You see a 13-year-old boy in your clinic. He is deeply upset over his size. After you assess the family you note that he has familial short stature, i.e., he is “normally” short. He and his parents...

You see a 13-year-old boy in your clinic. He is deeply upset over his size. After you assess the family you note that he has familial short stature, i.e., he is “normally” short. He and his parents ask that he be placed on growth hormone. You would tell them:

A. Growth hormone is not licensed for normal variant short stature and you cannot treat him. B. They should not be worried about his size. It could be worse; he could have a bad disease. C. You would be glad to treat him, it is cheap, effective, and can be used for anyone who asks. D. It is a good idea to treat him, as it will improve his self-esteem once he gets taller. E. Although growth hormone has FDA approval for normal variant short stature, it is expensive, unlikely to be covered by insurance, and may not improve his self-esteem.