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Introduction

Growth hormone deficiency (GHD) in adults can lead to a myriad of health issues, including alterations in body composition, cardiovascular disease, and reduced quality of life. Humatrope, a recombinant human growth hormone, has been widely used to treat GHD. While its benefits are well-documented, the long-term effects on renal function, particularly in American males, have been less explored. This article presents the findings of a comprehensive seven-year study examining the impact of Humatrope on kidney function in this demographic.

Study Design and Methodology

The study followed 150 American males diagnosed with GHD, aged between 25 and 50 years at the onset, over a period of seven years. Participants were administered Humatrope at a dosage tailored to their individual needs, with regular monitoring of renal function through serum creatinine levels, estimated glomerular filtration rate (eGFR), and urine analysis. The study aimed to assess any potential nephrotoxic effects of long-term Humatrope use.

Baseline Renal Function

At the commencement of the study, the baseline renal function of the participants was within normal limits. The average serum creatinine level was 0.95 mg/dL, and the mean eGFR was 92 mL/min/1.73m². No significant abnormalities were noted in the urine analysis, indicating that the participants had healthy kidney function prior to the initiation of Humatrope treatment.

Yearly Monitoring and Results

Over the seven-year period, renal function was monitored annually. The results showed a stable trend in serum creatinine levels, with an average increase of only 0.03 mg/dL per year. The eGFR remained within the normal range, with a mean decrease of 1.2 mL/min/1.73m² annually, which is within the expected age-related decline. Urine analysis continued to show no significant abnormalities, suggesting that Humatrope did not induce nephrotoxicity in the study population.

Comparison with Non-Treated GHD Males

To provide context, the study also included a control group of 50 American males with GHD who did not receive Humatrope treatment. This group showed a slightly higher annual increase in serum creatinine levels (0.05 mg/dL) and a more pronounced decline in eGFR (1.8 mL/min/1.73m² per year). These findings suggest that Humatrope may have a protective effect on renal function compared to untreated GHD.

Clinical Implications

The results of this study are reassuring for American males with GHD who are considering long-term Humatrope therapy. The data indicate that Humatrope does not adversely affect renal function over a seven-year period. In fact, the treated group showed a slower decline in kidney function compared to the untreated group, suggesting a potential renal benefit from Humatrope use in this population.

Limitations and Future Research

While the study provides valuable insights, it is not without limitations. The sample size, although sufficient for the purposes of this study, could be expanded in future research to increase the generalizability of the findings. Additionally, longer-term studies beyond seven years would be beneficial to fully understand the impact of Humatrope on renal function over the lifespan of American males with GHD.

Conclusion

This seven-year nephrological study on American males with GHD treated with Humatrope has demonstrated that the medication does not have a detrimental effect on kidney function. In fact, it may offer a protective effect compared to untreated GHD. These findings are significant for clinicians and patients alike, providing reassurance regarding the long-term use of Humatrope in the management of GHD. Future research should continue to monitor renal function in this population to ensure the continued safety and efficacy of Humatrope therapy.


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