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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Advisable To Give Growth Hormone To My 8 Years Old?

My daughter is 8 years old her height is 122 cm and her weight is 33 kg. I took her to the doctor and he said that she is short and he made her bone xray to her left hand and a growth hormone. The xray of her hand showed that the age of the bone is 8 years. The results of growth hormone were as follows:
0 min - 0.312 ug/L
30 min 0.721 ug/L
45 min 0.83
60 min 0.903
120 min 0.904
180 min. 0.426
Having in mind that me and my husband are not short and when she was 6 she gained 7 centimenter and when she was 7 year she gained 5 cm height. The doctor recommend that she should have a growth hormon. My question does she need the hormone or should I wait and moniter her for another 1 year.
Mon, 19 Sep 2016
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Pediatrician 's  Response
These are results of growth hormone stimulation test , risk done over 180 minutes and samples are taken every 30 minutes , the agent used to stimulate Growth hormone secretion is either clonidine or glucagone, some experts like to do both stimulation tests with both agents at separate occasions to confirm the diagnosis , and I recommend doing it .
Yes , 8 year old can take it , the earlier the better , because some girls can enter puberty around the age of 9 and growth plate in the bones which is responsible for lengthening of long bones can close and the chance of getting the appropriate adult height will be lost .
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Is It Advisable To Give Growth Hormone To My 8 Years Old?

These are results of growth hormone stimulation test , risk done over 180 minutes and samples are taken every 30 minutes , the agent used to stimulate Growth hormone secretion is either clonidine or glucagone, some experts like to do both stimulation tests with both agents at separate occasions to confirm the diagnosis , and I recommend doing it . Yes , 8 year old can take it , the earlier the better , because some girls can enter puberty around the age of 9 and growth plate in the bones which is responsible for lengthening of long bones can close and the chance of getting the appropriate adult height will be lost .