Final answer:
Grace is most likely undergoing normal pubertal changes as indicated by the increase in testosterone and estradiol levels.
Step-by-step explanation:
The changes in Grace's hormone levels, specifically the increase in testosterone and estradiol, indicate that she is most likely undergoing normal pubertal changes.
During puberty, the pituitary gland signals the testes to secrete testosterone in boys and the ovaries to secrete estrogen in girls. These hormones are responsible for the development of secondary sexual characteristics.
Since Grace's hormone levels are within the range expected during puberty, it suggests that she is experiencing normal physiological changes associated with puberty.