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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, is the niece who was hospitalized on your husband's side or your side? Is that the same side of the family that has so many women with late on set puberty? 
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Yes she is on my husband’s side, but takes after her father not her mother in build and hormones. Her puberty was normal, whereas her mom’s was delayed. My MIL remembers both daughters wearing children’s first communion dresses to their 8th grade graduations, they were so tiny and had to wear white. It’s not out of the question that DDs puberty is years away. Her endocrinologists at NIH predicted onset of puberty in 3-4 years, based on her bloodwork and bone age.[/quote]

Do you think they would have grown to be taller if they had not been so tiny when they were young?  I had one 8th grade student who was very tiny. She could probably wear kids size 12-14 though. First communion is like size 5 or 7.  My period did not start until I was 14 BUT I was not able to wear little kids clothes either.

There are so many different things here that it is hard to unpack it all.

I think it is important to keep in mind that eating disorders have a strong hereditary component.  It would be very tempting to think that your dd just has the tiny build of her aunts.  There is a variation in a gene that causes a change to the seratonin receptors that has been found in people to be shared by family members with disordered eating.  That her cousin has an eating disorder, yet doesn't have her mom's build, kind of gives support to the idea that the cause could be from a difference in neurotransmitters that is hereditary for your dd.

I don't know, I am just worried for you and your dd. It seems like you are conflicted.

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