GHRH-Arginine stimulation testINDICATION

Used to confirm GH deficiency:

1. In transition, after achievement of final height, to confirm persistence of childhood GH deficiency in late adolescence/early adulthood if insulin tolerance test is contraindicated or patient is overweight or has diabetes mellitus which may limit interpretation of insulin tolerance test or glucagon stimulation test.2. In adults, if glucagon stimulation test or insulin tolerance test shows GH deficiency (peak GH 21y), GH deficiency depends on peak GH and BMI:

BMI 30 Peak GH< 4 mcg/L

In transition (adolescence and young adults