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OCR: growth If a child looks normal and has a norm ally velocity, constitutional tall stature is us en taller present (Fig. 14.31). Obese children are o y is also than average for their age, and if maturi occur advanced, then puberty may occasionall derable earlier. Tall stature may represent a con imit handicap and, if necessary, treatment to growth should be considered. nt of an There are two approaches to the treatme berty early excessive height prediction: to induce p r to reduce with replacement doses of sex steroids; n during growth velocity by inhibiting GH secret eotide (a the childhood phase of growth using oc Thich is long- acting analogue of somatostatin), Ly in also used as an adjunct to pituitary surg and gigantism. The first approach is standar in relation achieves a reduction in ...