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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here. Thanks for all the responses so far. We did already see three different endocrinologists over the years. A previous X-ray of the wrist for bone age didn’t show any constitutional growth delay. The bone age matched his chronological age. DS is only about 1 percentile in height so will be only a little more than 5 feet tall, unless he has some unexpected height added at growth spurt like some male relatives. Probably more important for him to not lose an inch in height than to get good grades in middle school, taking a long term view? Although the psychological impact of failure and others constantly frustrated with him is also a concern.

So I was hoping to hear what others have experienced in terms of medications and expected height (e.g., any drop on growth curves).[/quote]

07:27 again.

OP, my sympathies. My 12 year old is at the 3rd percentile - he was at the 2nd last year. We are about to do a wrist scan.

I was thinking of trying a lower dose:he's on 27 mg on generic Concerta (extended release), which has worked beautifully, and I wanted to try 18 mg, which is the next dose. Focalin and its generic suppressed his appetite even more. I think he could just about focus in his core classes, and then the meds would wear out during PE, and he wouldn't have much bandwidth for homework or extra-curriculars, whereas now the meds taper off at 5pm. I'm leery of trying non-stimulants, because they have a higher frequency of side-effects, but I guess we should both talk to our psychiatrists!

Sending you strength - our society places such a premium on height, at least for men, that it's really hard to balance different priorities.[/quote]

Thank you, 07:27. My sympathies to you too, especially with asthma medication to consider as well. It does seem encouraging that your 12 year old went up from 2nd percentile to 3rd percentile. It's so true about the premium society places on height. I'm trying to balance height concerns with what the effect on confidence could be with constant negative feedback, since confidence is so important too. At least so far my DS still seems like a happy go lucky kid.

I did hear that there could be an effect on height even if the weight was maintained, which seemed concerning. We're considering using medication on only critical days such as for tests, or maybe a higher dose on alternate days, when DS has the most difficult academic schedule.

Sending you strength too![/quote]

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