These growth abnormalities in LS patients without IGF-I substitutive treatment includes postnatal average growth rates of one-half the expected during the first years of life [19], a small brain (with prominent forehead, reduced vertical dimension of the face and hypoplasia of the midfacies and the nasal bridge), a small heart and acromicria [203] together with underdevelopment of the muscular system that delays walking in three-fourth of patients [204,205], osteopenia at all stages (despite normal sex hormone status) with increased occurrence of avascular necrosis of the femoral head [206], impair and weaken skin, hair and nail growth [207], blue sclera due to the decreased thickness of its connective tissue, allowing visualization of the underlying choroid [205], a puberty delay from 3 to 7 years [206], retardation in the maturation of dentition [206] and high-pitched voice [208]

Subjective cognitive decline (SCD), characterized by self-reported cognitive difficulties despite normal performance on neuropsychological tests (Jessen et al., 2014) it is increasingly recognized as a potential precursor to MCI and dementia, particularly in individuals with biomarker evidence of AD pathology (Jessen et al., 2014
Glutamic pyruvate transaminase GPT2 promotes tumorigenesis of breast cancer cells by activating sonic hedgehog signaling
Res.) to match the weight loss of GLP-1MK-801 ( n = 8 mice and n = 5 cages) or vehicle (isotonic saline, n = 8 mice and n = 5 cages) for 4 days
Nevertheless, these findings need to be interpreted with caution and replication in a larger randomized controlled trial is needed