← Hili nutrition tracker All topics v1 · 2026-07-17
A SHARED PLAYBOOK · AMIT & INBAL · UPDATED JULY 2026

Helping Hili eat well — without the battle at the table.

Hili is off her ADHD medication right now, so her natural appetite is coming back — this is the best possible window to rebuild her eating. The whole plan rests on one rule, and it's the opposite of pushing harder.

THE ONE RULE · DIVISION OF RESPONSIBILITYAAP-endorsed
Your job

Decide the frame

  • What food is offered
  • When meals & snacks happen
  • Where she eats (calm, at the table)
Hili's job

Decide the eating

  • Whether she eats what's offered
  • How much she takes
  • Listening to her own hunger & fullness
You control the menu. She controls the fork. Cross those lanes and it backfires — that's the whole science in one line.

Read top to bottom for the gist. Every card below expands — tap to go from the idea → why it works → the exact move.

Where things stand

The situation, honestly

Not a crisis — a very common, workable pattern. Here's the real picture so you're both working from the same facts.

Medication
Off Vyvanse
On a break several weeks; may not return. Appetite suppression is gone — hunger is back.
The concern
Protein · fat · iron
Under-eating the building blocks, not calories-in-general. Fixable with density, not volume.
Known data point
BMI ~6th pct
Apr 2026, on 30mg Vyvanse (dietitian referral). Re-check the curve now she's off meds.
Watch flag
Ferritin 11.1
Low-normal in 2024. Iron both hides behind picky eating and worsens ADHD — worth re-testing.
The strategy · 5 moves

What actually works

These aren't ranked steps — they run together. Open any card for the evidence and the exact thing to do or say.

The frame

Hold the two lanes

You choose what & when. She chooses whether & how much.
OPEN
Why it works

This is Ellyn Satter's Division of Responsibility, endorsed by the American Academy of Pediatrics. When parents stop controlling the amount, power struggles disappear and kids re-learn to eat to their own hunger cues. The research is consistent: trust in, pressure out.

The move

Serve a protein/fat source at every meal, then step back. No commentary on how much lands. Her plate, her call.

Say: "Here's breakfast — eggs and toast. Eat what your tummy wants."
Don't: "Three more bites." / "You didn't eat anything again."
Unlearn

Zero pressure — no bribes, no rewards

The counterintuitive one. Pushing food in pushes intake down.
OPEN
Why it works

Systematic reviews link parental pressure, food-as-reward, and bribery to higher food fear (neophobia) and lower intake — the exact opposite of the goal. It also protects your relationship with her, which matters given the social/emotional work she's already doing.

The move

No "eat this to get dessert." Dessert, when it appears, is just part of the meal — not a prize. Stay neutral even when she eats almost nothing. This is mostly your discipline, not hers, and it's the hardest habit to hold.

Reframe together: she has a "strong need for choice" — that's healthy autonomy. Feed it with choices, don't fight it.
The lever

Density over volume

Don't get her to eat more — get each bite to carry more.
OPEN
Why it works

A small eater physically can't eat a big volume. So you raise the protein/fat per bite inside foods she already accepts, instead of fighting for brand-new foods. Small win, repeated daily, beats a battle.

The move

Quietly enrich the accepted stuff: tahini or olive oil drizzled on, full-fat dairy instead of low-fat, nut butter on bread/apple, cheese melted in, avocado on the side. See the shopping kit below.

Hers

Let her own it

Ownership comes from choice + purpose — not from being told.
OPEN
Why it works

Autonomy-supportive feeding (real choices, involving her in picking and making food, tying it to her goals) builds lasting healthy eating far better than instruction. For a bright, choice-loving 8-year-old with ADHD, this is the single biggest psychological lever.

The move

Offer bounded choices ("eggs or cheese?"), let her build her own shake and shop for items, and frame food around what she cares about — swimming strong, energy to play, shiny hair. New foods may need 12–15 relaxed exposures before she accepts them, so make it a slow game, not a one-time "just try it."

We built her a site for exactly this → see the last section.
Structure

Rhythm beats willpower

Predictable meals + snacks, and food she can see.
OPEN
Why it works

ADHD kids don't reliably notice hunger or plan around it — external structure does the remembering for her. Regular timing and visible, grab-able food quietly raise intake without a single reminder.

The move

Aim for 3 meals + 2 planned snacks at roughly steady times. Keep a bowl of cut fruit, cheese sticks, or nuts at her eye level. Make breakfast and an evening/bedtime snack the most nutrient-dense moments of the day.

Before anything else

Is it actually a problem?

Two cheap checks settle whether this needs escalation or just the routine above. Both are worth doing once.

Check 1

The growth curve (from Maccabi)

This is the real test — one measurement means little.
OPEN

Pull her height & weight history from Maccabi (app or the school nurse / בריאות התלמיד). Tracking along a percentile line = fine, even if she eats light. Crossing downward across lines = real — that's the trigger to loop in Prof. Leitner and a dietitian. Standard practice is to re-check every 3–6 months.

Check 2

One blood panel

Ferritin/iron, vitamin D, B12, CBC.
OPEN

Iron especially — low iron both hides behind picky eating and independently worsens ADHD (it's needed for dopamine). Her ferritin was low-normal (11.1) in 2024, so re-testing is genuinely worthwhile. Don't supplement iron blindly; test first.

Escalate

When to bring in a pro

If the curve is dropping or labs come back low.
OPEN

A dropping growth curve → conversation with Prof. Leitner (she manages the meds and is the right address) plus a Maccabi pediatric dietitian referral. A dietitian is high-value for a confirmed problem, low-value for a well-growing picky eater — so check the curve first.

Minimal, high-leverage

The shopping kit

A short list — the first three do about 80% of the work. All easy to find locally.

Core · does most of the work
Full-fat yogurt / labneh
Protein + fat + calcium in a form she accepts. יוגורט 5% / לאבנה.
Core
Tahini (טחינה)
Drizzle on almost anything. Big fat + calcium. Halva is the kid-friendly version.
Core
Nut butter / Bamba
On bread, apple, crackers. Bamba is a legit peanut gateway she likely already likes.
Cheese
Yellow cheese, cottage 5%, cheese sticks (חוטי גבינה).
Avocado & eggs
Green healthy fat + a tiny power-pack of protein. (Eggs are fine for Hili — Niv's the egg one.)
Banana · dates · nuts
Calorie-dense grab snacks and shake fuel.
The one product that ties it together

Hili's power shake 🥤

Highest-yield item for a short appetite window: a lot of protein, fat and calories in a format picky kids finish — and letting her build it herself is the ownership move. Blend and let her name it.

full-fat yogurt or milk + tahini or nut butter + banana + a date or cocoa to sweeten
Omega-3 (fish or algae oil)

The fat she's likely short on, and the supplement with the best (if modest) evidence for ADHD symptoms. Dual-purpose — reasonable to start.

Vitamin D

Commonly low in Israeli kids despite the sun. Cheap, safe; a Maccabi test confirms the level.

Iron — test first, don't guess

Only if her ferritin comes back low, and then via the doctor. Excess iron is harmful, so never supplement blindly.

Made for Hili

Her own site — in Hebrew, built around her

A playful, empowering page just for Hili: her name, her swimming, her sisters Rani & Niv, and the "you're the boss of your belly" message in her voice. Two mini-games (build-a-shake & a star tracker for trying new foods) and a power song to dance to. Show it together, or let her click around on her own.

Open Hili's site →
hillypower.vercel.app
Grounding

Where this comes from