Hormonal
GH therapy increases lean body mass and decreases body fat in both childhood-onset (CO) and adult-onset (AO) GH-deficient patients, but AO patients show greater improvements in lipid profiles (Total and LDL cholesterol reduction) and waist/hip ratio reduction compared to CO patients.
GH therapy will likely improve your muscle mass and reduce body fat regardless of when your deficiency started. However, if your deficiency started in childhood, you may not see the same improvements in your cholesterol levels or waist size as someone who developed the deficiency as an adult. This is because the metabolic regulation of lipids and fat distribution differs between those who grew up with the deficiency and those who acquired it later in life.
Throughout GH therapy there was a significant increase in lean body mass and significant decrease in percent body fat and sum of skinfolds in each group. Waist/hip ratio was decreased by long-term therapy in AO but not CO patients. Total and low density lipoprotein cholesterol levels were decreased from baseline at 6 months in AO but not CO patients...
Why this rating
Large multicenter RCT with placebo control.
Source
Adult Growth Hormone (GH)-Deficient Patients Demonstrate Heterogeneity Between Childhood Onset and Adult Onset Before and During Human GH Treatment<sup>1</sup>
Andrea Attanasio et al. · The Journal of Clinical Endocrinology & Metabolism · 1997
DOI 10.1210/jcem.82.1.3643
Related findings · Hormonal
- Initial treatment for type 2 diabetes should be a combination of metformin and either an SGLT-2 inhibitor or a GLP-1 receptor agonist to achieve cardiorenal protection, rather than monotherapy or older agents like sulfonylureas.Strong
- For patients with specific monogenic obesity syndromes (leptin deficiency, POMC/PCSK1/LEPR mutations), targeted pharmacotherapy (recombinant leptin or setmelanotide) is highly effective and should be prioritized, unlike in polygenic obesity.Strong
- Continued weekly administration of 2.4 mg subcutaneous semaglutide prevents weight regain and promotes further weight loss in adults with overweight or obesity, whereas switching to placebo results in significant weight regain.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →