With extra butter

A couple weeks ago, Timothy had his one-year check up. Turns out he's on the small side. Never would have guessed that one. Oh wait...we already knew that. At his 9-month appointment, he didn't make as much progress as he had at his 6-month check-up and had even fallen off the curve completely. At the time, the doctor wasn't worried; he just said that this was about the time genetics kicked in, and looking at Lily, he wasn't too concerned. But at the12-month weigh-in, he'd fallen even further off the curve and was actually starting to flat line. Now he felt we had reason to worry a little since it was starting to affect his length, too. So he recommended we see a dietitian to get her insight.

The next week, we headed to the dietitian's office where we got to tell her what Timothy eats and how much. I know she was there to help, but as we tried to capture a typical day for Mr. Bubs, I've never felt so judged! Such a silly thing to worry about, I guess, but I was so sure her response was going to be, "You're terrible parents. No wonder he's not growing!" despite the fact that I try to give him a fairly balanced, healthy diet...with the occasional french fry or popsicle.  Of course that's not what she said; she actually said we were doing pretty well, except for his bottle usage (will NOT take a sippy to save his life!). So her solution was to "power pack" what we are giving him. Basically, we have to increase his fat and calories without adding much to the actual volume of what he's eating. This means adding butter or cream to just about everything and being given free reign to make him a milkshake (with the tip to look for the ice cream with the highest calorie count) for a snack.

Oh...and make sure he drinks at least 24 oz of formula a day and try to get him off a bottle within 2 months. The thing about that is, I'm not sure he was drinking 24 oz a day when he was on a straight liquid diet. That's probably not entirely true, but for the last few months, we've been lucky to get him to drink maybe 10 or 12 oz of formula a day. And as soon as we started the whole power packing thing, he hasn't even wanted that. He's now refusing a bottle in addition to the sippy cup.

When she was explaining what she wanted us to do, I mentioned that I didn't want to bulk him up just for the sake of bulking him up. But from the information she gave us, it says adding extra fat at this point shouldn't have any last effects as he gets older. But I have to admit, every time I add extra butter to his mac and cheese or cream to his apple sauce, I hope it will bulk him up enough that the concern will go away and we can go back to normal meals. Obviously I want him to grow and be healthy, but the kid never stops moving. I don't think I ever chased Lily around this much. He makes a beeline for the dog's water dish so I move him and he beelines for whatever Lily doesn't want him playing with. From there, it's straight to the fridge to laugh at his reflection and then to the other side of the house to cuddle his blanket for .2 seconds before he's off again to find a bead Lily forgot to pick up or a penny I missed with the broom. I think he just has the metabolism of a hummingbird.

So we'll keep up the extra butter at least until mid-July when we have to get a weight check and see if it's helping. In the mean time, we'll just enjoy his energy and his cute ways. Like this video. Whenever I put something on his head, he'll try to put it back after it falls off. Never fails. He's about as adorable as possible!

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