We have this issue with Luke. He is just so active and he is a typical toddler--he eats what he wants to eat and that is all. We do all of the tricks to add calories to his food, but when he is only going to eat 3 bites, it is not that helpful. We have had to use his feeding tube. We had gotten to the point where we were not needing it as much, but we had the same issue--he did not lose but he only gained 2 or 3 ounces I think. So we went back to his night time feeds. It is our goal that he has 4 pediasure a day, so if he is not drinking by mouth, we will bolous him and then he usually gets 1 and a half to two through the night, depending on how he has done throughout the day with eating. I was hoping to get rid of the feeding tube, but he needs it and that is what it is there for. We have already seen a big difference--he has gained almost 2 lbs. I still offer as much food as I can all day--I give him his favorites, even though it feels like he eats the same things everyday. I try to offer some new stuff, but I have the tried and true ready just in case!
It sounds like she drinks the boost pretty well, have you ever added anything to that? They told us at clinic that we could add syrup--chocolate or strawberry stuff like Nesquick--to Luke's pediasure. It adds calories without adding volume. We make his mac-n-cheese with heavy cream instead of milk and a scramble his eggs with heavy cream . They also told us that we could mix heavy cream with whole milk, but he didn't like it. We do the dips, too--ranch for veggies, crackers and chips, syrup to dip french toast sticks,caramel or chocolate dip for fruit, etc. We will butter or put cream cheese on his crackers. I check the labels of all crackers, chips, cookies and stuff like that to find out which one has the most calories and buy those. I am sure you probably have tried most of this stuff! I feel like we have tried everything. Toddlers are just hard, I think. They are too busy to eat and they are very stubborn about what they like and don't like. I am hoping that we will be able to get rid of the feeding tube at some point, but with winter coming, I know now is the time to really get him "bulked up".
I hope she has a great weight gain at her next appointment!
Angela, Mom to 7, including Luke, 2 yrs. old w/CF