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Growth hormone deficiency is a condition where the pituitary gland produces insufficient growth hormone, affecting growth in children and metabolism in adults. It is caused by damage to the pituitary gland from tumors, radiation, surgery, infections, or genetic mutations affecting hormone production. The IGF Binding Protein-3 (IGFBP-3) test is the most important test for diagnosis because it provides a stable marker of growth hormone activity throughout the day.
Growth hormone deficiency is caused by damage or dysfunction of the pituitary gland, which is responsible for producing growth hormone. Specific causes include pituitary tumors, traumatic brain injury, radiation therapy to the brain, surgery near the pituitary gland, infections like meningitis, or congenital conditions where the pituitary gland fails to develop properly. In some cases, genetic mutations affecting the growth hormone gene or the hormone receptors can prevent normal production or function, leading to deficiency from birth or early childhood.
The IGF Binding Protein-3 (IGFBP-3) test is the most important test for growth hormone deficiency because it measures a stable protein that directly reflects growth hormone activity in the body. Unlike growth hormone itself, which fluctuates dramatically throughout the day and during sleep, IGFBP-3 levels remain consistent, making it a reliable marker for diagnosis. This test detects the protein that carries insulin-like growth factors through the bloodstream, and low IGFBP-3 levels strongly indicate that the growth hormone system is not functioning properly. Healthcare providers often use this test alongside clinical evaluation and growth measurements to confirm the diagnosis.
You should get tested if you notice slow growth in children compared to peers, delayed puberty, low energy and fatigue that does not improve with rest, increased body fat especially around the waist, decreased muscle mass and strength, or poor bone density. Adults with unexplained fatigue, difficulty building muscle despite exercise, weight gain, or a history of pituitary problems should also consider testing. If you have had brain surgery, radiation therapy, or a head injury, testing is important even without obvious symptoms, as growth hormone deficiency can develop gradually over time.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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