This episode explores the rising trend of teen boys using substances like SARMs, steroids, and peptides to enhance their appearance rapidly. Dr. Waldman discusses where they get these substances, the risks involved, and how parents can recognize warning signs and start important conversations.

00:00The Looksmaxxing Trap: What Teen Boys Are Secretly Taking to Build Muscle, Burn Fat, and Change Their Bodies

02:27Understanding SARMs and Their Effects

05:15The Risks of Steroid Use

07:45The Dangers of Stacking Substances

10:24Peptides: A Growing Trend

12:58Recognizing Red Flags and Starting Conversations

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra and Dr. Lindsey Waldman of the Endo Kids Podcast explain congenital adrenal hyperplasia (CAH), focusing on classic CAH due to 21-hydroxylase deficiency. They review how CAH is often detected through an abnormal newborn screen and confirmed with bloodwork (including 17-hydroxyprogesterone) and electrolytes, sometimes with genetic testing. They describe CAH as a genetic condition causing low cortisol (and sometimes low aldosterone) with excess androgens, which can lead to salt-wasting, dehydration, vomiting, and ambiguous genitalia in girls while boys may appear normal. They also discuss non-classic CAH presenting later with early puberty signs, acne, excess hair, or irregular periods. Management includes replacing missing hormones with hydrocortisone, sometimes fludrocortisone and salt supplements, monitoring growth, labs, and bone age, and using stress-dose steroids during significant illness or injury.

00:00 Welcome to Endo Kids

01:06 Episode Topic CAH

01:25 Newborn Screen Call

03:04 What Is CAH

05:02 Why It Happens

06:37 Types and Severity

08:21 Symptoms and Signs

10:13 Testing and Diagnosis

11:42 Treatment Basics

12:49 Follow Up and Monitoring

13:21 Stress Dosing Plan

15:01 Living Well With CAH

16:22 Wrap Up and Resources

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra and Dr. Lindsey Waldman of the Endo Kids Podcast explain what growth hormone is, how it works through IGF-1, and why it affects more than height, including bone, muscle, fat metabolism, and energy. They stress that growth is a pattern over time and that “wait and see” can cost valuable time, so families should track accurate measurements, growth velocity, and consider bone age X-rays and labs when concerned. They review FDA-approved indications for treatment, including growth hormone deficiency, Turner syndrome, chronic kidney disease, being small for gestational age without catch-up by age 2, and select cases of idiopathic short stature. They describe daily vs weekly injections, insurance considerations, monitoring with periodic bloodwork and annual bone age, potential side effects (site reactions, headaches, hip/joint pain, increased intracranial pressure, blood sugar changes, rare scoliosis), and note growth hormone is not helpful once growth plates are closed.

00:00 Welcome to Endo Kids

00:55 Today’s Topic Growth Hormone

01:36 Why Timing Matters

02:23 How Growth Hormone Works

04:34 Who Actually Needs It

07:23 Tracking Growth the Right Way

10:28 How Treatment Is Given

12:32 Daily vs Weekly Shots

14:03 Side Effects and Monitoring

19:11 Key Questions Before Starting

20:05 When It’s Too Late to Grow

22:40 Wrap Up and Resources

Medical Disclaimer:The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.