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The pubertal growth spurt is delayed, shortened and associated with a reduced growth velocity

Other teaching points Physicians should recognize that, at times, several concurrent conditions with overlapping symptoms and signs may collectively contribute to the overall clinical picture of the patient, rather than attributing it solely to a single explanatory cause

National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010

Beydoun MA, Gamaldo AA, Canas JA, et al

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Of course, the same idea can be applied in much higher dimension
