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[quote=Anonymous]OP here. I guess when I say i don't think it's an eating disorder I may be using that term in too restrictive a sense: I don't think she is anorexic or bulemic; I don't think she considers herself "too fat" or is fearful of weight gain or is even subconsciously trying to stave off puberty. On the contrary, she worries that she is too small and she very much wants to grow, for what it is worth. That said I recognize that there may be other kinds of eating disorders linked to anxiety, obsessiveness, etc. And I also worry about some kind of undiagnosed GI thing. I am wondering if I should take her a) to a therapist or b) to a pediatric GI for a check-up to rule out any medical causes.

I am not big, but not tiny (5' 4 and 135), though I was quite small as a child (not this small though). Her dad has always been tall and thin. Definitely no one in her family is large or overweight --  no one is super thin, but every one is probably on lower end of the normal weight range. We already give her boost in the morning, milkshales mixed wiht boost at night, and extra butter and cheese on everything I can sneak it into.

I guess I am torn between, on the one hand, fearing that I am not "doing enough" to address an issue that could be addressed through some combination of medical intervention, therapy and behavioral changes, versus fearing on the other hand that even having her do a GI checkup or speak to a therapist could end up creating an issue where there really is none (or where this is a small issue that will probably resolve itself over time IF i can refrain from going crazy over it). As I said, her pediatrician does not seem very concerned, so maybe I'm overreacting.

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