Growth Hormone Therapy for Height Increase in Adults - Pediatrics

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Regarding growth hormone therapy?


Hello, I saw a news article online stating that Mr.
Hsu Shan-Ching at Taichung Veterans General Hospital helped a 25-year-old man, Mr.
Hu, grow 22 centimeters taller over two years using growth hormone injections.
I would like to ask if there are other places besides Taichung and Taipei Veterans General Hospital that offer this type of treatment? I am currently 28 years old; do I need to check my bone age before considering injections? Are there any significant side effects? I would like to learn more about this area, and could you please refer me to a specialist who can provide answers? Thank you.

LeChateau, 20~29 year old female. Ask Date: 2004/09/02

Dr. Hong Shaohui reply Pediatrics


Dear LeChateau,
Hello! Regarding height and the use of growth hormone, it is indeed necessary to conduct bone age assessments and some related examinations before determining the treatment direction.
You are welcome to come to our hospital for further consultation.
Please make an appointment with Dr.
Zhao Weishi in the Metabolism Department (clinic hours are Wednesday and Thursday afternoons, and Friday evenings).

Wishing you good health and all the best!
Tainan Hospital, Department of Health, Executive Yuan

Reply Date: 2004/09/02

More Info


Understanding Growth Hormone Therapy for Height Increase in Adults
Growth hormone (GH) therapy has been a topic of interest for many individuals seeking to increase their height, especially in adulthood. However, it is crucial to understand the biological limitations and medical guidelines surrounding this treatment.

Firstly, growth hormone is primarily effective in children and adolescents whose growth plates (epiphyseal plates) have not yet fused. This fusion typically occurs after puberty, around the ages of 16 to 18 for females and 18 to 21 for males. Once the growth plates are closed, which is often determined through a bone age assessment via X-ray, the potential for height increase through GH therapy is significantly diminished. In your case, at 28 years old, it is highly likely that your growth plates have already fused, meaning that GH therapy would not result in a significant increase in height.

The case you mentioned about an individual growing 22 centimeters at the age of 25 is quite exceptional and not the norm. Such outcomes are rare and often involve specific medical conditions that warrant the use of GH. For most adults, the use of GH is not indicated for height increase, and any claims suggesting otherwise should be approached with skepticism.

If you are considering GH therapy, it is essential to consult with an endocrinologist who specializes in growth disorders. They will conduct a thorough evaluation, including a review of your medical history, physical examination, and possibly imaging studies to assess your bone age. This evaluation will help determine whether you have any underlying conditions that could be treated with GH or if there are alternative approaches to address your concerns about height.

Regarding potential side effects, GH therapy can lead to several adverse effects, especially when used inappropriately. Common side effects include joint pain, muscle pain, swelling due to fluid retention, and increased insulin resistance, which can lead to diabetes. Long-term use of GH in adults has also been associated with an increased risk of certain cancers and cardiovascular issues. Therefore, it is crucial to use GH only under medical supervision and for approved indications.

In terms of availability, GH therapy is typically offered in specialized clinics and hospitals with endocrinology departments. Major medical centers in cities like Taipei and Kaohsiung may provide such services, but it is essential to ensure that any treatment plan is backed by appropriate medical guidelines and monitoring.

In summary, while growth hormone therapy can be beneficial for certain populations, its effectiveness in adults, particularly for height increase, is limited and often not recommended. If you are concerned about your height or considering treatment options, the best course of action is to consult with a qualified endocrinologist who can provide personalized advice based on your specific circumstances. They will help you understand the potential benefits and risks associated with GH therapy and guide you towards the most appropriate treatment options.

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Hello: Based on your situation, it may be necessary to consult a specialist to determine if you are a suitable candidate for growth hormone therapy.

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