It's borderline acceptable. If Tristan had been gaining normally and then had a gain of 240g in the month then he would be considered "normal" but because he has never really gained average amounts in a month we have to start thinking about if there is an underlying issue (which I don't think there is) My CHN is also the co-ordinator for the therapies here and yes she was the one who suggested it, she tried to get me to go two months ago.... but I believed and still do, that Tristan is absolutely fine, just little. Of course I am a little concerned about the weight, but for Tristan this is his only issue. Height and HC are all following their curve on the graph and Tristan is developmentally doing well (delayed in speech though)

Don't be too disheartened if DD doesn't gain well, as when they have a cold they don't grow due to fighting the cold. Make sure you tell them she has been sick this month!! Also if you don't want to go down the formula path you don't have to! If it were me, I wouldn't. I hope it all goes well for you. I hope they don't put too much pressure on you either, because you are doing a great job!