hi, thanks for the reply! you asked "Did the puberty start with pubic hair, acne and body odor for a while before he got other signs of puberty like his genitals getting bigger?" Yes, he did get physical signs first like you mentioned but no body odor and then the genitals didn’t start getting bigger till he was about 8 1/2 I think. When he was 7 his bone age was about a year ahead and now it is 1-1 1/2 yrs ahead and he is 9. I am getting worried we are waiting too long to do the lupron shots! the doc said without elevated testosterone and LH above a certain level that we’d not need the shots. Do you know are the shots more painful than typical or are they basically a normal shot? I usually use an cream like Emla for blood work, hope this would work for the shots! thanks for info.Susan