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is to promote growth. In adults, IGFs maintain  (that is, somatostatin ). GHIH then instructs the   Homeostasis,
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            muscle and bone mass and support tissue repair.  somatotrophic cells of the anterior pituitary to   the delicate
            In addition, IGFs promote lipolysis, release of  cease producing and secreting GH.
            fats (lipids) from adipocytes (fat cells), for use as     Regulation  of  both  GHRH  and  GHIH  balance to
            fuel by the cells affected by GH. Interestingly,  is through blood sugar (glucose) levels, with   keep the
            IGFs decrease uptake of glucose by those af-  hyperglycemia inhibiting GHRH—as if to say   complexities
            fected cells, giving preference to the use of fats  “Enough already! Don’t promote any more
            for ATP production, sparing the glucose so that  growth!” Hypoglycemia, low blood sugar, by  of the body
            it can be used by the neurons (nerve cells) in the  contrast, has an inhibitory or suppressive ef-  running
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            brain.  Perhaps this is a factor in the difference  fect on GHIH, and the net effect is to increase   smoothly,
            between insulin and IGF.                  GHRH, hence GH, with consequently increased
                Insulin is made and secreted by the pan-  levels of blood glucose. Chronic or persistent  can easily
            creas in response to elevated blood sugar. Unlike  excess of GH leads to constant hyperglycemia   be disrupted
            IGFs, which decrease the uptake of glucose by  or elevated blood sugar. This in turn prompts   if constant
            the cells, insulin's most prominent role is to  the pancreas to secrete insulin, since blood sugar
            deliver blood glucose to cells where it is used to  levels as well as fluid are closely regulated.   fluctuations
            generate energy as ATP. Insulin also facilitates     An excess or hypersecretion of GH affects   and demands
            entry of amino acids into cells and activates  the growth of tissues throughout the body but   are imposed
            protein synthesis. Insulin is unlike most other  becomes most evident as excessive growth in
            hormones in that it is anabolic, that is, it pro-  the long bones, leading to abnormal height or  on it.
            motes construction of substances, in contrast to  gigantism, with acromegaly —enlarged hands,
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            catabolic agents which break substances down.  feet and facial bones, coarse features and an
            Any excess glucose, or protein as amino acids,  enlarged tongue. Insufficient or hyposecretion
            beyond what can be immediately used for fuel  of GH in children, by contrast, leads to pituitary
            or construction, is either stored as glycogen or  dwarfism with adult height being about four feet,
            as fat.                                   but with relatively normal proportions. While
                This is a crucial point. It is not fat that  research is inconclusive, severe deficit of GH in
            makes a person fat; it is excess carbs. The body  children has been linked with progeria, where
            converts excess carbohydrates, particularly  body tissues atrophy and accelerated aging
            refined carbohydrates, to fat.            ensues. 12
                Insulin’s net effect is to lower blood sugar.     Blood sugar as well as fluid content are
            If blood sugar is chronically and inordinately  both closely regulated. Homeostasis, the delicate
            elevated, after a while the β-cells of the pan-  balance to keep the complexities of the body
            creas lose their capacity to secrete insulin and  running smoothly, can easily be disrupted if
            burn out, resulting in diabetes. This happens  constant fluctuations and demands are im-
            with constant consumption of refined sugars  posed on it. Since GH summons the release of
            and starches. Continued fluctuation of blood  glucose from storage (as glycogen) in the liver
            sugar levels places exhausting demands on  and prompts the conversion of some proteins
            homeostasis and the entire hormone axis, and  into glucose via gluconeogenesis,  the current
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            is profoundly stressful. The ensuing disorder  societal excess of dietary sugar is a conspicuous
            then emerges as disease. Simply eliminating the  culprit in hormone imbalances and its various
            symptoms, either by covering them up or block-  manifestations.
            ing the metabolic pathways that generate them,
            does not cure the disease nor heal the person.  THYROTROPINS
            Mere elimination of symptoms perpetuates the     TRH (thyrotropin-releasing hormone )
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            endocrine axis disarray, and in effect drives the  from the hypothalamus stimulates the produc-
            disease deeper.                           tion and release of TSH by the anterior pituitary.
                In a healthy, properly operating system, as  TSH goes via the blood to the thyroid gland,
            blood levels of glucose rise, feedback to the hy-  situated in the anterior neck (in front of the
            pothalamus inhibits GHRH and activates GHIH  throat). TSH then prompts the thyroid gland to

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