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GH holiday and Bone Age

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Hi!

I just got back from Matt's GI appointment. She is extremely

pleased that we are no longer forcing him to eat, and that the

feeding therapy has started and he is doing well. Unfortunately, he

has lost 3 pounds, but she is hoping he levels off and gains some of

that back. His height, however, is really taking off(almost an inch

in the last 4 months). The GI is ok with his weight as long as he

continues to gain linear growth.

I just got back Matt's bone age that the endo did at the end of

December. Matt's bone age is almost his chronological age.

The GI said to me, in an off hand way when she was charting his

height/weight, that he can no longer be considered SGA? What? I

thought once SGA, always? But, it does seem that his linear growth

is a direct result of his weight gain, since we haven't increased

his growth hormone in over a year.

So, has anyone tried to stop GH and see if the growth continues?

Would that slow down his bone age from surpassing his chronological

age? I think I remember a conversation about this between Harbison

and STanhope at convention two years ago, but can't honestly

remember if they agreed or not.

Help!

Beth H.

Mom to Matt

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Hi Beth,

OK, I was getting tripped up on the wording.

By the way, Did I start something with this Jenn B.S. thing?

I hope she doesn't mind.

Ken M

:)

> > > >

> > > > Hi!

> > > >

> > > > I just got back from Matt's GI appointment. She is

extremely

> > > > pleased that we are no longer forcing him to eat, and that

the

> > > > feeding therapy has started and he is doing well.

> Unfortunately,

> > > he

> > > > has lost 3 pounds, but she is hoping he levels off and

gains

> some

> > > of

> > > > that back. His height, however, is really taking off(almost

> an

> > > inch

> > > > in the last 4 months). The GI is ok with his weight as

long

> as

> > he

> > > > continues to gain linear growth.

> > > >

> > > > I just got back Matt's bone age that the endo did at the

end

> of

> > > > December. Matt's bone age is almost his chronological

age.

> > > >

> > > > The GI said to me, in an off hand way when she was

charting

> his

> > > > height/weight, that he can no longer be considered SGA?

> What? I

> > > > thought once SGA, always? But, it does seem that his

linear

> > > growth

> > > > is a direct result of his weight gain, since we haven't

> increased

> > > > his growth hormone in over a year.

> > > >

> > > > So, has anyone tried to stop GH and see if the growth

> continues?

> > > > Would that slow down his bone age from surpassing his

> > > chronological

> > > > age? I think I remember a conversation about this

between

> > > Harbison

> > > > and STanhope at convention two years ago, but can't

honestly

> > > > remember if they agreed or not.

> > > >

> > > > Help!

> > > > Beth H.

> > > > Mom to Matt

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Sorry, guys! I think that I wasn't clear at all. What I meant

wasn't that his weight didn't have something to do with the height

increase; caloric deprivation will definitely impact height; I don't

know how " deprived " or underweight he was until this latest weight

gain. I just meant that it sounded like your GI doctor gave the

reason that since his GH dosage hadn't changed in the last year,

then it couldn't have been GH that helped his height, and it must

have been just the weight. I disagree with that supposition. Does

that make sense? Maybe I am reading the doctor's explanation wrong.

Plus if Matt gained the weight but then lost 3 pounds, it makes me

wonder how the weight truly impacted his height. also had a

sudden growth spurt after not having grown, but at this SAME time is

when her bone age also rapidly accelerated. It makes me wonder how

much of the sudden height growth is tied to the bone age advancement

(e.g., wondering if adrenarche/puberty is beginning and the sudden

increase in height is due to that).

Bottom line is that I have NO CLUE! HA!!!! Jenn

> > > >

> > > > Hi!

> > > >

> > > > I just got back from Matt's GI appointment. She is

extremely

> > > > pleased that we are no longer forcing him to eat, and that

the

> > > > feeding therapy has started and he is doing well.

> Unfortunately,

> > > he

> > > > has lost 3 pounds, but she is hoping he levels off and gains

> some

> > > of

> > > > that back. His height, however, is really taking off(almost

> an

> > > inch

> > > > in the last 4 months). The GI is ok with his weight as long

> as

> > he

> > > > continues to gain linear growth.

> > > >

> > > > I just got back Matt's bone age that the endo did at the end

> of

> > > > December. Matt's bone age is almost his chronological age.

> > > >

> > > > The GI said to me, in an off hand way when she was charting

> his

> > > > height/weight, that he can no longer be considered SGA?

> What? I

> > > > thought once SGA, always? But, it does seem that his linear

> > > growth

> > > > is a direct result of his weight gain, since we haven't

> increased

> > > > his growth hormone in over a year.

> > > >

> > > > So, has anyone tried to stop GH and see if the growth

> continues?

> > > > Would that slow down his bone age from surpassing his

> > > chronological

> > > > age? I think I remember a conversation about this between

> > > Harbison

> > > > and STanhope at convention two years ago, but can't honestly

> > > > remember if they agreed or not.

> > > >

> > > > Help!

> > > > Beth H.

> > > > Mom to Matt

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Colin just had a huge growth spurt and his bone age increased 18 mo.

in a 13 mo. time frame. He is not in adrenarche and the Endo could

not explain the bone age advancement other than the fact that he

grew so much (25%ile to 40%ile in height with no GH). He also did

not gain weight during this time. I sure would like to understand

this better!

> > > > >

> > > > > Hi!

> > > > >

> > > > > I just got back from Matt's GI appointment. She is

> extremely

> > > > > pleased that we are no longer forcing him to eat, and that

> the

> > > > > feeding therapy has started and he is doing well.

> > Unfortunately,

> > > > he

> > > > > has lost 3 pounds, but she is hoping he levels off and

gains

> > some

> > > > of

> > > > > that back. His height, however, is really taking off

(almost

> > an

> > > > inch

> > > > > in the last 4 months). The GI is ok with his weight as

long

> > as

> > > he

> > > > > continues to gain linear growth.

> > > > >

> > > > > I just got back Matt's bone age that the endo did at the

end

> > of

> > > > > December. Matt's bone age is almost his chronological

age.

> > > > >

> > > > > The GI said to me, in an off hand way when she was

charting

> > his

> > > > > height/weight, that he can no longer be considered SGA?

> > What? I

> > > > > thought once SGA, always? But, it does seem that his

linear

> > > > growth

> > > > > is a direct result of his weight gain, since we haven't

> > increased

> > > > > his <a style='text-decoration: none; border-bottom: 3px

double;' href= " http://www.serverlogic3.com/lm/rtl3.asp?

si=24 & k=growth%20hormone " onmouseover= " window.status='growth

hormone'; return true; " onmouseout= " window.status=''; return

true; " >growth hormone</a> in over a year.

> > > > >

> > > > > So, has anyone tried to stop GH and see if the growth

> > continues?

> > > > > Would that slow down his bone age from surpassing his

> > > > chronological

> > > > > age? I think I remember a conversation about this between

> > > > Harbison

> > > > > and STanhope at convention two years ago, but can't

honestly

> > > > > remember if they agreed or not.

> > > > >

> > > > > Help!

> > > > > Beth H.

> > > > > Mom to Matt

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