We did see a pediatric neurologist over a year ago. How to know whether he was good or not is hard to say since I have such little experience. He did a fantastic job of repoir with her... but I do not know how that equates into competency... His response was that we did not need to chase the underlying cause since the treatment would be the same regardless... I maybe at a place depending on tests to do some chasing down. The metabolic screening seems like not too invasive and maybe well worth it. Her hypotonia is not very significant but definitely noticeable to a watchful eye. Thanks for the encouragement!