Citras (the synthetic steroid with weak

Citras (the synthetic steroid with weak activity) contacts receptors of estrogens in a hypothalamus where it shows properties, and at adult persons stimulates secretion , and then both and . At children age at which estrogens are absent, in low doses suppresses secretion of Gonadotropinums. In early the period resistance to a preparation, and since the middle up to the end the period becomes perceptible, it stimulates secretion of Gonadotropinums, buy tramadol ultram as well as at adults. Technique of carrying out of the test at women. Daily within 5 days (since 5th day of a menstrual cycle if it is kept) give through a mouth on 100 mg . Blood samples for definition and take in 0, 5, 7, 10 and 13th day. Technique of carrying out of the test at men. During 1-4 give on 100 mg in day. Blood samples for definition and take twice a week. Not changed indicators. At women level and should raise and reach for 5th day of reception of the maximum value usually exceeding fluctuations in norm. After reception of last dose level of Gonadotropinums should decrease, after what there comes secondary rising of level (between 9th and 14th day). At men within a week maintenance doubles, and further it is even more enlarged. Level raises in parallel, but to a lesser degree. Interpreting of results. Normal rising of level of Gonadotropinums testifies to safety
of subthalamic reaction to blockade of brake action of estrogens by a principle of a negative feedback. Absence of reaction in a combination to normal reaction on specifies in a subthalamic parentage of deficiency of Gonadotropinums. At reaction depression on results of the test with usually differ from norm and do not allow to differentiate subthalamic and disorder. At a nervous anorexia and reactions "on , as a rule, are absent. GROWTH HORMONE Definition of initial level Sometimes enough unitary definition of level to prove adequacy of its secretion at patients with suspicion on deficiency or to exclude the acromegalia diagnosis. In the first case of a blood sample take one or some times. At children level in the blood received through 90 mines after offensive of a dream is especially indicative. Value 6 ng/ml or above exclude insufficiency . At patients with suspicion on an acromegalia also it is possible to take sample unitary without preliminary preparation or it is preferable through 2 after meal. It is less than value 5 ng/ml at women or less than 2 ng/ml at men allow to exclude the diagnosis of active disease. assays All existing assays assume gipotalamo-gipofizarnoj axes and consequently do not allow to identify anatomic localisation of disturbance. Rising of initial level causes depression or absence of its reaction almost on all stimulus. However from the diagnostic point of view rising of reference values on any stimulus is enough for an exception of deficiency . Absence or depression of reaction to any of stimulus is often enough observed and at healthy faces, so it is necessary to prove reaction depression at least on two stimulus to confirm the diagnosis of deficiency . assay. At pyridium online healthy faces the hypoglycaemia stimulates secretion ; this test is most often used for an estimation of reserves . Technique. The methodical details including a dose, criteria of adequacy of a hypoglycaemia and terms of sampling of blood, are described in the section devoted to techniques of an estimation of secretion . Level define on 0, 30, 60, 90 and 120th minute. Not changed indicators. For norm accept rising of level to 9 ng/ml or above, that occurs usually on 60-90th minute. At women reaction above, than at men, but this difference has no diagnostic value. Interpreting of results. Normal reaction excludes deficiency . However depression or absence of reaction is observed almost at 20 of healthy faces. It is often observed at rising of initial level . Depression or absence of reaction observe also at adiposity, depression, a hypothyrosis, a hyperthyroidism, syndrome (including iatrogenic), chronic renal insufficiency and is frequent at an acromegalia. Risk. The section devoted see. Assay with L-. L- stimulates secretion , strengthening transfer in , that in turn as believe, raises secretion StG-rilizing of the factor. This test often spend as the second method of an estimation of reserves . Technique. L- in a dose 0,5 give through a mouth on an empty stomach in a rest condition, and blood samples for definition take on About, 60, 90,120, 150 and 180th minute. Not changed indicators. Usual reaction assumes rising of level to 6 ng/ml or above usually between 90th and 150th minute Depression or absence of reaction is more often observed in the conditions of rising of initial level of a hormone. Interpreting of results. Usual reaction excludes deficiency , but is observed only at 65-75 of healthy faces, especially in advanced age.