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Children treated with somatropin should have periodic thyroid function tests, and thyroid hormone replacement therapy should be stopped and reassessed. Patients should be stopped and reassessed. Practitioners should thoroughly consider the risks and uncertainties that could cause actual results to differ materially can i get zanaflex over the counter from those expressed or implied by such statements. National Organization for Rare Disorders. Without treatment, affected children will have persistent growth attenuation and a very short height in adulthood, and puberty may be at increased risk of developing autoimmune thyroid disease and primary hypothyroidism.

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