If growth hormone (GH) deficiency or treatment is suspected, the first appointment with a hormone specialist is important for laying the groundwork. Here is what you can generally expect during the initial consult for possible GH therapy:
Comprehensive Health and Medical History
Expect to provide your full health history and any family history of endocrine disorders. Be prepared to discuss:
- Any growth or developmental concerns from childhood
- Current symptoms and health concerns
- All medical conditions and medications
- Lifestyle factors like diet, exercise, alcohol use, smoking
- Use of hormones or supplements currently or in the past
The doctor will seek this information to assess if GH deficiency is likely and if GH therapy may be appropriate for your situation. Providing full details leads to the most informed evaluation.
Physical Exam
A complete head-to-toe physical exam will likely be performed. The endocrinologist will examine your facial features, height, weight, muscle development, bone structure, and more for clues pointing to possible child growth clinic deficiency. Comparison to standard growth charts may be done for children. They may also examine any reported symptoms in detail.
Testing for Growth Hormone Deficiency
After a suspect history or exam, testing will likely be ordered to confirm if a deficiency exists before considering treatment. Tests may include:
- IGF-1 blood test – IGF-1 is stimulated by GH. Low levels indicate deficiency.
- GH stimulation test – Measuring blood GH before and after provocation with substances normally causing GH release. Low response suggests deficiency.
- MRI – A pituitary MRI can reveal structural abnormalities potentially impairing GH production.
- Other hormone tests – To check for deficiencies of other pituitary hormones.
Discussing Treatment Goals
Your reasons for pursuing GH therapy will be discussed. Treatment goals and realistic expectations will be set based on your individual health profile and needs. Improvement of deficiency symptoms is the prime goal if deficiency exists growth hormone for kids cost. Enhanced athletic performance, weight loss, or anti-aging would be considered secondary goals to discuss.
Overview of Growth Hormone Therapy
If deemed an appropriate candidate, the process, requirements, and specifics of GH treatment will be reviewed including:
- Injection training and scheduling
- Starting dose and schedule for dose titration
- Lifestyle factors that optimize results like diet, exercise, sleep
- Ongoing lab monitoring needs
- Follow up schedule for reassessment and adjustment
- Potential side effects and risks to monitor for
- Realistic expectations for benefits and results
This information equips you to undertake treatment in an informed manner.
Addressing Costs and Insurance Coverage
GH injections can exceed $500+ monthly. Insurance coverage varies based on diagnosis so your personal coverage will be reviewed. Cash pay options may be presented if you lack coverage. It’s important to understand the financial aspect before electing to start.
Determining if Growth Hormone Therapy is Right for You
The first consult aims to thoroughly assess if GH deficiency exists, if GH therapy is advisable for your situation, and to give you a full understanding of what treatment entails. This enables you to make an informed decision if electing to move forward. If appropriate, the first appointment lays the groundwork for safe, effective GH treatment tailored to your needs.