Re: Hello, I'm a new member

[Guest guest]

Hello Satnam! Glad to see my link finally worked! You'll be amazed at the

knowledge of the folks in this group.

I hope Kristan is doing well and that you are having a happy holiday season.

, mom to Langan, 17 months old and 1 month on keto

Hello, I'm a new member

Hi everyone, my daughter Kristan has been on the keto diet for

approximately 4 months now. She is on Keto-Cal formula and we just

recently started replacing one of her bottle feeds with solids.

Kristan is 13 months and is now just starting solids. She is

currently on a 3.7:1 ratio, 493 calories, 11.99g protein, 48.8 g fat

and 1.325 g carbs. We have never had total seizure control, but

Kristan has improved on this diet.

She used to have 150-200 seizures a day and since being taken off all

meds and being on the diet she will have anywhere from 5 to 20

seizures a day. We have even had some days where we haven't noticed

any seizures.

I guess what I would like to know is if there are any parents who can

suggest anything as to why we haven't had total seizure control while

on this diet.

Kristan's solids right now are just chicken with butter and whipping

cream. I tried full fat mayo, Kraft Mayo but it has sugar in it and

I think her seizures increased, so I am sticking with butter, but

does anyone use Kraft Mayo.

I have lots to learn still now that my Kristan is starting solids, so

any suggestions would be much appreciated.

Satnam, mom to Kristan

" The Ketogenic Diet....a realistic treatment option, NOT just a last

resort! "

List is for parent to parent support only.

It is important to get medical advice from a professional

keto team!

Subscribe: ketogenic-subscribe

Unsubscribe: ketogenic-unsubscribe

------------------------------------------------------------------------------

[Guest guest]

Hello,

Finally someone in our boat! Our daughter turnes one on October 9th. We have

just started all solids and doing away with her formula. We started at 4 months

having seizures, and got up to 150 or more aday. She ended up staying 4 months

in Cooks Childrens Hospital and has tried every med to no avil. We finally took

her off all meds and within 2 months we have been total seizure free. She has

gone from g-tube fed to now eating from a spoon and drinking from a bottle. We

are a little behind, ok a lot behind, because they kept her so sadated for four

months in the hospital. Just dont give up the deit will kick in it takes time.

We use the generic mayo, butter but her favorite is butter and cream cheese in

her mixtures. Ill be happy to help where I can and would love to vist more.

Sounds like we have a lot in common. We never got diagnosed with anthing, did

you? All of her test have come back normal.

Kristi

Kristi Mann

Smile make everyone wonder what your thinking

May God Bless you today, tomorrow and always

[Guest guest]

Hi , thank you so much for telling me about this group. I'm

looking forward to hearing from folks. Kristan is teething now,

seizures have picked up, I guess because of the teething.

Hope Langan is doing well.

Satnam

> Hello Satnam! Glad to see my link finally worked! You'll be

amazed at the knowledge of the folks in this group.

>

> I hope Kristan is doing well and that you are having a happy

holiday season.

>

> , mom to Langan, 17 months old and 1 month on keto

> Hello, I'm a new member

>

>

> Hi everyone, my daughter Kristan has been on the keto diet for

> approximately 4 months now. She is on Keto-Cal formula and we

just

> recently started replacing one of her bottle feeds with solids.

> Kristan is 13 months and is now just starting solids. She is

> currently on a 3.7:1 ratio, 493 calories, 11.99g protein, 48.8 g

fat

> and 1.325 g carbs. We have never had total seizure control, but

> Kristan has improved on this diet.

>

> She used to have 150-200 seizures a day and since being taken off

all

> meds and being on the diet she will have anywhere from 5 to 20

> seizures a day. We have even had some days where we haven't

noticed

> any seizures.

>

> I guess what I would like to know is if there are any parents who

can

> suggest anything as to why we haven't had total seizure control

while

> on this diet.

>

> Kristan's solids right now are just chicken with butter and

whipping

> cream. I tried full fat mayo, Kraft Mayo but it has sugar in it

and

> I think her seizures increased, so I am sticking with butter, but

> does anyone use Kraft Mayo.

>

> I have lots to learn still now that my Kristan is starting

solids, so

> any suggestions would be much appreciated.

>

> Satnam, mom to Kristan

>

>

>

> " The Ketogenic Diet....a realistic treatment option, NOT just a

last resort! "

>

> List is for parent to parent support only.

> It is important to get medical advice from a

professional keto team!

> Subscribe: ketogenic-subscribe

> Unsubscribe: ketogenic-

unsubscribe

>

>

>

>

>

> --------------------------------------------------------------------

----------

>

[Guest guest]

Hi Kristi, thanks for responding. Kristan's diagnosis right now they

think is migrating partial seizures because they have ruled

everything else out, but it's not an official diagnosis. All of

Kristan's tests come back normal as well, it's so frustrating. I

agree, it sounds like we do have a lot in common. Kristan started

having seizures at 4.5 months, I think the 4 month vaccination had

something to do with it. The doctors all say it's a coincidence, big

coincidence if you ask me! Did you vaccinate your daughter? Yah,

the meds for Kristan just made her worse, we went through like a

dozen different meds.

Is there a meal planner that you use? I read in the faq section

about downloading a meal planner, but couldn't locate it. So what

does your daughter drink if you are not doing the formula? If you

wouldn't mind, what types of meals is your daughter on?

Thanks.

Satnam

> Hello,

>

> Finally someone in our boat! Our daughter turnes one on October

9th. We have just started all solids and doing away with her formula.

We started at 4 months having seizures, and got up to 150 or more

aday. She ended up staying 4 months in Cooks Childrens Hospital and

has tried every med to no avil. We finally took her off all meds and

within 2 months we have been total seizure free. She has gone from g-

tube fed to now eating from a spoon and drinking from a bottle. We

are a little behind, ok a lot behind, because they kept her so

sadated for four months in the hospital. Just dont give up the deit

will kick in it takes time. We use the generic mayo, butter but her

favorite is butter and cream cheese in her mixtures. Ill be happy to

help where I can and would love to vist more. Sounds like we have a

lot in common. We never got diagnosed with anthing, did you? All of

her test have come back normal.

>

> Kristi

>

>

>

>

> Kristi Mann

>

> Smile make everyone wonder what your thinking

>

> May God Bless you today, tomorrow and always

>

>

>

[Guest guest]

Jen,

Yes, we were at Cooks in Ft Worth. Wyaema was the youngest they had ever did,

but they have all been GREAT! We use Dr there at Cooks. Our deitician

is Deanna Keane, she is also awesome. I would be happy to visit with you about

anything. The first couple of days was rough but the nurses there, we were on 3

South, were awesome and a big help.

Kristi

Kristi Mann

Smile make everyone wonder what your thinking

May God Bless you today, tomorrow and always

[Guest guest]

When we first started solids I noticed an increase and we flipped and took her

off. We jsut had to adjust and give things time. We then went to her formula and

a couple of snacks a day. Example her favorite was the peanut butter with

butter adn cream cheese with butter. We did that several times a day for a

couple of months. When we sarted seeing no seizures she got to where she would

not drink the formula unless she was really hungry, so then we started meal. It

is a lot of trial and error. I did notice more seizures if she was teething or

sick. She would get teeth in and then they would retract and her therapist said

it was from the phenobarb, once we took her off of that she got about 6 in at

the same time. So I do beleive it contibutes, in fact she tried to have a couple

last night and we talked her out of it, and we noticed some back molars coming

in.

Kristi

Kristi Mann

Smile make everyone wonder what your thinking

May God Bless you today, tomorrow and always

[Guest guest]

Hi Cammie. Kristan has been off all meds since the middle of August

2003, so the drugs must be out of her system by now. Her ketones on

seizure free days are in the moderate to high range and she has had

regular bowel movements. We've never gotten her into the high ketone

range. Her height is going up, but she has lost some weight.

My dietitian is trying, but she has made comments that the diet isn't

working for her and like she is giving up. That doesn't help! I

keep telling her that I want Kristan to stay on the diet and isn't it

a matter of fine tuning. She is consulting with other dietitians and

now wants to try to add more fat and MCT oil. She doesn't want to go

down in calories because she is afraid Kristan won't be getting

enough nutrients, etc., for growth.

Satnam

> Satnam,

>

>

> Welcome to the group!

>

> Obviously the diet is helping Kristan. With greatly decreased

> seizures overall and some seizure free days, you are going in the

> right direction.

>

> How long has it been since she has been off ALL her previous

> medications? That would be my first thought about not having

> complete control yet. It takes a while to get the drugs completely

> of one's system and perhaps longer for her brain to stop " missing "

> them.

>

> What have ketone levels been on the seizure free days? Once the

> effects of weaning the drugs are not part if the issue, you might

> consider adjusting her ratio... slowly.

>

> Have her ht. and wt. increased since starting the diet. Finding

the

> right calorie level can take some time, too, because for some kids,

> the limits are narrow. Correct calorie intake is important,

though.

>

> We don't use Kraft mayo because I don't like it. We use Best Foods

> (Hellman's). I don't think the small amt of sugar would be the

> problem. It should be calculated into the meal, though.

>

> Cammie

[Guest guest]

Are you using the classical version of the diet or the MCT version?

There seems to be more successful with the version that doesn't use MCT

kristansmommy wrote:

> Hi Cammie. Kristan has been off all meds since the middle of August

> 2003, so the drugs must be out of her system by now. Her ketones on

> seizure free days are in the moderate to high range and she has had

> regular bowel movements. We've never gotten her into the high ketone

> range. Her height is going up, but she has lost some weight.

>

> My dietitian is trying, but she has made comments that the diet isn't

> working for her and like she is giving up. That doesn't help! I

> keep telling her that I want Kristan to stay on the diet and isn't it

> a matter of fine tuning. She is consulting with other dietitians and

> now wants to try to add more fat and MCT oil. She doesn't want to go

> down in calories because she is afraid Kristan won't be getting

> enough nutrients, etc., for growth.

>

> Satnam

>

>

> > Satnam,

> >

> >

> > Welcome to the group!

> >

> > Obviously the diet is helping Kristan. With greatly decreased

> > seizures overall and some seizure free days, you are going in the

> > right direction.

> >

> > How long has it been since she has been off ALL her previous

> > medications? That would be my first thought about not having

> > complete control yet. It takes a while to get the drugs completely

> > of one's system and perhaps longer for her brain to stop " missing "

> > them.

> >

> > What have ketone levels been on the seizure free days? Once the

> > effects of weaning the drugs are not part if the issue, you might

> > consider adjusting her ratio... slowly.

> >

> > Have her ht. and wt. increased since starting the diet. Finding

> the

> > right calorie level can take some time, too, because for some kids,

> > the limits are narrow. Correct calorie intake is important,

> though.

> >

> > We don't use Kraft mayo because I don't like it. We use Best Foods

> > (Hellman's). I don't think the small amt of sugar would be the

> > problem. It should be calculated into the meal, though.

> >

> > Cammie

>

>

>

> " The Ketogenic Diet....a realistic treatment option, NOT just a last

> resort! "

>

> List is for parent to parent support only.

> It is important to get medical advice from a

> professional keto team!

> Subscribe: ketogenic-subscribe

> Unsubscribe: ketogenic-unsubscribe

>

>

>

>

> ---------------------------------------------------------------

>

[Guest guest]

Satnam,

Hooray for you for getting off the meds!!! Was that your idea or

your keto team? Actually, I'm curious to know where you are going

for keto... much of what you said sounds like our dietician. She

collaborates with a group also and I think they use a lot of each

other's ideas. It seems that some of their protocol is not " the

usual " -- just my observation from what I've read here and elsewhere

about other teams. What they do is working for us so I'm not

complaining in the least. They definitely think " outside the box "

which appeals to me very much.

The one thing that isn't familiar is the lack of support. Our

dietician (and neuro, too) are incredibly supportive. Sometimes, I

have felt like our daughter is their only patient... and I KNOW

that's not the case. I'm sorry your dietician is telling you the

diet isn't working. Of course, it's working... Kristan's seizures

are decreased. They aren't gone... yet... but who knows??? In the

very end, the questions you have to answer are, " Is Kristan better on

the diet than she was before? " and " Is it worth it to keep her on

it a while longer? "

Do you know if Kristan's ketone level is lower at the time she has

seizures? If so, my only thought based on what you said below is

that you could increase her ratio (which really means adding more fat

while keeping calories the same). If her weight is lower than when

she started the diet, I would think of a calorie increase, too. But,

it's best to do one thing at a time. I've used some MCT oil for

years so we do use a little on the diet. Does your dietician want

you to do the MCT version of the diet or just add some MCT oil to

what you are doing now?

Something just occurred to me... You have been using KetoCal. I read

on the EFA forum that a lot of KetoCal had been recalled because the

nutrient ratio wasn't correct. You might ask your dietician about

this because if that's the only thing you were on, maybe you weren't

getting the ketogenic ration you need. Just a wild thought.

> > Satnam,

> >

> >

> > Welcome to the group!

> >

> > Obviously the diet is helping Kristan. With greatly decreased

> > seizures overall and some seizure free days, you are going in the

> > right direction.

> >

> > How long has it been since she has been off ALL her previous

> > medications? That would be my first thought about not having

> > complete control yet. It takes a while to get the drugs

completely

> > of one's system and perhaps longer for her brain to

stop " missing "

> > them.

> >

> > What have ketone levels been on the seizure free days? Once the

> > effects of weaning the drugs are not part if the issue, you might

> > consider adjusting her ratio... slowly.

> >

> > Have her ht. and wt. increased since starting the diet. Finding

> the

> > right calorie level can take some time, too, because for some

kids,

> > the limits are narrow. Correct calorie intake is important,

> though.

> >

> > We don't use Kraft mayo because I don't like it. We use Best

Foods

> > (Hellman's). I don't think the small amt of sugar would be the

> > problem. It should be calculated into the meal, though.

> >

> > Cammie

[Guest guest]

Hi , I have so much to learn, I didn't know there were two

versions to the diet. I assume we are using the classical version.

Kristan's just on Keto-Cal formula and we are attempting solids.

Satnam

> > > Satnam,

> > >

> > >

> > > Welcome to the group!

> > >

> > > Obviously the diet is helping Kristan. With greatly decreased

> > > seizures overall and some seizure free days, you are going in

the

> > > right direction.

> > >

> > > How long has it been since she has been off ALL her previous

> > > medications? That would be my first thought about not having

> > > complete control yet. It takes a while to get the drugs

completely

> > > of one's system and perhaps longer for her brain to

stop " missing "

> > > them.

> > >

> > > What have ketone levels been on the seizure free days? Once the

> > > effects of weaning the drugs are not part if the issue, you

might

> > > consider adjusting her ratio... slowly.

> > >

> > > Have her ht. and wt. increased since starting the diet. Finding

> > the

> > > right calorie level can take some time, too, because for some

kids,

> > > the limits are narrow. Correct calorie intake is important,

> > though.

> > >

> > > We don't use Kraft mayo because I don't like it. We use Best

Foods

> > > (Hellman's). I don't think the small amt of sugar would be the

> > > problem. It should be calculated into the meal, though.

> > >

> > > Cammie

> >

> >

> >

> > " The Ketogenic Diet....a realistic treatment option, NOT just a

last

> > resort! "

> >

> > List is for parent to parent support only.

> > It is important to get medical advice from a

> > professional keto team!

> > Subscribe: ketogenic-subscribe

> > Unsubscribe: ketogenic-

unsubscribe

> >

> >

> >

> >

> > --------------------------------------------------------------

-

> >

[Guest guest]

Hi Cammie, it was our idea to get Kristan off all meds as they just

made her worse and we said we wanted to start keto even though our

neuro said she was too young. We like our neuro, she tries, but she

really has no answers for us. We're in , BC where our neuro

is the only ped neuro and we also see one in Vancouver who is the top

and best neuro but she has no answers for us either.

I don't know what you mean when you say where are you going for

keto... We definitely feel the diet is doing something for Kristan,

its just a matter of figuring out the right ratio and we are willing

to commit for however long it takes because in the end, her seizures

are way down.

Kristan's ketones are generally the same when she has a seizure and

when she doesn't - that's the confusing part.

The dietitian mentioned adding MCT oil, I didn't know there were two

versions to the diet, I have so much to learn and I will definitely

ask her about the Ketocal recall. Thanks.

Satnam

> > > Satnam,

> > >

> > >

> > > Welcome to the group!

> > >

> > > Obviously the diet is helping Kristan. With greatly decreased

> > > seizures overall and some seizure free days, you are going in

the

> > > right direction.

> > >

> > > How long has it been since she has been off ALL her previous

> > > medications? That would be my first thought about not having

> > > complete control yet. It takes a while to get the drugs

> completely

> > > of one's system and perhaps longer for her brain to

> stop " missing "

> > > them.

> > >

> > > What have ketone levels been on the seizure free days? Once the

> > > effects of weaning the drugs are not part if the issue, you

might

> > > consider adjusting her ratio... slowly.

> > >

> > > Have her ht. and wt. increased since starting the diet.

Finding

> > the

> > > right calorie level can take some time, too, because for some

> kids,

> > > the limits are narrow. Correct calorie intake is important,

> > though.

> > >

> > > We don't use Kraft mayo because I don't like it. We use Best

> Foods

> > > (Hellman's). I don't think the small amt of sugar would be the

> > > problem. It should be calculated into the meal, though.

> > >

> > > Cammie

[Guest guest]

Satnam,

When I asked where you are going for for keto... I was just curious

which hospital/keto center you go to. Some of your experience

reminds me of our experience. You are actually quite a ways north

and west of us.

Often, the " answers " are hard to find, but I'm so sorry you aren't

getting the support you need for the diet. There are some very

knowledgeable people here who have been doing it alone, too. Keep

posting your questions and you will get some helpful answers.

Cammie

> > Satnam,

> >

> > Hooray for you for getting off the meds!!! Was that your idea or

> > your keto team? Actually, I'm curious to know where you are

going

> > for keto... much of what you said sounds like our dietician. She

> > collaborates with a group also and I think they use a lot of each

> > other's ideas. It seems that some of their protocol is not " the

> > usual " -- just my observation from what I've read here and

> elsewhere

> > about other teams. What they do is working for us so I'm not

> > complaining in the least. They definitely think " outside the

box "

> > which appeals to me very much.

> >

> > The one thing that isn't familiar is the lack of support. Our

> > dietician (and neuro, too) are incredibly supportive. Sometimes,

I

> > have felt like our daughter is their only patient... and I KNOW

> > that's not the case. I'm sorry your dietician is telling you the

> > diet isn't working. Of course, it's working... Kristan's

seizures

> > are decreased. They aren't gone... yet... but who knows??? In

the

> > very end, the questions you have to answer are, " Is Kristan

better

> on

> > the diet than she was before? " and " Is it worth it to keep her

> on

> > it a while longer? "

> >

> > Do you know if Kristan's ketone level is lower at the time she

has

> > seizures? If so, my only thought based on what you said below is

> > that you could increase her ratio (which really means adding more

> fat

> > while keeping calories the same). If her weight is lower than

when

> > she started the diet, I would think of a calorie increase, too.

> But,

> > it's best to do one thing at a time. I've used some MCT oil for

> > years so we do use a little on the diet. Does your dietician

want

> > you to do the MCT version of the diet or just add some MCT oil to

> > what you are doing now?

> >

> > Something just occurred to me... You have been using KetoCal. I

> read

> > on the EFA forum that a lot of KetoCal had been recalled because

> the

> > nutrient ratio wasn't correct. You might ask your dietician

about

> > this because if that's the only thing you were on, maybe you

> weren't

> > getting the ketogenic ration you need. Just a wild thought.

> >

[Guest guest]

kristansmommy wrote:

> Hi , I have so much to learn, I didn't know there were two

> versions to the diet. I assume we are using the classical version.

> Kristan's just on Keto-Cal formula and we are attempting solids.

>

> Satnam

Okay, well there is lots of finetuning you can do, calories, spacing of

meals, ratio, etc. But if you want to try something to up ketones (if I

understand you correctly thats what dietican is hoping MCT oil will do)

I would suggest trying flax oil first. You have to start very slowly

with it because it can upset the tummy (although I believe the MCT oil

is even worse for that) and some kids can't handle it, but a lot of kids

on the diet do great with it. I started using it for my daughter when

they wanted to up ratio to up ketones and I was hoping to find a

different way to up the ketones. Its a good choice on the diet because

its a very healthy oil and also lowers cholesterol. I would suggest its

worth a shot

[Guest guest]

Hello and welcome!

Kristan's seizure activity sounds a lot like my son, Stockton's. He

is stable now at about 30 small seizures per day, and we are trying

to wean drugs and get to seizure-free status as well.

My only suggestion for you would be to try increasing the ratio.

Stockton is on a 4.75:1 ratio. Stockton has been up to 5.2:1 when he

was on straight keto baby formula. We definitely saw improvement

when we increased the ratio. We are bringing it down slowly now to

add solids and calories as he is almost 22 months old now and hasn't

grown much since we initiated the diet in August.

I also wanted to let you know that if you are looking for a carb-free

Mayo that will work, our team at Hopkins requires that we use a brand

called Dukes. It's not a big brand, and I think it is only available

in the east (we live in Utah). I do know that you can order it by

the case. I guess they are familiar with working with the keto

families. Hopkins has begged them not to change their recipe and

asked that they notify them if they do change it. I think I have the

number in my info. somewhere. If you would like it, I would be glad

to look it up for you.

Well, good luck and take care! Keep us posted!

> Hi everyone, my daughter Kristan has been on the keto diet for

> approximately 4 months now. She is on Keto-Cal formula and we just

> recently started replacing one of her bottle feeds with solids.

> Kristan is 13 months and is now just starting solids. She is

> currently on a 3.7:1 ratio, 493 calories, 11.99g protein, 48.8 g

fat

> and 1.325 g carbs. We have never had total seizure control, but

> Kristan has improved on this diet.

>

> She used to have 150-200 seizures a day and since being taken off

all

> meds and being on the diet she will have anywhere from 5 to 20

> seizures a day. We have even had some days where we haven't

noticed

> any seizures.

>

> I guess what I would like to know is if there are any parents who

can

> suggest anything as to why we haven't had total seizure control

while

> on this diet.

>

> Kristan's solids right now are just chicken with butter and

whipping

> cream. I tried full fat mayo, Kraft Mayo but it has sugar in it

and

> I think her seizures increased, so I am sticking with butter, but

> does anyone use Kraft Mayo.

>

> I have lots to learn still now that my Kristan is starting solids,

so

> any suggestions would be much appreciated.

>

> Satnam, mom to Kristan

[Guest guest]

, thanks for the suggestions, I think we will try MCT oil

first and if that doesn't work then I will mention flax seed oil to

the dietitian.

Satnam

>

> > Hi , I have so much to learn, I didn't know there were

two

> > versions to the diet. I assume we are using the classical

version.

> > Kristan's just on Keto-Cal formula and we are attempting solids.

> >

> > Satnam

>

> Okay, well there is lots of finetuning you can do, calories,

spacing of

> meals, ratio, etc. But if you want to try something to up ketones

(if I

> understand you correctly thats what dietican is hoping MCT oil will

do)

> I would suggest trying flax oil first. You have to start very slowly

> with it because it can upset the tummy (although I believe the MCT

oil

> is even worse for that) and some kids can't handle it, but a lot of

kids

> on the diet do great with it. I started using it for my daughter

when

> they wanted to up ratio to up ketones and I was hoping to find a

> different way to up the ketones. Its a good choice on the diet

because

> its a very healthy oil and also lowers cholesterol. I would suggest

its

> worth a shot

>

>

>

>

[Guest guest]

Hi , thank you for your response. The dietitian just

increased Kristan's ratio to 4:1, so we will see how that goes now.

Thanks for the info on the mayo, but I think I will try Hellman's

first. We've stopped solids again until we know the MCT oil will

work and hopefully I can resume solids soon.

Satnam

> > Hi everyone, my daughter Kristan has been on the keto diet for

> > approximately 4 months now. She is on Keto-Cal formula and we

just

> > recently started replacing one of her bottle feeds with solids.

> > Kristan is 13 months and is now just starting solids. She is

> > currently on a 3.7:1 ratio, 493 calories, 11.99g protein, 48.8 g

> fat

> > and 1.325 g carbs. We have never had total seizure control, but

> > Kristan has improved on this diet.

> >

> > She used to have 150-200 seizures a day and since being taken off

> all

> > meds and being on the diet she will have anywhere from 5 to 20

> > seizures a day. We have even had some days where we haven't

> noticed

> > any seizures.

> >

> > I guess what I would like to know is if there are any parents who

> can

> > suggest anything as to why we haven't had total seizure control

> while

> > on this diet.

> >

> > Kristan's solids right now are just chicken with butter and

> whipping

> > cream. I tried full fat mayo, Kraft Mayo but it has sugar in it

> and

> > I think her seizures increased, so I am sticking with butter, but

> > does anyone use Kraft Mayo.

> >

> > I have lots to learn still now that my Kristan is starting

solids,

> so

> > any suggestions would be much appreciated.

> >

> > Satnam, mom to Kristan