If so, Im very confused. My son is 20-months old and also has holoprosencephaly (very mild grade) but none the less, is not walking, crawling or sitting up on his own. He is very small, only 20lbs and we were already prepared for a small child after consulting his Genetics Dr at Tx Childrens shortly after his birth. But why is he small? HGH levels are good or he wouldnt be gaining length right? Bones before muscles? Pituitary scan was good and his caloric intake is good according to his Gastro. Could we be dealing with a testosterone deficiency or is his lack of physical activity not driving his metabolism and muscle growth?