Such a difficult thing to bring up. Maybe try asking what he is like at home versus what he does with you to start.
"I'm curious what "nelson's" energy level is at home, is he an active child? How are his sleeping patterns? When is nelson most active with you on the weekend? Mention that he drifts off in the mornings and you are wondering if that is due to lack of sleep or a late bedtime/early wake up.
Say it concerns you because you knew another little guy that seemed similar in activity level and it turned out his iron was really low and once the doctor identified that the child was lively and more interactive. Pretend you knew a kid if you don't lol.
Keep your comments factual. Such as...he isn't keeping up with the other children.
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