Poor Weight Gain in Pediatrics — Case | General Pediatrics | SMLE Q#12415

SMLE Question #12415

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
An 8-month-old boy is brought for poor weight gain. He is exclusively breastfed and refuses formula. He feeds every 3–4 hours during the day and sleeps 8 hours overnight without feeds. He has not started solid foods. Development is age appropriate and examination is unremarkable. His weight fell from the 50th percentile at 4 months to the 10th percentile at 8 months, while length stayed at the 50th percentile. What is the most appropriate next step in management to prevent further weight loss?

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