This case involves a female child with cerebral palsy and reflux who required G-tube feeding. She was not gaining enough weight and was not tolerating many types of formulas. When the child was 2-years-old, a GI put her on nutritional toddler formula. The patient seemed to tolerate it well. Several months later, the child developed multiple bone fractures with no trauma, including femur and ulnar shaft fractures. Despite being bedridden, the patient broke 10 bones over the course of a few weeks. Around this same time, the child’s phosphorus levels were dangerously low and she was hospitalized. After months of working with an endocrinologist, it was determined that the nutritional toddler formula caused the child’s hypophosphatemic state. The child was weaned off the formula but was left with severe osteopenia. An expert in pediatric gastroenterology was sought to discuss whether or not the GI should have better monitored the child’s phosphorus levels.