A reversible suppression that complicates diagnosis and is not deficiency

Published 26 October 2026 · REVIVE LAB UAE Research Desk · 5 min read
Growth hormone secretion falls with increasing adiposity: pulse amplitude is reduced, the number of pulses may fall, and the hormone is cleared faster, so twenty-four-hour output can be a fraction of that in lean individuals. Elevated free fatty acids and insulin, both features of obesity, suppress release at the pituitary and hypothalamus, and the effect reverses as weight falls. IGF-1 is usually normal because the liver is sensitised by insulin. Stimulation tests in people with obesity give blunted peaks, which is why diagnostic cut-offs are adjusted for body mass index, and why the low secretion of obesity is not classified as deficiency.

The mechanism

Free fatty acids act directly on somatotrophs to inhibit release, and lowering them pharmacologically restores secretion acutely, which identifies them as a main driver. Hyperinsulinaemia suppresses release and simultaneously increases hepatic IGF-1 sensitivity. Increased somatostatin tone and reduced ghrelin contribute. The net result is a reset to lower secretion with preserved IGF-1.

This is the mirror image of the fasting response, where fatty acids are also high but insulin is low and secretion rises.

The diagnostic problem

A peak response that would indicate deficiency in a lean person may be normal for someone with obesity. Guidelines therefore specify lower cut-offs at higher body mass index for the arginine and glucagon tests, and the macimorelin test was validated with this in mind. Without adjustment, obesity would be over-diagnosed as deficiency.

Weight loss restores secretion toward normal, which deficiency does not do.

Why it is here

Because it is part of the established physiology of secretion and because it illustrates that a low level is not the same as a deficiency. This page describes physiology and diagnostic practice; it describes no use of the pack.

Somatropin is supplied by REVIVE LAB UAE for laboratory research use only, with identity and purity documented for the batch. It is not for human or veterinary use, and no dosing, administration or protocol guidance is provided.

What it costs

FormatStrengthPriceAvailability
HGH Somatropin Pack24 mg (72 IU)AED 850In stock

Delivery is AED 40 flat and free on orders over AED 700. Payment is cash on delivery anywhere in the UAE, or USDT (TRC20) in advance, which takes 5% off the order total.

Frequently asked

The mechanism?

Free fatty acids act directly on somatotrophs to inhibit release, and lowering them pharmacologically restores secretion acutely, which identifies them as a main driver. Hyperinsulinaemia suppresses release and simultaneously increases hepatic IGF-1 sensitivity. Increased somatostatin tone and reduced ghrelin contribute. The net result is a reset to lower secretion with preserved IGF-1.

Does REVIVE LAB UAE provide dosing guidance?

No. REVIVE LAB UAE supplies research materials and provides no dosing, administration or protocol guidance of any kind. Every product is sold for laboratory research use only and is not for human or veterinary consumption.

How fast is delivery in the UAE?

Stock is held in Dubai. An order confirmed before 4 PM Dubai time is dispatched the same working day, reaching Dubai and Abu Dhabi the same day and the remaining emirates within 24 hours. Delivery is AED 40 flat and free over AED 700.

HGH Somatropin Pack — in stock, dispatched from Dubai
HPLC-verified, lot certificate on every carton, 24-hour delivery nationwide. Browse the catalogue → All peptides UAE

Related reading

Supplied for laboratory research use only. Not for human or veterinary consumption. REVIVE LAB UAE provides no dosing, administration or protocol guidance.