Ghoul
Member
What sides of adult gh deficiency's should be annotated towards obtaining a script? I got a bunch… high cholesterol being one, lack og vigor… what else??
Bear in mind not all endos recognize partial GH deficiency, it’s a concept that’s “ahead of the guidelines”. Just like some are pricks if your testosterone is at the bottom of the range (like a 70 years old’s levels) and still won’t prescribe TRT despite symptoms.
You may need to try more than one. But if I had two -1 or lower Z scores in hand I’d persevere until I found one that was willing to at least run tests (they’ll check thyroid etc to see if there are other causes, and if there aren’t any obvious causes, at some point they should do a GH stimulation test).
Many endocrinologists informally recognize “partial” adult GH deficiency but it’s is not an official diagnostic category in guidelines.
So it exists clinically, but it is not formally endorsed, a gray-zone concept
That means to get them interested, a combination of repeated IGF Z score below -1, and reporting subjective symptoms have to exist.
Some combination of:
1. “I get tired way too quickly” / Loss of stamina
• Patient description: “I can’t keep up with activities I used to do easily.”
• Why it matters: Reduced exercise capacity is one of the most specific and reproducible GH-deficiency symptoms.
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2. “I can’t recover from exercise” / Slow recovery
• Patient description: “I’m sore for days” / “Even light workouts wipe me out.”
• Why it matters: Reflects impaired tissue repair and anabolic signaling from GH/IGF-1.
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3. “I’m gaining belly fat no matter what I do”
• Patient description: “My stomach keeps expanding even though my diet hasn’t changed.”
• Why it matters: Visceral fat accumulation is a classic GH deficiency marker, particularly when lean mass loss is present.
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4. “I can’t build muscle anymore” / Weakness
• Patient description: “I work out but see no gains.”
• Why it matters: GH/IGF-1 are essential for lean mass maintenance; this is highly predictive in combination with other symptoms.
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5. “I feel flat / low energy / not myself”
• Patient description: “I feel like my drive and vitality are gone.”
• Why it matters: Low subjective well-being is extremely common and often matches objective metabolic deficiencies; in borderline cases, this can tip the clinician toward considering GH therapy or further testing.

