The fact that there was no height or skull growth makes me immediately
suspicious about endocrine problems. I have to assume that the ped/family
practitioner involved ordered x-rays and blood work in preparation for a
referral to endocrinologist. The slight developmental issues fit with the
hypopituitarism differential diagnosis, as do the early feeding challenges.
If babies generally double birth weight by 6 months and triple it by one
year, this babe should be within striking range of 21 lbs and, more
importantly in this case, growing taller and "bigger headed". I just checked
a site on the web for info about the hypopituitarism that will be of
interest to you. Good nutrition is obviously of importance but the numbers
indicate a much more involved issue than a case of too few calories.  Here's
the site: www.mc.vanderbilt.edu/peds/pidl/endocr/grohorm.htm.

Bonny Cannell Nothern, RN, MSN, NP, IBCLC

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