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Insulin-like growth factor 1 as a diagnostic marker of progressive central precocious puberty: a prospective study.

Eur J Pediatr · 2025 · PMC12187815 · PMID 40555852

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a notable trendno p-value reported
Over the past century, there has been a notable trend of earlier onset of puberty, accompanied by an increase in the incidence of normal variants such as premature thelarche and cases of precocious puberty [ 1 – 3 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.