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Q. An 8 years old boy whose height is 3 SD below the mean for age, bone age is delayed, serum level of free T4 is normal, TSH level is one and half times the upper limit of normal (about 9), no thyroid swelling, but poor school performance and amnesia. The question is does a mild elevation of TSH(subclinical hypothyroidism) Could be the cause of such a clinical state, and what about the management?

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