Question

My daughter is now 9.5 years old, weighs 60 kilograms, and is 144.5 centimeters tall. Her breasts are at B4 size with no pain or lumps. Her bone age test shows she is 12 years old, but the predicted height is only 153 centimeters. How should we treat pediatric obesity and precocious puberty?

Answer

Based on the child’s physical examination results, it shows that she is overweight with high insulin levels and liver function abnormalities, suggesting that obesity issues should be addressed first. Additionally, since the bone age test indicates possible accelerated adolescent development, close attention should be paid to this situation and appropriate measures should be taken.