12 inch lengthening

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i am completely dumbfounded as to how individuals with dwarfism are able to gain 12 inches. Like what?
how is it that they can do that, and yet something like 6 inches is considered extremely difficult?

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It seems that a lot of the genetic growth potential is still there, unused, waiting to be activated medically.

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Pretty sure they get the surgery multiple times over the course of several years.

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They naturally have more lax soft tissue that's more responsive to stretching than people without dwarfism.