CPG the Use of Growth Hormone in Children and Adults

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    ]ho _qo ic Dvit}h Hivnijo lj Ahlemvoj bjm Bmue}q

    ]hoqo aeljlabe pvba}lao dulmoeljoq (APD, bvo nobj} }i fo dulmoq civ

    aeljlabe pvba}lao% fbqom ij }ho foq} bsblebfeo oslmojao b} }ho }lno ic

    mosoeipnoj}* Bmhovojao }i }hoqo dulmoeljoq nb| ji} joaoqqbvle|

    dubvbj}oo }ho foq} iu}aino lj osov| abqo* Osov| hobe}habvo pvislmov lq

    voqpijqlfeo civ }ho nbjbdonoj} ic hlq)hov ujlruo pb}loj} fbqom ij }hoaeljlabe pla}uvo pvoqoj}om f| }ho pb}loj} bjm }ho nbjbdonoj} ip}lijq

    bsblebfeo eiabee|*

    ]hoqo dulmoeljoq tovo lqquom lj 6020 bjm tlee fo voslotom lj 602= iv

    qiijov lc jot oslmojao foainoq bsblebfeo*

    APD Qoavo}bvlb}

    Hobe}h ]oahjieid| Bqqoqqnoj} Qoa}lij

    Nomlabe Mosoeipnoj} Mlslqlij

    Nljlq}v| ic Hobe}h Nbeb|qlb

    =}h Ceiiv% Feiak O2% Pbvaoe O

    36?

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    ]ho _qo ic Dvit}h Hivnijo lj Ahlemvoj bjm Bmue}q

    Ji* ]L]EO Pbdo

    EOSOEQ IC OSLMOJAO QABEO BJM DVBMOQ lIC VOAINNOJMB]LIJ

    D_LMOELJO MOSOEIPNOJ] BJM IFGOA]LSOQ ll

    D_LMOELJO MOSOEIPNOJ] DVI_P s

    VOSLOT AINNL]]OO sl

    OX]OVJBE VOSLOTOVQ sll

    BEDIVL]HN CIV DVIT]H HIVNIJO slll

    ]HOVBP\ LJ AHLEMVOJ

    BEDIVL]HN CIV NBJBDONOJ] IC lx

    DVIT]H HIVNIJO.]VOB]OM AHLEMVOJM_VLJD ]VBJQL]LIJ POVLIM

    BEDIVL]HN CIV QAVOOJLJD BJM MLBDJIQLQ x

    CIV BM_E] TL]H PIQQLFEO DVIT]H

    HIVNIJO MOCLALOJA\

    2* LJ]VIM_A]LIJ 2

    6* _QO IC DVIT]H HIVNIJO LJ DVIT]H =

    HIVNIJO MOCLALOJ] (DHM, AHLEMVOJ

    6*2 Mlbdjiqlq Ic Dvit}h Hivnijo Moflaloja|

    Lj Ahlemvoj

    6*2*2 Aeljlabe bjm Buxieidlabe Avl}ovlb =

    6*2*6 Fliahonlabe ]oq}q ?

    6*2*1 Vbmlieidlabe Osbeub}lij 4

    6*2*= Avl}ovlb civ Vocovvbe 8

    6*6 ]vob}noj} Ic Dvit}h Hivnijo Moflaloja| 8

    Lj Ahlemvoj

    6*6*2 Ljl}lb}lij x 200/ ]i}be ji* ic pb}loj}q }vob}om tl}h DH

    BAKJITEOMDONOJ]

    ]ho nonfovq ic mosoeipnoj} dviup ic }hoqo dulmoeljoq tiuem elko

    }i oxpvoqq }holv dvb}l}umo bjm bppvoalb}lij }i }ho cieeitljd civ }holv

    aij}vlfu}lijq7

    Pbjoe ic ox}ovjbe voslotovq thi voslotom }ho mvbc}

    Mb}lj Mv* Vudb|bh Fbkvl% Hobm ic Hobe}h ]oahjieid| Bqqoqqnoj}(H]B, Qoa}lij% Nomlabe Mosoeipnoj} Mlslqlij% NIH

    Mv* Nihm* Bnljummlj Nihm* \uqic% Hobm ic APD _jl}% H]B Qoa}lij%

    Nomlabe Mosoeipnoj} Mlslqlij% NIH

    Nb}vij Qlj Elbj ]h|o bjm Nbmbn Pih Tbj Ahbl

    ]oahjlabe Bmslqiv| Ainnl}}oo civ APD civ }holv sbeubfeo ljpu} bjm

    coomfbak

    Bee }hiqo thi hbso aij}vlfu}om mlvoa}e| iv ljmlvoa}e| }i }ho mosoeipnoj}

    ic }ho APD

    MLQAEIQ_VO Q]B]ONOJ]

    ]ho pbjoe nonfovq hbm ainpeo}om mlqaeiquvo civnq* Jijo hoem qhbvoq

    lj phbvnbaou}labe flvnq iv ba}q bq aijque}bj}q }i quah flvnq* (Mo}bleq bvo

    bsblebfeo upij voruoq} cvin }ho APD Qoavo}bvlb},

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    ]ho _qo ic Dvit}h Hivnijo lj Ahlemvoj bjm Bmue}q

    81

    QI_VAOQ IC C_JMLJD

    ]ho mosoeipnoj} ic }ho APD ij ]ho _qo ic Dvit}h Hivnijo Lj

    Ahlemvoj bjm Bmue}q tbq quppiv}om fljbjalbee| lj l}q oj}lvo}| f| }ho

    Nljlq}v| ic Hobe}h Nbeb|qlb bjm Nbeb|qlbj Ojmiavljo bjm No}bfiela

    Qialo}| tl}hiu} bj| ljsiesonoj} ic }ho phbvnbaou}labe ljmuq}v|*

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