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Pediatric Growth Hormone Deficiency (PGHD) 101

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Last Updated on July 21, 2025 by Daily News Staff

Pediatric Growth Hormone

What parents should know about pediatric growth hormone deficiency

(Family Features) Pediatric growth hormone deficiency (GHD) is a relatively rare condition, affecting an estimated 1 in 4,000-10,000 children. Despite its rarity, GHD can significantly impact a child’s growth and development, which can potentially lead to short stature, delayed puberty, decreased muscle mass, delay in bone maturation and psychosocial implications.

With early diagnosis and appropriate treatment, children with GHD can achieve improved growth outcomes and lead healthy lives. Increasing understanding of GHD treatment options and closing knowledge gaps can make a difference in the patient and caregiver journey.

What is PGHD?
16944 detail image embed1Growth hormone plays a critical role in helping young bodies grow and develop, including improving muscle metabolism, growing bones and breaking down fats.

PGHD occurs when a child’s pituitary gland is unable to produce enough growth hormone which results in noticeable changes on the growth chart.

Children with PGHD may look younger than their peers of the same age and gender, and puberty may be delayed or absent. Muscle development, metabolism and bone strength may also be impacted by insufficient or inadequate levels of growth hormone.

While growth hormone stimulates height increase during development, its role in the body extends beyond childhood. Even after growth plates close, growth hormone plays a vital role for cardiovascular health and for maintaining normal body structure and metabolism. Research also indicates osteoporosis as a long-term implication of GHD, highlighting its importance in overall health and well-being.

What are the Symptoms?
PGHD may be apparent during infancy, or it may not be revealed until later in childhood. Children with PGHD tend to have typical body proportions but noticeably slow growth. Other symptoms may include an immature or significantly younger look than other children of the same age, chubby body build, slow hair and nail growth, teeth that come in late and episodes of low blood sugar.

Children who have experienced a brain injury, brain tumor or radiation treatment involving the head are at higher risk for PGHD. Genetic factors can also increase risk.

How are Children Diagnosed?
Generally, doctors attempt to rule out other causes of slow growth, which may include genetic short stature, poor nutrition – which may be the result of an underlying condition such as celiac disease – and other genetic conditions, such as a hypothyroidism or Turner syndrome.

X-rays to evaluate bone age and imaging to identify the location of the pituitary gland can support the diagnosis. Another common screening option is a growth hormone stimulation test, in which medications are administered to trigger the release of growth hormone and blood is drawn frequently to monitor the body’s response.

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What Treatment Options are Available?
Once a diagnosis is confirmed, children with PGHD often work closely with an endocrinologist to develop a treatment plan that includes growth hormone replacement therapy and closely monitor future growth. Dosing is based on weight and requires ongoing monitoring for adjustments. Traditionally, treatment was through daily injections, but more recently, weekly injections became available.

Children with PGHD who begin treatment early in life are more likely to reach adult height consistent with their family’s stature.

Learn more about PGHD at GHDinKids.com.

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From Playdate to PGHD

During a visit to a friend’s house, Erin Swieter noticed her 18-month-old daughter, Ingrid, was about a head shorter than her peer who was six weeks younger. Upon learning her friend’s daughter was only in the 10th percentile for height, Swieter realized Ingrid must be even smaller.

While she was hitting her developmental milestones, she was still wearing 9-to-12-month clothes and had a baby-like appearance. Swieter took her concerns to Ingrid’s pediatrician; her growth charts were monitored closely for the next several months.

Following a move to a new city, the Swieters found a new pediatric endocrinologist, who was instrumental in diagnosing Ingrid. The endocrinologist reviewed previous labs and monitored Ingrid’s growth carefully, eventually diagnosing her with PGHD after a failed growth hormone stimulation test.

“Receiving Ingrid’s diagnosis was a relief, as it confirmed our suspicions and gave us a clear path forward,” Swieter said.

After learning about daily injections, the Swieters were hesitant about proceeding. The Swieters discussed their worries with Ingrid’s pediatric endocrinologist, who recommended weekly injections as a viable option due to Ingrid’s age and the duration of treatment she would likely need.

“We had heard from other parents about the challenges of daily medications, which could pose a problem during travel, day trips or sleepovers at Grandma’s house,” Swieter said. “The weekly injection eliminates the need for a daily treatment routine.”

Navigating the insurance approval process proved challenging, but once Swieter provided evidence of two failed growth hormone stimulation tests, the weekly injections were approved.

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“Insurance and pharmacy challenges can be frustrating, but patience and persistence are key,” Swieter said. “Educate yourself about your insurance, treatment options, and medical literature to be a strong advocate for your child.”

Ingrid has embraced opportunities to share her journey with her condition through a school project, proudly engaging her classmates in conversations about her experience. At the same time, she is making strides physically, continuing to grow and thrive.

 

Photos courtesy of Shutterstock (mom measuring daughter and mom and son talking to doctor)
Real patient and caregiver photo courtesy of Erin Swieter (mom and daughter hiking)

 

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Women's Health

Menopause changes your mouth. Most women have no idea.

Menopause changes your mouth: Many women are familiar with the most talked-about symptoms of menopause – hot flashes, disrupted sleep, brain fog and mood swings. Far fewer know that dry mouth and sensitive teeth belong on that list too.

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Menopause changes your mouth. Most women have no idea.

(Sheeka Sanahori) Many women are familiar with the most talked-about symptoms of menopause – hot flashes, disrupted sleep, brain fog and mood swings. Far fewer know that dry mouth and sensitive teeth belong on that list too.

There’s a name for it: menopause mouth. According to survey data from Delta Dental Insurance Company, 83% of women 40 and older in menopause aren’t aware of any of its symptoms.

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What menopause mouth feels like

Forty percent say they have noticed an increase in dry mouth. Another 27% have noticed more tooth sensitivity in recent months, and 26% say things taste different than they used to. You tell yourself it’s something else. You’re not drinking enough water; you’ve been brushing too hard. Menopause isn’t the first thing that comes to mind.

It adds up. Forty-five percent say oral symptoms associated with menopause, such as tooth pain, dry mouth or gum inflammation, take a toll on their confidence, mood or mental health.

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Menopause affects the whole body, mentally and physically. So why is the mouth left out?

Even after learning about this connection, 30% of women say they can’t find information about menopause-related oral health concerns. It isn’t that no one is willing to discuss it.

What makes the conversation hard to start

Three-quarters of dentists say they are comfortable discussing menopause with patients. They just want to know who they’re talking to. Most say they would want more patient history, or to know a patient was in menopause, before raising the subject. Forty-five percent say they would not bring up how menopause affects oral health unless a patient asked.

Dentists also believe that patients are already informed. Ninety-four percent say their patients are at least somewhat aware that menopause can affect oral health. So a patient says nothing about her dry mouth, because it doesn’t seem like a dental problem. The dentist doesn’t bring it up either, assuming someone already has.

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Women are asking for the information

Nearly nine in 10 women say it would help to receive specific instructions during dental visits about managing oral health during menopause. And 69% say they would be more likely to book an appointment if a primary care provider or OB-GYN had told them menopause affects oral health.

No matter who brings it up, the conversation is one worth having. Hormonal changes during menopause can increase the risk of tooth loss or tooth decay, gum disease, receding gumline or loss of jawbone density. Discussing new oral symptoms with a dentist can help women identify potential problems and address them early.

How to start the conversation with your dentist

Your dentist probably doesn’t know you’re in menopause. Start there.

Questions worth asking:

  • “Could the changes I’m noticing be related to menopause?”
  • “I haven’t had a cavity in 30 years, and now I have two. Could that be tied to hormonal changes?”
  • “What can I do about dry mouth?”
  • “Are there symptoms I should watch for?”
  • “Should I adjust my oral care routine?”

Any one of these questions can get the conversation started.

Methodology

Delta Dental Insurance Company commissioned Atomik Research to conduct two online surveys between June 25 and July 2, 2025.

The first surveyed 200 dentists throughout the United States. The margin of error is +/- 7 percentage points with a 95% confidence level.

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The second surveyed 1,511 women ages 40 or older throughout the United States. To qualify, participants had to indicate they are in perimenopause, menopause or post-menopause. Those who were not sure which stage they were in, or who indicated they were not yet in one of the three stages, were excused from participation. The margin of error is +/- 3 percentage points with a 95% confidence level

Atomik Research, part of 4media group, is an independent market research agency.

Photo courtesy of Shutterstock

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Delta Dental Insurance Company

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health and wellness

Flu Season Arrives Early: Walgreens Launches 2026-2027 Flu Index as Activity Rises Across the U.S.

The 2026-2027 flu season is tracking four weeks ahead of recent years. Explore Walgreens’ new Flu Index, rising activity, and ways to stay protected.

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Last Updated on November 6, 2026 by Daily News Staff

2026-2027 Flu Season: New tracking data suggests influenza activity is running approximately four weeks ahead of recent seasons, with increases reported across western states and Florida.

2026-2027 Flu Season: Illustration of an influenza virus, a United States map highlighting western states and Florida, and a healthcare professional preparing a flu vaccine during the 2026–2027 flu season.
Walgreens reports that flu activity is tracking approximately four weeks ahead of recent seasons as its new 2026–2027 Flu Index monitors respiratory illness trends nationwide.

2026-2027 Flu Season Starts Early as Walgreens Launches New Flu Index

STM Daily News | Health & Wellness

October 30, 2026

Flu season may be getting an early start this year, and a new online tracking tool from Walgreens is giving Americans a closer look at respiratory illness activity in their communities.

On October 21, Walgreens announced the launch of its 2026-2027 Flu Index, an interactive tool that monitors influenza, COVID-19, and other acute respiratory illnesses across the United States.

According to the company’s initial findings, national flu activity is tracking approximately four weeks ahead of recent flu seasons, with increasing activity reported across several western states and Florida.

The early trends serve as a reminder that influenza doesn’t necessarily wait until winter to begin spreading.

Flu Activity Is Increasing Earlier Than Expected

Walgreens reports that its early-season data indicates influenza activity is already increasing in multiple parts of the country.

The company’s findings include:

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  • Earlier flu activity: National flu activity is tracking approximately four weeks ahead of recent seasons.
  • Regional increases: Several western states and Florida are experiencing rising activity.
  • More antiviral prescriptions: Walgreens reports dispensing more flu antiviral medications than during the same period in 2025.
  • Growing demand for cold and flu products: Sales of cold and flu medications, at-home respiratory illness tests, cough drops, and tea have increased by double-digit percentages compared with last year.

Although these indicators suggest respiratory illness activity is increasing, they do not necessarily mean the current flu season will be more severe than previous seasons.

Increased purchases of cold medications and testing products can reflect changes in consumer behavior as well as illness trends.

The findings come from Walgreens’ pharmacy and retail data and should be considered alongside public health surveillance from the Centers for Disease Control and Prevention (CDC).

What Is the Walgreens Flu Index?

The Walgreens Flu Index is an interactive online platform designed to help consumers understand where respiratory illnesses are circulating and how activity is changing over time.

The tool combines several types of information, including:

  • Flu and COVID-19 testing data from Walgreens locations
  • Prescription antiviral medication trends
  • Over-the-counter cold and flu product purchases
  • Geographic patterns in respiratory illness activity

Using these indicators, Walgreens calculates an activity score ranging from 0 to 10.

A score of zero represents the lowest level of activity, while a score of ten represents the highest.

The index provides weekly information for states and territories, along with more than 1,500 counties where sufficient Walgreens data is available.

The map is updated every Monday, allowing users to compare current activity with previous weeks and the prior flu season.

Importantly, Walgreens emphasizes that the index measures relative illness activity, not disease severity. A higher score does not necessarily indicate more hospitalizations, more serious infections, or a greater risk of complications.

The index also does not represent a complete count of influenza cases nationwide.

Explore the interactive map:
https://www.walgreens.com/seasonal/respiratory-illness-index

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Why Local Flu Activity Matters

Influenza does not spread evenly across the country.

Some communities may experience increasing cases weeks before others, making local information useful for families, schools, healthcare providers, and individuals who may be at higher risk of complications.

“Flu activity can vary significantly from one community to another, and knowing what’s happening locally can make a real difference,” said Rick Gates, Walgreens’ chief pharmacy and enterprise external affairs officer.

Gates added that the index is intended to help people make informed decisions about prevention, including vaccination before influenza becomes more widespread in their communities.

For residents of states such as Arizona, California, Nevada, and other western states, the reported regional increases make monitoring local respiratory illness trends particularly relevant.

However, the company’s announcement does not establish that every western county is experiencing elevated flu activity. Readers should consult the latest local data for a more accurate picture.

Why Getting a Flu Shot Still Matters

Annual influenza vaccination remains an important tool for reducing the risk of flu illness and serious complications.

Because influenza viruses change over time, flu vaccines are reviewed and updated each season to target strains expected to circulate.

The CDC recommends annual influenza vaccination for most people ages six months and older, with rare exceptions.

Vaccination is especially important for people who face a greater risk of serious complications, including:

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  • Adults ages 65 and older
  • Young children, particularly those younger than five
  • Pregnant individuals
  • People with chronic conditions such as asthma, diabetes, or heart disease
  • People with weakened immune systems

For adults 65 and older, the CDC preferentially recommends certain enhanced influenza vaccines, including higher-dose, recombinant, or adjuvanted options, when available.

Walgreens says its pharmacies offer standard-dose and higher-dose vaccines, along with a new mRNA influenza vaccine at select locations.

Vaccine selection should follow current CDC recommendations, individual eligibility, and guidance from a qualified healthcare professional.

It generally takes about two weeks after vaccination for the body to develop protective antibodies.

Even if influenza is already circulating locally, vaccination can still provide benefits throughout the season.

Practical Ways to Reduce Your Risk of Getting Sick

Vaccination is an important preventive measure, but it is not the only step people can take to reduce the spread of respiratory illnesses.

Public health guidance also encourages several everyday precautions.

Wash your hands regularly. Use soap and water, particularly after touching shared surfaces or being in public places. Alcohol-based hand sanitizer can help when soap and water are unavailable.

Cover coughs and sneezes. Use a tissue or your elbow to reduce the spread of respiratory droplets.

Improve indoor air quality. Opening windows when practical, improving ventilation, and using appropriate air filtration can help reduce exposure to airborne respiratory viruses.

Avoid close contact when sick. Staying home when experiencing respiratory illness symptoms can help protect coworkers, classmates, friends, and family members.

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Consider wearing a well-fitting mask. Masks can provide an additional layer of protection, particularly in crowded indoor spaces or around people at higher risk.

Pay attention to symptoms. Fever, coughing, sore throat, fatigue, muscle aches, and congestion can occur with influenza and other respiratory infections.

Because flu and COVID-19 can produce similar symptoms, testing may help determine the cause of an illness.

People at higher risk of complications should contact a healthcare professional promptly if flu symptoms develop. Prescription antiviral medications work best when started early, ideally within the first two days of symptoms, although treatment can still benefit some patients later.

Walgreens Expands Vaccination Access for the 2026–2027 Season

Alongside the launch of its Flu Index, Walgreens announced several efforts to make seasonal vaccinations more convenient.

The company says it is increasing pharmacy staffing, expanding appointment availability, and allowing customers to schedule vaccinations further in advance.

Customers can arrange appointments through several methods:

Walgreens also announced promotional Walgreens Cash rewards for eligible myWalgreens members receiving vaccinations.

Under the limited-time promotion, qualifying members may earn $15 in Walgreens Cash rewards on eligible purchases, along with an additional 10% back on qualifying purchases for a limited period.

Restrictions, exclusions, geographic limitations, and promotional deadlines apply. Customers should review the official terms before participating.

What About COVID-19 and Other Respiratory Illnesses?

Although influenza is the primary focus of the seasonal announcement, the Walgreens Flu Index also tracks COVID-19 and broader acute respiratory illness trends.

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This distinction matters because several respiratory viruses can circulate simultaneously during the fall and winter months.

Influenza, COVID-19, respiratory syncytial virus (RSV), and common cold viruses can produce overlapping symptoms, but their potential complications and recommended treatments differ.

Vaccination eligibility and recommendations also vary by disease, age, and individual health circumstances.

Readers should consult current CDC guidance and their healthcare providers when considering flu, COVID-19, or RSV vaccination.

The Bottom Line: Flu Season May Be Early, but Prevention Still Matters

The launch of the 2026–2027 Walgreens Flu Index offers another resource for Americans who want to monitor respiratory illness activity in their communities.

While Walgreens’ early findings suggest influenza activity is increasing sooner than in recent years, it is still too early to determine how severe the overall season will become.

The most important message for consumers is to prepare before respiratory illnesses become widespread.

Staying current with recommended vaccinations, practicing good hygiene, monitoring local illness trends, and seeking medical attention when appropriate can help reduce the risk of serious illness.

With flu activity already rising in some regions, now is a good time for families to review their seasonal health plans.


Related Links for Further Information

Walgreens Resources

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Public Health Resources

Source: Walgreen Co., press release, October 21, 2026, Walgreens Launches 2026–2027 Flu Index as Activity Tracks Four Weeks Ahead of Recent Seasons.

Editor’s Note: This article summarizes information from Walgreens’ October 21, 2026, announcement. The reported early-season trends reflect the company’s findings at that time and are not a substitute for current CDC surveillance or medical advice. Readers should consult healthcare professionals about individual vaccination and treatment decisions.

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Health and Life Insurance

Medicare Open Enrollment Ends Dec. 7: Give Your Plan a Check-up

Medicare Open Enrollment Ends Dec. 7: Medicare Open Enrollment runs now through Dec. 7. Use this time to make sure your plan still fits your needs with these four steps.

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Medicare Open Enrollment Ends Dec. 7: Give Your Plan a Check-up

Medicare Open Enrollment Ends Dec. 7: Give Your Plan a Check-up

(Feature Impact) Medicare Open Enrollment runs now through Dec. 7. Use this time to make sure your plan still fits your needs. Medicare.gov is your official source for Open Enrollment. Compare every Medicare health and drug plan available in your area. You can easily compare Medicare plan costs, side-by-side, by simply entering the prescription drugs you take. If you prefer to talk with someone, call 1-800-MEDICARE (1-800-633-4227), available 24/7, to review your options and get your questions answered. 

Information provided by the U.S. Department of Health & Human Services.

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