Episode 82: A case study of a fussy eater with ADHD on medication
Mon Feb 02 2026
In today's episode, I walk you through a real-life case I've recently worked on with a family navigating fussy eating alongside ADHD medication. This little boy's food intake had been narrowing for years, his appetite was poor, and his parents were feeling stuck in an exhausting cycle of pressure, worry and frustration around mealtimes.
I unpack how ADHD medication can significantly impact appetite, why expecting children to "eat better" during the school day is often unrealistic, and how shifting the focus to when children are naturally hungrier can completely change outcomes. We talk through iron deficiency, constipation, fluid intake, growth concerns and how all of these pieces are deeply connected in children with limited diets.
I also share practical, realistic strategies to boost calories and nutrients without forcing more food, reduce stress around lunchboxes, and help parents feel confident that they are not failing their child. This episode is especially relevant if you're supporting a picky eater or fussy eater with low appetite, poor weight gain, or nutrient concerns.
If this episode resonates, you're not alone – and there is a clear, supportive way forward.
Episode highlights
ADHD medication and appetite – Why reduced appetite is common and how to work around it
Timing nutrition strategically – Front-loading and back-ending the day to maximise intake
Iron, constipation and growth – How low iron and bowel health affect appetite and energy
Making foods work harder – Increasing calories and nutrients without increasing volume
Reducing mealtime pressure – Supporting a healthier relationship with food for the whole family
Show notes
Healthy recipes and ideas for children: https://nourishwithkarina.com/healthy-recipes-for-kids
More
In today's episode, I walk you through a real-life case I've recently worked on with a family navigating fussy eating alongside ADHD medication. This little boy's food intake had been narrowing for years, his appetite was poor, and his parents were feeling stuck in an exhausting cycle of pressure, worry and frustration around mealtimes. I unpack how ADHD medication can significantly impact appetite, why expecting children to "eat better" during the school day is often unrealistic, and how shifting the focus to when children are naturally hungrier can completely change outcomes. We talk through iron deficiency, constipation, fluid intake, growth concerns and how all of these pieces are deeply connected in children with limited diets. I also share practical, realistic strategies to boost calories and nutrients without forcing more food, reduce stress around lunchboxes, and help parents feel confident that they are not failing their child. This episode is especially relevant if you're supporting a picky eater or fussy eater with low appetite, poor weight gain, or nutrient concerns. If this episode resonates, you're not alone – and there is a clear, supportive way forward. Episode highlights ADHD medication and appetite – Why reduced appetite is common and how to work around it Timing nutrition strategically – Front-loading and back-ending the day to maximise intake Iron, constipation and growth – How low iron and bowel health affect appetite and energy Making foods work harder – Increasing calories and nutrients without increasing volume Reducing mealtime pressure – Supporting a healthier relationship with food for the whole family Show notes Healthy recipes and ideas for children: https://nourishwithkarina.com/healthy-recipes-for-kids