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I have twins, a boy and a girl, who just turned 2. They were born at 36 wk 6 days, 38 minutes apart with no complications and no NICU stay. They both were breastfed exclusively until 23 months, introduce to whole milk around 15 months with no problems. My son has always been a bit bigger than his sister. My daughter never had any issues nursing or taking bottles, she did really well with foods, no known allergies. She did do physical therapy for a year for being behind with crawling and walking (low muscle tone).

My daughter is very tiny, her arms are legs are thin. Her hair seems to be thinning and brittle, breaking easy. Her stool is very inconsistent. Her face is thin, dark circles under her eyes, always feels like she is ho t but never running a fever, the last couple of months I have noticed she wants to be held more. She is active, keeps up with her brother and older sister, climbing, running, talking. This little girl can eat, she loves food, eats all the time, better than her siblings but yet she is the littlest. She gets a huge variety of food, protein, veggies, fruits, carbs, you name it she eats it.

At her 18 month check-up I had concerns about her weight and how tiny she was (only gained a few ounces since 15 month check-up), the doctor was not concerned as she was cutting multiple teeth and just started walking. She went back to the doctor at 20 months due to being sick, again only gaining a couple ounces, because of the little weight gain I had started giving her pediasure. Unfortunately we did not see our usual doctor so I made an appt the following month. At the appt we saw the PA, my daughter had again only gained 2 or 3 ounces. The PA seemed concerned as well, we did a full panel blood work-up and a urine check. The blood work came back normal except the thyroid. We saw her usual doctor and retested 2 months later and it came back normal. She had gained 2 lbs since her 18 month appt (remember I'm giving her pediasure 2-3 8 oz a day). The doctor agrees that something is not right, that she looks like she is not feeling well, that she should be gaining as much as she eats.
I had done research, I was convinced it was her thyroid due to her symptoms so when the results came back and it was normal I was shocked.
I'm not sure where to go from here, we will be seeing the doctor again to run more tests and possibly being sent to a specialist. I don't kn ow what questions to ask anymore other then what is the issue. I don't want to push it aside and in a few years find out there is a problem that we should've addressed, I don't want it to be too late.
Has anyone gone through something like this?
Should I be taking more actions?
 
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