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Last Updated: Aug 29, 2019
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Dr. I. P. S. KocharPediatrician • 43 Years Exp.MAMC, MRCPCH, MD - Paediatrics, MBBS
When to Seek Medical Care

If there is a question of growth hormone deficiency in either a child or an adult, consultation with a pediatric or adult endocrinologist, as appropriate, is recommended. The endocrinologist may order an insulin hypoglycemia test wihich is the gold standard for determining HGH deficiency.

insulin (hormone that regulates blood sugar levels) is given through an IV to produce a low plasma glucose (a sugar) level. The peak growth hormone level is measured 20-30 minutes later.
If the peak growth hormone level is less than 10 mcg/mL in children or less than 3 mcg/mL in adults, growth hormone deficiency is diagnosed.
Persons with growth hormone deficiency may have increased total cholesterol, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglyceride levels.

Other tests that may be performed include a CT scan and/or MRI of the brain and/or bones. Images from these tests may reveal tumors. Reduced bone density can be evaluated by a DEXA or bone density scan.
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