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SRS is characterized by proportional IUGR with severe SGA at birth, relative sparing of the brain with close to normal head circumference at birth, severe feeding difficulties in infancy and childhood (which in contrast to Prader-Willi syndrome does not rebound into feeding obsession later in life), postnatal growth retardation and body asymmetry

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That works at first, but the hidden cost is fragmentation: when reactions recur or change during dose escalation, patterns get missed, delays in clinician decisions occur, and anxiety spikes because nobody can show a clean, time-stamped record

Harding, M.W., Galat, A., Uehling, D.E

Once the solution runs clear, community sources describe refrigerating the vial immediately

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