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Re: Weight to Height Issue - Pat

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Thank you very much! We will be going to a new ped soon that has

apparently dealt with at least one RSS child so hopefully he will

help us out here. I wonder if 3 is too early to start the

Periactin? That is something that I will bring up to the new ped and

our family doctor and whoever will listen (well I'll make them

listen).

Thanks again

Dawna

>

> Dawna,

>

> Our first Endo, here in Cleveland, actually laughed when we

expressed our

> concerns about the weight-to-height ratio, lack of ability

to gain

> weight, and caloric catch-up. Endos, in general, don't seem to be

concerned

> about weight, only height.

>

> Here are a few things that were brought to our attention when this

same Endo

> started Bran on GH at 15 months of age.

>

> 1) GH does not rule growth in the human body until around the age

of 2,

> caloric intake does, so starting GHT before the age of 2 generally

won't

> give you the best results.

>

> 2) GH increases the child's growth velocity by 1.5 - 2 times it's

previous

> rate. If a child cannot increase their weight gain by the same

rate, GH will

> be less effective, and the child will become too thin.

>

> I used this site to chart Noah's weight-for-stature (same as

> weight-for-height)

>

> http://www.cdc.gov/nchs/data/nhanes/growthcharts/set3/chart%2013.pdf

>

> On this chart he appears to be several blocks under the 3rd

percentile, and

> that would indicate to me that he needs to gain some weight.

>

> Hope this helps!

> Pat (g-ma to , RSS, 3 yrs 10 months old, 25#, 34.6 " , G-tube,

GHT)

>

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