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The samples that were studied were small and may be nonrepresentative. Triple X syndrome is not inherited, but usually occurs as an event during the formation of reproductive cells ovum and sperm. English translation from original Dutch by Jill Balfour. Michael; MacGregor, Thomas N. Treatment may include speech therapy, physical therapy, and counseling. Females with triple X syndrome often have delayed language development. Because of the lyonization , inactivation, and formation of Barr bodies in all female cells, only one X chromosome is active at any time. Triple X syndrome occurs in around 1 in 1, girls.

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