Thanks for the advice from everyone. Yes, she does have a pediatric GI, a very good one who is doing annual scopes and follow ups. No, she doesn't have any excessive inflammation or damage yet, she just had a scope two months ago and it looks great. Her only symptom right now is that she cannot gain any weight and she eats a ton of food (about 4x normal) so it gets backed up and stuck on occasion. We have her on a diet with no food preservatives, no dyes, no artificial ingredients etc. We try to have her eat more fat rich options but the kid loves veggies, yogurt and lean meats most and dumps most of the other stuff off her plate. We have a nutritionist who recommended nut butters and granola bars and the like but she wont eat those much. She loves smoothies so I will try the ones recommended and adding oil, cheese and butter to her veggies and meats is a great idea. I appreciate any other suggestions too!