It affects about 1 in 600 males. They have an extra X chromosome (47 XXY). It's not inherited from parents, it happens randomly when genes form. 10% of cases are identified prenatally. The besties don't function properly and don't produce testosterone. They have reduced fertility, they're taller than expected. It can lead to having weak bones, or type 2 diabetes. Diagnosis are confirmed with blood tests - testosterone levels.