---
title: "Timing in Endocrinology: Developmental Windows, HPP Focus, and Practice Perspectives"
id: "endocrine-news-1-all-in-the-timing"
canonical_url: "https://medichelpline.com/clinical-feed/endocrine-news-1-all-in-the-timing"
content_type: "clinical_feed_article"
specialty: "Endocrinology"
source_name: "Endocrine News"
source_url: "https://endocrinenews.endocrine.org/all-in-the-timing/"
published_at: "2026-10-20T13:27:00.000Z"
evidence_level: "Verified Feed"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Timing in Endocrinology: Developmental Windows, HPP Focus, and Practice Perspectives
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/endocrine-news-1-all-in-the-timing
- **Specialty:** [Endocrinology](https://medichelpline.com/clinical-feed/endocrinology.md)
- **Primary Source:** Endocrine News
- **Source URL:** [Original Journal Publication](https://endocrinenews.endocrine.org/all-in-the-timing/)
- **Published At:** 2026-10-20T13:27:00.000Z
- **Evidence Rating:** Verified Feed
## Executive GIST (TL;DR)
- Timing during early development can alter long-term endocrine health; the issue centers on when exposures, diagnoses, or interventions occur and who is available to act. - Investigators reported that exposure to **endocrine-disrupting chemicals** during vulnerable developmental stages may affect brain function, bone development, and hormonal programming, based on a synthesis of three studies. - The magazine highlights two articles about **hypophosphatasia (HPP)** timed to World HPP Day; low alkaline phosphatase is framed as an underused diagnostic clue and the topic will be addressed in an October 29 webinar. - Authors noted that **X‑linked hypophosphatemia (XL HPP)** is often missed across generations; one feature article details a family's diagnostic journey and stresses testing, genetic counseling, and family-wide follow-up. - The editorial team presented a Q&A with Lisa B. Nachtigall, MD, about complex pituitary care, mentorship, and clinical practice; the issue also includes a piece on how social media can build professional trust, especially for early-career endocrinologists. - Data indicated that clinicians, regulators, product designers, and patients each have roles in reducing exposure to harmful chemicals; the sources suggested practical mitigation strategies but did not list exhaustive protocols. - The issue collects clinical resources, upcoming events, and practitioner perspectives; readers are directed to related articles and webinar programming for deeper clinical detail and continuing education.
## Clinical Analysis & Structured Key Points
[Skip to content](https://endocrinenews.endocrine.org/all-in-the-timing/#wp--skip-link--target) [Endocrine News](https://endocrinenews.endocrine.org) [![Endocrine News](https://endocrinenews.endocrine.org/wp-content/uploads/es-reversed.svg)](https://endocrinenews.endocrine.org/) * [Topics](https://endocrinenews.endocrine.org/category/health-topic/diabetes/) * [Diabetes](https://endocrinenews.endocrine.org/category/health-topic/diabetes/) * [Obesity](https://endocrinenews.endocrine.org/category/health-topic/obesity/) * [Adrenal](https://endocrinenews.endocrine.org/category/health-topic/adrenal/) * [Bone and Mineral](https://endocrinenews.endocrine.org/category/health-topic/bone-and-mineral/) * [Cardiometabolic](https://endocrinenews.endocrine.org/category/health-topic/cardiometabolic/) * [Endocrine Disruptors](https://endocrinenews.endocrine.org/category/health-topic/endocrine-disruptors/) * [Head Glands](https://endocrinenews.endocrine.org/category/health-topic/head-glands/) * [Kidney Issues](https://endocrinenews.endocrine.org/category/health-topic/kidney-issues/) * [Neoplasia and Cancer](https://endocrinenews.endocrine.org/category/health-topic/neoplasia-and-cancer/) * [Pancreas](https://endocrinenews.endocrine.org/category/health-topic/pancreas/) * [Reproductive Issues](https://endocrinenews.endocrine.org/category/health-topic/reproductive-issues/) * [Thyroid](https://endocrinenews.endocrine.org/category/health-topic/thyroid/) * [Pediatric Health](https://endocrinenews.endocrine.org/category/patient-populations/pediatric-health/) * [Men’s Health](https://endocrinenews.endocrine.org/category/patient-populations/mens-health/) * [Women’s Health](https://endocrinenews.endocrine.org/category/patient-populations/womens-health/) * [Why Endocrinology?](https://endocrinenews.endocrine.org/category/why-endocrinology/) * [Practice](https://endocrinenews.endocrine.org/category/practice/) * [Your Practice](https://endocrinenews.endocrine.org/category/practice/your-practice/) 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![](https://endocrinenews.endocrine.org/wp-content/themes/mg-starter/assets/images/Endocrine_News_standard_logo.svg) * * * # All in the Timing By Mark A. Newman October 20, 2026 Print this article Share this article ![](https://endocrinenews.endocrine.org/wp-content/uploads/Mark-Allen-Mike-ENDO-2026-Prez-scaled-e1786476226722.jpg) In endocrinology, timing can be everything. The earliest windows of development can shape health for years to come, while a timely diagnosis, a trusted voice, or a committed clinician can alter the course of a patient’s life. This issue of _Endocrine News_ explores those pivotal moments — and the people working to make them count. In “**[Closing Windows of Vulnerability: EDC Exposure During Developmen](https://endocrinenews.endocrine.org/closing-windows-of-vulnerability-edc-exposure-during-development/)t,”** Kelly Horvath examines how exposure to endocrine-disrupting chemicals during vulnerable stages of development may influence brain function, bone development, and hormonal programming. Drawing on three studies, it moves beyond identifying risk to consider practical ways individuals, clinicians, regulators, and product designers can help reduce exposure and lessen its consequences. In “**[Building Trust, One Post at a Time](https://endocrinenews.endocrine.org/building-trust-one-post-at-a-time-early-career-member-sehrish-waheed-md-on-how-social-media-enhances-her-practice/)** ,” Sehrish Waheed, MD, talks to Glenda Fauntleroy Shaw about how social media can become more than a platform: Used thoughtfully, it can strengthen professional connections, support learning, and help build trust with patients, including those affected by obesity stigma. Her perspective offers an encouraging look at how early-career endocrinologists are shaping both practice and public conversation. ## **A Focus on Hypophosphatasia** ![](https://endocrinenews.endocrine.org/wp-content/uploads/10.26EndoCover-765x1024.jpg) * Ahead of World HPP Day on Oct. 30, we are turning our attention to hypophosphatasia with two articles on this rare disorder. Courtesy of the Endocrine Society’s Bone and Mineral Special Interest Group Steering Committee, we have a discussion of how persistently low alkaline phosphatase can be an important clinical clue in “**[Low ALP, Think HPP: Clinical Pearls in Hypophosphatasia](https://endocrinenews.endocrine.org/low-alp-think-hpp-clinical-pearls-in-hypophosphatasia/)** ” co-written by Anika Anam, MD, and Azarmindokht Khosravi, MD. This piece not only addresses the diagnostic gap, it serves as a preview for an October 29 webinar titled “Hypophosphatasia: From Molecular Mechanism to Clinical Practice.” * X-linked hypophosphatemia can be overlooked for generations when bone and mobility problems are mistaken for normal development or inherited family traits. “**[X-Linked Hypophosphatemia: A ‘Family Diagnosis](https://endocrinenews.endocrine.org/x-linked-hypophosphatemia-a-family-diagnosis/)** ’” by Kelly Horvath presents one family’s diagnostic experience and emphasizes testing, genetic counseling, and family-wide follow-up. Kelly also highlights one pharmaceutical’s company efforts to support families dealing with XL HPP through a family friendly portal. And in “**[Where Care Meets Calling](https://endocrinenews.endocrine.org/where-care-meets-calling-qa-with-lisa-b-nachtigall-md/),”** our Practice Resources Q&A, 2026 Vigersky Outstanding Clinical Practitioner Award recipient Lisa B. Nachtigall, MD, talks to Glenda about her career and reflects on complex pituitary care, patient education, service, and the enduring value of early mentorship. Together, these stories remind us that progress often begins with recognizing a critical window — then having the knowledge, tools, and determination to act. I hope this issue informs your work, sparks new questions, and reinforces the many ways endocrinology improves lives. And, as always, feel free to reach out to me for your comments, suggestions, and recommendations: **mnewman@endocrine.org**. * * * ## TOPICS IN THIS ARTICLE: [Editor’s Page](https://endocrinenews.endocrine.org/category/editors-page/) ←[Endocrine Society Applauds Administration’s Commitment to Improve Women’s Health Across the Lifespan ](https://endocrinenews.endocrine.org/endocrine-society-applauds-administrations-commitment-to-improve-womens-health-across-the-lifespan/) ## RELATED ARTICLES * ![Examining Endocrine Cancers](https://endocrinenews.endocrine.org/wp-content/uploads/Mark-Allen-Mike-ENDO-2026-Prez-1024x683.jpg) ### [ Examining Endocrine Cancers ](https://endocrinenews.endocrine.org/examining-endocrine-cancers/) September 23, 2026 * ![Chicago Post Cards: Looking Back at ENDO 2026](https://endocrinenews.endocrine.org/wp-content/uploads/Mark-Allen-Mike-ENDO-2026-Prez-1024x683.jpg) ### [ Chicago Post Cards: Looking Back at ENDO 2026 ](https://endocrinenews.endocrine.org/chicago-post-cards-looking-back-at-endo-2026/) August 28, 2026 * ![Early-Career Members: Keeping the Pipeline Flowing](https://endocrinenews.endocrine.org/wp-content/uploads/Mark-Allen-Mike-ENDO-2026-Prez-1024x683.jpg) ### [ Early-Career Members: Keeping the Pipeline Flowing ](https://endocrinenews.endocrine.org/early-career-members-keeping-the-pipeline-flowing/) July 23, 2026 * * * ADVERTISEMENT ![October 2026](https://endocrinenews.endocrine.org/wp-content/uploads/10.26EndoCover-765x1024.jpg) [View Archives](https://endocrinenews.endocrine.org/magazine-issues/) ADVERTISEMENT ADVERTISEMENT ![](https://endocrinenews.endocrine.org/wp-content/themes/mg-starter/assets/images/scientists_optim-1024x569.jpg) ## Join the Global Movement Advancing Endocrine Science and Medicine Become a part of a community of 18,000-plus endocrine investigators and clinicians who conduct research and provide quality patient care in more than 100 countries. 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