Water only after midnight. Insert IV normal saline at "to keep open rate." Then initiate protocol at times noted.
TRH, throtropin-releasing hormone; GnRH, gonadotropin-releasing hormone; GLU, glucose; GH, growth hormone; PRL, prolactin; LH, luteinizing hormone; FSH, follicle-stimulating hormone; TSH, thyrotropin; T3RIA, total triiodothyronine radioimmunoassay; F, cortisol; E2, estradiol; T, testosterone; DHEA-S, dehydroepiandrosterone sulfate; T4, throxine; T3RU, T3 resin uptake. cGender-appropriate gonadal steroid.
Levodopa or clonidine given orally could be substituted for arginine. Levadopa dose = 0.5 g/1.73 m2. (125 mg if <10 Kg, 250 mg if 10-30 Kg, 500 mg if >30 Kg.) Clonidine dose = 0.1 mg/m2.
disorder or at a lesser dose in children with "at risk" neurological problems. Twenty-four or 12-h overnight diurnal GH studies should be reserved for the more difficult cases where provocative testings are not discriminatory.
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