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A 12-year-old boy is brought to clinic by his parents because of delayed puberty. He has a history of neonatal hypotonia and poor feeding in infancy, followed by excessive weight gain from the age of 3 years despite strict dietary supervision. He has learning difficulties and exhibits compulsive food-seeking behaviour. On examination, his BMI is >99th centile. He has small testes, a micropenis, and no secondary sexual characteristics. Blood tests show: - Low testosterone - Low LH - Low FSH Which
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A 12-year-old boy is brought to clinic by his parents because of d…
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