Reply to preteen son has ARFID- protein powder or other suggestions?

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[quote=Anonymous]Op, my child was similar for about 4 years. Just didn’t really have an appetite and extremely picky eater. DC gained 2 lbs over 4 years, slower growth although still did grow. Extremely low BMI.

DC did food therapy, met with nutritionists, two different registered dieticians, therapist, and GI doctor. I was obviously doing everything I could.

First, find a nutritionist who works with kids like yours - underweight with low appetite. The ones we met with didn’t have any silver billets but gave me recipes for high calorie milkshakes and we found something my DC would finally ingest. For most of the 4 years DC was underweight the majority of the eir calories came from their milkshakes.

After age 8, feeding therapy is no longer recommended, but find a therapist who will help your DC try new foods. That was helpful (DC was also in therapy for anxiety so their therapist also worked on food).

The GI doctor checked for any medical issues - didn’t find any - and prescribed an appetite stimulant. It didn’t work on DC but I’m glad we tried it.

In the end, what worked (and I’m not sure it really worked but DC would have eaten even less if we hadn’t done this) was adding as much fat as we could to the foods that DC did eat. So adding butter and oil or heavy cream to everything DC would tolerate. So a table spoon of heavy cream in the breakfast cereal (along with milk), tons of butter or oil on their pasta, etc. huge bowl of ice cream every night for dessert (with any topics they would like.

At some point DC started eating a bit more and is now slender but 5% for BMI and I’m delighted. DC still never over eats, still very picky but gaining weight in an appropriate way.

I honestly don’t know what changed or got better but it did, at least enough that DC is off milkshakes and gets th eir calories from regular foods. [/quote]

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