
Ask Dr. Hirsch: Weekly Q&A with Dr. Shari Hirsch, Pediatrician and Lactation Specialist at Lev Pediatric Care
This Week’s Question:
“My toddler barely eats dinner. How are they still growing, and what does their brain actually need?”
Dr. Hirsch’s Answer:
If you’ve ever prepared a balanced toddler dinner only to watch your child eat three crackers and a deep breath, you are not alone. Toddlers are famous for eating what appears to be nothing and continuing to grow, run, and develop strong opinions.
So how does this work?
The toddler appetite roller coaster
Toddlers grow in spurts, not steady lines. On some days they seem constantly hungry. On other days, they eat almost nothing. This fluctuation is normal. Appetite shifts based on growth, activity, teething, illness, and mood.
If your toddler is growing well and meeting milestones, their body usually knows what it’s doing.
Think in weeks, not meals
One skipped dinner does not cause malnutrition. One low-protein day does not harm brain development. What matters is nutritional patterns over time, not a single meal.
Your job is to offer balanced options. Your child’s job is to decide how much to eat.
What growing brains actually need
Protein
Protein supports growth and brain function, but toddlers need much less than most parents think. Eggs, yogurt, cheese, beans, nut butters, chicken, and fish are all good options. If they eat protein earlier in the day, it’s okay if dinner is lighter.
Healthy fats
This is especially important. Toddlers’ brains are still developing rapidly, and fat supports nerve development, hormone production, and vitamin absorption. Whole milk, avocado, olive oil, nut butters, and fatty fish are excellent sources. Low-fat diets are not appropriate for young children.
Vegetables
Yes, they matter. But rejection is normal. Keep offering without pressure. Exposure over time is more important than how many bites happen today. Fruit, sauces, and small tastes all count.
A simple feeding approach
Serve one safe food at each meal. Include a source of protein or fat. Eat together when possible. Stay neutral about how much they eat.
Pressure and power struggles usually make intake worse, not better.
Bottom line
Toddlers are built to handle inconsistent meals. Their brains do not need perfection. They need variety and key nutrients over time. If your child is growing and developing well, you are doing it right, even on nights when dinner goes untouched.
Dr. Shari Hirsch, MD, specializes in infant feeding, including expert newborn support, lactation guidance, and frenotomy (tongue-tie release). She also offers emotional wellness care, with guidance and medication management for attention, mood, and anxiety support.
Lev Pediatric Care is located at Evergreen Uptown Mall in Pomona. Their hours are Sunday through Thursday, 10:00 am to 7:45 pm, and Friday, 10:00 am to 1:00 pm. Same-day appointments are available. To schedule, call 845-579-5700. They also provide free car service to and from doctor visits.
Have a question for next week’s column? Send it to Lev Pediatric Care, and Dr. Hirsch may feature it in an upcoming Q&A