Some children are started on high energy milk and drinks (e.g. pediasure, fortini, infatrini) in order to increase weight gain. These may be effective in the early months, but if they are continued they all too often spoil the appetite, without increasing overall intake. Some children may be taking almost all their diet from these drinks, while others just take them as a supplement to their solid diet. After careful assessment we would most commonly aim to reduce and stop these drinks, which usually results in improved appetite, reduced food refusal and no change in weight gain or growth.