Reply to No growth spurt in 14-year-old: should we worry?

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Reply to "No growth spurt in 14-year-old: should we worry?"

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[quote=Anonymous]I have consulted a pediatric endocrinologist about my 10yo son, who is tiny, and he ordered a hand x-ray to determine his “biological age”. We are both short so he will be short as well, but he is younger than his years based on bone/cartilage, and the later puberty hits, the taller he’ll get within the range determined by us parents genetic make up (range can be fairly wide 3-4 inches or so in both directions). He also told me that barring a growth hormone specific deficiency, daily injections of GH can get you at best an inch or so…cost being painful daily injections and “pathologizing” a normal if unwelcome short stature. He also explained to me that by plotting height over years based on pediatrician records you may be able to tell if he fell off his growth percentile curve, which may indicate a problem. The longer his puberty takes, the likelier it is he’ll grow taller. Tall parents + late puberty = taller; short parents and early puberty= Shorter …not sure if info is useful to you, but either way, talking with a ped endo may be useful to know you checked all possible issues. [/quote]

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