Try giving him cod liver oil every day. He might not like the taste, but persist. It is only a couple of ml a day, and will work wonders, especially for the attention span.
As for the tantrums when out, ignore it. It is hard, and you will get stares, but put him in the trolley, strap him in, and ignore any of his tantrums. When he decides to calm down, redirect some attention to him. Eventually he will work out the behaviour isn't getting him what he wants, and he will try a new tack. It is the only thing that works here.
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