THE EFFECT OF SUBCUTANEOUS INJECTION SITE ON ABSORPTION OF HUMAN GROWTH-HORMONE - ABDOMEN VERSUS THIGH

OBJECTIVES To investigate whether growth hormone (GH) absorption is site dependent. DESIGN AND MEASUREMENTS Human growth hormone (hGH, Norditropin) 4 IU, was injected subcutaneousLy on two separate Occasions: into the thigh on one occasion and into the abdomen on a second occasion. Blood was sampled for GH, Insulin, glucose, non-esterified fatty acids and glycerol at baseline and hourly for 12 hours. Serum insulin-like growth factor I was measured at baseline, and after 12 and 24 hours. SUBJECTS Eleven healthy young adults (8 M, 3 F). RESULTS Following the injection serum GH had risen by 1 hour and peaked by 3-6 hours. The peak GH and growth hormone area under the curve were significantly higher after injection in the abdomen compared with the thigh (GH peak (mean +/- SEM) 103 +/- 20 vs 41 +/- 8 mU/l, P = 0.002 and GH area 528 +/- 86 vs 239 +/- 34 mU/l h, P = 0.003 respectively). Serum insulin-like growth factor I at 12 and at 24 hours showed a significant rise from the baseline level, but no significant difference was observed between the two injection sites. No significant difference in plasma insulin, glucose, non-esterified fatty acids or glycerol was observed between the two methods of injection. CONCLUSION Subcutaneously injected GH is better absorbed from the abdominal site than from the thigh.