Our expert says:
You certainly have a problem with your lassie. if she does not eat anything all day at school, esp if she does an after-school activity, then her energy levels must be totally depleted by the time she returns home. You don't mention what kind of digestive problems she suffers from? Allergies or constipation or enzyme deficiencies??? If she has a condition that interferes with her appetite, then this could well be why she does not eat during the day. The type of problem she has could also determine what type of meal replacement shake she can use. It may be a good idea to consult a registered dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area), so that the dietitian can assess your lassie's weight, growth and her digestive problems and help you decide on the correct meal replacement shake (i.e. Nutren with or without dietary fibre, a lactose-free shake, etc).
I do hope you will get this problem solved because I am sure that your daughter will benefit from being able to eat something during the day so that her blood sugar levels are normalised and she has more energy.
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