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questions about my son with advanced bone age on growth hormone

My son is 4 1/2, he has been on growth hormone since the age of 2 1/2.  He feel behind in long bone growth in vitro but then caught up.  He just had an endocrinologist appointment and he is in the 25th percentile for growth, he has been there for at lest a year, this is beginning below the curve.  His bone age is a 7-8.  All his labs are normal including his hormone levels.  He also has 8 adult teeth and began losing teeth this year.  The doctor is suggesting genetic testing and close montoring for early puberty.  Is there anything else we should be doing for him?  Any thoughts or suggestions would  be appreciated? thank you


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