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Written by , M.D., Clinical Assistant Professor, Pediatrics
º£½ÇÉçÇø Multispecialty Clinic

Picky eating is not simply a nuisance. It is a developmental behavior with identifiable genetic and environmental contributors. For most families, the phase passes with time, exposure, and patient guidance. For others, it may signal deeper challenges that deserve closer attention. Either way, the goal is not to eliminate pickiness overnight, but to support children in gradually expanding their palates, protecting their nutrition, and making mealtimes positive, mindful experiences.

Every child is unique, so be sure to talk with your pediatric provider about your child’s specific needs. Trust your instincts and reach out to your child’s healthcare provider if you notice sudden changes in weight, refusal to eat, extreme fatigue, vomiting, or any signs of an allergic reaction.

As pediatricians, we encourage parents to view picky eating through a scientific lens: it is not anyone’s fault, nor is it entirely your child’s choice, but the result of a fascinating interplay between biology and environment. With persistence, empathy, and evidence-based strategies, most children learn to thrive beyond the picky years.

This article was originally published in the January 2026 issue of magazine.

_References

• _{Traig J. Wall Street Journal. Published January 4, 2019.} 
• _{Nas Z, Herle M, Kininmonth AR, et al. Nature and nurture in fussy eating from toddlerhood to early adolescence: findings from the Gemini twin cohort. J Child Psychol Psychiatry. 2024;66(2):241-252. doi:10.1111/jcpp.14053}
• _{Children’s Hospital of Orange County. CHOC Health Library.} 
• _{Institute of Medicine. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, DC: The National Academies Press; 2005. doi:10.17226/10925}
• _{Rethy J. HealthyChildren.org. American Academy of Pediatrics. Published July 26, 2024.} 
• _{Children’s Hospital of Philadelphia. CHOP Newsroom. Published April 15, 2025.} 

_{This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for questions about a medical or health condition.}