Guest guest Posted December 30, 2001 Report Share Posted December 30, 2001 Inga - Re your post about short-term use of GH. This is a question currently in the thoughts of many doctors, including Dr. H. A large European study (Dr. Wollmann who spoke at the MAGIC convention) gave double-doses of GH for just 2-3 years. Basically what they found is that when they stopped, about half the kids' growth fell back down to their original low curves (so you would begin the GH again). But the other half just fell a little bit and then began a new curve. So.... it all depends on what you want in end result. If you want EVERY INCH YOU CAN GET - then you should do GH and not stop at any time (if you stop, and then later start again, you will forfeit some incremental height in the end). If you are willing to play the odds a bit, you have options. I have never posted this before, but my husband and I have already decided (and discussed this with Dr. H with her approval), that we are going to continue 's GH nightly injections UNTIL her height growth slows down to that of a " normal " child -roughly 2 inches a year. Studies have found that this often occurs after about 3 years on GH. We are hoping that will be at the 35%'tile in height at that time (of course, Dr. H is shooting for 50%'tile or greater). At that point, we will discontinue GH, and monitor her. If her height drops below the 10%'tile, then we will start the GH again. I want to caution everyone that the percentile groupings I use are PERSONAL, based on 's projected height without having RSS (she would have been 5'8 " without RSS). Each family's decision should be based on what their own child's target height is. But to be honest, if it was our son Tyler that had GH, my husband has said that he would not play the odds. Because discontinuing the GH for even 3-6 months can mean a loss of an inch or so at the end. Clearly, this is a personal decision. I have posted the GH/Insulin resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD director. > >> > Hi, > >> > > >> > I am new to the group. I have a 9 year old son who has been on GH > >> > for 3 years. Recently, I have learned that Joe may need to have a > >>3 > >> > day stay at the hospital for blood draws on IGFTT (whatever that > >>is) > >> > and checking for insulin resistance. Jodi, or anyone else, do you > >> > have any help for me. I am concerned that this may mean he is > >> > developing diabetes. Is this something to be worried about with > >> > using GH? According to his endo, he is in the pre-pubescent time > >> > frame with no visible signs of puberty. > >> > > >> > Thanks for you help. > >> > Marie > >> > > > > > >_________________________________________________________________ > >Join the world's largest e-mail service with MSN Hotmail. > >http://www.hotmail.com > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2001 Report Share Posted December 30, 2001 Inga - Re your post about short-term use of GH. This is a question currently in the thoughts of many doctors, including Dr. H. A large European study (Dr. Wollmann who spoke at the MAGIC convention) gave double-doses of GH for just 2-3 years. Basically what they found is that when they stopped, about half the kids' growth fell back down to their original low curves (so you would begin the GH again). But the other half just fell a little bit and then began a new curve. So.... it all depends on what you want in end result. If you want EVERY INCH YOU CAN GET - then you should do GH and not stop at any time (if you stop, and then later start again, you will forfeit some incremental height in the end). If you are willing to play the odds a bit, you have options. I have never posted this before, but my husband and I have already decided (and discussed this with Dr. H with her approval), that we are going to continue 's GH nightly injections UNTIL her height growth slows down to that of a " normal " child -roughly 2 inches a year. Studies have found that this often occurs after about 3 years on GH. We are hoping that will be at the 35%'tile in height at that time (of course, Dr. H is shooting for 50%'tile or greater). At that point, we will discontinue GH, and monitor her. If her height drops below the 10%'tile, then we will start the GH again. I want to caution everyone that the percentile groupings I use are PERSONAL, based on 's projected height without having RSS (she would have been 5'8 " without RSS). Each family's decision should be based on what their own child's target height is. But to be honest, if it was our son Tyler that had GH, my husband has said that he would not play the odds. Because discontinuing the GH for even 3-6 months can mean a loss of an inch or so at the end. Clearly, this is a personal decision. I have posted the GH/Insulin resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD director. > >> > Hi, > >> > > >> > I am new to the group. I have a 9 year old son who has been on GH > >> > for 3 years. Recently, I have learned that Joe may need to have a > >>3 > >> > day stay at the hospital for blood draws on IGFTT (whatever that > >>is) > >> > and checking for insulin resistance. Jodi, or anyone else, do you > >> > have any help for me. I am concerned that this may mean he is > >> > developing diabetes. Is this something to be worried about with > >> > using GH? According to his endo, he is in the pre-pubescent time > >> > frame with no visible signs of puberty. > >> > > >> > Thanks for you help. > >> > Marie > >> > > > > > >_________________________________________________________________ > >Join the world's largest e-mail service with MSN Hotmail. > >http://www.hotmail.com > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2001 Report Share Posted December 31, 2001 Thanks, . It is good to hear this info on the height question. I'm actually having an additional reason for liking to use growth hormone, though - bulking. I read an article about the use of GH for cystic fibrosis patients at around the 5th percentile weight to height and it significantly improved their weight to height, muscle, etc. I feel that with Tim being at less than the first percentile weight to height, the combination of g-tube and GH for several years could really help his muscle/bone mass which could have a lot of practical implications when he gets older.. Inga At 07:49 AM 12/31/2001 +0000, you wrote: > > Inga - > > Re your post about short-term use of GH. This is a question > currently in the thoughts of many doctors, including Dr. H. A large > European study (Dr. Wollmann who spoke at the MAGIC convention) gave > double-doses of GH for just 2-3 years. Basically what they found is > that when they stopped, about half the kids' growth fell back down to > their original low curves (so you would begin the GH again). But the > other half just fell a little bit and then began a new curve. > > So.... it all depends on what you want in end result. If you want > EVERY INCH YOU CAN GET - then you should do GH and not stop at any > time (if you stop, and then later start again, you will forfeit some > incremental height in the end). > > If you are willing to play the odds a bit, you have options. I have > never posted this before, but my husband and I have already decided > (and discussed this with Dr. H with her approval), that we are going > to continue 's GH nightly injections UNTIL her height growth > slows down to that of a " normal " child -roughly 2 inches a year. > Studies have found that this often occurs after about 3 years on GH. > We are hoping that will be at the 35%'tile in height at that > time (of course, Dr. H is shooting for 50%'tile or greater). At that > point, we will discontinue GH, and monitor her. If her height drops > below the 10%'tile, then we will start the GH again. > > I want to caution everyone that the percentile groupings I use are > PERSONAL, based on 's projected height without having RSS > (she would have been 5'8 " without RSS). Each family's decision > should be based on what their own child's target height is. > > But to be honest, if it was our son Tyler that had GH, my husband has > said that he would not play the odds. Because discontinuing the GH > for even 3-6 months can mean a loss of an inch or so at the end. > > Clearly, this is a personal decision. I have posted the GH/Insulin > resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD > director. > > > > > > >> > Hi, > > >> > > > >> > I am new to the group. I have a 9 year old son who has been > on GH > > >> > for 3 years. Recently, I have learned that Joe may need to > have a > > >>3 > > >> > day stay at the hospital for blood draws on IGFTT (whatever > that > > >>is) > > >> > and checking for insulin resistance. Jodi, or anyone else, do > you > > >> > have any help for me. I am concerned that this may mean he is > > >> > developing diabetes. Is this something to be worried about > with > > >> > using GH? According to his endo, he is in the pre-pubescent > time > > >> > frame with no visible signs of puberty. > > >> > > > >> > Thanks for you help. > > >> > Marie > > >> > > > > > > > > >_________________________________________________________________ > > >Join the world's largest e-mail service with MSN Hotmail. > > ><http://www.hotmail.com>http://www.hotmail.com > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2001 Report Share Posted December 31, 2001 Thanks, . It is good to hear this info on the height question. I'm actually having an additional reason for liking to use growth hormone, though - bulking. I read an article about the use of GH for cystic fibrosis patients at around the 5th percentile weight to height and it significantly improved their weight to height, muscle, etc. I feel that with Tim being at less than the first percentile weight to height, the combination of g-tube and GH for several years could really help his muscle/bone mass which could have a lot of practical implications when he gets older.. Inga At 07:49 AM 12/31/2001 +0000, you wrote: > > Inga - > > Re your post about short-term use of GH. This is a question > currently in the thoughts of many doctors, including Dr. H. A large > European study (Dr. Wollmann who spoke at the MAGIC convention) gave > double-doses of GH for just 2-3 years. Basically what they found is > that when they stopped, about half the kids' growth fell back down to > their original low curves (so you would begin the GH again). But the > other half just fell a little bit and then began a new curve. > > So.... it all depends on what you want in end result. If you want > EVERY INCH YOU CAN GET - then you should do GH and not stop at any > time (if you stop, and then later start again, you will forfeit some > incremental height in the end). > > If you are willing to play the odds a bit, you have options. I have > never posted this before, but my husband and I have already decided > (and discussed this with Dr. H with her approval), that we are going > to continue 's GH nightly injections UNTIL her height growth > slows down to that of a " normal " child -roughly 2 inches a year. > Studies have found that this often occurs after about 3 years on GH. > We are hoping that will be at the 35%'tile in height at that > time (of course, Dr. H is shooting for 50%'tile or greater). At that > point, we will discontinue GH, and monitor her. If her height drops > below the 10%'tile, then we will start the GH again. > > I want to caution everyone that the percentile groupings I use are > PERSONAL, based on 's projected height without having RSS > (she would have been 5'8 " without RSS). Each family's decision > should be based on what their own child's target height is. > > But to be honest, if it was our son Tyler that had GH, my husband has > said that he would not play the odds. Because discontinuing the GH > for even 3-6 months can mean a loss of an inch or so at the end. > > Clearly, this is a personal decision. I have posted the GH/Insulin > resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD > director. > > > > > > >> > Hi, > > >> > > > >> > I am new to the group. I have a 9 year old son who has been > on GH > > >> > for 3 years. Recently, I have learned that Joe may need to > have a > > >>3 > > >> > day stay at the hospital for blood draws on IGFTT (whatever > that > > >>is) > > >> > and checking for insulin resistance. Jodi, or anyone else, do > you > > >> > have any help for me. I am concerned that this may mean he is > > >> > developing diabetes. Is this something to be worried about > with > > >> > using GH? According to his endo, he is in the pre-pubescent > time > > >> > frame with no visible signs of puberty. > > >> > > > >> > Thanks for you help. > > >> > Marie > > >> > > > > > > > > >_________________________________________________________________ > > >Join the world's largest e-mail service with MSN Hotmail. > > ><http://www.hotmail.com>http://www.hotmail.com > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2001 Report Share Posted December 31, 2001 Jodi, Yeah, we're really not so social this year - we tucked Tim in after staying up a bit to play a new card game he got for Christmas and then Rob and I talked on the couch awhile, not staying up to welcome in the New Year, though I'm planning to try and call a friend in Australia later tonight to see if the fires have affected her... We have also joined the Little People of America, year-by-year - it's actually cheaper to get a lifetime membership, but we just weren't sure we would until Tim wanted it. Yet we have met some fantastic people in that organization, even though I haven't gotten around to much more than the annual campout, which Tim loves. Most members have achondroplasia, which will not respond to GH. I remember being greeting by one full-grown gentleman around Tim's height now, who held himself with such dignity. That's what I want the most for Tim. I want him to be big 'on the inside'. But I do want to do what is best considering all factors to help with his physical challenges as well. Whew, like you said, it's never easy! I send my love, hugs, and prayers to you and your family for 2002! Inga At 09:08 PM 12/31/2001 -0500, you wrote: > > Inga, > > Bulking Max up was one of the reasons that led us to start gh with him as > well. He definitely became stronger after using it for awhile. I sincerely > hope that you have the success that we have had in that department. > Unfortunately, it is no longer giving him the height advantage that he used > to have, but according to Dr. H., that is not the norm, so don't worry about > that. Poor Max. He seems to get the bad end of so many things....At least > he is a great kid. > > As I said to Annette in an earlier message, the biggest change we have seen > in Max over the past 6 months is his increase in bulk/weight. I know that is > because of the Risperdal that he is taking for Tourette's Syndrome. It is > nice to see him outgrowing clothes now and to hug him and feel broad > shoulders and a tummy. We are walking that delicate line, however, of not > eating too much, but needing to eat to help him grow. It's never easy, huh? > > I hope that you have a happy and healthy new year. We've already been out to > a nice dinner with the two kids and now my husband is the chauffer for four > teens to go to an alchohol-free party. So much for family time. It's nine > o'clock and I'm already in my pj's. What a social life. > > Jodi > Re: Re: Inga: Short-term use of GH > > > Thanks, . It is good to hear this info on the height question. > I'm > actually having an additional reason for liking to use growth hormone, > though - > bulking. I read an article about the use of GH for cystic fibrosis > patients at > around the 5th percentile weight to height and it significantly improved > their > weight to height, muscle, etc. I feel that with Tim being at less than the > first percentile weight to height, the combination of g-tube and GH for > several > years could really help his muscle/bone mass which could have a lot of > practical implications when he gets older.. > > Inga > > At 07:49 AM 12/31/2001 +0000, you wrote: > > > > Inga - > > > > Re your post about short-term use of GH. This is a question > > currently in the thoughts of many doctors, including Dr. H. A large > > European study (Dr. Wollmann who spoke at the MAGIC convention) gave > > double-doses of GH for just 2-3 years. Basically what they found is > > that when they stopped, about half the kids' growth fell back down to > > their original low curves (so you would begin the GH again). But the > > other half just fell a little bit and then began a new curve. > > > > So.... it all depends on what you want in end result. If you want > > EVERY INCH YOU CAN GET - then you should do GH and not stop at any > > time (if you stop, and then later start again, you will forfeit some > > incremental height in the end). > > > > If you are willing to play the odds a bit, you have options. I have > > never posted this before, but my husband and I have already decided > > (and discussed this with Dr. H with her approval), that we are going > > to continue 's GH nightly injections UNTIL her height growth > > slows down to that of a " normal " child -roughly 2 inches a year. > > Studies have found that this often occurs after about 3 years on GH. > > We are hoping that will be at the 35%'tile in height at that > > time (of course, Dr. H is shooting for 50%'tile or greater). At that > > point, we will discontinue GH, and monitor her. If her height drops > > below the 10%'tile, then we will start the GH again. > > > > I want to caution everyone that the percentile groupings I use are > > PERSONAL, based on 's projected height without having RSS > > (she would have been 5'8 " without RSS). Each family's decision > > should be based on what their own child's target height is. > > > > But to be honest, if it was our son Tyler that had GH, my husband has > > said that he would not play the odds. Because discontinuing the GH > > for even 3-6 months can mean a loss of an inch or so at the end. > > > > Clearly, this is a personal decision. I have posted the GH/Insulin > > resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD > > director. > > > > > > > > > > > >> > Hi, > > > >> > > > > >> > I am new to the group. I have a 9 year old son who has been > > on GH > > > >> > for 3 years. Recently, I have learned that Joe may need to > > have a > > > >>3 > > > >> > day stay at the hospital for blood draws on IGFTT (whatever > > that > > > >>is) > > > >> > and checking for insulin resistance. Jodi, or anyone else, do > > you > > > >> > have any help for me. I am concerned that this may mean he is > > > >> > developing diabetes. Is this something to be worried about > > with > > > >> > using GH? According to his endo, he is in the pre-pubescent > > time > > > >> > frame with no visible signs of puberty. > > > >> > > > > >> > Thanks for you help. > > > >> > Marie > > > >> > > > > > > > > > > > >_________________________________________________________________ > > > >Join the world's largest e-mail service with MSN Hotmail. > > > ><<http://www.hotmail.com>http://www.hotmail.com>http://www.hotmail.com > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2001 Report Share Posted December 31, 2001 Jodi, Yeah, we're really not so social this year - we tucked Tim in after staying up a bit to play a new card game he got for Christmas and then Rob and I talked on the couch awhile, not staying up to welcome in the New Year, though I'm planning to try and call a friend in Australia later tonight to see if the fires have affected her... We have also joined the Little People of America, year-by-year - it's actually cheaper to get a lifetime membership, but we just weren't sure we would until Tim wanted it. Yet we have met some fantastic people in that organization, even though I haven't gotten around to much more than the annual campout, which Tim loves. Most members have achondroplasia, which will not respond to GH. I remember being greeting by one full-grown gentleman around Tim's height now, who held himself with such dignity. That's what I want the most for Tim. I want him to be big 'on the inside'. But I do want to do what is best considering all factors to help with his physical challenges as well. Whew, like you said, it's never easy! I send my love, hugs, and prayers to you and your family for 2002! Inga At 09:08 PM 12/31/2001 -0500, you wrote: > > Inga, > > Bulking Max up was one of the reasons that led us to start gh with him as > well. He definitely became stronger after using it for awhile. I sincerely > hope that you have the success that we have had in that department. > Unfortunately, it is no longer giving him the height advantage that he used > to have, but according to Dr. H., that is not the norm, so don't worry about > that. Poor Max. He seems to get the bad end of so many things....At least > he is a great kid. > > As I said to Annette in an earlier message, the biggest change we have seen > in Max over the past 6 months is his increase in bulk/weight. I know that is > because of the Risperdal that he is taking for Tourette's Syndrome. It is > nice to see him outgrowing clothes now and to hug him and feel broad > shoulders and a tummy. We are walking that delicate line, however, of not > eating too much, but needing to eat to help him grow. It's never easy, huh? > > I hope that you have a happy and healthy new year. We've already been out to > a nice dinner with the two kids and now my husband is the chauffer for four > teens to go to an alchohol-free party. So much for family time. It's nine > o'clock and I'm already in my pj's. What a social life. > > Jodi > Re: Re: Inga: Short-term use of GH > > > Thanks, . It is good to hear this info on the height question. > I'm > actually having an additional reason for liking to use growth hormone, > though - > bulking. I read an article about the use of GH for cystic fibrosis > patients at > around the 5th percentile weight to height and it significantly improved > their > weight to height, muscle, etc. I feel that with Tim being at less than the > first percentile weight to height, the combination of g-tube and GH for > several > years could really help his muscle/bone mass which could have a lot of > practical implications when he gets older.. > > Inga > > At 07:49 AM 12/31/2001 +0000, you wrote: > > > > Inga - > > > > Re your post about short-term use of GH. This is a question > > currently in the thoughts of many doctors, including Dr. H. A large > > European study (Dr. Wollmann who spoke at the MAGIC convention) gave > > double-doses of GH for just 2-3 years. Basically what they found is > > that when they stopped, about half the kids' growth fell back down to > > their original low curves (so you would begin the GH again). But the > > other half just fell a little bit and then began a new curve. > > > > So.... it all depends on what you want in end result. If you want > > EVERY INCH YOU CAN GET - then you should do GH and not stop at any > > time (if you stop, and then later start again, you will forfeit some > > incremental height in the end). > > > > If you are willing to play the odds a bit, you have options. I have > > never posted this before, but my husband and I have already decided > > (and discussed this with Dr. H with her approval), that we are going > > to continue 's GH nightly injections UNTIL her height growth > > slows down to that of a " normal " child -roughly 2 inches a year. > > Studies have found that this often occurs after about 3 years on GH. > > We are hoping that will be at the 35%'tile in height at that > > time (of course, Dr. H is shooting for 50%'tile or greater). At that > > point, we will discontinue GH, and monitor her. If her height drops > > below the 10%'tile, then we will start the GH again. > > > > I want to caution everyone that the percentile groupings I use are > > PERSONAL, based on 's projected height without having RSS > > (she would have been 5'8 " without RSS). Each family's decision > > should be based on what their own child's target height is. > > > > But to be honest, if it was our son Tyler that had GH, my husband has > > said that he would not play the odds. Because discontinuing the GH > > for even 3-6 months can mean a loss of an inch or so at the end. > > > > Clearly, this is a personal decision. I have posted the GH/Insulin > > resistance question to Dr. Harbison and to Gayle Duca, the MAGIC GHD > > director. > > > > > > > > > > > >> > Hi, > > > >> > > > > >> > I am new to the group. I have a 9 year old son who has been > > on GH > > > >> > for 3 years. Recently, I have learned that Joe may need to > > have a > > > >>3 > > > >> > day stay at the hospital for blood draws on IGFTT (whatever > > that > > > >>is) > > > >> > and checking for insulin resistance. Jodi, or anyone else, do > > you > > > >> > have any help for me. I am concerned that this may mean he is > > > >> > developing diabetes. Is this something to be worried about > > with > > > >> > using GH? According to his endo, he is in the pre-pubescent > > time > > > >> > frame with no visible signs of puberty. > > > >> > > > > >> > Thanks for you help. > > > >> > Marie > > > >> > > > > > > > > > > > >_________________________________________________________________ > > > >Join the world's largest e-mail service with MSN Hotmail. > > > ><<http://www.hotmail.com>http://www.hotmail.com>http://www.hotmail.com > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 1, 2002 Report Share Posted January 1, 2002 Inga - 100% agree!!!! has gained 8 pounds since beginning GH (this after the initial 3 pounds for the first 3 months of Periactin). She doesn't look " heavier " -she just has wonderful muscle mass. Her health has improved dramatically, with NO colds or anything in 12 months.....cross our fingers... > > > >> > Hi, > > > >> > > > > >> > I am new to the group. I have a 9 year old son who has been > > on GH > > > >> > for 3 years. Recently, I have learned that Joe may need to > > have a > > > >>3 > > > >> > day stay at the hospital for blood draws on IGFTT (whatever > > that > > > >>is) > > > >> > and checking for insulin resistance. Jodi, or anyone else, do > > you > > > >> > have any help for me. I am concerned that this may mean he is > > > >> > developing diabetes. Is this something to be worried about > > with > > > >> > using GH? According to his endo, he is in the pre- pubescent > > time > > > >> > frame with no visible signs of puberty. > > > >> > > > > >> > Thanks for you help. > > > >> > Marie > > > >> > > > > > > > > > > > >_________________________________________________________________ > > > >Join the world's largest e-mail service with MSN Hotmail. > > > ><http://www.hotmail.com>http://www.hotmail.com > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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