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I asked Paige's nutritionist and she said that Ensure, Pediasure, and Boost are all pretty much the same and that any one of them could be given to her (she's 2 1/2). If I remember correctly Carnation Instant Bfast when added to whole milk is also about the same number of calories (I realize this wouldn't work for your son since he's lactose intolerant but thought I would post it anyway as it might help someone else).