This document provides guidance for discussing weight and metabolic health with families. It reviews methods for assessing weight and body composition, and emphasizes focusing on metabolic health markers instead of weight. Key points include reframing discussions to minimize resistance, and addressing nutrition, physical activity, portion control, and allowing food its proper place. The document stresses moving daily, eating through the day to avoid hunger, balancing macronutrients, determining adequate portions, and building emotional intelligence and resilience.