving to that type of diet has helped us tremendously. 


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#11 of 30 Old 07-15-2012, 09:40 AM
 
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She's probs okay without the dairy, especially since she's still breastfeeding! But I'm going to give some pretty simplistic advice here. Is it possible she could just eat a bit more? Like, whatever diet you want--you said you've already done some research. But, just... more of it?

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#12 of 30 Old 07-15-2012, 09:44 AM
 
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i second modifying your diet and watching...  i did the dr sears elimination diet with my 3rd -- never did find out what the problem was (started around 5 mos)...  but today he can eat anything just fine... (although he(I) was on restricted diets til after his 2nd birthday...  i waited to reintroduce the top 8? 10? theres a list somewhere of the most allergenic foods...  til he could communicate so we could tell if there were issues...  sometimes their guts just need time to mature...
 

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#13 of 30 Old 07-16-2012, 03:01 PM
 
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What is she eating, other than breastmilk? I'm just wondering about the overall composition of her diet.

 

Since she's not eating dairy (definitely not required!), what other sources of fat is she getting? Does she eat avocado, nuts, seeds (or nut milks or butters)? And, how much does she eat? Maybe she's just not eating enough. Does she fill up on low calorie vegetables or lots of water, and not have much appetite for food?


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#14 of 30 Old 07-16-2012, 03:47 PM
 
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I was going to say the same thing as Storm Bride.  We recently removed dairy from my 2-year-old's diet and I had to really work to add a lot of fat back in.  From what I've read, fat should constitute at least 30% of her calories.  I remember a graphic from the book Where There Is No Doctor showing a toddler sitting in front of a gigantic heap of rice (representing the calories he needed to consume) vs. a very small heap of rice with a large dollop of olive oil on top.  Little kids may just not have the appetite for the amount of non-fatty food they would need to make up all their calories. 
 

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#15 of 30 Old 07-16-2012, 06:18 PM
 
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Just had to say that I have a 4yr old who is/was "failure to thrive" and a million other such labels. We were constantly at every kind of specialist trying to find a reason, and there really was none. In hindsight I wish we would have just left it alone (after *some* testing, like genetic/celiac). So now she's 4 and only weighs 24 or 25 lbs, but she is active, healthy, and happy. Another huge indicator is whether or not the child is meeting milestones. We were given endless nutrition and diet suggestions, including things like Pediasure simply to make her fatter, which I couldn't agree to. It doesn't matter how much she eats, this is just the body she has. Someone has to be on the 95% of the growth charts and someone on the 5%.


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#16 of 30 Old 07-16-2012, 06:46 PM
 
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I agree that weight gain alone is not the only indicator to look at. Is she otherwise healthy? Has she grown in other ways? Is she meeting milestones?

 

Undiagnosed allergies can sometimes affect weight gain.

 

Too much breastmilk is certainly not the problem. I guarantee that it is the most calorie and fat dense food source she is consuming. Although, perhaps you could encourage her to nurse more often from one side and get more hindmilk into her?


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#17 of 30 Old 07-16-2012, 11:38 PM
 
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I agree with the milestones as well, sometimes there is no problem.  I was also going to say that I love avocado's for my kids- all the fat and vitamins are great for them!

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#18 of 30 Old 07-17-2012, 03:30 AM
 
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Probiotics, Vitamin D, and DHA is what I'd recommend for general health.

 

A yummy treat can be made: mashed avocado, banana plus coconut oil.  Nice fats and a nice treat even for picky toddlers.

 

Others mentioned this: why not just boost her food intake?  She is 17 months.  (I nursed to age 3.5, 2.5 and currently nursing 3.5 year old so I am all for EBF and we are dairy free too!)


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#19 of 30 Old 07-17-2012, 03:33 AM
 
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The other thing that comes to mind is poor sleep causing low growth hormone?  (how's her height?)

 

Another thing to check out is iron status.  Don't supplement iron without a documented case of iron deficiency anemia, though as excess iron is stored in the CNS where it is toxic!

 

B vitamins can also help if anemia is an issue but iron levels seem ok.  B vitamins (especially Methyl donors like Methyl B 12 spray) are great, methyl donors are needed to turn our genes on and off as needed!

 

TMG, Trimethyl Glycene (betaine) is also another way to get methyl donors into the body with a relatively good flavor too.  With all supps, start low and work up.


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#20 of 30 Old 07-17-2012, 09:48 AM
 
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Just had to say that I have a 4yr old who is/was "failure to thrive" and a million other such labels. We were constantly at every kind of specialist trying to find a reason, and there really was none. In hindsight I wish we would have just left it alone (after *some* testing, like genetic/celiac). So now she's 4 and only weighs 24 or 25 lbs, but she is active, healthy, and happy. Another huge indicator is whether or not the child is meeting milestones. We were given endless nutrition and diet suggestions, including things like Pediasure simply to make her fatter, which I couldn't agree to. It doesn't matter how much she eats, this is just the body she has. Someone has to be on the 95% of the growth charts and someone on the 5%.

While I never went through any testing or formal labels DS2 I can relate. DS2 was born at term (7 and half pounds) but from six months on was tiny (similar size as the OP child at that age).  DS2 is currently 7 and finally shows up on the growth chart (10% for height and 8% for weight).  He was 42 lbs and 45 inches tall at a recent well child check.

 

Anyway I had an aha moment when DS2 was about 3 and we were looking at baby pictures of DH and his brother.  DH was tiny and BIL was huge.  DS2 was equally tiny and his cousin was very tall and heavy for two (like his papa).  Anyway ever since that moment I have stopped being nearly as concerned about their DS2 or my nephew's size. DH and BIL are both pretty average sized adults BTW (5'10 and 6'0 and 180 lbs and 160 lbs).

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#21 of 30 Old 07-17-2012, 01:39 PM
 
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The biggest problem with no Dairy and mainly Breastmilk is the lower fat and protein content of breastmilk.  We went through this with my DD (and BM was the base of her diet until she was 2).  You can add in more protein with meats, soy, fish, legumes, quinoa, etc.  You can add yummy fats with avocado, oils, coconut, etc.  Coconut milk ice cream has tons of yummy calories.

 

If they are really concerned, ask them to check her Albumin and pre-albumin levels (which determine malnutrition).  Our dietician had us keep a 3 day diary of everything DD ate (or we tubed), then we went through, counted calories & nutrients, and made adjustments.  In her case, she just needed more fats.  I wouls look at her intake and make sure it is sufficient before I started down the elimination diet route.


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#22 of 30 Old 07-17-2012, 06:53 PM - Thread Starter
 
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Wow thank you for all the responses. I will try to answer the questions the best I can.

DD is meeting all her milestones and appears healthy and happy.

I am very interested in hearing more about how poor sleep effects growth hormones. She is a very poor sleeper.

She hates avocado and banana. I have offered it countless times. But she will drink it in a smoothie. So I sneak it in along with coconut oil.

Occasionally she will go for a sunbutter sandwich. But she isnt a huge fan of nut butters.

I offer her a ton of food. So I am not sure how I could get her to eat more. I can't force her to eat. She seems to eat a decent amount as far as I can tell.

Her dietician was concerned that she was filling up on breastmilk "snacks" and not developing enough of an appetite for solids. She also said that we needed to add more fat into her diet, which I have been doing the past couple of weeks. Normally she eats chicken, pasta, veggies, quinoa, rice, oatmeal, fish, fruit among other things. She refuses to drink any other types of milk - rice, soy, almond, oat. But recently has decided rice is somewhat tolerable. I mix rice milk into her oatmeal. I've tried adding in extra oil pre & post cooking ( I cook all of our meals) and she won't eat if I add too much oil.

I think a good point was brought up that maybe she is drinking too much water. she does seem to love water. Should I be limiting this? I give her OJ occasionally, but no other drinks.

I really hate to take wheat out of her diet and limit what she can eat at this point. But I may try that down the road.

I went on an elimination diet when she was 2-12mo so I am very familiar with it. She had really bad colic. Allergy testing revealed only a dairy allergy. we tested for all the other top 8+ allergens. I have taken some clinical strength probiotics for the past 8mo now. She was on probiotics from 2 mo to about 8mos when i discovered the probiotic had dairy in it. I haven't put her back on cause I thought she was getting a good amount from my BM.

I haven't tried fermented foods, but I am willing to research it and give it a go.

The dietician doesnt want me to let her graze. But I have mixed feelings about that. She is hungry about every 2 hours. But I am trying to set 3 meals and 2 snacks a day plus breast feeding which seems like a decent amount of food to me.

She did test for being borderline anemic. We got an iron supplement but the stuff is nasty even mixed in juice.. I'm not sure how to get her to take it.

Did I cover everything? Hope so.

Thanks again!
 

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#23 of 30 Old 07-18-2012, 12:18 AM
 
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Sleep has a huge affect on the body and what hormones are secreted in the brain, etc.  Her is some Awesome info on sleep! http://articles.mercola.com/sites/articles/archive/2010/10/02/secrets-to-a-good-night-sleep.aspx  I highly recommend subscribing to this sites newsletter, you will learn SO MUCH, it is awesome.  Mostly about how to keep well and such, very good stuff.  BUT, considering your DD is so young, I would not be so worried about such things as her waking up at night to nurse several times or anything like that, I dont know what sleep probs she has, but if its that then i think thats pretty normal.  And especially if she sleeps next to you and you can just give her your boob and you both go right back to sleep it shouldnt matter much that she wakes up for a second at this age.

I think that some water is important, but a whole bunch is unnecessary.  I do like to trust a childs instincts and let them drink the amount that they feel that they need, but maybe thats not always the best route to take in some situations?   And no certainly dont force her to eat.

One thing that stands out for me- it appears that she gets quite a few grains?  And she is borderline anemic.  Grains (and nuts, seeds, legumes, beans) contain phytic acid.  It is naturally occurring, but what it does is bind to minerals in the food and the body, causing your body to not be able to absorb minerals like it should.  AND, phytic acid binds readily to iron and causes you to excrete it instead of absorbing it!  To neutralize the phytic acid in foods, people sprout, ferment, and soak their grains, etc, so you still have the minerals and such that the grain contains, but the phytic acid is not there so your body actually absorbs it.  So, your problem may be fixed not by supplementing with iron, but by cutting back on the above mentioned foods (personally I dont think wheat is healthy for anyone to eat), and by properly preparing these things (sprouting, etc).  About the only grain we eat is quinoa, and I buy sprouted quinoa, the brand is TruRoots.  Once in awhile if we need bread for some reason, we buy sprouted bread, Food For Life makes some, as well as a few other brands.   Here is a chart for preparing the above foods, http://www.cookingforwell-being.com/Chart_files/sample-chart.pdf    We also buy some sprouted crackers, Lydias Organics brand, and we buy some Go Raw sprouted snacks/nuts as well.   Here's more info on phytic acid http://www.westonaprice.org/food-features/living-with-phytic-acid

There are many problems with probiotic pills.  It sometimes happens that they are dead by the time you swallow them.  A lot of times they dont make it to where they're needed in your body, but are destroyed in the stomach.  That is why people often go for whole foods probiotcs, which are the ferments.  Kombucha might be a good one to start with if you can find the GT Daves flavored stuff, it also has lots of B vitamins.

Another thing, vitamin D also plays a huge role in growth, does she get adequate vitamin D?  Is she outside mid day without sunscreen often?  We also take fermented cod liver oil (Green Pastures brand) for extra D because often times a person doesnt get enough D from the sun.  Does she get lots of exercise?  That can help her sleep better, especially if its out in the fresh air.  Have you tried any kind of aroma therapy?  She might be too young still, but you could do a really cool aroma therapy massage before bed time :)

Smoothies are awesome for sneaking in healthy stuff!  Maybe you could try some pastured egg yolks for extra fat, as well as some fermented cod liver oil (Lots of DHA in this as well!)  All of those could be added to smoothies, as well as avocados, coconut oil, etc.  You could both have a healthy boost for the day with a super smoothie!

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#24 of 30 Old 07-18-2012, 08:43 AM
 
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Sleep has a huge affect on the body and what hormones are secreted in the brain, etc.  Her is some Awesome info on sleep! http://articles.mercola.com/sites/articles/archive/2010/10/02/secrets-to-a-good-night-sleep.aspx  I highly recommend subscribing to this sites newsletter, you will learn SO MUCH, it is awesome.  Mostly about how to keep well and such, very good stuff.  BUT, considering your DD is so young, I would not be so worried about such things as her waking up at night to nurse several times or anything like that, I dont know what sleep probs she has, but if its that then i think thats pretty normal.  And especially if she sleeps next to you and you can just give her your boob and you both go right back to sleep it shouldnt matter much that she wakes up for a second at this age.

I think that some water is important, but a whole bunch is unnecessary.  I do like to trust a childs instincts and let them drink the amount that they feel that they need, but maybe thats not always the best route to take in some situations?   And no certainly dont force her to eat.

One thing that stands out for me- it appears that she gets quite a few grains?  And she is borderline anemic.  Grains (and nuts, seeds, legumes, beans) contain phytic acid.  It is naturally occurring, but what it does is bind to minerals in the food and the body, causing your body to not be able to absorb minerals like it should.  AND, phytic acid binds readily to iron and causes you to excrete it instead of absorbing it!  To neutralize the phytic acid in foods, people sprout, ferment, and soak their grains, etc, so you still have the minerals and such that the grain contains, but the phytic acid is not there so your body actually absorbs it.  So, your problem may be fixed not by supplementing with iron, but by cutting back on the above mentioned foods (personally I dont think wheat is healthy for anyone to eat), and by properly preparing these things (sprouting, etc).  About the only grain we eat is quinoa, and I buy sprouted quinoa, the brand is TruRoots.  Once in awhile if we need bread for some reason, we buy sprouted bread, Food For Life makes some, as well as a few other brands.   Here is a chart for preparing the above foods, http://www.cookingforwell-being.com/Chart_files/sample-chart.pdf    We also buy some sprouted crackers, Lydias Organics brand, and we buy some Go Raw sprouted snacks/nuts as well.   Here's more info on phytic acid http://www.westonaprice.org/food-features/living-with-phytic-acid

There are many problems with probiotic pills.  It sometimes happens that they are dead by the time you swallow them.  A lot of times they dont make it to where they're needed in your body, but are destroyed in the stomach.  That is why people often go for whole foods probiotcs, which are the ferments.  Kombucha might be a good one to start with if you can find the GT Daves flavored stuff, it also has lots of B vitamins.

Another thing, vitamin D also plays a huge role in growth, does she get adequate vitamin D?  Is she outside mid day without sunscreen often?  We also take fermented cod liver oil (Green Pastures brand) for extra D because often times a person doesnt get enough D from the sun.  Does she get lots of exercise?  That can help her sleep better, especially if its out in the fresh air.  Have you tried any kind of aroma therapy?  She might be too young still, but you could do a really cool aroma therapy massage before bed time :)

Smoothies are awesome for sneaking in healthy stuff!  Maybe you could try some pastured egg yolks for extra fat, as well as some fermented cod liver oil (Lots of DHA in this as well!)  All of those could be added to smoothies, as well as avocados, coconut oil, etc.  You could both have a healthy boost for the day with a super smoothie!


Yes, that!

 

I also want to say that my son eats much less than your daughter, with similar aversions to avocado, banana, too much oil, etc, and he won't do smoothies at all.  That's why my doc is only worried if he is not nursing.  he probably does like nursing more than eating, and that's why he chooses not to eat a lot.  It's scary to nurse less in the hopes that he will eat more, since you have a lot less control.  But BM is definitely very nutrient dense.  but i do notice on days that we are out and about and nursing less that his solid food intake increases a ton.  so your doc may be right that she eats less because she likes food better, but i don't see why that is a problem if you are continuing to nurse.  If she doesn't seem to be having texture issues or something that you would need early intervention for, i would think that as you nurse less, she will eat more. but you don't NEED to cut down on nursing unless it's something you or she wants, kwim?

 

also, the probiotics won't really transfer through BM, so it's a good idea to get your daughter some of her own.  Surprisingly, my son really likes eating sauerkraut.  i don't know how your daughter will feel about it, but it's definitely worth a try!


     Mommy to DS born 11-10-10  wave.gifAnd DD born 6-3-13 baby.gif  

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#25 of 30 Old 07-18-2012, 09:37 AM
 
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Originally Posted by blessedwithboys View Post

How old is your daughter?  Breastmilk should be the primary source of calories for the full first year.  I tend to think it's safe up til age two even.  My ds1 went through something similar and it turned out to be a simple case of "professionals" not knowing anything about breastfeeding.

This is where I'm at.

 

O.P., I'm curious to know how things turn out.

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#26 of 30 Old 07-18-2012, 12:44 PM - Thread Starter
 
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We went to see her ped again today. Good news she gained a few ounces since last month. About 8. Bad news is he wants us to go see a GI doc, a geneticist and wants dd to get feeding therapy. And of course he wants me to
Reduce bf. A little overwhelming greensad.gif

But I was happy to see some weight gain. Btw re grains: she was on a very grain Limited diet up until a few weeks ago when I started adding more in. We do sprouted grains among others. I believe in moderation... Too much of any one thing isn't good. So I mix up her grain choices between rice, wheat, corn, quinoa and oats. But grains are still only one portion of her diet. She gets a wide variety of things offered to her throughout the day & week which I mentioned in a pp.
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#27 of 30 Old 07-18-2012, 12:47 PM - Thread Starter
 
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Oh and we had her vit d levels checked. They are great and she gets plenty of sunshine
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#28 of 30 Old 07-18-2012, 03:26 PM
 
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My dd had the same issue. She ended up with celiac disease.

Denise, Mama to DS1 (7) and DD1 (5) and new baby due June 2012!

 
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#29 of 30 Old 07-22-2012, 08:14 PM
 
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If she seems otherwise happy and healthy, it may not be such a big deal; but gluten would be my next step, too.  Also agreeing that the phytic acid--especially if these are whole grains that are not soaked (this is particularly notable with unsoaked rice and beans made at home).

 

And really, I can't wrap my head around a doctor telling the parent of a FTT child not to let them eat when hungry (grazing or otherwise).

 

If she eats smoothies, you might put some intensive Omega-3 fish oil in there.  The CLO doesn't have as much Omega-3 as a straight Omega-3 concentrate (Nordic Naturals makes one). That could potentially help her sleep issues.  You'd see the change in about 10 days if it were going to do anything, but I would make sure to put it in a very small amount of the smoothie so you know she's getting the full dose.


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#30 of 30 Old 07-23-2012, 08:31 PM
 
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When it's hot - my dd2 will really go for ice/water and not eat as much (and she needs to, she's small and we've been through the extra checks with our ped checking her growth, etc as well).  I will put my flaxseed oil in OJ for her, and she'll accept that.  She's also liked the flavored coconut water (which does have a good amount of calories) and we like the fruit-coconut milk frozen treats too (you could easily make something similar yourself, with the full-fat canned coconut milk, bit of sweetener, and fruit).  Making sure we've got hydrating fruits (watermelon, grapes) also means she's eating and she'll go for those a lot more instead of having a ton of water if I make a point to set them out. 

 

 

Blackstrap molasses (mixed with beans - like baked beans, or with oatmeal, or even homemade gingerbread) is a pretty palatable way for kids to get a bit more iron.  You might even get her to have it on a spoon.    

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