Do you have to make up for what is lacking?

Patient's question:

Detailed medical condition and consultation purpose:
My daughter's anterior fontanelle has not fully closed yet, and she has white spots on her fingernails. Her hair has always been black and thick, but recently, she has grown one or two white hairs. What nutrients might she be lacking? Is it necessary to do a trace element test? What kind of nutrition should be supplemented in her diet based on her symptoms? Which kind of nutritional supplements should she take? I have given her Longmu Zhuanggu Zongji powder for two boxes recently, mixed with milk, which is it safe to do so. After taking it, her appetite has increased compared to before, but the symptoms mentioned above have not disappeared.

Doctor's answer:

The timing of the closure of the anterior fontanelle reflects the development of the brain and skull, as well as the development of the skeletal system. The normal time for the closure of the anterior fontanelle in children is generally between 1 and 1.5 years old.
Hello, consider whether there may be issues such as calcium deficiency in children, hypothyroidism, or hydrocephalus. It is recommended that you go to the hospital for a CT scan.
There are many triggers for endocrine diseases in children. If the child is diagnosed with an endocrine disease, parents need to cooperate with the doctor in active treatment, cooperate with gastrointestinal decompression, and develop good hygiene habits. Parents should pay attention not to let the child develop picky eating habits and maintain a balanced diet.

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