[00slotiv]

Thanks Doctor Mariano.

Bob

@DrMariano 2968 wrote:

Inflammation markers do not always indicate if one has an infection or even inflammation. They may not be specific enough for certain illnesses. They may be specific for some illnesses but not many others. Thus, it is up to the physician to decide which of the tons tests available to use to diagnosis for specific illnesses based on the patient’s history and exam. For example, C-Reactive Protein, for example, may be fairly specific for cardiac risk, but is poor for everything else. Erythrocyte Sedimentation Rate may be useful for diagnosing temporal arteritis and polyarthralgia rheumatica, but it can be very insensitive and may be “normal” for other inflammatory illnesses and infections.

Some infections are not obvious.

I seldom see anyone who is not deficient in many nutrients. Since the 1920s, nutritional status has decreased tremendously. Modern diets just do not give sufficient nutrition for health.

The list I presented is fairly technical. Self-diagnosis without the expertise is problematic. Even I would consult my physician if I reach the end of my expertise. This is why I usually recommend that people consult their physicians, particularly those who are prescribing the failing treatment in the first place, for reevaluation.

[00slotiv]

This is quite a response Doctor Mariano. Thank you for putting it together. I may have forgotten to mention that my last IGFBP-3 was a little under the range. The second one before that was the same exact way. Usually it is on the low side of normal.

I’ve done the Rhein’s urine test and the GH there is above the range. I believe it. Just not doing much for the IGF-1.

In perusing your list, I am on Thyroid and those #s are good and getting better. Anastrozole has E2 mid range on the Mayo Clinic ultrasensitive. I eat healthy most of the time and shouldn’t be deficient unless it is vitamin A. Drink once a year maybe, don’t fast.

Fasting insulin is low. Don’t recall being hypoglycemic. Inflammation markers have always been good.

I am not over stressed. I work a lot of hours but exercise and get eight hours of bed time a night usually. Am happy with life and work generally.

As far as liver and renal issues, how would they be manifested? Maybe there is something to this.

If nothing is able to be changed, am I alright with high GH but IGF-1 between 130 and 150?

Thank you again for your five star response. Very thorough!

Bob

[00slotiv]

@DrMariano 2958 wrote:

Although I have my own ideas, I am curious.

What have you and your doctor done to evaluate and improve the response to growth hormone?

Nothing. She wonders if the HGH is doing any good but it certainly is. It is Genotropin made by the company I work for. It is very high quality.

She has not propounded a way to improve the response.

I had a similar response after initiating Sermorelin a couple of years ago. Started at 122 IGF-1, got as high as 265, then down in stages to 126.

I don’t doubt that there is ample growth hormone circulating, but don’t know if the IGF-1 I have now is high enough in spite of that, or if I am getting adequate repair from it.

Is this something you have encountered in your practice?

I covet your ideas Doctor Mariano.

Thanks for responding so rapidly too! 🙂

Bob

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