Posted in Bottle Feeding, Child's Health, Nutrition, Toddlers

Transitioning

Our daughter is underweight and our doctors are hoping we can find ways to add calories to her diet. She is 16 months and has been on the bottle via breast pumped milk from day 3 on. We are trying to transition to a soy free version of pediasure. The problem is she doesn’t like the formula. We were also told we could do carnation instant breakfast. A cup of this a day with whole milk would add nearly 300 calories. She drinks about 1/2 cup throughout the day so getting better but still likely not as much as the pediatrician would want. Transition advice I theory cutting out pumped breast milk for all future feeds and offering carnation instant breakfast or another drink is natural... all babies have to transition to something eventually right? A bit hard to cut breast milk cold turkey since our daughter is low weight and if she refused the transition to carnation instant breakfast for 2/4 or 2/5 bottles would be ok but not likely going to happen. We have heard to try to offer it has first feed of the day as she will be hungry since she slept all night etc... or we were told to offer her two carnation instant breakfast a day and two bottles. — not believed to easily work as maybe the baby will hold out for the two breast milk bottles. What is your technique for transitioning.

  • Anonymous
    Mar 02

    Please look at the ingredients in the carnation milk! It is not nutritious food! So much sugar and artificial processed ingredients Can you just feed her higher calorie solids? Is there a reason why she can’t eat solid food?

  • Dannie
    Mar 03

    Try enspire my kids transitioned really well with that it’s suppose to be the closest to breast milk although really pricey I get sample can from people selling them on buy same and trade or let go (not opened or expired)

  • Imdakine1
    Mar 03

    We don’t want to transition her to carnation instant breakfast due to exactly what you said as sugar and artificial ingredients. We can’t do pediasure which was initially recommended as a supplement of calories but also has the same overall issue. — our daughter is allergic to soy and pediasure has soy. We were recommended to Kate Farms with is organic, non soy, non gmo and high calories but our daughter refuses to drink it. At the moment our daughter drinks some of the carnation instant breakfast through a cup and straw and we would hope to not transition her to it but maybe if she drinks enough up to a cup a day the solids, 4 bottles of breast pumped milk would be sufficient as carnation for now would be just adding enough additional calories to help her weight gain. Her solid intake was challenged from 9-13 months with issues of not pooping well this led to less solid intake. Now that the GI Specialist solved the pooping issue the solid in take is improving. She is also a picky eater who likes to try everything but not a large quantity. She prefers her fruits and veggies and not as much for the meats. Being allergic to egg whites, soy, and peanuts make the protein intake harder as well. We have shifted to have her eat the protein, carbs first and veggies and fruits last since they are her favorite but low in calories. The 8-13 months poop issue truly set her back as she is super sharp and great with fine motor skills and more challenged with the big movements. How would we feel if we didn’t poop for 5-7 days for that time less interest in solid intake and less interest in moving, rolling, tummy time. So she is seeing and OT and PT to get core strength development and we’ve seen nothing but improvement since solving the poop issue. Just trying to get the weight gain increase.

  • Anonymous
    Mar 04

    At 16 months, I’d cut bottles completely (it’s terrible for their teeth). My daughter is underweight and we went to pediasure at a year. We got transition sippy cups, and some straw ones. Before bed, wakeup, etc I gave pediasure cold in the transition cup. At meals we did whole milk or pediasure in a straw cup. Ended up being 2 bottles a day. I did it cold turkey and it was fine after a day or two. They’re sweet and she loves it.

  • Lynn
    Mar 04

    Lentils and other legumes, avocado, oils, lots of fruits and veggies. European style bread. I don’t think you have to take her off BM unless you want to stop pumping. Is goat or sheep’s milk an option? Is she allergic to tree nuts? If not, nuts that aren’t peanuts can be an excellent source of protein and fiber. At this age, what looks like a little to us, is a lot for them. 1 TbSP per food group is a meal. Is she below the range and off the weight chart or just low?

  • Lynn
    Mar 04

    If she eats muffins or baked goods, you can add flax and/or chia seeds too.

  • K
    Mar 04

    I have twin 16 mth old girls. They were born full term but still small. They are exclusively breastfeed and are vegetarian. They are consistently growing so our ped said no need to supplement. But to make sure they are getting enough fat I add things like avacado (oil and fruit), coconut oil, dairy free yogurt....to their meals. She may do well with smoothies in which you could not only add fats, but proteins, fruits and veggies. Really good for caloric intake and easy to make.

  • Jess
    Mar 07

    My son stopped growing for nearly a year from 12 months to almost 2 now. He had severe constipation and we couldn’t seem to add enough calories. He also struggled with solid foods for a while and preferred purée. Smoothies became a game changer. You can pack in so many calories with well rounded nutrition and he LOVES them. I give them to him twice a day and he’ll eat nearly the same amount as before too. I’ve noticed a huge difference weight wise but we’re still hoping he’ll get taller. Typically I’ll blend- frozen fruit, banana, milk, a little juice, avocado, fresh spinach or kale, almond butter, shredded coconut, plain yogurt, chia seeds, and flax meal. There are a ton of vitamins (including protein) and healthy fats in there. It’s a lot of stuff but one batch lasts about 3 days and once you have all the ingredients it’s quick and easy. There are lots of recipes online too. Good luck!

  • Imdakine1
    Mar 08

    @jess, can you share what your doctor’s said to you when your son wasn’t growing from 12 months to 24 months? Was your son underweight? Did you ever hear the possible need for a feeding tube? Since our daughter is underweight they have actually mentioned possibly needing a feeding tube to add calories via Pediasure or a soy alternative such as Kate Farm’s. If our daughter would take a bottle of Kate Farms’s she will get 350 calories from it alone! As mentioned in my original message, our daughter had pooping issues from 9-13 months and with our diet change her pooping issues are a bit back... not as bad but the less fruits and veggies idea has likely make her bowel movements easier. Having a daughter who is a picky eater makes it much harder!

  • Natasha
    Mar 09

    Hello! I definitely understand what you’re going through. We have trouble gaining weight too. Pediasure is great as well at pediasmart. There is another type of formula that I’ve noticed a drastic change for my son with. It’s really expensive but totally worth it. I give him just a little bit and it’s enough for the day. Here is their website: www.katefarms.com . The formula goes up to 13 years of age. It was formulated for children with disabilities, etc, as well as those who have weight gain problems. They have many different options. It may be best to supplement especially if your little on is underweight. Hope this helps!! ❤️

  • Jess
    Mar 10

    @imdakine1 - the doctor didn’t suggest a feeding tube because he started to gain weight despite not getting taller. He was in the 98 percentile for weight and height and then that started to plunge. I think because he was so big to start it took a little too long for our doctor to become concerned until she saw he had not grown at all height wise. The smoothies helped us with weight since he too is a picky eater, but our next step is an endocrinologist once he turns two in a few weeks. I guess they won’t do a lot of tests and treatments before then. The doctor is most concerned about a possible lack of growth hormone. My husband and I really noticed a change in his size and digestion when he started eating more solid (non purée) foods, so at our next appointment I’m determined to push for a pediatric GI referral. I just know in my gut that this extreme constipation is related. In my opinion doctors often want to treat symptoms but stop short of finding the root cause. You spend the most time with your daughter and you know more than anyone if she isn’t getting what she needs. Sounds like the GI helped her though, so that’s encouraging. It’s so tough when they won’t eat. It sounds like you’re doing everything you can for her though. Hang in there, she’ll get what she needs with you looking out for her! Side note- I also feed my son kodiak cakes protein waffles for breakfast (target, Kroger or sams club has them). He loves them and they have 6g of protein per waffle. He also won’t eat meat 🤦‍♀️