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Endocrine Evaluation • IGF-1 Testing

IGF-1 Testing & Therapy in Los Angeles

Insulin-like growth factor 1 (IGF-1) is an important hormone influenced by growth hormone, age, nutrition and health status. An IGF-1 result is most useful when interpreted in the right clinical context—not as a stand-alone anti-aging target.

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David Nazarian, M.D. • Board Certified in Internal Medicine

IGF-1 testing and endocrine evaluation in Los Angeles

What Is IGF-1?

Growth-Hormone Signaling

Growth hormone stimulates production of IGF-1, primarily in the liver. IGF-1 helps mediate many growth-hormone effects and is more stable in the bloodstream than growth hormone itself.

Why It Is Measured

IGF-1 can be useful when evaluating suspected growth-hormone disorders because growth hormone secretion is pulsatile and a random GH level can be misleading.

Low or High IGF-1 Does Not Diagnose a Condition by Itself

Age Matters

IGF-1 normally changes with age, so results need age-adjusted reference ranges.

Health & Nutrition Matter

Liver disease, kidney disease, malnutrition, diabetes and other medical conditions can influence IGF-1 levels.

Confirmation May Be Needed

When a true growth-hormone disorder is suspected, endocrine evaluation may require additional laboratory testing or stimulation/suppression testing rather than one isolated result.

What About IGF-1 Therapy?

Approved Medical Use

Mecasermin is recombinant human IGF-1 with an FDA-approved indication for certain children with severe primary IGF-1 deficiency or specific growth-hormone gene-related circumstances.

Not a Routine Anti-Aging Drug

Approved IGF-1 therapy should not be confused with products marketed to healthy adults for bodybuilding, rejuvenation or general anti-aging. Those goals are outside the approved indication.

Why unnecessary IGF-1 exposure can be risky

IGF-1 affects glucose metabolism and tissue growth. Treatment decisions require a defined diagnosis, appropriate dosing and monitoring rather than trying to push an IGF-1 value higher for wellness purposes.

When We Consider IGF-1 Testing

Testing may be appropriate when symptoms, history or other findings raise concern for a growth-hormone disorder or when an endocrinologic evaluation requires it. Fatigue, poor recovery or reduced muscle mass alone are not specific for growth-hormone deficiency and often have more common explanations.

IGF-1 FAQ

Is IGF-1 the same as growth hormone?

No. Growth hormone stimulates IGF-1 production, but they are different hormones with different testing characteristics and roles.

Can one IGF-1 test diagnose growth-hormone deficiency?

No. IGF-1 is one piece of the evaluation. Diagnosis depends on clinical context and may require additional endocrine testing.

Is IGF-1 therapy FDA-approved?

Mecasermin is FDA-approved for specific pediatric conditions involving severe primary IGF-1 deficiency. That is different from using IGF-1 for healthy-adult anti-aging or bodybuilding goals.

Should adults try to maximize IGF-1?

No. A higher IGF-1 level is not automatically healthier. Results should be interpreted against age-adjusted ranges and the patient’s clinical situation.

Schedule an IGF-1 and Hormone Evaluation

If you have an abnormal IGF-1 result or symptoms raising concern for an endocrine disorder, we can review the result in context and determine whether additional evaluation is appropriate.

Book an Appointment