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Does the patient have pituitary or central nervous system CNS disorder e.g. pituitary resection panhypopituitarism blunt trauma to pituitary gland CNS tumors CNS malformation CNS irradiation 19. Document pituitary or CNS disorder 21. Document clinical evidence and IGF-1/IGFBP3 level 22. Have other causes of hypoglycemia been ruled out or other treatments been ineffective e.g. prematurity delayed feedings hyperinsulinism birth asphyxia -dependent diabetic mothers 23. If is NOT the prescribed...
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