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for PWS patients ages 4 years and older strict food control and constant supervision when food is accessible a well-balanced, low-calorie PWS diet and frequent exercise to aid in weight management Supportive care for PWS may also involve, but is not limited to: tube feeding, to provide adequate nutrition to infants sex hormone replacement therapy in PWS, to address low levels of sex hormones (testosterone in boys and estrogen and progesterone in girls) sleep management, including medications to reduce excessive daytime sleepiness therapeutic strategies, including surgery, to correct orthopedic issues like scoliosis physical and occupational therapy to combat low muscle tone and motor delays speech therapy to improve verbal skills medications or behavioral therapy for PWS to manage mood and behavior problems Lifestyle changes PWS management may also involve a range of lifestyle changes, typically implemented or promoted by parents, to minimize how intrusive PWS symptoms become in daily life