Small? Tldr at bottom

Question

This is my not so chunky bean 😅 she just turned 2 and she's 20lbs 30in tall. She's in like... The 1st percentile for her age. We went to the doctor today for her 2 year check up. She fell off the growth curve a little bit, but doctor doesn't seem too concerned since she was already tiny to begin with. She said replace one of her milk cups with Pediasure or Carnation instant breakfast (and add a gummy vitamin with her breakfast). My husband and I are both short, but I'm wondering when/if we should see a growth specialist or something. Besides her size, she is developmentally ahead of where she should be and has all of her teeth. She's very happy and doesn't seem bothered, but I just worry about her being small, I don't know if this will cause her issues later on. 
TlDR: Her doctor doesn't seem worried my 2 yr old is in the 1st percentile for height/weight, but I am 🕵️‍♂️🤔 do I ask to see a specialist?

Answer

My daughter was the same. Her doctor wasn't concerned either because it was consistent. I mean, someone has to be in the one percentile. And they can be just as healthy.

Answer

The percentile isn’t generally a concern (someone’s gotta be at the 1), it’s more about the curve. A little drop can be normal, my second rides his curve like a roller coaster and goes down on it every other visit then back up, that’s his growth pattern and neither of his pediatricians were concerned (we recently moved and had to switch). My first just had a check-up and dropped steeply off her curve, she went from 14th percentile to 5th, she actually didn’t gain any weight over the last year. Because that’s not her pattern her doctor ordered us blood tests and depending on how those are she’ll refer us to a gastroenterologist. So I’d probably try to replace her milks like the doctor suggested and see what happens at the next check-up.

Answer

I wouldn't worry. My dinky dot is just over 2 years old, 19lb and 84cm tall. Apparently as long as the percentiles line up, she's eating regularly etc it isn't a big deal. She's developmentally ahead too - my partner always jokes she spends so much time growing her brain she forgets to grow her body.

Small? Tldr at bottom

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