Tuesday 27 May 2014

The Administration Of Growth Hormone

A simple observation is the safest way for most of the idiopathic cases. Comparative studies between children with different statures and psychiatric evaluations lower adults show that psychological stress may be, or not related to height.

Likewise, clinical trials conducted in children treated with growth hormone have been unable to correlate with increased height psychological well-being.

When indicated, the administration of growth hormone can cause an increase of 0.4 cm per year of treatment.

Lowest old skeleton still far from maturity and parents of taller stature are factors that increase the likelihood of favorable response. Lower Parents decrease the chance of significant growth.

The hormone must be injected daily, subcutaneously, until growth is complete, or when parents and doctors deem necessary, subjective criterion that hinders rational decisions.

The treatment is expensive. Estimates range from $ 30,000 to $ 50,000 for each centimeter gain. The risks are small, but are still not well understood.

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The alternative is the administration of androgens at low doses: Injectable testosterone or Oxandrolone. In two clinical trials, the growth was 3.0 cm to 5.1 cm per year for one to three years.

The follow up of patients treated with androgens shows that treatment is associated with normal growth during puberty and the same or slightly larger than the predictions made before giving them statures.

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