Editing Delayed puberty (section)

==== Malnutrition or chronic disease ====
Diet and physical activity habits, as well as history of previous serious illnesses and medication history can provide clues as to the cause of delayed puberty.<ref name=":0" /> Delayed growth and puberty can be the first signs of severe chronic illnesses such as metabolic disorders including [[inflammatory bowel disease]] and [[hypothyroidism]].<ref name=":0" /> Symptoms such as fatigue, pain, and abnormal stooling pattern are suggestive of an underlying chronic condition.<ref name=":11" /> Low [[Body mass index|BMI]] can lead a physician to diagnose an eating disorder, [[undernutrition]], child abuse, or chronic gastrointestinal disorders.<ref name=":11" />