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Small for gestational age
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==Management== Ninety percent of babies born SGA catch up in growth by the time they reach two years old. For the ten percent of those without catch-up growth by two years old, an endocrinologist should be consulted. Some cases warrant [[growth hormone therapy]].{{cn|date=September 2024}} Hypoglycemia is common in asymmetrical SGA babies because their larger brains burn calories at a faster rate than their usually limited fat stores can hold. Hypoglycemia is treated by frequent feedings and/or additions of cornstarch-based products (such as Duocal powder) to the feedings.{{cn|date=September 2024}} Some common conditions and disorders are found in many babies who are SGA (and especially those without catch-up growth by two years old).{{cn|date=September 2024}} * [[Gastroenterology|Gastroenterologist]] β for gastrointestinal issues such as reflux and/or delayed gastric emptying * [[Dietitian]] β to address caloric deficits. Dietitians are usually brought in for cases that include failure to thrive. According to the theory of [[thrifty phenotype]], causes of growth restriction also trigger [[epigenetic]] responses in the fetus that are otherwise activated in times of chronic food shortage, and if the offspring develops in an environment rich in food, it may be more prone to metabolic disorders such as [[obesity]] and [[Diabetes mellitus type 2|type II diabetes]].<ref>{{cite book |editor=Barker, D. J. P. |title=Fetal and infant origins of adult disease |publisher=British Medical Journal |location=London |year=1992 |isbn=0-7279-0743-3 }}</ref> * [[Speech-language pathology|Speech-language pathologist]] or [[occupational therapist]] β occupational therapists may also treat sensory issues * Behaviorist β for feeding issues, a behavioral approach may also be used, but usually for older children (over 2) * [[Allergist]] β to diagnose or rule out food allergies (not necessarily more common in those SGA than the normal population) * [[Otorhinolaryngology|Ear, nose, and throat]] doctor β to diagnose enlarged adenoids or tonsils (not necessarily more common in those SGA than the normal population) For intrauterine growth restriction (during pregnancy), possible treatments include the early [[Labor induction|induction of labor]], though this is only done if the condition has been diagnosed and seen as a risk to the health of the fetus.{{citation needed|date=December 2020}}
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