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A GP or relevant specialist can help assess individual risk, identify potential contraindications, and provide guidance grounded in evidence-based medicine
Prescribers should also be aware that the American Academy of Pediatrics policy statement on off-label prescribing recommends that clinicians "use the best available evidence, inform families clearly about the off-label nature of the treatment, and document the clinical rationale thoroughly" [14]
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The protocol is positioned as one tool inside a broader plan that includes physical therapy, weight management, and indication-specific workups
Patience during apparent stalls distinguishes successful outcomes from premature discontinuation
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