Puberty in Females (2)

Question: My 15-year-old daughter is showing no signs of puberty. Should I be concerned about her bone strength in the future? We are seeing the endocrinologist soon, but I wanted to go in with more information to ensure I am advocating for her the best I can. I have seen reports of some individuals with CdLS having brittle bones in the early years.

Answer: We recommend checking Vitamin D levels and treating them if they are low. Of course, being active is helpful. Delayed puberty could contribute to bone issues, but we have seen osteopenia in menstruating females as well. And her size also puts her at risk. It is good that an endocrinologist will evaluate her.

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