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Down syndrome decreases prenatal viability and increases prenatal and postnatal morbidity . Sixty-five to sixty-eight percent of the ASD budget is cost recovered . The severity of the primary disorder is not correlated with the intestinal symptoms.Physical : Affected infants are healthy at birth , though some are born with an enlarged liver.Careful abdominal examination is mandatory for any neonate with hypoglycemia.Abdominal protuberance develops early because of massive hepatomegaly.No splenomegaly occurs.The liver is firm and uniform in consistency in early life but may become nodular with the development of adenoma.The patient may present with poor growth , short stature , and rachitic changes.Gingivitis and compromised dentition may be present.Xanthoma may be found on extensor surfaces , such as the elbows and knees.Ultrasonographic evaluation may show large kidneys in affected patients of all ages . The department internship is not required because it would be hard to find this many opportunities for internships . Molasses , unlike grain , provides fermentable carbohydrate ; therefore , molasses addition can improve the fermentation of some hay crop forages .