HEALTHY LIVING
Pediatric growth hormone deficiency (PGHD) 101
What parents should know about pediatric growth hormone deficiency
(Family Features) Pediatric growth hormone deficiency (GHD) is a relatively rare condition, affecting an estimated 1 in 4,000-10,000 children. Despite its rarity, GHD can significantly impact a child’s growth and development, which can potentially lead to short stature, delayed puberty, decreased muscle mass, delay in bone maturation and psychosocial implications.
With early diagnosis and appropriate treatment, children with GHD can achieve improved growth outcomes and lead healthy lives. Increasing understanding of GHD treatment options and closing knowledge gaps can make a difference in the patient and caregiver journey.
What is PGHD?
Growth hormone plays a critical role in helping young bodies grow and develop, including improving muscle metabolism, growing bones and breaking down fats.
PGHD occurs when a child’s pituitary gland is unable to produce enough growth hormone which results in noticeable changes on the growth chart.
Children with PGHD may look younger than their peers of the same age and gender, and puberty may be delayed or absent. Muscle development, metabolism and bone strength may also be impacted by insufficient or inadequate levels of growth hormone.
While growth hormone stimulates height increase during development, its role in the body extends beyond childhood. Even after growth plates close, growth hormone plays a vital role for cardiovascular health and for maintaining normal body structure and metabolism. Research also indicates osteoporosis as a long-term implication of GHD, highlighting its importance in overall health and well-being.
What are the Symptoms?
PGHD may be apparent during infancy, or it may not be revealed until later in childhood. Children with PGHD tend to have typical body proportions but noticeably slow growth. Other symptoms may include an immature or significantly younger look than other children of the same age, chubby body build, slow hair and nail growth, teeth that come in late and episodes of low blood sugar.
Children who have experienced a brain injury, brain tumor or radiation treatment involving the head are at higher risk for PGHD. Genetic factors can also increase risk.
How are Children Diagnosed?
Generally, doctors attempt to rule out other causes of slow growth, which may include genetic short stature, poor nutrition – which may be the result of an underlying condition such as celiac disease – and other genetic conditions, such as a hypothyroidism or Turner syndrome.
X-rays to evaluate bone age and imaging to identify the location of the pituitary gland can support the diagnosis. Another common screening option is a growth hormone stimulation test, in which medications are administered to trigger the release of growth hormone and blood is drawn frequently to monitor the body’s response.
What Treatment Options are Available?
Once a diagnosis is confirmed, children with PGHD often work closely with an endocrinologist to develop a treatment plan that includes growth hormone replacement therapy and closely monitor future growth. Dosing is based on weight and requires ongoing monitoring for adjustments. Traditionally, treatment was through daily injections, but more recently, weekly injections became available.
Children with PGHD who begin treatment early in life are more likely to reach adult height consistent with their family’s stature.
Learn more about PGHD at GHDinKids.com.

From Playdate to PGHD
During a visit to a friend’s house, Erin Swieter noticed her 18-month-old daughter, Ingrid, was about a head shorter than her peer who was six weeks younger. Upon learning her friend’s daughter was only in the 10th percentile for height, Swieter realized Ingrid must be even smaller.
While she was hitting her developmental milestones, she was still wearing 9-to-12-month clothes and had a baby-like appearance. Swieter took her concerns to Ingrid’s pediatrician; her growth charts were monitored closely for the next several months.
Following a move to a new city, the Swieters found a new pediatric endocrinologist, who was instrumental in diagnosing Ingrid. The endocrinologist reviewed previous labs and monitored Ingrid’s growth carefully, eventually diagnosing her with PGHD after a failed growth hormone stimulation test.
“Receiving Ingrid’s diagnosis was a relief, as it confirmed our suspicions and gave us a clear path forward,” Swieter said.
After learning about daily injections, the Swieters were hesitant about proceeding. The Swieters discussed their worries with Ingrid’s pediatric endocrinologist, who recommended weekly injections as a viable option due to Ingrid’s age and the duration of treatment she would likely need.
“We had heard from other parents about the challenges of daily medications, which could pose a problem during travel, day trips or sleepovers at Grandma’s house,” Swieter said. “The weekly injection eliminates the need for a daily treatment routine.”
Navigating the insurance approval process proved challenging, but once Swieter provided evidence of two failed growth hormone stimulation tests, the weekly injections were approved.
“Insurance and pharmacy challenges can be frustrating, but patience and persistence are key,” Swieter said. “Educate yourself about your insurance, treatment options, and medical literature to be a strong advocate for your child.”
Ingrid has embraced opportunities to share her journey with her condition through a school project, proudly engaging her classmates in conversations about her experience. At the same time, she is making strides physically, continuing to grow and thrive.
Photos courtesy of Shutterstock (mom measuring daughter and mom and son talking to doctor)
Real patient and caregiver photo courtesy of Erin Swieter (mom and daughter hiking)
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HEALTHY LIVING
A parent’s guide to navigating picky eating with confidence
(Feature Impact)For families with young children, mealtimes can often feel like negotiations or even battles. If that sounds familiar, you’re not alone. Picky eating is one of the most universal challenges families face.
With the right strategies, parents can reduce stress, build healthier habits and help children become more confident, curious eaters. Dr. Lauren Loquasto, senior vice president and chief academic officer at The Goddard School, and registered dietitian Ali Bandier, founder of Senta Health and member of the Expert Council at Little Spoon, share these insights and guidance to help parents navigate picky eating.
Why Young Children are Picky Eaters
Picky eating isn’t just common; it’s an expected part of early childhood development. In fact, it would be more surprising if children didn’t experience a picky eating phase.
Picky eating is a natural expression of independence. As children enter toddlerhood, they discover they can assert control, and food becomes a typical place to do it. They can’t decide whether to go to school or take a bath, but they can decide whether to take a bite of broccoli.
Avoid the Power Struggle
The key for parents: stay calm, consistent and neutral. Pressuring children only makes picky eating worse.
Telling your child they must try one bite, celebrating excessively when they do eat a vegetable or resorting to negotiation (“three more bites then dessert”) can actually reduce their desire to eat. It also creates a dynamic that only reinforces the power struggle.
Instead, recognize the division of responsibility when it comes to eating. Parents decide what food is served, when it’s served and where meals happen. Children decide whether to eat and how much to eat. As a parent, you can’t force your child to eat; recognizing this is critical to reducing the mealtime tug‑of‑war and creating a calmer, more predictable environment for the entire family.
Exposure, Not Pressure

Young children often need repeated, low‑pressure exposure to a new food before trying it. Offering broccoli once likely isn’t enough. It’s important to offer it repeatedly, without commentary, bribing or coaxing.
Trying new foods is more than just ingesting them. Touching and smelling are steps toward tasting and acceptance. Involving children in food preparation – washing vegetables, stirring batter, mixing ingredients – lets them gain familiarity without the pressure of having to eat. Inclusion in this process increases curiosity and that curiosity is often followed by a willingness, or even desire, to try the food.
It’s also important for parents to model desired eating habits. If you want your child to try salmon but you’re eating pizza, they’re unlikely to want to eat the salmon. Daily family mealtimes – often dinner in busy households – where you’re modeling manners and eating the food you want your child to eat is key.
The Importance of Routines
For young children, routines provide structure, predictability and comfort. A consistent meal and snack schedule helps children learn what to expect and can reduce not only their anxiety around mealtimes, but parental anxiety, too.
Notably, there is no right or wrong schedule; every family needs to figure out what works best for their circumstances. What matters is setting a schedule and maintaining consistency. For example, if you provide a snack between breakfast and lunch, do it every day, not just a few days a week. This helps children know what to expect and feel comfortable.
Schedules also help parents resist “secondhand cooking.” When a child refuses the meal offered, parents often scramble to make alternatives, but this teaches the child if they hold out long enough, a preferred food will arrive. Instead, calmly remind your child when the next snack or meal will be: “OK, you don’t want to have the yogurt and fruit. That’s fine, but I’m not going to make something else. Snack time is in two hours.” This builds trust and reduces anxiety for everyone.
With patience, low-pressure exposure and consistent routines, most picky eaters gradually broaden their palates and mealtimes become more enjoyable for the whole family. For more parenting guidance, including the Parenting with Goddard blog and webinar series, visit the Parent Resource Center at GoddardSchool.com.
Photos courtesy of Shutterstock
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HEALTHY LIVING
Prepared and aware: Travel safety tips for 2026
(Feature Impact) From beach escapes to international adventures, travel is still a top priority for millions of Americans, particularly during the warm-weather seasons. However, in light of evolving global events – and the changing travel advisories that often accompany them – preparation and awareness are key.
Travel planning should be exciting, and being a prepared traveler ensures you can focus on making memories rather than managing surprises. That means doing your homework before you go, remaining cautious and aware while you’re there and being ready to respond should the unexpected happen.
As you pack your bags, the experts at ALG Vacations recommend taking proactive steps like these to stay informed, protected and confident no matter where your adventures take you.
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Research Your Destination
Familiarize yourself with local customs, transportation options and any travel advisories tied to your destination, which often vary by region, not country. If you’re heading abroad, consider enrolling in the Smart Traveler Enrollment Program (STEP) offered by the U.S. State Department. The free service provides real-time, destination-specific updates about health, weather, safety and security, and makes it easier to contact you in case of an emergency.
Consult with a Travel Advisor
One of the most effective safety measures is working with a professional travel advisor. Advisors monitor travel advisories in real time, understand geographic nuances and regional differences within destinations and can provide verified information directly from destination partners. If plans need to change, your advisor can recommend alternatives and help manage rebooking options.
Consider Travel Insurance
Preparation also means protecting your investment. Unexpected events – from flight cancellations and changes in advisory level to medical emergencies and weather delays – can happen at any time. Travel insurance adds an extra layer of protection, helping cover eligible expenses and providing peace of mind. If you elect coverage, review policy options carefully to understand what is and isn’t covered by your plan.
Share Your Plans with Someone at Home
Before departing, provide a trusted friend or family member with copies of your itinerary, lodging information and contact details. This ensures someone knows where you are and how to reach you in case of an emergency, flight disruption or unexpected change in plans.
To find more tips, or to connect with a travel advisor and benefit from personalized expert guidance on your spring excursion, visit TravelAdvisorsGetYouThere.com.
Frequently Asked Questions About Safe Travel to Mexico
Many of Mexico’s popular beach destinations – including Cancun, Riviera Maya, Costa Mujeres and Tulum – are operating as normal and welcoming visitors under a Level 2: Exercise Increased Caution advisory, which encourages travelers to remain aware of their surroundings and follow standard safety precautions, but does not discourage travel.
Stay informed of changes to advisory levels through official updates from the U.S. Embassy and the STEP program and consider these questions frequently asked to ALG Vacations travel advisors when planning your trip.
- Is it safe to travel to Mexico right now?
Travelers should follow the U.S. State Department’s official guidance. If visiting a destination in Mexico under the Level 2 advisory, which is a common advisory level globally that also applies to destinations such as France and Italy, exercise standard travel precautions. - Has the Puerto Vallarta shelter-in-place order been lifted?
Yes, the shelter-in-place guidance affecting Puerto Vallarta has been lifted. However, travelers
should regularly monitor official sources for updates or changes. - Are Cancun, Riviera Maya, Costa Mujeres or Tulum experiencing disruptions?
Airports in Cancun, Cozumel and Tulum are operating normally. Hotels, cruise ports and tourism services are also fully operational. - Are Los Cabos operations impacted?
Los Cabos tourism operations remain fully operational, including airport activity, ground transportation and hotel and resort operations. - What are some alternative destinations?
For those who may be exploring alternative plans, consider these popular spring destinations both domestically and abroad:
- Caribbean destinations including Jamaica and the Dominican Republic
- U.S. warm-weather destinations like Hawaii and Florida
- European island destinations such as Mallorca, Spain or Corfu, Greece
Photo courtesy of Shutterstock
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HEALTHY LIVING
Walk more to stress less
(Feature Impact) More than 10 years ago, a mere five words frightened desk jockeys everywhere: “sitting is the new smoking.” Still, many people across the U.S. are walking less than they used to. Long days spent sitting can take a toll over time, negatively impacting bodies and minds.
Research from the American Heart Association shows 1 in 4 adults in the United States sits for longer than 8 hours each day, leading to an increased risk of cardiovascular disease, obesity, Type 2 diabetes, certain cancers and premature death.
Feeling stretched by the demands of everyday life is common. However, simply adding just 20 minutes of daily physical activity may reduce the risk of disease and improve mental health, according to research published in “JAMA Internal Medicine.” Additionally, being physically active reaps many benefits down the road. It keeps your mind sharp as you age; studies show higher levels of fitness are linked to better attention, learning, working memory and problem solving. It also slashes risk of depression and boosts an all-around sense of joy.
Research continues to show physical activity, like walking, reduces stress, boosts mood and promotes overall well-being. This year, in honor of National Walking Day – created by the American Heart Association more than 10 years ago to encourage more movement throughout the day and help people live longer, healthier lives, one step at a time – consider these ideas to get your body moving to help lower stress, improve sleep, lift your mood and support both mental and physical health.
Step into the Great Outdoors
Slipping on a pair of comfortable walking shoes and heading outside is a simple way to get more movement in your life. Walking outside has the added benefits of helping reduce stress, improving mood and boosting cardiovascular health. Sunshine also provides a boost of vitamin D and immune support.
Make It Fun
Think of movement as something you give yourself, by moving more your way. When you choose activities you enjoy, it becomes easier to make them part of your day. If you can’t find 20 minutes for a walk outside, even short bursts of movement can help. Walking in place at a brisk pace, walking up and down the stairs in your home, finding a quick dance workout online or even seated exercises and stretch breaks throughout the day can help you feel more refreshed and ready to take on everyday tasks, like cooking and running errands.
Walk with a Furry Friend
Pets can be a great motivator to get moving. Plus, taking your furry friend for a stroll can support heart health, lower stress and boost overall happiness. In fact. a study published in the “Journal of Physical Activity and Health” shows dog owners are 34% more likely to reach their fitness goals and get the recommended amount of physical activity than those who don’t have a dog. Walking with your pet can also lead to more social connection, such as meeting neighbors or other pet owners.
Pound the Pavement with a Pal
Walking solo can be good for introspection, but bringing a friend, family member or coworker can make the time pass more quickly and add connection to your routine. Explore a greenway, waterfront or indoor mall for a fresh way to get some steps. If a loved one isn’t available to join you, make a phone call while you walk or take a meeting or conference call outdoors if your work allows it.
Every step counts. Visit Heart.org/movemore for more tips to get moving.
Photos courtesy of Shutterstock
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