hGH:
the truth about Human Growth Hormone
No hype, no scare tactics, just the latest research
and expert findings from Doctors on the front line of the war against aging
By
Wayne Caparas
Here’s the factual background of hGH. Somatrophin. Human Growth Hormone.
They’re one in the same. The richest of Hollywood’s stars, the most
powerful of Manhattan’s social elite, and the most educated babyboomers
who happen to know an anti-aging physician are lining up to pay $20,000 per
year for the latest “miracle breakthrough” in anti-aging science.
Senior citizens are feeling, looking, and acting 20 years younger. Fifty year
old patients swear they are 35 again. The list of reported benefits is long
and incredulous. It’s touted as a new drug, yet bodybuilders, power lifters,
and professional athletes have been abusing it for decades now, and many have
already lost their lives or suffered severe deformation because of it. Worst
of all, before it became widely available these giants were having to steal
it “from the mouths of babes”; juvenile dwarves who desperately
needed the rare substance if they hoped to enjoy a normal life were being pushed
further and further down a waiting list as wealthy outlaws illegally acquired
it. It was as if they were robbing hearts and kidneys from a transplant bank
just because eating the meat made them bigger and stronger. There have been
reports that patients who received the hormone from it’s only natural
source--the pituitary glands of cadavers--where were linked to the spread of
Mad Cow Disease. No wonder the drug is as scary as it is controversial. So why
are the richest of the rich treating hGH as if it were the magical nectar that
flows from the mythical fountain of youth? You’ll see.
What is it?
Human growth hormone is basically the master hormone produced by the master
gland--the pituitary--which rests just behind your eyes. hGH acts as a catalyst
for many glandular secretions and life functions critical to maintaining youth,
and it’s the stuff that makes nearly every cell in our bodies grow and
repair over the course of our lives. So it makes sense that bodybuilders would
be so desirous of it. But why are the “beautiful people” who have
it all playing guinea pig? First off, most believe the risks are over exaggerated,
and that they are actually on the cutting edge of a medical revolution. For
some yet unresolved reason (probably related to our peak reproductive age),
our pituitary stops producing hGH in sufficient quantities to maintain optimum
health and vigor somewhere around our fortieth birthday. The aging process kicks
in at this age, and it is widely recognized that the uncompensated hGH deficiency
allows our cells to break down faster than they can repair (cotabolism). Research
has shown that by the age of forty, our hGH production is down to 50% of youthful
levels, and by the age of fifty-five it is down to 20%; which is not much more
than the amount someone in their eighties can produce. Memory loss, energy level
loss, physical stamina loss, loss of muscle tone, increased muscle atrophy,
increased fat storage, decreased bone density, loss of skin elasticity, weakened
immune system, increased abdominal girth (pot belly), and sexual function decline
are just a few of the well known symptoms of aging. The proponents of hGH therapy
believe that most of these symptoms can at least in part be attributed to Growth
Hormone deficiency. Second, hGH supplementation has been shown in many studies
to at least inhibit this aging process (if not reverse it), so it should seem
quite natural that scientists worldwide have been working feverishly to develop
an easily produced synthetic version for several decades; and they finally did
it. There are two versions on the market, both approved pharmaceuticals (though
not for anti-aging or bodybuilding), and both are considered equally effective.
One of the synthetics, having 191 amino acids, is identical to natural somatrophin.
The other has 192 amino acids, and at worst causes minor allergic reactions
that the identical does not. Right now only the rich and powerful have been
fully informed about the synthetic substance and it’s life enhancing characteristics,
for only they can afford it. So why do they do it?--because they can.
What are the experts saying?
Every doctor and relevant practitioner I interviewed, who was not directly involved
in hGH research or use, took the expected ultra-conservative stance. Don’t
do it. It hasn’t been proven to work. The risks are too high. We have
no idea what the long term costs will be. Etcetera, etcetera, etcetera. Meanwhile,
many in the European Medical Community have been promoting hGH supplementation
for anti-aging purposes for more than a decade. In fact, Dr. Jake Powrie, M.D.
and Dr. Andrew Weissberger of St. Thomas Hospital in London, England went on
record in 1995 to recommend that “All adults with growth hormone deficiency
should now be considered for growth hormone replacement therapy.” That’s
more than 95% of everyone over forty. According to Dr. Adrienne Denese, M.D.
and Dr. Bruce Nadler, M.D., members of the American Academy of Anti-Aging Medicine
and two of the nation’s leading proponents of hGH replacement as an anti-aging
treatment, the benefits resulting from the therapy are dramatic and broad ranging.
Dr. Denese (forty-something years old) is a specialist within the growing field
of Anti-Aging Medicine, and Dr. Nadler (fifty-one years old), is a Plastic Surgeon
with twenty-two years in practice. Both are highly respected M.D.’s with
offices in the extravagantly affluent Upper East Side of Manhattan, both are
experts on hGH therapy, both have completed exhaustive investigations into every
hGH research study conducted within the international medical community (more
than 200 papers are in circulation), both are closely monitoring all ongoing
research projects (most notably Johns-Hopkins University medical research center’s
double-blind study which is generally accepted to be the landmark American study),
both have conducted their own research by serving as their own test patients
(yes, they use hGH), and most significantly, both have arrived at such positive
conclusions--even before the Johns-Hopkins results are in--that they are now
actively prescribing the drug to all who qualify and pass their in-depth screening
process. I’ve got to tell you, each Doctor is a startling specimen of
youth and vitality. Dr. Denese is stunningly beautiful and fit, while Dr. Nadler,
who bodybuilds as a hobby, has the physique of a thirty year old professional
athlete. Each Doctor reports an ever increasing list of wealthy celebrities
and New York “power brokers” among their clientele of hGH patients.
At first it may appear that these reputable doctors and their famous role model
patients (few of which are willing to publicly admit their usage) were rushing
into a high stakes poker game where wise men fear to tread. But they are all
confident that all ongoing research will reach the same conclusions and prove
hGH--when used properly--to be completely safe and effective. Timing is everything,
and I pray that these beautiful test subjects are right.
The hGH Stigma
My goal is not to force feed you with opinions, but instead to inform you of
the documented facts concerning what many regard to be the closest thing to
a life giving elixir--a clinical fountain of youth--that modern science has
ever stumbled upon. I must admit that I was more than skeptical when I began
my research. Being a holistic health and fitness journalist, I held a thorough
prejudice against hGH use, mostly due to my own eye witness experiences of it’s
abuse (over-use). Several young men with whom I played football back in the
early 80’s, and several men and women I know today in the sports medicine
community have abused the substance in effort to greatly enhance strength and
physical performance. I have seen with my own eyes and heard with my own ears
the devastating physical and psychological damage abuse of this powerful hormone
has caused their bodies and minds. Studly men in their twenties transformed
into gorillas; brooding brow, woolly hair and all. Formerly civilized and humble
couples over forty turned into viciously competitive and psychotic narcissists.
The synthetic breakthrough was a God send for thousands of kids, but due to
the stigma of past and current abuse, many in the medical community still carry
a blatantly negative predisposition toward adult usage of the drug, and I was
prepared to go on my own personal crusade against its widespread use. But prejudice
is ignorance, so I took a deep breath and entered the research stage with as
open a mind as I could muster up. After careful review, I am more than a little
chagrined. Don’t jump yet, but there may in fact be reason for the world
to celebrate, as our ability to survive and persevere well into our hundreds
may be on the near horizon.
Words to the Wise
Before I go on, I would like to caution you. Medicine is big business, and many
in the medical community are better at selling or preaching than they are at
healing. Reported health risks and possible side effects from hGH supplementation
are numerous and intimidating to say the least, but most are speculative or
have been shown to result from over dosage. They include Carpal Tunnel Syndrome,
hypertension, dementia, a variety of psychoses, and most common, acromegaly;
the deformation suffered by those who deliberately overdose on hGH for strength
and size. Dr. Bob Goldman of the National Academy of Sports Medicine reports
that symptoms include enlargement of the jaw bone, the forehead, the brow ridges,
hands, feet, and skull; a coarsening and deformation of facial features; the
widening of joint spaces that lead to significant joint pain and carpal tunnel
syndrome; and most dangerous of all, an increase in organ size including enlargement
of the heart which often leads to congestive heart failure. People who suffer
from acromegaly due to natural hyperactivity of the pituitary gland (gigantism)
age very rapidly and are usually dead by the age of forty. Aside from acromegaly,
the highest concern among possible side effects is the risk of increased cancerous
tumor growth and metastisization in patients with a family or personal history
of cancer; even at moderate dosages of hGH therapy. Neither Dr. Denese nor Dr.
Nadler will prescribe hGh to a patient who falls into this category.
The FDA Connection
Since the FDA has yet to approve hGH as an anti-aging treatment, the medical
insurance companies will not cover it’s cost for this use. It’s
completely legal, but it’s not covered by insurance...yet. Dianne Walker,
Consumer Safety Officer for the FDA, confirmed this peculiarity. According to
Walker the pharmaceutical companies that hold synthetic hGH patents have yet
to request FDA approval for its use as an anti-aging drug. As Walker put it,
until they “go public” with their research findings and new requests,
the FDA can offer no opinion on the drugs additional applications. Surprisingly,
the FDA has not even had a chance to review hGH use for anti-aging since the
drug companies have yet to ask for its use under this category. The FDA has
never found cause to reject hGH application for any use. Ms. Walker stated that
the pharmaceutical companies have requested FDA approval of hGH replacement
therapy for just three illnesses: Juvenile Dwarfism, Turner Syndrome (a rare
hGH deficiency that strikes adolescent girls), and for adults, severe Somatrophin
(hGH) Deficiency Syndrome, or hypopituitarism. Though Walker had no record of
FDA approval application for any other uses of hGH, recent reports indicate
that insurance companies will now cover hGH therapy to treat AIDS Wasting Syndrome.
The hormone therapy (in high doses) has been shown to stimulate weight gain,
increase strength, and subsequently boost the immune system and overall quality
of life for AIDS patients. A cursory overview of these uses almost in itself
indicates the hormone’s life enhancing use. After all, if it is approved
for those who suffer from “severe” hGH deficiencies, why is it not
approved for everyone else over 40 who suffers from “normal” hGH
deficiency? According to Dr. Denese and Dr. Nadler, it is mostly a matter of
politics and big business, but it is also just a matter of time before increased
consumer demand will get the attention of the powers that be, and hGH therapy
will become as accepted as any other hormone replacement. They agree that there
is absolutely no ethical difference between synthetic human growth hormone replacement
and the widely accepted therapies of synthetic insulin, thyroid, or estrogen
hormone replacements.
Walking the Talk
After one and a half years of hGH therapy, Dr. Adrienne Denese could be the
spokes-model for growth hormone; or any other product for that matter. The Hungarian
born graduate of Cornell University Medical College is both brilliant and beautiful.
In the first months of treatment she noticed immediate benefits including increases
and improvements in physical stamina, learning and memory capacity, mental alertness,
and mood balance; and she felt that she had regained the energy level of a twenty-five
year old. Her friends most readily notice youthful changes in her skin, while
her formerly “thin” hair was becoming thicker and longer. Dr. Denese
kindly invited me to touch her glowing skin and to closely study her luxurious
hair. I found it hard to believe that she could ever have had the skin of an
average forty year old woman, or thin hair for that matter. And yes, I asked
her if she had undergone a face lift, and she proudly answered “never.”
Dr. Denese became most excited as she discussed the changes to her fitness level
and body composition. With the amazement of a child she described the wonderfully
brief recuperative period following each workout, while she experienced the
muscle growth equal to that she had enjoyed in her young twenties. “I
see that my muscles respond much better to workouts than before [hGH use]. The
same amount of time and effort pays far greater dividends...I almost feel like
an impostor at times. There I am, working out as little as I do and the rewards
are so fabulous...I’m very grateful, as I have very little time to work
out these days.” Dr. Bruce Nadler also reported immediate improvements
paralleling those of Dr. Denese. Most notably, even at fifty the fine wrinkles
in his face gradually faded away, as his skin took on a younger and rosier complexion.
From a fitness perspective, Dr. Nadler delighted in the fact that his injuries
healed faster, his strength and endurance increased, and his dietary tolerance
returned to levels of his prime. Being a fitness and nutrition expert, Dr. Nadler
is no stranger to pioneering efforts and is a walking-talking encyclopedia of
health and nutrition. Dr. Nadler didn’t hesitate to admit the new found
freedoms of youth afforded by his therapy. “I’ve been able to significantly
loosen my diet. I used to calculate every gram...but since I began growth hormone
therapy, I can eat desert whenever I want. I have the metabolism I enjoyed in
my late twenties.” In contrast to Dr. Denese, Dr. Nadler has his own unique
way of expressing his gratitude for his physical re-birth. In the nearly two
years of hGH therapy, Dr. Bruce Nadler (the amateur body builder) has gained
twenty pounds of lean muscle mass and has reduced his body fat percentage to
under 9%. He’s fifty-one folks. These are genuinely the numbers of a thirty
year old. Dr. Nadler’s wife Terry is fifty-two and began therapy about
six months after her husband. She recalls that in the days before hGH replacement
she could barely walk up stairs after a vigorous leg workout at the gym. Terri
exclaims “since I’ve been on the growth hormone, my recuperative
period is like...nil!” This quick recovery and lack of prolonged soreness
is among the most common results welcomed by fitness enthusiasts. Dr. Denese
qualifies however, that like anything else, some patients respond to the therapy
faster than others, and some require increased dosages. According to Dr. Denese,
“there are some binding proteins [present at high levels in some people]
that may be responsible [for inhibiting results], but at the moment we cannot
control them.” Testing criteria are very specific and exhaustive, and
the dosage is determined by hGH deficiency and body size. The screening process
generally costs just $200, and aside from diabetics and those at high risk for
cancer, anyone with lower than optimum levels of somatrophin are eligible for
treatment.
The “C” Word
You may be surprised at Dr. Denese’s commentary on the cancer issue. “If
there is any history of cancer I would not want to [prescribe hGH] for legal
reasons--not for anything else but for legal reasons.” ”If I developed
cancer, I would continue to take the growth hormone, because I think that it
fortifies your immune system so much that it can only help. Because of my personal
feelings, I would not give it to a patient [with cancer] because I would not
want to find myself in court answering questions about it.” Dr. Denese
also reports of many studies that have been looking for a relationship between
hGH and accelerated cancer malignancy and thus far all are inconclusive. In
fact some have even found minor evidence that hGH may actually inhibit the growth
of cancer. Terri Nadler agrees in spirit. “I’m certainly not going
to give it up...even if, God forbid, I should get cancer somewhere down the
road. It’s quality of life that counts.” Leading European researchers
Dr. G. Johnannsson, M.D. and Dr. Rosen M.D. of University Hospital in Goteborg,
Sweden, published their opinion that “There is no evidence suggesting
that Growth Hormone Replacement Therapy causes any unfavorable long term side
effects.” Dr.’s Denese and Nadler agree.
Science or Science Fiction
Dr. Denese’s oldest patient is ninety-four, and according to Denese, this
elderly woman was essentially disabled before treatment. She could barely communicate,
could not readily move about, and even needed help being fed. Now that the woman
is on hGH replacement therapy, she is able to walk about a bit, she talks much
more coherently, and she is able to feed herself again. In general, she has
a much “higher quality of life”. Dr. Denese stresses “it is
not our intention to keep people alive forever; I don’t mix science fiction
into the picture at all. I have very modest goals. All I want is to give a better
quality of life to the individual...I don’t know whether growth hormone
will extend life, but I’m not particularly concerned about that. We will
find out. For animals [in the laboratory] it does, but for humans, [synthetic
hGH] hasn’t been around long enough to tell.” This is a factor that
warrants repeating. It will be many years before we truly know the real risks
involved, which may be horrific, or the real benefits, which may be miraculous.
Only time will tell. If quality of life and the ability to do good works could
be assured, most people would love to live for hundreds of years. After all,
survival is our most basic God given instinct. But just as Ponce de Leon taught
us, perseverance is worthless without enlightenment, so you will ultimately
have to do some real soul searching and internal cost-benefit analyses to reach
your own conclusions. It is my observation that the hGH pioneers are conservatively
replacing their growth hormone back to the normal levels necessary for optimal
health and youth. The enlightened find this to be as basic as vitamin and mineral
supplementation. Without it, the body and mind may age much faster, and possibly
even die prematurely. The few bad apples that out of impatience or pure vanity
abuse a good thing--even a supplement as benign as vitamin C--can and usually
will pay a hefty price for their stupidity. But we should not let the abuses
of the ignorant spoil our attitude toward an extraordinary medical breakthrough
developed over several decades by many distinguished scientists. No matter where
you stand on this issue, they deserve our respect.
Now what?
When I asked Dr. Denese for a closing statement, I was quite impressed with
her spontaneous answer, as she expressed her disappointment with the pharmaceutical
companies. “It makes me feel bad that many people who need this substance
cannot get it for financial reasons, and I certainly hope that once the patent
expires (in 2002) these drug companies won’t have the power to keep an
artificially high price, because there are more important issues than money
here.” $700 per month is practically the minimum effective therapy cost,
so most people who need the hGH may not be able to afford it until prices drop.
With the combined effect of patent expirations, increased demand, and anticipated
FDA approval, hGH should be accessible to the masses within the next five years.
There are also oral supplements (secretagogues) in the research labs that are
being designed to stimulate natural release of hGH. Dr. Nadler warns consumers
not to be fooled by the “rip-offs” currently on the market that
fraudulently claim secretagogue properties. There are not yet any effective
orals available, so don’t be fooled. Dr. Nadler’s closing comment
was equally compelling, as he expressed his contentment over his role as a pioneer.
“[As a Plastic Surgeon for 22 years] I have been creating some beautiful
facades of youth. But now hGH therapy gives me a chance to put a foundation
beneath that facade.” Stay tuned to OXYGEN for the latest in hGH updates.
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