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	<title>Comments on: Should Adults Receive Growth Hormone Treatment?</title>
	<atom:link href="http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/</link>
	<description>Metabolism, weight loss, diabetes, thyroid and more. Join the experts!</description>
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		<title>By: Sunny</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-3491</link>
		<dc:creator>Sunny</dc:creator>
		<pubDate>Wed, 17 Mar 2010 14:55:43 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-3491</guid>
		<description>Hi i am 19 years old and am bout 5 foot 9 if i were to under go treatment would i grow any taller?</description>
		<content:encoded><![CDATA[<p>Hi i am 19 years old and am bout 5 foot 9 if i were to under go treatment would i grow any taller?</p>
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		<title>By: Dr. G. Pepper</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-3479</link>
		<dc:creator>Dr. G. Pepper</dc:creator>
		<pubDate>Tue, 16 Mar 2010 02:17:46 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-3479</guid>
		<description>ACTH secreting microadenomas create cortisol excess (Cushing&#039;s disease). This will be relatively easy to detect by obtaining a 24 hour urinary cortisol level. Other ways are measuring salivary cortisol at midnight which should be close to zero normally. High midnight levels favor the diagnosis of Cushings.  I favor the urine test myself.  Clinical signs of Cushings are central obesity, purple stretch marks on the skin, easy bruising, excessive facial and body hair growth, high blood pressure and high blood sugar.  These indications are hard to miss, so if none of these match your daughter&#039;s condition chances are she doesn&#039;t have Cushings.

Whether it is worthwhile to try GH treatment for an inch or two is pretty much a personal decision between your family and your doctor. 

If your daughter is having a regular menstrual cycle the low FSH is probably of no clinical significance, in my opinion.

Let us know how things turn out. Best of luck.

Dr. P.</description>
		<content:encoded><![CDATA[<p>ACTH secreting microadenomas create cortisol excess (Cushing&#8217;s disease). This will be relatively easy to detect by obtaining a 24 hour urinary cortisol level. Other ways are measuring salivary cortisol at midnight which should be close to zero normally. High midnight levels favor the diagnosis of Cushings.  I favor the urine test myself.  Clinical signs of Cushings are central obesity, purple stretch marks on the skin, easy bruising, excessive facial and body hair growth, high blood pressure and high blood sugar.  These indications are hard to miss, so if none of these match your daughter&#8217;s condition chances are she doesn&#8217;t have Cushings.</p>
<p>Whether it is worthwhile to try GH treatment for an inch or two is pretty much a personal decision between your family and your doctor. </p>
<p>If your daughter is having a regular menstrual cycle the low FSH is probably of no clinical significance, in my opinion.</p>
<p>Let us know how things turn out. Best of luck.</p>
<p>Dr. P.</p>
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		<title>By: Robert</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-3469</link>
		<dc:creator>Robert</dc:creator>
		<pubDate>Mon, 15 Mar 2010 07:46:56 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-3469</guid>
		<description>Dear Dr. Pepper, Thank you so much for your comments. Yes, we did measure her IGF Levels - IGF -1 = 650, IFG-2=800 - which I presume is normal for a girl at 13 years old. But her FSH is below normal range at 0.37. A MRI was conducted to further aid the diagnostics and confirmed the 4mm adenoma. So, it is apparent that she is not growth hormone deficient but the endocrinologist suggest that she may be growth hormone resistant. This is the reason that she has not grown since the beginning of puberty? The questions asked by the endocrinologist include whether there are any nipple discharge or vision problems and all these are negative. Her LH and Cortisol are all normal. Her endocrinologist has ordered test on IGF-1, IGFBP-3, and Prolactin. As there are also ACTH type of adenoma, I am wondering whether it is wise to do that too. Out of curiosity, can stress cause the development of adenoma, especially kids are so stressed out these days? As you indicated, since she is 2 years into puberty, she will probably not respond well to IGFD but should we be hopeful for a limited dose to get the last opportunity for 1-2 inches of growth?

Again, thank you very much for your kind comments, attention and this wonderful journal.</description>
		<content:encoded><![CDATA[<p>Dear Dr. Pepper, Thank you so much for your comments. Yes, we did measure her IGF Levels &#8211; IGF -1 = 650, IFG-2=800 &#8211; which I presume is normal for a girl at 13 years old. But her FSH is below normal range at 0.37. A MRI was conducted to further aid the diagnostics and confirmed the 4mm adenoma. So, it is apparent that she is not growth hormone deficient but the endocrinologist suggest that she may be growth hormone resistant. This is the reason that she has not grown since the beginning of puberty? The questions asked by the endocrinologist include whether there are any nipple discharge or vision problems and all these are negative. Her LH and Cortisol are all normal. Her endocrinologist has ordered test on IGF-1, IGFBP-3, and Prolactin. As there are also ACTH type of adenoma, I am wondering whether it is wise to do that too. Out of curiosity, can stress cause the development of adenoma, especially kids are so stressed out these days? As you indicated, since she is 2 years into puberty, she will probably not respond well to IGFD but should we be hopeful for a limited dose to get the last opportunity for 1-2 inches of growth?</p>
<p>Again, thank you very much for your kind comments, attention and this wonderful journal.</p>
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		<title>By: Dr. G. Pepper</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-3467</link>
		<dc:creator>Dr. G. Pepper</dc:creator>
		<pubDate>Mon, 15 Mar 2010 00:27:53 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-3467</guid>
		<description>Bone growth during childhood is controlled by IGF-1 (insulin like growth factor-1) in the blood. Growth hormone from the pituitary gland is the hormone which causes the body to make IGF-1, so if growth hormone is lacking, normal bone growth cannot occur. Once puberty occurs the ability of the long bones (arms, legs, etc) to grow in response to these hormones begins to decline.  Around one or two years after puberty in girls, due to maturing of the &quot;growth plate&quot; of the bones,  growth hormone even in adequate amounts no longer can cause bones to lengthen.

From what you describe your daughter is 2 years into puberty and past the age where growth hormone can increase height, as explained by your endocrinologist.  

What remains unanswered is whether your daughter is actually growth hormone deficient. I imagine she had growth hormone and IGF levels measured, correct? Also, what is the significance of the microadenoma. Many of these have no effect on the pituitary, hormones etc. but sometimes they can produce hormones which can disrupt normal body function. What were you told about your daughter&#039;s case?

As you know these comments are for general educational purposes and are not meant as medical advice.

Gary Pepper, M.D., Editor-in-Chief, Metabolism.com</description>
		<content:encoded><![CDATA[<p>Bone growth during childhood is controlled by IGF-1 (insulin like growth factor-1) in the blood. Growth hormone from the pituitary gland is the hormone which causes the body to make IGF-1, so if growth hormone is lacking, normal bone growth cannot occur. Once puberty occurs the ability of the long bones (arms, legs, etc) to grow in response to these hormones begins to decline.  Around one or two years after puberty in girls, due to maturing of the &#8220;growth plate&#8221; of the bones,  growth hormone even in adequate amounts no longer can cause bones to lengthen.</p>
<p>From what you describe your daughter is 2 years into puberty and past the age where growth hormone can increase height, as explained by your endocrinologist.  </p>
<p>What remains unanswered is whether your daughter is actually growth hormone deficient. I imagine she had growth hormone and IGF levels measured, correct? Also, what is the significance of the microadenoma. Many of these have no effect on the pituitary, hormones etc. but sometimes they can produce hormones which can disrupt normal body function. What were you told about your daughter&#8217;s case?</p>
<p>As you know these comments are for general educational purposes and are not meant as medical advice.</p>
<p>Gary Pepper, M.D., Editor-in-Chief, Metabolism.com</p>
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	<item>
		<title>By: Robert</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-3459</link>
		<dc:creator>Robert</dc:creator>
		<pubDate>Sat, 13 Mar 2010 06:59:26 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-3459</guid>
		<description>Dear Dr. Pepper,  My daughter is 13 years old and started puberty at 11. But since then, she has not grown and stayed at 150cm. We saw an endocrinologist and was informed that the left wrist bones are 98% fused and has at the most 1cm to grow. MRI showed minor adenoma of 4mm. Father&#039;s height is 177cm and mother is 158cm. So, she has the potential to reach 160cm. Will GH or Bromocriptine help her to grow to reach her potential? Also, the endocrinologist suggest that GH will not help and will only grow cartilages like nose at this point. All her blood tests are normal except for decreased FSH. What is your opinion please?</description>
		<content:encoded><![CDATA[<p>Dear Dr. Pepper,  My daughter is 13 years old and started puberty at 11. But since then, she has not grown and stayed at 150cm. We saw an endocrinologist and was informed that the left wrist bones are 98% fused and has at the most 1cm to grow. MRI showed minor adenoma of 4mm. Father&#8217;s height is 177cm and mother is 158cm. So, she has the potential to reach 160cm. Will GH or Bromocriptine help her to grow to reach her potential? Also, the endocrinologist suggest that GH will not help and will only grow cartilages like nose at this point. All her blood tests are normal except for decreased FSH. What is your opinion please?</p>
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	<item>
		<title>By: ahmet koca</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-1893</link>
		<dc:creator>ahmet koca</dc:creator>
		<pubDate>Tue, 03 Nov 2009 11:55:27 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-1893</guid>
		<description>Dear Mr. Pepper, First of all thank you very much for this great journal which have already lightened me on the growth issue.

I am 26 years old boy. I am now 173 cm ( 5′7 f).  But in deed I was able to reach max up to 160 cm until age 18. But after 20 years old I have started to grow rapidly. In the same time I was using Pharmaton vitamin. And I have continued to grow until 23 years old and reach to 173. Is there any relations between growth and Pharmaton vitamin ?

So I wonder that if the bones  growth plates become sealed then, how was I able to grow until age of 23?? .

And if so, I think I can still grow by using GH. Please let me know if it will work or not.

And other question is:
Does GH used for Anti-Aging by keeping the body&#039;s metobolism active? I mean keeping the formation of new cells. Because As I read from a journal, the GH propogates the formation of the new cells, so that slows the aging.

Thank you very much in advance for your kind help and answers.</description>
		<content:encoded><![CDATA[<p>Dear Mr. Pepper, First of all thank you very much for this great journal which have already lightened me on the growth issue.</p>
<p>I am 26 years old boy. I am now 173 cm ( 5′7 f).  But in deed I was able to reach max up to 160 cm until age 18. But after 20 years old I have started to grow rapidly. In the same time I was using Pharmaton vitamin. And I have continued to grow until 23 years old and reach to 173. Is there any relations between growth and Pharmaton vitamin ?</p>
<p>So I wonder that if the bones  growth plates become sealed then, how was I able to grow until age of 23?? .</p>
<p>And if so, I think I can still grow by using GH. Please let me know if it will work or not.</p>
<p>And other question is:<br />
Does GH used for Anti-Aging by keeping the body&#8217;s metobolism active? I mean keeping the formation of new cells. Because As I read from a journal, the GH propogates the formation of the new cells, so that slows the aging.</p>
<p>Thank you very much in advance for your kind help and answers.</p>
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	<item>
		<title>By: Dr. G. Pepper</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-1633</link>
		<dc:creator>Dr. G. Pepper</dc:creator>
		<pubDate>Sun, 11 Oct 2009 13:21:56 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-1633</guid>
		<description>Lorraine

From the time of birth we grow rapidly in good part due to the action of growth hormone which is released from the pituitary gland.

At puberty the release of testosterone in boys and estrogen in girls begins the process of final bone maturation.  Children often experience a period of rapid growth known as a growth spurt at this time.  Girls usually complete their growth spurt within a year or two of their first menstrual period.  Boys tend to finish their growth phase when they are older compared to girls. 

Growth ends because the areas of the bones known as the growth plates become sealed or fused.  After that growth hormone has little effect to cause increased height.  Bones in the face, feet and hands may still be susceptible to growth effects of growth hormone, with not particularly desirable results. 

An adult who has not grown in a few years cannot generally get taller in response to growth hormone due to the fusion of their long bones. Taking HGH at this time is unlikely to give the height you desire.

Growth hormone later in life is likely to have other non-growth related benefits like preserving muscle and soft tissue and perhaps other general maintenance functions in the immune and central nervous systems.

I hope that helps answer your questions. 

This information does not substitute for the advice of your own physician and is for general learning purposes only.</description>
		<content:encoded><![CDATA[<p>Lorraine</p>
<p>From the time of birth we grow rapidly in good part due to the action of growth hormone which is released from the pituitary gland.</p>
<p>At puberty the release of testosterone in boys and estrogen in girls begins the process of final bone maturation.  Children often experience a period of rapid growth known as a growth spurt at this time.  Girls usually complete their growth spurt within a year or two of their first menstrual period.  Boys tend to finish their growth phase when they are older compared to girls. </p>
<p>Growth ends because the areas of the bones known as the growth plates become sealed or fused.  After that growth hormone has little effect to cause increased height.  Bones in the face, feet and hands may still be susceptible to growth effects of growth hormone, with not particularly desirable results. </p>
<p>An adult who has not grown in a few years cannot generally get taller in response to growth hormone due to the fusion of their long bones. Taking HGH at this time is unlikely to give the height you desire.</p>
<p>Growth hormone later in life is likely to have other non-growth related benefits like preserving muscle and soft tissue and perhaps other general maintenance functions in the immune and central nervous systems.</p>
<p>I hope that helps answer your questions. </p>
<p>This information does not substitute for the advice of your own physician and is for general learning purposes only.</p>
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	<item>
		<title>By: Lorraine</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-1632</link>
		<dc:creator>Lorraine</dc:creator>
		<pubDate>Sun, 11 Oct 2009 10:30:54 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-1632</guid>
		<description>I&#039;m 21 years old and am only 4 &quot;10.  Is there any way that HGH injections could help me grow a couple of inches?  Please respond back to my question because I need to know if its too late since I already hit puberty.</description>
		<content:encoded><![CDATA[<p>I&#8217;m 21 years old and am only 4 &#8220;10.  Is there any way that HGH injections could help me grow a couple of inches?  Please respond back to my question because I need to know if its too late since I already hit puberty.</p>
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		<title>By: arjhay</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-1235</link>
		<dc:creator>arjhay</dc:creator>
		<pubDate>Sat, 01 Aug 2009 09:36:01 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-1235</guid>
		<description>Hi, I’m 5′6 18 1/2 years old and was wondering is it possible for me to reach 6 foot with HGH injections? My mother is 5′1 and my father is 5′7.</description>
		<content:encoded><![CDATA[<p>Hi, I’m 5′6 18 1/2 years old and was wondering is it possible for me to reach 6 foot with HGH injections? My mother is 5′1 and my father is 5′7.</p>
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		<title>By: anoinette ivery</title>
		<link>http://www.metabolism.com/2008/08/23/adults-receive-growth-hormone-treatment/comment-page-1/#comment-1192</link>
		<dc:creator>anoinette ivery</dc:creator>
		<pubDate>Thu, 16 Jul 2009 21:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://metabolism.defaultroute.net/?p=254#comment-1192</guid>
		<description>hi im 28 years old im very attractive but im only 5&#039;1 and im still taller than my mom and aunt so im not sure if i can get taller jus by takeing growth hormones but i would like to be about 5&#039;4 atleast what would be the best product for me as a black woman</description>
		<content:encoded><![CDATA[<p>hi im 28 years old im very attractive but im only 5&#8242;1 and im still taller than my mom and aunt so im not sure if i can get taller jus by takeing growth hormones but i would like to be about 5&#8242;4 atleast what would be the best product for me as a black woman</p>
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