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Growth Hormone

Immunology & Autoimmune

GHhGHSomatotropin

Review status

Currently under review

Pending specialist review and validation.

What it shows

Growth hormone is a protein made by your pituitary gland that helps regulate growth, body composition, and metabolism. It acts on many tissues and also triggers the liver to make insulin-like growth factor 1, which carries many of its growth effects.

Because growth hormone is released in short bursts, levels in the bloodstream rise and fall during the day and night. A growth hormone test measures the amount in your blood at a specific time and may be done as part of special stimulation or suppression procedures. Your clinician often interprets it together with other tests and your symptoms.

Why it matters

Checking growth hormone helps evaluate slow growth in children, possible deficiency in adults, or suspected excess when symptoms suggest acromegaly. It can also be used to monitor treatment after pituitary surgery or medical therapy.

Too little growth hormone can affect height in children and can influence energy, muscle mass, and bone health in adults. Too much can cause changes in facial features and hands, joint pain, headaches, and metabolic issues. Your clinician uses this test, often with insulin-like growth factor 1 and dynamic testing, to clarify the cause and guide care.

Understanding your results

A single growth hormone result is only one piece of the picture because levels change with sleep, meals, stress, and exercise. Your clinician will interpret your result in context, including the time of blood draw, recent activity, medicines, and other lab results such as insulin-like growth factor 1.

If deficiency is suspected, results may be assessed during a stimulation test. If excess is suspected, results may be assessed during a suppression test. If findings do not match your symptoms, your clinician may repeat testing, use a different assay, or order imaging of the pituitary. Ask about next steps, including follow-up testing and how to prepare so results are as accurate as possible.

Reference ranges

-- ug/L
Female
0 days – 18 years
-- ug/L
Male
0 days – 18 years
0.034 ug/L
Female
18 years – 150 years
0.011.7 ug/L
Male
18 years – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Growth Hormone

  • Time of day and fasting

    Growth hormone secretion is pulsatile and influenced by sleep and meals. Your clinician may ask for an early morning or fasting sample, or use timed samples during a protocol.

  • Recent exercise

    Vigorous activity can raise growth hormone for a short period. Avoid strenuous exercise before testing unless your clinician instructs you otherwise.

  • Stress and acute illness

    Physical or emotional stress, fever, and acute illness can alter hormone release. Tell your clinician if you are unwell or under unusual stress on the day of testing.

  • Medications and hormones

    Oral estrogens, glucocorticoids, dopamine agents, somatostatin analogs, and growth hormone therapy can change results. Bring a complete medication list, including supplements.

  • Biotin supplements

    High-dose biotin can interfere with some immunoassays and cause misleading results. If safe, stop biotin for at least a day before testing or follow your clinician’s advice.

  • Pregnancy and puberty

    Hormonal changes in pregnancy and puberty affect growth hormone pathways. Your clinician will interpret results with these life stages in mind.

  • Body composition and nutrition

    Obesity and poor nutrition can blunt growth hormone responses. Share any recent weight changes or dietary restrictions with your clinician.

  • Sample handling

    Proper collection timing and prompt processing support accurate measurements, especially during stimulation or suppression protocols.

2026

References

  1. McGill University Health Centre. (2015, March 20). Growth Hormone (Task CD 696775). Laboratory reference ranges.
  2. Melmed, S., Bronstein, M. D., Chanson, P., Klibanski, A., Casanueva, F. F., Wass, J. A. H., Strasburger, C. J., Luger, A., Clemmons, D. R., Giustina, A., & Ho, K. K. Y. (2014). A consensus on the diagnosis and treatment of acromegaly: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism, 99(11), 3933-3951.
  3. Molitch, M. E., Clemmons, D. R., Malozowski, S., Merriam, G. R., & Vance, M. L. (2011). Evaluation and treatment of adult growth hormone deficiency: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism, 96(6), 1587-1609.
  4. Grimberg, A., DiVall, S. A., Polychronakos, C., Allen, D. B., Cohen, L. E., Quintos, J. B., Rossi, W. C., Feudtner, C., Murad, M. H., & Pediatric Endocrine Society. (2016). Guidelines for growth hormone and insulin-like growth factor-I treatment in children and adolescents. Hormone Research in Paediatrics, 86(6), 361-397.