Is there, Stephanie, are there any hormones we should be checking?

So checking labs in, in puberty for when it just starts, it's really tricky because there, there are these episodic little pulses that happen mostly at nights, so you're not gonna see much.

So really when we check labs a- and someone's just starting puberty, we're just trying to rule out there's not some huge tumor.

So y- you know, getting an estradiol just to make sure it's not sky high, or a testosterone level, and checking that the, if the g- gonadotropins, like LH and FSH, are in that puberty range, then okay, that goes fine.

If it's really low, but the estrogen is really high, then we think, "Oh, there's a tumor." But it's so hard to catch these puberty levels in the beginning that I'll often just wait and see and follow them.

Um, but if there's any concern that something's abnormal, it's progressing too fast, then yeah, I'll check it.

Oh my gosh.

So if your insurance doesn't meet, you don't meet your insurance criteria for paying for it, that's out of reach for most families, and we'll do our best to help argue and say, "We really need it," but insurance doesn't care if your kid's happy.