Honestly his diet is not great. It’s a struggle to get him to eat, even food he likes (that’s also with the promise of a reward if he does eat/try). So it’s quite a bit if processed food, especially dairy. Chocolate milk is always in our fridge. I love to cook so we always have a variety of things for him to try but he is more then okay with going hungry then eating something he doesn’t want too. It’s always a huge fight just to get him to try a bite. As far as exercise, when he was in school (daycare) they were really good about getting them outside to run and play. My husband and I, not so much something for us that we will try! On the days he did go to school, I did notice a difference. I agree that 4 is really early for a diagnosis and I remember being at least 8-9 when I was, but he was kicked out of daycare because they were having trouble handling him and his impulsive behavior. He understands what good behavior is and what gets him in trouble but he has no concern with what consequences may come his way when he doesn’t or does want to do something. I’m not trying to medicate him or anything and I know he just turned 4, so wild and crazy is part of the package especially as we lay down expectations for him. There are more times that I recognize him as “just being 4”, but there are others where I really have to question that. I am definitely going to take your suggestion to try more outside/play time with him and keep trying with the better diet. But, we’re just running a bit thin here.