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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

Reither, C

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These combinations should generally be avoided or approached with caution, as sermorelin may be ineffective if somatostatin analogs are on board