L., some of the background information you gave is helpful. However, without knowing more history, I find it hard to give "advice". How are her eating habits, what does she eat, etc.. Anyway, My daughter was also born with E.Coli meningitis, still has neurological issues and also has had slow growth. From 3 months to about 12 or 15 months, my daughter had VERY slow growth. She turned 2 in December and weighs a whopping 23 pounds and I forget how many ounces. One issue we found Novalea to have is a severe soy and milk allergy. She also has a vomiting problem that we are still trying to figure out. I guess what I'm trying to say is to rule the small things out before any drastic measures are taken. However, if she is unhealthy, definately check everything!!! You are her mom and her best advocate, foolow your heart and your daughters leads. Those two things is what has kept my daughter alive (we were told she would not live past 6 months). Anyway, I know it is vague, but I hope it helps some. Just remember that no one knows your child as well as you do.