Medical cite on gh suppression
At some point, exogenous gh will suppress your own gh production, but at what level? This cite sheds some light.
If .88 free IGF-1 correlates to a normal young person's gh level,
then increasing it to 2.1, a 240% increase, means that that person
would shut down 75% of gh internal production. So if the normal IGF-
1 level for that group in the study is about 250, increasing it to
600 would shut down 75% of internal gh production. Still, the
pituitary is producing some gh and it doesn't shut down completely.
However, it does show that when you start getting pretty high in the
IGF-1 (probably around 500-600), injected gh will start replacing a
significant portion of your internal gh.
"Recovery of Growth Hormone Release from Suppression by Exogenous
Insulin-Like Growth Factor I (IGF-I): Evidence for a Suppressive
Action of Free Rather Than Bound IGF-I
The Journal of Clinical Endocrinology & Metabolism Vol. 83, No. 8
2836-2842
Ian M. Chapman2, Mark L. Hartman, Karen S. Pieper, Emily H. Skiles,
Suzan S. Pezzoli, Raymond L. Hintz and Michael O. Thorner
To determine the time course of recovery of GH release from insulin-
like growth factor I (IGF-I) suppression, 11 healthy adults (18–29
yr) received, in randomized order, 4-h iv infusions of recombinant
human IGF-I (rhIGF-I; 3 µg/kg·h) or saline (control) from 25.5–29.5 h
of a 47.5-h fast. Serum GH was maximally suppressed within 2 h and
remained suppressed for 2 h after the rhIGF-I infusion; during this 4-
h period, GH concentrations were approximately 25% of control day
levels [median (interquartile range), 1.2 (0.4–4.0) vs. 4.8 (2.8–7.9)
µg/L; P < 0.05]. A rebound increase in GH concentrations occurred 5–7
h after the end of rhIGF-I infusion [7.6 (4.6–11.7) vs. 4.3 (2.5–6.0)
µg/L; P < 0.05]. Thereafter, serum GH concentrations were similar on
both days. Total IGF-I concentrations peaked at the end of the rhIGF-
I infusion (432 ± 43 vs. 263 ± 44 µg/L; P < 0.0001) and remained
elevated 18 h after the rhIGF-I infusion (360 ± 36 vs. 202 ± 23 µg/L;
P = 0.001). Free IGF-I concentrations were approximately 140% above
control day values at the end of the infusion (2.1 ± 0.4 vs. 0.88 ±
0.3 µg/L; P = 0.001), but declined to baseline within 2 h after the
infusion. The close temporal association between the resolution of GH
suppression and the fall of free IGF-I concentrations, and the lack
of any association with total IGF-I concentrations suggest that
unbound (free), not protein-bound, IGF-I is the major IGF-I component
responsible for this suppression. The rebound increase in GH
concentrations after the end of rhIGF-I infusion is consistent with
cessation of an inhibitory effect of free IGF-I on GH release."