A 12-year-old girl adopted from an Albanian orphanage is evaluated in an eating disorders clinic and by an endocri-nologist for 3 years for food aversion, slow weight gain and secondary amenorrhea. She comes to the Pediatric gastro-enterology clinic for postprandial epigastric pain unresponsive to omeprazole and 4.4 kg weight loss in the prior 6 months.
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