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The most common predicting factors for hypoglycemia during the treatment are infants being younger than 1 year of age with propranolol limited glycogen storage, low birth weight, systemic illness and previous treatment with corticosteroids [18] .
The latter is significant because adrenal suppression may result in loss of the counter regulatory cortisol propranolol response [19] .
Our patient (Case 3) is propranolol a healthy 4 year old healthy girl, hence this is a very uncommon presentation which mandates further investigation for the cause of this event .
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We also recommend regular food propranolol intake and receiving the medication every day at the same time, before meals and never overnight .
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