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Pediasure won't hurt him so I'd say go for it if you are really concerned. At least you'll know he's getting all the nutrients he needs. I don't think the ped will be upset by it at all.
Our soon to be adopted son was diagnosed as failure to thrive and at now 26 lbs :D still only wears an 18 mo. It's been a long 2 years with him.
Gosh, good luck with this baby and, especially, his burns! How absolutely horrible.
Michelle