The kitty should be treated now for Tapeworms. So go back to the Vet get the meds. This does affect his growing and getting the nutrition needed for his body. His fur will look healthier as well after he gets treated. He will feel better. It sounds to me that he is trying to grow and having worms will affect his size/appearance.
The nasty Tapeworms take away from what the kitten needs to grow on. The worms are getting the food first.
Nasty critters!
 

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