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What is Adult Growth Hormone Deficiency (AGHD)

Even after childhood growth stops, the growth hormone our bodies make is a major part of our lives. Adults need growth hormone to maintain the proper amounts of fat, muscle, and bone in their bodies. But, some people don’t make enough of it. They need growth hormone replacement. This condition is called Adult Growth Hormone Deficiency (AGHD).


What causes adult growth hormone deficiency (AGHD)

AGHD can be caused by many things. The natural aging process. Harm to the brain or pituitary gland are causes. Surgery or radiation treatment of this gland can also cause it. Through tests, your doctor can tell how much growth hormone your body makes.


Signs and Symptoms of AGHD


If you are diagnosed with AGHD, it may come as a surprise. That’s because growth hormone-deficient adults may not “feel bad.” However, most end to notice symptoms or changes in the way they feel or look. Possible signs and symptoms associated with AGHD include:

Bones that are less strong
Decreased muscle strength
Increased waist size
Abnormal body composition (increased fat mass, decreased muscle mass, decreased total body water)
Abnormal blood fat levels (cholesterol, HDL, LDL)
Feelings of depression or social isolation

Because many other conditions can also cause these symptoms, it is very important to see a doctor if you suspect AGHD. Hormone specialists, called endocrinologists, can find out what is causing your problem and recommend the best treatment to meet your needs.


Diagnosing AGHD

You will need to have tests to see if AGHD is the cause of your problems. These tests are called “stem tests.” They are done by your doctor to see if you have AGHD. (Your insurance company may require 1 or more of these tests.) The test measures how much growth hormone your body makes in response to a certain drug.

Results from this test will help show whether your body is making enough growth hormone. If this amount is low, it shows you have AGHD. If you will need treatment, talk to your doctor about your everyday routines. This information will help you and your doctor choose the type of therapy that’s best for you.


Treatment of AGHD.

Treatment of AGHD is usually treated with long term growth hormone replacement therapy for adults who were either deficient as children or adults who became diagnosed later on. Studies done with long term growth hormone treatment for adults with growth hormone deficiency (GHD) have shown that therapy can:

Decrease total body fat and increase lean body (muscle mass)
Decrease waist size
Reduce body fat


Quote by Dr. Ronald Klatz, President of the American Academy of Anti-Aging Medicine ”The Ultimate Anti-aging Therapy"

"Growth Hormone(HGH) affects almost every cell in the body; rejuvenating the skin and bones, regenerating the heart, liver, lungs and kidneys, bringing organ and tissue function back to youthful levels". "The rejuvenating effects of Growth Hormone are global, acting on both mind and body, anatomy and physiology, form and function" stated by Dr. Ronald Klatz, president of the American Academy of Anti-Aging Medicine, in his book Grow Young with HGH.


History of HGH

Prior to the advent of recombinant DNA technology, the only source of growth hormone was from human cadavers. More than 27,000 children world wide were treated with growth hormone of this source. Due to short supply, children were treated with low doses and interrupted regimens. As a result, their response and ultimate height was mitigated. Distribution of pit-hGH was stopped in the United States and most of Europe from infected cattle. It is impossible to catch Creutzfeldt-Jakob Disease or any other infection from recombinant human growth hormone because it is not derived from a human or animal source but from a purified tissue culture. For purposes of this discussion, the term growth hormone, GH or hGH will mean growth hormone made by recombinant DNA technology.

The bio-potency of commercially available growth hormone is typically represented by either milligrams or units. To put it simply, 1 milligram of growth hormone is equivalent to 3 units. The international units were developed by the World Health Organization in order to standardize growth hormone preparations because of the various production techniques used early on in the manufacturing process. By now, the manufacturing process has been streamlined and largely perfected so the bio-equivalency of the various brands of growth hormone (at least those manufactured and approved by the FDA for sale in the United States are identical. Therefore, a typical 15-unit vial of growth hormone contains 5 mg and a 4-unit vial contains 1.33 mg.


History of HGH Research

1920’s, Scientists have known the existence of Human Growth Hormone.

1958, Scientists began to apply HGH on children that suffer from dwarfism to help them grow normally. The effects were very obvious. The theory behind the use of HGH in those days was that the pituitary gland, which secretes HGH, was either defective or not functioning at all in those children with dwarfism. The main source of HGH for treatment at that time was extracted from the pituitary gland of dead people in Africa. It often took thousand of brains of the dead to produce just a few drops of HGH! Scientists were, therefore, forced to research alternatives such as synthetic HGH.

1985, Genentech succeeded in producing large quantities of HGH through microbiological.

1986, Eli Lilly was able to produce HGH with 191 amino acids by using bio-engineering of the genes.

1990, Dr. Daniel Rudman published another article in the New England Journal of Medicine that shocked the entire medical fields. This article became a milestone in anti-aging treatment with the clinical trials of HGH. He selected 12 males, aged from 61 to 81 for treatment. After 6 months use of HGH, their fat was reduced by 14.4%; skin thickness increased 7.11%; bone density increased 1.6%; liver improved 19% and spleen improved 17%. Dr. Rudman concluded that these 12 old men had become younger by 20 years both physically and psychologically.

1992, Encouraged by Dr. Rudman’s HGH theory, the National Institute on Aging carried out nine clinical experiments that took 5 years to complete. The results, unprecedented and far-reaching in influence, proved once again that Dr. Rudman’s theory was correct.

1996, Dr. Rudman had over 800 HGH patients, including movie stars, corporate executives, other renowned doctors, specialists and scholars. In his medical reports, he indicated that among thousands of patients, there was not even one single case of failure.

Within the past ten years, there were more than 30,000 case reports, the results were very encouraging.

1996, FDA finally approved the usage of HGH in the treatment of both children and adults for suffering from growth hormone deficiency. It is now recognized the medical fields that HGH is the major hormone among all hormones. It guides and promotes the release and secretion of other hormones.

Growth hormone was initially used for children of short stature who are growth hormone deficient, either because of an inactive pituitary, a tumor of the pituitary, or destruction of the pituitary by surgery or radiation to remove a tumor. The other pituitary hormones were replaced along with GH. Growth hormone was used only until the children reached an acceptable adult height and then it was stopped because it was thought to be useful only for growth. The other pituitary hormones, however, which were thought to be more critical, were continued through adulthood. It wasn’t until much later that adult growth hormone deficiency was recognized to be a problem. It was discovered that adults who were deficient in growth hormone suffered from premature cardiovascular disease, depressed mood, elevated levels of LDL (bad) cholesterol, slower wound healing, fatigue, poor exercise tolerance and poor immune function. At that point the uses of growth hormone began in this unfortunate population, resulting in improvement of all of the above. It wasn’t until 1990, however, that the benefits of growth hormone and the treatment of normal aging were recognized. The most recent new use of growth hormone is for the treatment of AIDS Wasting Syndrome. This is the condition of weakness, fatigue, and loss of muscle mass in AIDS patients.


Human Growth Hormone (HGH)
Information and Key Findings

Human growth hormone was first discovered in 1956 and its structure was identified in 1972. Before synthetic HGH molecules were genetically engineered in 1998, HGH was extracted from cadavers and then injected with needles into the human body.

Over the past 3 decades, there have been a growing number of clinical research studies investigating the capabilities and purported benefits of the human growth hormone.

Many researchers have concluded that one of the primary causes of aging is the decrease of HGH human growth hormone production.

According to Dr. Ronald Klatz, M.D., President of the American Academy of Anti-Aging Medicine, “Aging appears to be due in large part to the drastic decline of growth hormone in the body after adulthood.”

According to HGH human growth hormone research, at age 21, the normal level of circulating HGH is about 10 milligrams per deciliter of blood, but at age 61, it’s decreased 80% to only 2 milligrams. It is believed that growth hormone is what grows the cells, bones, muscles and organs, and it is the level of growth hormone after age 30 that slowly robs us of our youth. After age 30, the secretion rate of HGH drops approximately 14% per decade. By 80, most people barely produce enough HGH to build a fingernail, explaining why injuries experienced by seniors take so long to heal.

Human Growth Hormone (HGH) Research- Clinical Studies
The New England Journal of Medicine published the clinical findings of Daniel Rudman, MD, regarding his HGH human growth hormone research on the anti-aging effects of HGH. His findings were astonishing.

Dr. Rudman studied patients age 61 to 81 at the Medical college of Wisconsin-Milwaukee. After six months, Dr. Rudman observed a reversal of the aging process from 10 to 20 years in the patients who received HGH injections. But in the control group (those who didn’t receive HGH injections), the normal aging process continued.


Human Growth Hormone (HGH)
Clinical Research Conclusions

“The effects of six months of human growth hormone on lean body mass and adipose-tissue were equivalent in magnitude to the changes incurred during 10-20 years of aging.”
Daniel Rudman, M.D., New England Journal of Medicine.”

“It is possible that chronic physiologic GH and/or IGF-I replacement therapy might reverse (or prevent) some of these “inevitable” sequelae of aging.” (Study of GH therapy in the elderly-March 1992.)
V.A. Medical Center and Department of Medicine, Stanford University Medical Center.

“Replacement therapy with Growth Hormone has shown beneficial/normalizing effect on parameters such as cardiac and renal function, thyroid hormone metabolism, bone metabolism, sweat secretion, total and regional fuel metabolism and psychological well being…”
Dr. Jorgensen and Dr. Christian of Copenhagen, Denmark, in European Journal of Endocrinology, 1994.

“We really have something here which may be able to reverse some of the problems associated with aging.”
Dr. Anthony Karpos, M.D.

“Daily Administration of human growth hormone in the first week after trauma would enhance the metabolic status resulting in reduced morbidity and earlier discharge from hospital.” (May 1992, Journal of Surgery. Vol 111, 495-502)
Dr. Ramias, Shamos, and Schiller of St. Joseph Hospital Medical Center in Phoenix, AZ

“All adults with growth hormone deficiency should now be considered for growth hormone replacement.” (1995)
Dr. Jake Powrie, M.D. and Dr. Andrew Weissberger, St. Thomas, London England

“There is no evidence suggesting that Growth Hormone Replacement Therapy causes any unfavorable long term side effects.” (Hormone Research, 1995)
Dr. Rosen, M.D. and Dr. G. Johannsson, M.D. of University Hospital, Goteborg, Sweden.



References Cited:

1. Salomon F, Cuneo RC, Hsp R et al. The Effects of Treatment with Recombinant Human Growth Hormone on Body Composition and Metabolism in Adults with Growth Hormone Deficiency. New England Journal of Medicine 1989; 321: 1797-1803.
2. Bengtsson BA. The Consequences of Growth Hormone Deficiency in Adults Acta Endocrinologica 1993; 128 (Suppl 2): 2-5.
3. Cuneo RC, Salomon F, Wiles CM et al. Growth Hormone Treatment in Growth Hormone Deficient Adults. II. Effects on Exercise Performance. Journal of Applied Physiology 1991; 70:695-700.
4. O’Halloran DJ, Tsatsoulis A, Whitehouse RW et al. Increased Bone Density after Recombinant Human Growth Hormone (GH) Therapy in Adults with Isolated GH Deficiency. Journal of Clinical Endocrinology and Metabolism 1993;76:1344-1348.
5. McGauley GA, Cuneo RC, Salomon F et al. Psychological Well-Being Before and After Growth Hormone Treatment in Adults with Growth Hormone Deficiency. Hormone Research 1990; 33 (suppl 4): 52-54.
6. Bengtsson BA, Eden S. Lonn L et al. Treatment of Adults with Growth Hormone (GH) Deficiency with Recombinant Human GH. Journal of Clinical Endocrinology and Metabolism 1993; 76; 309-317.
7. Johnston DG, Bengtsson BA. Workshop Report; the Effects of Growth Hormone and Growth Hormone Deficiency on Lipids and the Cardiovascular System. Acta Endocrinologica 1993; 128 (Suppl 2); 69-70.
8. Amato G, Carella C, Fazio S. et al. Body Composition, Bone Metabolism, and Heart Structure and Function in Growth Hormone (GH)- Deficient Adults before and after GH replacement therapy at low doses, Journal of Clinical Endocrinology and Metabolism 1993;77: 1671-1676.
9. Stanford University Medical Center (Psycho-Neuro Endocrinology, Vol. 1 no. 4, 1992.

These statements have not been evaluated by the Food and Drug Administration, and individual results may vary. This product should be taken as part of a healthy lifestyle and is not intended to diagnose, treat, cure or prevent any disease. Consult your physician before using this product, especially if you have a serious medical condition or are taking prescription medications.


Life Improvements

Growth hormone was initially used for children of short stature who are growth hormone deficient, either because of an inactive pituitary, a tumor of the pituitary, or destruction of the pituitary by surgery or by radiation to remove a tumor. The other pituitary hormones were replaced along with GH. Growth hormone was used only until the children reached an acceptable adult height and then it was stopped because it was thought to be useful only for growth. The other pituitary hormones, however, which were thought to be more critical, were continued throughout adulthood. It wasn’t until much later that adult growth hormone deficiency was recognized to be a problem. It was discovered that adults who were deficient in growth hormone suffered from premature cardiovascular depressed mood, reduced bone density, central obesity, decreased muscle mass, depressed mood, elevated levels of LDL (bad) cholesterol, slower wound healing fatigue, poor exercise tolerance and poor immune function. At that point the uses improvement of all of the above. It wasn’t until 1990, however, that the benefits of growth hormone and the treatment of normal aging were recognized. The most recent new use of growth hormone is for the treatment of AIDS Wasting Syndrome. This is the condition of weakness, fatigue, and loss of muscle mass in AIDS patients.

April 2002 (Hypopituitary Control and Complications Study International Advisory Board (an organization studying the efficacy and safety of HGH therapy of adult HGH-deficient patients in clinical practice) Dr. Attanasio and colleagues reported on a three- year course of HGH therapy administered to adult onset HGH-deficient patients. Lean body mass increase was found to be greater in those younger than 40 years old, less but still significant in the middle and older age groups. The researchers submit that “this observational data showed significant long-term efficacy of adult HGH replacement therapy on body composition and lipid profiles and indicate that age is imports predictor of response.”

(Attanasio AF. Bates PC, Ho KK, Webb SM, Ross RJ, Strasburger CJ, Bouillon R. Crowe B. Seland K. Valle D, Lamerts SW; The Hypopituitary Control and Complications Study International Advisory Board Human growth hormone replacement in adult hypopituitary patients; long-term effects on body composition and lipid status—3 year results from the HypoCCS Database. J Clin Endocrinol Metab. 2002 Ar;87(4):1600-6)

November 2001 (KIGS/KIMS Outcomes Research, Pharmacia AB, Stockholm, Sweden): Data concerning visits to the doctor, number of days in hospital, and amount of sick leave were obtained from patients included in KIM’s (Pharmacia International Metabolic Database), a large pharmacoepidemiolgical survey of hypopituitary adults with GH deficiency ,. Of the 304 patients surveyed, visits to the doctor, number of days in hospital and amount of sick leave decreased significantly only for the men. After 12 months of GH treatment, Quality of Life (assessed by the Qol-Assessment of GHD in Adults questionnaire) improved, as did both the amount of physical activity. Dr. Hernberg and colleagues thus conclude that “GH replacement therapy, in previously untreated adults with growth hormone deficiency, produces significant decreases in the use of healthcare resources, which are correlated with improvements in quality of life.”

(Hernberg-Stahl E, Luger A, Abs, Bengtsson BA, Feldt-Rasmussen U. Wilton P, Westberg B, Monson JP; KIMS International Board, KIMS Study Group, Pharmacia International Metabolic Database, “Healthcare consumption decreases in parallel with improvements in quality of life during GH replacement in hypopituitary adults with GH deficiency,” J Clin Endocrinol Metab. 2001 Nov:86 (11);5277-81)

October 2001 (University Hospital, Uppsala, Sweden): Dr. Gillberg and team found that three months of low-dose HGH on 64 HGH-deficient adults increases serum levels of insulin-like growth factor (IGF)-I, IGF binding protein (IGFBP)-3 and lipoprotein (a), reduced total and low density lipoprotein cholesterol levels, and resulted with greater lean body mass and decreased fat mass. The researchers suggest, “This fixed low-dose regime resulted in improvements in body composition and lipid profile, without causing serious side effects. This is therefore a valid method to institute HGH replacement in adults.”

(Gillberg P. Bramnert M, Thoren M, Werner S, Johannsson G, “Commencing growth hormone replacement in adults with a fixed low dose. Effects on serum lipoproteins, glucose metabolism, body composition, and cardiovascular function, “Growth Horm IGF Res. 2001 Oct;11 (5): 273-81)

September 2001 (Universitat Munchen, Munich, Germany): Dr. Herschbach and colleagues from the Institut und Poliklinik fur Psychosomatische Medizin found scores across numerous psychometricmarkers improved progressively in adults administered HGH replacement therapy.

(Herschback P, Henrich G, Strasburger CJ, Feldmeier H, Marin F, Attanasio AM, Blum WF. Development and psychometric properties of a disease-specific quality of life questionnaire for adult patients with growth hormone deficiency. Eur J Endocrinol. 2001 Sep; 145 (3):255-65.)


The Miracles of HGH

The revolutionary anti-aging Human Growth Hormone (HGH) discoveries that are changing the future of medicine. It was the shot heard around the world. On July 5,1990, the prestigious New England Journal of Medicine published a medical study on an agent that sent shock waves through the medical industry.

September 2001 (Universitat Munchen, Munich Germany): Dr. Herschbach and colleagues from the Institut and Poliklinik fur Psychosomatische Medizin found scores across numerous psychometric markers improved progressively in adults administered with HGH replacement therapy.

(Herschbach P, Henrich G. Strasbuger CJ, Feldmeier H, Marin F, Attanasio AM, Blum WF. Development and psychometric properties of a disease-specific quality of life questionnaire for adult patients with growth hormone deficiency. Eur J Endo9crinol, 2001 Sep; 145(3)255-65

June 2001 (Royal Liverpool University Hospital, United Kingdom): Dr. Ahmad and team found that weight based HGH replacement resulted in significant improvements in both body composition and quality of life as early as one month after the initiation of treatment, and persisted at three months. Noting that “most importantly, these changes occur in the absence of side-effects.” The researchers “therefore suggest the use of low-dose HGH therapy, maintaining IGF-I between the median and up end of age-related reference range, for the treatment of adult growth hormone deficiency.”

Ahmad AM, Hopkins MT, Thomas J, Ibrahim H, Fraser WD, Vora JP. Body composition and quality life in adults with growth hormone deficiency; effects of low-dose growth hormone replacement. GLinical Endocrionol (Oxf). 2001 June;54(6):709-17.)


It is the position of the A4M that adult HGH replacement therapy is safe and effective when administered judiciously by qualified endocrinologist or anti-aging physician. Of all of the hormones in-use for adult replacement, HGH has the most extensive history of rigorous scientific practical application.


Growth Hormone may ease Crohn’s Disease

Crohn’s Disease, a disorder of the digestive tract causing persistent diarrhea abdominal pain, bleeding and breakdown of the intestinal wall, has no known cure, though drugs can ease symptoms in some patients. The cause of Crohn’s is unknown, but one theory is that infections or hereditary facts weaken the intestinal wall, making it more susceptible to inflammation and tissue breakdown when it comes in contact with disease-causing organisms. An exaggerated immune response may also play a role.

Dr. Alfred Slonim of North Shore University Hospital in Manhasset, N.Y. and colleagues based their research on previous studies indicating that growth hormone improved intestinal repair in patients who had part of their bowels surgically removed. Slonim theorized that growth hormone may rebuild and strengthen the intestinal wall. A high-protein diet provides the building blocks for tissue repair.

In his study, Slonim found that in 19 adults treated with growth hormone while a high-protein diet, 11 went into remission. Of the 14 patients who improved, virtually all said their abdominal pain disappeared. They also reported less diarrhea. Side effects were mild. Of the 19 in the study, an additional three others saw significant improvement.

As a control, eighteen patients took a dummy drug while on a high-protein diet none reported any changes to their digestive habits. Growth hormone appeared almost as effective as the anti-inflammatory drug infliximab, the only medications approved specifically for Crohn’s disease. Slonim’s study, however, did not perform exams to see whether the intestinal tissue was healthier.

Source/Reference: New England Journal of Medicine, June 1, 2000


Studies


Several studies have demonstrated the effects of human growth hormone (hgh) and elevating insulin growth factor-1 (IGF-1), improving healing time, decreasing total body fat, increased lean muscle mass, improved cholesterol and several other effects just to name a few: The role of hGH on growth, IGF-1 and metabolism effects have been well documents. Bookshelves are buckling from the weight of studies on hGH and aging. Many of these studies revealed that hGH injections over periods of three to eleven months resulted in a feeling of well being with the subsequent compositional changes and therapeutic benefits. Sometimes referred to as the “Master Hormone.” hGH or somatotropin is a protein of about 191 amino acids synthesized in the interior pituitary gland HGH is the most abundant hormone produced by the pituitary gland. It’s production peaks during the rapid growth of adolescence, declining with age.


Turning Back the Clock
Is aging Inevitable?

“The overall deterioration that comes with growing old is not inevitable. We now realize that some aspects of it can be prevented or reversed.” – Dr. Daniel Rudman

“The foundation of youth lies within cells of each of us. All you need to do is release it.” -Dr. Ronald Klatz


Perioperative Growth Hormone Treatment Increases Nitrogen and Fluid Balance and results in short-term and long-term conservation of lean tissue.

The surgical procedure for forming an ileoanal anastomosis with a J pouch usually involves a temporary ileostomy. Patients undergoing IAA surgery thus need to recover quickly because they return for ileostomy closure three months later. We evaluated the effects of perioperative biosynthetic growth hormone treatment of short and long term changes in body composition and on nutrition intake. Patients with ulcerative colitis undergoing IAA surgery were randomly assigned to double-blind treatment with placebo (n=12) or 6 IU GH twice daily (n=12) from two days before to seven days after the operation. Examinations were from two days before to nine days after the operation and on days 30 and 90. Body composition was assessed with a dual-energy X-ray absorptiometry scanner. The two groups had similar nutritional intakes. On postoperative day seven, placebo-treated patients had lost 4.2 kg (95% CI; 3.0, 5.4 ) total tissue mass, 3.6 kg (2.1, 5.1) lean tissue mass, and 0.5 kg (-0.1, 1.2) fat mass. These reductions persisted three months later. Compared with placebo, GH improved nitrogen balance, changes in lean tissue mass (gain of 3.2 kg (1.6, 4.9), P=0.001 but increased the loss of fat mass (loss of 0.7 kg (0.0, 1.5), P=0.049) on postoperative day seven. Three months later, the placebo-treated patients had lost 2.4 kg (0.7, 4.2) more lean tissue mass than GH-treated patients (P=0.009 whereas changes in total tissue and fat mass were not significantly different. Hence, GH treatment enhanced the long-term regain of tissue mass.

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