Homeopathic
Human Growth Hormone
for Physiologic
and Psychologic
Health
Double-Blind
Studies
Alternative and
Complementary Therapies Vol.5,
No.6, December 1999;
Three Double-Blind
Placebo-Controlled Studies;
Barbara Brewitt, Ph.D.,
James Hughes, M.D.,
Elizabeth A. Welsh,
Ph.D.,
Robert Jackson, D.C.
Human growth hormone
(hGH) receives a good
deal of public attention for the ability to build lean body mass,
increase
physical performance, enhance immune function, and improve body
composition
and shape.1-7 Lean body mass includes muscle, bone, and organ density,
i.e., the body’s fat-free mass. Maintenance of lean body mass extends
life,
because muscle weakness, organ failure, and death are direct results of
lost lean body mass.8, 9In one study, men, ages 61-80 years old, who
injected
pharmacologic concentrations of 50 mg of recombinant hGH 3 times per
week
for 6 months improved in health achieving a state that is more similar
to a youthful state by raising lean body mass by 8 percent, decreasing
fat by 14 percent, increasing spleen and liver sizes by 18 percent, and
increasing bone density.10Other clinical studies on adults with
growth-hormone
deficiency (GHD) found that hGH replacement therapy improved subjects’
body composition and quality of life.3-5, 11, 12
Problems
Associated with Too
Much or Too Little hGH
The American Association
of Clinical Endocrinology
defines GHD as a cluster of self-perceived symptoms as listed in Table
1. Age-related declines in hGH and insulin-like growth factor (IGF)-1
levels
are also used to define GHD. Following puberty, hGH declines
exponentially.13Growth-hormone
(GH) secretion peaks at 31 years of age, then declines by 14-50 percent
per decade, depending upon gender, activity level, and diet or the
onset
of chronic disease.14 Women have slower, yet more statistically
significant,
age-related declines of GH. 15, 16 The prevalence of GHD is not agreed
upon and symptoms may occur in a large number of adults.14
Pharmaceutical
company representatives state that GHD is present in approximately
70,000
U.S. adults,17while other people say that the incidence is at 40
percent
in persons 60-88 years old18 or others state 1 out of every 4000
people.19
Table 2 documents some adverse side effects after 6 months to 1 year
use
of pharmacologic doses of injectable hGH (0.15 mg per day to 5.0 mg per
day) or the associated pathologies of acromegaly. 20, 21
Gigantism and acromegaly
are excellent human
models for understanding the dangers of excessive GH. Gigantism is
caused
by the presence of excess hGH before puberty, with consequences that
can
include extreme height, abnormal proportion s of the body to the arms
and
legs, and early death. Acromegaly is caused by the presence of excess
hGH
after full skeletal growth has occurred. Both of these
pathophysiologies
are accompanied by a host of abnormal metabolic changes, such as those
that cause glucose intolerance, occasional diabetes mellitus,
osteoporosis,
respiratory problems, decreased bone mineral density, cardiac
arrythmias,
and hypertension.
Table 1. - Symptoms of
Growth Hormone Deficiency
Fatigue is the key
symptom and there are clusters
of the following symptoms:
*
decreased lean body mass
*
abdominal obesity and
weight gain
*
decreased physical strength
*
decreased muscle mass
* reduced
cardiac performance
*
impaired sense of well
being
* poor
sleep
source :
http://www.AACE.com and Ref. 14.
In acromegaly, the most
striking problems are
enlargement of the heart, lungs, liver, thymus, and spleen.
Hyperthyroidism
may result in addition to hyperglycemia and glucosuria. Finally,
overgrowth
of the bones in the face, hands, and feet occur. The jaw protrudes and
becomes massive, with thick lips and an overly large tongue, and there
is accentuation of the orbital and frontal ridges. The adrenal,
thyroid,
and parathyroid glands hypertrophy or overgrow. The most notable
abnormality
caused by excess hGH is early hypersexual drive followed by gonadal
atrophy,
impotence, and amenorrhea.
Positive and negative
effects of hGH highlight
the body’s complex feedback mechanisms, which respond to various
time-dependent
and environmental conditions to achieve homeostasis. It may be possible
to develop a new, nontoxic, delivery for hGH as an over-the-counter
medicine
to address the self-diagnosed symptoms of GHD during the aging process.
Oral supplementation with homeopathic hGH necessitates systematic
evaluation
for efficacy. In clinical practice, homeopathic drugs have demonstrated
effectiveness repeatedly, 22-24 bringing the body closer to
homeostasis.
25
Our results suggest that
HhGH provides a safe,
affordable, statistically significant method of improving body
composition
and shape.
Table 2. - Abridged List
of Adverse Side Effects
From Pharmacologic Concentrations of hGH
*
Peripheral edemaa,b
*
Cardiovascular and heart
diseasec,d,e
*
Increased tissue turgorf
*
Musculoskeletal distress
d
* Loss of
lean body mass
g
* joint
disordersb
*
Hypertension and sodium
retentionh
* SGOT
Increasei
* SGPT
increase f
*
Increased sweatingj
* Painb
* Upper
respiratory tract
infectionsj
*
Arthralgiab,k
*
Headachesk
aRef. 5; b Ref. 21; c
Ref. 51; d Mardh, G.,
Lundin, K., Borg, Jonsson, B., Lindeberg, Å. Growth hormone
replacement
therapy in adult hypopituitary patients with growth hormone deficiency:
Combined data from 12 European placebo-controlled clinical trials.
Endocrinol
Metab 1 (suppl A): A43-A49, 1994; e Lombardi, G., Colao, A., Ferone,
P.,
Marzullo, P.M., Landi, M.L. Longobardi, S., lervolino, F., Cuocolo, A.,
Fazio, S., Merola, B., Sacca, L, Cardiovascular aspects in acromegaly:
Effects of treatment, Metabolism 45 (suppl I): S57-S60, 1996; fSource
Serano
Laboratories, Norwell, Massachusetts, product insertion for injectable
recombinant human growth hormone; gLee P.D.K. Pivarnik, J.M., Bukar,
J.G.,
Muurahainen, N., Berry, P.S., Skolnik, P.R., Nerad, J.L, Kudsk, K.A.
Jackson,
L., Ellis, K.J., Gesundheit, N,A randomized, placebo-controlled trail
of
combined insulin-like growth factor 1 and low dose growht hormone
therapy
for wasting associated with human immunodeficiency virus infection. J
Clin
Endocrino Metab 81 :2968-2975, 1996;hHo, K,Y., Weissberger, A.J. The
antinatriuretic
action of biosynthetic human growth hormone in man involves activation
of the renin-angiotensin system. Metabolism 39: 133-137, 1990;
Genentech
Inc., Apple Valley, Minnesota, product insert for injectable
recombinant
human growth hormone; Ref. 27; k Ref. 20.
Some Homeopathy Basics
Homeopathy uses drugs
that have been highly
diluted to produce safe, less-expensive, and nontoxic medicines.
Injectable
recombinant hGH is expensive, often costing $1,000 or more per month.
Samuel
Hahnemann, M.D., the founder of homeopathy, developed the well-known
Law
of Similars after years of observing the interactions between drugs and
the body.26He identified two elements underlying the fundamental
principle
of pharmacology, i.e., a drug has a physiologic effect on the body and
the body reacts positively and negatively to a drug, producing
symptoms.
Dr. Hahnemann found that, by serially diluting drugs into homeopathic
preparations,
he could induce patients to experience key positive attributes of drugs
without having their associated negative reactions. The first
systematic
study of drug action was the homeopathic practice of “proving”
potential
medicines on healthy volunteers. 27
Typically, a homeopathic
drug proving includes
assessment of the drug’s action on healthy subjects at concentrations
high
enough to produce or alleviate symptoms in sensitive individuals. Data
collected from self-perceived symptoms on verum (treatment) versus
placebo
are compared to determine each drug’s guiding symptoms and
characteristics.
The Three Studies
We evaluated the efficacy
of homeopathic recombinant
human growth hormone (HhGH) in three different double-blind
placebo-controlled
studies. First, we evaluated if there was statistical significance
between
treatment and placebo; second, we evaluated different treatment effects
based on the concentration of treatment. Our results suggest that HhGH
provides a safe, affordable, statistically significant method of
improving
body composition and shape, in terms of increasing upper-arm size,
decreasing
hip size, and increasing chest size. We also demonstrated improved
self-perceived
quality-of-life parameters over the placebo effect.
Subjects and Methods
Studies, Subjects, and
Protocols
A total of 162 healthy
people, ages 18-72 years
old, were evaluated for serum IGF-1 levels in three differently
designed
phase I/II, double-blind placebo-controlled trials (DBPCT).
The first study, the
Seattle Study, was a 30-day
study on 15 subjects, 18-57 years old, who exercised 3 to 5 times per
week.
The second study, the
Santa Fe, Proving Study,
included 46 subjects, 19-59 years old, who participated in a
homeopathic
proving in which the identity of the test substance was not revealed.
All
subjects noted their symptoms daily. All subjects were given placebo
and
instructed to chew 1 tablet 3 times per day for 7 days or until
symptoms
began, at which point they stopped taking the medication, but continued
to record their symptoms in journals that were kept during the study.
After
this time, there was a 14 day-washout period during which no substance
was given; however the subjects described symptoms in their journals.
Subjects
were then given either a single 6X or 6C HhGH or placebo. These tablets
were administered for 7 days or until symptoms began. Symptoms produced
by placebo were compared to symptoms produced by verum.
The third study, the
Boulder Study, enrolled
101 individuals who did not exercise regularly, 29-72 years old, in a
42-day,
DBPCT with a crossover after 21 days to the opposite test substance,
i.e.,
treatment was crossed to placebo and vice versa. Test subjects were
selected
to receive one of two formulations of HhGH, a 6X + 12C (higher
concentration
of hGH) or a 6C + 100C + 200C (lower concentration of hGH) or placebo,
in the form of chewable tablets for 21 days. Following this period,
subjects
crossed over to another set of tablets that contained either placebo
(if
they had been given HhGH previously) or one of two formulations of HhGH
(if they had been given placebo previously) for an additional 21 days.
Subjects were instructed to chew 1 tablet 3 times per day, upon rising,
in midafternoon, and in the evening. Additionally, one group was given
6C + 100C + 200C HhGH for 42 days. Another group of three subjects,
ages
33, 35, and 62, years old exercised regularly, without taking treatment
or placebo. Blood analyses were performed by AAL Reference Laboratories
(Santa Ana, California).
Subjects in the Seattle
and Boulder studies,
but not in the Santa Fe study knew the benefits of the test substance.
The three studies are summarized in Table 3.
Table 3. - Weight loss
occured during HhGH
treatment but not during pacebo in the same subjects.
Summary of Three Studies
Study name Type
Size (n)
Length Potency of test substance(s)
Seattle DBPCT
(15) 30 days
6C+100C+200C animal source GH
Santa Fe DBP
run-ona (46)
21 days 6X recombinant single potency
Proving
6X
recombinant
single
potency
Boulder DBPCT
(101) 42 days
6X + 12C recombinant
with
crossover 42 days
6C+100C+200C recombinant b
a Santa Fe used a washout
period of 14 days
in between placebo and treatment; bOne arm of the crossover design
tested
unbuffered hGH crossing to buffered hGH; thus, these subjects were
given
the 6C + 100C +200C HhGH for 42 days (n=14).
Preparation of
Homeopathic hGH and Subject
Pool
In Seattle, HhGH was
derived from purified
human growth hormone and serially diluted and hand succussed to produce
a final tablet of 6C + 100C + 200C HhGH. Hand succussion was withheld
during
placebo preparation. In Santa Fe, single 6X (10-6 molar) and 6C (10-12
molar) HhGH and placebo were prepared. In Boulder, 6C + 100C + 200C
HhGH,
6X + 12C HhGH, and placebo were prepared as they were in Seattle.
Dropouts
occurred in the Boulder Study during the first 21 days as follows: 6X +
12C HhGH, 21 percent; unbuffered HhGH, 14 percent; placebo, 9 percent;
and 6C + 100C + 200C HhGH, 9 percent. Results on serum IGF-1 are from
all
three studies, all other results are from Boulder.
Manual
Measurements-Boulder Study
Body composition was
determined by using bioelectric
impedance analysis (Bioanalogics, Beaverton, Oregon) as validated.28-30
Blood pressure was monitored every 10 days as was body shape via tape
measurements
around the circumference of each subject’s upper arms, upper chest,
hips,
and waist.
Laboratory Measurements
In Seattle, subjects
voluntarily arrived at
the laboratory for blood tests at a consistent time of day that was
most
convenient for them, most generally from 9-11 am or 2-5 pm. None of the
subjects on placebo arrived for the final blood draw. In Boulder, serum
IGF-1 was determined at 5-7 pm to control for potential diurnal changes.
Statistical Analysis
For statistical
comparison, multivariate analyses
were used for different outcomes in the four crossover groups of the
Boulder
study (n=69). There were two types of analyses conducted for each
parameter
tested. Pearson and Wilcoxson ranking were done, using The GENMOD
Procedure
software (SAS ® Institute, Inc., Cary, North Carolina). There was
no
adjustment for multiple testing because there were separate statistical
questions; thus, possibilities for statistically significant artifacts
are present. Controls were built into all analyses by testing for
differences
in age, gender, and baseline values.
Statistical questions
were addressed by:
1. comparing
HhGH treatment to
placebo for each endpoint by:
2.
*
testing
mean
differences between treatment and placebo.
*
testing
time
trends
*
testing
time
and treatment trends
3. testing 6C +
100C + 200C HhGH
versus 6X + 12C HhGH.
4. testing 6C +
100C + 200C HhGH
versus placebo as in question #1.
5. testing 6X +
12C HhGH versus
placebo as in question 1.
Results - Body Composition
Weight changes. Weight
loss occurred during
HhGH treatment but not during placebo in the same subjects (P=0.03,
Figure
1).
Individuals on either
HhGH treatment maintained
-2.07 ± 0.52 lb lower body weight per month versus the weight
maintained
during the placebo period (P<0.0002). Additionally, subjects on 6X +
12C HhGH tended to lose another -1.2 ± 0.6 lbs per month versus
subjects on 6C + 100C + 200C HhGH ( P=0.05).
Figure 2. (above)
Upper-arm circumference change
in subjects on placebo compared to when these crossed over to HhGH.
Standard
error bars are shown. Body shape. Figure 2 shows an upward trend in
upper-arm
size (+0.29 ± 0.09 inches) after HhGH compared to a downward
trend
on placebo (-0.21 ± 0.11 inches; P<0.0001). Trends in
upper-arm
measurements had statistically divergent time-and-treatment differences
between HhGH and placebo (P=0.01). Neither age nor gender affected
outcome;
only HhGH determined outcome.
Figure 3. (above) Hip
circumference change
in subjects on placebo compared to either of the HhGH formulations.
Standard
error bars are shown. Figure 3 illustrates the decreasing trend in hip
size in subjects on HhGH compared to an upward trend for those on
placebo
( P=0.02). At the end of the study, a time-and-treatment effect
correlated
to a loss of -2.09 ± 0.50 inches per month versus placebo (
P<0.001).
Men on 6X+ 12C HhGH lost more hip inches than did women on the same
formula
(P<0.05). In addition, baseline hip size was a highly significant
parameter
for responsiveness to 6X + 12C HhGH (P<0.001). Chest measurement
between
treatment and placebo did not vary statistically. However, both
treatment
groups differed from each other statistically (Figure 4). Chest size of
subjects on 6X + 12C HhGH averaged +0.4 ± 0.2 inches larger at
the
end of the study than the chest size of subjects on 6C + 100C + 200C
HhGH
(P=0.02).
Figure 4. (above) Chest
circumference change
in subjects on placebo compared to either of the HhGH formulations.
Standard
error bars are shown. Waist measurements decreased continually by -0.9
± 0.3 inches over the 42-day period following treatment with 6C
+ 100C + 200C HhGH (Figure 5). Subjects on placebo decreased waist size
minimally (-0.5 ±0.3 inches). Waist size of subjects on 6X + 12C
HhGH decreased by -0.3 ± 0.2 inches after 21 days and the
subjects
continued to lose inches in waist size once treatment stopped with a
loss
of -0.8 ± 0.4 inches at the end of the study. Three people who
only
exercised reduced waist size by -2.3 ± 0.9 inches in 42 or fewer
days.
Figure 5. (above) Waist
circumference change.
Subjects administered 6C+100C+200C throughout the 42-day study (upper
graph)
or administered 6X+12C for 21 days and then crossed over to placebo for
21 days. Lower graph shows Subjects on placebo for 21 days and subjects
who only used regular exercise for throughout the 42-day study.
Insulin Like Growth
Factor-1 Measurements-All
Three Study Sites
Nearly all baseline
measurements of IGF-1 in
the Seattle and Santa Fe studies fell below the mean average reference
range (P<0.0001). In the Boulder study, baseline serum IGF-1 levels
were more evenly distributed around the mean average range; 53 percent
of individuals in the Boulder study had levels above and 46 percent of
subjects had levels below the mean average reference range. All three
test
sites showed age-related declines in baseline serum IGF-1 levels
(Figure
6). There was a statistically significant decline of -1.6
ng/mL/year-of-age
in serum IGF-1evel (P<0.003); therefore, when entering the study,
persons
who were 10 years older than other subjects had on average -16 ng/mL
lower
IGF-1 levels than those subjects at baseline.
Table 4: Boulder Study
Treatment (n)
Age Range
Mean IGF-1 Start range Finish Range Trend
6X +12C 17 50
± 2
29-62 years 198 ± 19 76-410 ng/mL 103-394
ng/mL
Up
6C + 100C + 200C
20 50 ±
2 30-72 years 172 ± 11 102-274 ng/mL
83-381
ng/mL Up
Placebo (31) 42
± 2
31-69 years 194 ± 11 70-343 ng/mL 52-382
ng/mL
Down
Baseline serum IGF-1
levels in subjects of
different ages and exercise routines from all three study sites,
Boulder,
Seattle and Santa Fe.
Oral administration of
HhGH stimulated an upward
trend in IGF-1 levels by 14 ± 31 ng/mL/month (Table 4). In
contrast,
placebo demonstrated an average downward trend of -71 ng/mL per month.
There was a difference of -81 ± 54.5 ng/mL in IGF-1 between
treatment
and placebo.
The randomization process
in Boulder did not
distribute the subjects’ IGF-1 levels, ages, or genders evenly into
treatment
and placebo groups baseline. Because of age differences in Boulder,
statistical
significance was not measured in serum IGF-1 levels with this small
sample
size although the trends over time were opposite in direction.
In treated individuals
using either HhGH formula,
28 percent increased serum IGF-1 levels above 12 percent and up to 78
percent
in 21 days (P=0.058). In contrast, 17 percent of individuals on placebo
had increased serum IGF-1 levels above 12 percent and up to 62 percent
during the same time frame.
Individuals who were most
responsive to treatment
produced an age- and time-related bell shaped curve (data not shown).
Subjects
who were most responsive to early treatment effects on IGF-1 levels
were
31-57 years old. Subjects who were more than 32 years old in Seattle
increased
serum IGF-1 levels by 18 ± 5 percent within the first 15 days of
treatment. Boulder subjects who were 35-57 years old had increased
serum
IGF-1 by a mean of 45 percent (12-78 percent). In contrast, subjects
who
were between 18-32 years old in Seattle showed no change in IGF-1
during
the first 15 days; however these subjects had increased IGF-1 levels by
26 ± 10 percent after 30 days of treatment (data not shown).
Reproducible rises in
serum IGF-1 levels occurred
in the different cities and in the different study designs
Table 5: Guiding Symptoms
for HhGH
Symptom Boulder
Boulder
Boulder Placebo Santa Fe Placebo
6X + 12C 6C
Constitutional
Relief from fatigue
70% 69%
58% 36%
Weight loss 66%
50% 33%
50%
Skin and extremities
Relief from dry scaly
skin 75%
58% 50% 45%
Greater
softness/suppleness 25%
60% 55% 31%
Eyes
Visual improvements
50% 82%
50% 73%
Relief from floaters
60% 44%
56% 50%
Oral
Bleeding gums stopped
100% 50%
37% 64%
Respiratory
Less coughing
56% 100% 67%
47%
Less shortness of
breath 75% 100%
50% 40%
Less phlegm buildup
50% 71%
25% 55%
Gastointestinal/abdominal
Less pain 0%
83% 50%
60%
Less bloating
67% 80% 25%
25%
Less abdominal obesity
50% 73%
63% 40%
Urogenital
Relief from discharges
100% 67%
75% 0%
Decreased libido a
100% 57%
80% 71%
Increased libedo a
100% 60%
83% 38%
Musculoskeletal
Improved physical
appearance 50%
80% 50% 50%
relief from jaw pain
100% 80%
67% 75%
Psychologic
Relief from apathy
100% 80%
50% 66%
Relief from anxiety
83% 60%
63% 50%
Relief from anger
- 83%
67% 59%
Improved quality of
sleep 57%
45% 38% 44%
Neurologic
Relief from headaches
64% 69%
60% 50%
Relief from weakness in arms
and legs
40% 100% 60% 66%
Relief from joint
swelling 100%
100% 100% 50%
Relief from knee
swelling 100%
100% 100% 66%
NOTE: Bold numbers
indicate that the results
were 5 percent greater than those obtained with placebo effects in
Santa
Fe subjects, who had no knowledge of the substance that was being
tested
on them. This percentage is accepted as significantly above placebo by
the Homeopathic Pharmacopoeia of the United States.
In Boulder, a treatment
effect occurred once
the placebo group crossed over to treatment (Figure 7A). The 6X + 12C
HhGH
stimulated serum IGF-1 levels to rise 25 ± 14 percent after 21
days
of use. The 6C + 100C + 200C HhGH increased serum IGF-1 levels by 21
±
13 percent, closely replicating the increase found in Seattle (Figure
7B).
Seattle subjects had increased serum IGF-1 levels by 16 ± 8
percent
after 30 days. The Santa Fe Proving reproduced the increased serum
IGF-1
measured in Boulder with 6X + 12C HhGH (Figure 7C). Serum IGF-1
increased
by 18 ± 10 percent in Santa Fe subjects treated with a single
potency
of 6X HhGH after only 7 days.
In contrast, there was no
significant increase
in serum IGF-1 caused by oral administration of a single potency of 6C
HhGH or caused by placebo after 7 days in Santa Fe. Placebo groups had
no significant change in serum IGF-1 in the three study sites. Subjects
in Boulder experienced a transient-rise in serum IGF-1 during the first
10 days of the study and the exercise-only group had decreased serum
IGF-1
levels by -28 ± 4 percent after the first 21 days (Figure 7A).
After
42 days of exercise only, there was no net change (-3 ± 3
percent)
in serum IGF-1.
Figure 7. (above) Percent
change in serum IGF-1
levels in three different double-blind placebo-controlled sites of: A]
Boulder subjects 35-57 years old; B] Seattle subjects who exercised 3-5
times per week; and C] Santa Fe subjects. In Santa Fe, subjects took
placebo
for 7 days, took nothing for 14 days for the washout period, and then
were
given either placebo or 6C+100C+200C or 6X+12C for seven day. Standard
error bars are shown.
Lean body mass.
Lean body mass increased on
6C + 100C + 200C
HhGH compared to placebo (Figure 8). The 6C + 100C + 200C HhGH
stimulated
lean body mass increase by +2.5 ± 1.2 lbs in the first 21 days
(Figure
8A.) The placebo group experienced no net gain in lean body mass (1.6
±
1.9 lbs) after the first 21 days. Once the placebo group was crossed
over
to 6C + 100C + 200C HhGH, lean body mass increased +2.1 ± 0.98
lbs,
reproducing the earlier findings in Boulder (Figures 8A and 8B). In
contrast,
those people on 6X + 12C HhGH experienced no net gain in lean mass
(0.05±
1 lb) after the first 21 days. Overall, the placebo group decreased in
lean mass by -0.26 ± 0.09 lbs per month compared to the
treatment
treatment group (data not shown; P=0.004). The greater the lean body
mass
at baseline, the greater the ability to gain lean body mass was by the
end of the study ( P=0.006). The baseline lean body mass was
statistically
indicative of how well a person could add lean body mass on 6X + 12C
HhGH,
( P<0.01). Women responded less well because they were -7.3 ±
3.5 lbs lower in lean body mass than men at baseline (P=0.04)
Figure 8. (above) Change
in lean mass in subjects
who: A] were given 6C+100C+200C or 6X+12C for the first 21 days or B]
were
given placebo and then crossed over to 6C+100C+200C HhGH. Standard
error
bars are shown. A treatment effect occurred in terms of gain in lean
body
mass/total body mass (Figure 9). There were positive gains with both
treatments
at all time points compared to negative losses in lean body mass with
placebo
or when using only exercise. A positive ratio indicated greater gain in
lean body mass compared to total body mass. Placebo and exercise-only
groups
experienced negative ratios between lean body mass/total weight,
indicating
gains in fat rather than in lean body mass.
Figure 9. (above)
Lean-mass to total-mass ratio
in subjects who were given: A] 6C+100C+200C HhGH or 6X+12C HhGH or
placebo,
respectively, for 10 days; or B] same conditions for 21 days; or C]
6C+100C+200C
HhGH for 42 days; or D] exercised only for 42 days. Standard error bars
are shown.
Blood Pressure
There was a statistically
significant time
effect with regard to systolic blood pressure, whereby the treatment
group
experienced a downward trend compared to an upward trend in subjects on
placebo +14.06 ±5.48 mm/Hg per month, P=0.01 (Figure 10). When
subjects
on placebo crossed over to 6X + 12C HhGH, these same individuals had
decreased
systolic pressure by -4 ± 3 percent. Prolonged treatment over 42
or fewer days with 6C + 100C + 200C HhGH produced decreased systolic
blood
pressure in subjects by -8 ± 4 percent.
Figure 10. (above)
Systolic blood pressure
in subjects on placebo who crossed over to 6C+100C+200C HhGH or crossed
over to 6X+12C or who were given 6C+100C+200C HhGH for 42 days.
Guiding Symptoms and
Characteristics
Self-perceived symptoms
of GHD improved with
either treatment versus placebo, as noted in Table 5. In Boulder or
Santa
Fe, respectively, fatigue, reported by 46 percent of enrollees when
they
entered the study, improved in 69 percent and 70 percent of subjects
after
either treatment compared to 36 percent and 58 percent on placebo.
Other
age-related GHD symptoms, such as abdominal obesity, weight gain,
decreased
physical strength, decreased libido, poor sleep, depression, and mood
swings,
reported in 21-31 percent of enrollees at study entry were relieved
effectively
with treatment. Subjects also reported relief from bleeding gums, less
buildup of phlegm, relief from coughing, relief from anger, relief from
apathy, and relief from urogenital discharges on treatment compared to
placebo.
Discussion
Chewable tablets of
homeopathic recombinant
human growth hormone promoted significant physical, physiologic, and
self-perceived
quality-of-life benefits compared to placebo in healthy adults, ages
18-72
years old. Statistically significant were weight loss, decreased hip
size
and increased upper-arm size compared to placebo after 21 days of HhGH.
Decreased hip size corresponds directly to less fat storage. Injectable
pharmacologic hGH at concentrations of 0.125 international units(IU)/kg
per week and 0.250 IU/kg per week reduced hip size statistically after
6 months. 31 The weight loss measured in Boulder was consistent with
increased
lean body mass. Clinical studies on GHD subjects who had injected
pharmacologic
concentrations of hGH for 6 months showed no marked changes in body
weight.4,
5 31-33 6C + 100C + 200C HhGH evoked statistically significant
treatment
and time effects and 6X + 12C HhGH evoked statistically significant
changes
that were sensitive to gender, age, and baseline parameters.
Specifically,
males responded better to 6X + 12C HhGH in increasing upper-arm size,
decreasing
hip size, decreasing fat, and increasing lean body mass. The greatest
weight
loss occurred in participants who were using 6X + 12C HhGH.
Reproducible
increases of more than 2 lbs in lean body mass occurred in subjects
using
the 6C + 100C + 200C HhGH for 21 days compared to placebo. Chest size
in
men increased significantly in 21 days on 6X + 12C HhGH versus 6C +
100C
+ 200C HhGH.
Human GH stimulates
lipolysis in adipose tissue
directly. The findings in this HhGH study are consistent with hGH’s
effect
on fuel redistribution via the preferential utilization of fat over
glucose.
34 A given subject’s upper-arm size at the end of the study was
influenced
by baseline age and arm size, i.e., the younger the person, the greater
were the increases in upper-arm size at the end of the study. Clinical
studies with injectable GH demonstrated that the dosing schedule for
people
who are more than 60 years old is considerably less than that required
with younger people.20 It may also be important that different HhGH
concentrations
be provided to different age groups.
Uneven, random
distribution of men and women
into the different groups may have affected the statistical
significance
of treatment compared to placebo. In Boulder, the subjects in placebo
group
were younger by an average of 2 years than the people in treatment
group.
There was a statistically significant response effect related to each
subject’s
age, gender, and baseline values with 6X +12 C HhGH. Entry-level lean
body
mass had a proportionate effect on how much lean body mass could be
gained.
Thus, the health status of a person upon entering the study was
statistically
significant on his or her ability to respond to HhGH. Two treatment
effects
of HhGH that were not significantly influenced by baseline status were
body weight and hip size.
Age-related declines in
normal serum IGF-1
levels have been reported.35 We also observed age-related and
time-related
responsiveness to HhGH in terms of changes in serum IGF-1 levels.
Subjects
in the Seattle and Boulder studies between 32-57 years old responded
rapidly
to treatment. Within the first 21 days of HhGH therapy, IGF-1 levels
rose
18±5 percent in Seattle and 21±13 percent in Boulder,
while
younger subjects required longer treatment periods to achieve similar
levels.
A clinical study on healthy elderly subjects 78 ± 2.5 years old
injecting 0.03 mg/kg per week had peak increases in serum IGF-1 levels
in the first month of 9 ± 3 percent.11 Because of the age- and
time-related
variables, further study with larger sample sizes of subjects clustered
into specific age, gender-, and time-matched groups may be necessary to
show statistical significance.
Conclusion
There were three major
findings from these
different double-blind placebo-controlled studies.
Homeopathic
hGH
Produced
Physiologic
Effects
The first finding was
that oral administration
of HhGH produced physiologic effects. Rises in serum IGF-1 levels
occurred
with both 6C + 100C + 200C HhGH and 6X + 12C HhGH compared to transient
rises and final downward trends in subjects who were on placebo. It is
important to note that 6X + 12C HhGH stimulated a rapid 18 ± 10
percent physiologic rise in serum IGF-1 level after only 7 days in
Santa
Fe subjects who were not aware of what substance was being tested.
These
three studies are the first double-blind placebo-controlled studies to
demonstrate differences in the bloodstreams of healthy people in
response
to HhGH. There have been several double-blind placebo-controlled
studies
that used a combination of four homeopathic growth factors on people
infected
with human immunodeficiency virus (HIV) that demonstrated measurable
increases
in peripheral blood lymphocyte counts and decreases in viral load.36-39
Although homeopathy’s molecular mechanism of action remains to be fully
elucidated, HhGH clearly evokes quantifiable physiologic changes in the
bloodstream.
Multiple
Beneficial Effects of
Treatment Were Demonstrated
The second significant
finding from these studies
is that pharmacological benefits of injectable hormonal replacement
were
experienced with a homeopathic oral chewable tablet. Injectable growth
hormone is well known for its positive effects on lean body mass,
producing
weight and fat loss, improving pulmonary function, lowering blood
pressure,
relieving fatigue, improving vision, producing body shape changes, and
improving psychologic well-being, skin quality, sleep quality, and
libido
among other benefits.
Similar to injectable
hGH, chewable tablets
of HhGH had positive effects on lean body mass, produced weight and fat
loss, relieved fatigue, produced body shape changes, and improved
psychologic
well-being.
Homeopathic hGH also
improved self-perceived
measures related to quality of life significantly, such as energy
increase,
weight loss, improved vision, increased libido, improved sleep quality,
improved breathing, and improved skin softness. Thus, an oral
formulation
that was at least 4000 times lower in concentration than an injectable
hGH provided some of the same benefits of the injectable hGH without
its
side effects.
Oral administration of
HhGH lowered systolic
blood pressure after 3 and 6 weeks, depending upon the formula that was
used. Injectable hGH at 700 µg per day, 3 times per week, for 6
months,
corrected systolic heart function that was caused by left-ventricle
low-mass
index.40 The degree of change in systolic function induced by HhGH
requires
further and more extensive clinical study.
It is noteworthy that
subjects who enrolled
in this study reported unique self-perceived benefits, far above the
placebo
effect and never-before associated with hGH injections. For example,
subjects
reported relief from bleeding gums, less phlegm build-up, relief from
coughing,
relief from anger, relief from apathy, and relief from urogenital
discharges.
These unique characteristics derived from HhGH underlie the possibility
that a different signaling pathway is utilized than the pathway
commonly
outlined by molecular biologists. 41 In this way, HhGH is a different
type
of medicine than injectable hGH. It is conceivable that the serial
dilution
and shaking methods used to prepare homeopathic medicines contribute to
significant alterations in the physical and chemical properties of the
solvent and evoke bioelectric field signals to users.42-45 The degree
of
effectiveness of HhGH compared to injectable hGH requires further
study.
It is obvious that the number of molecules in a preparation is not
equal
to the biologic activity evoked at the physiologic level. The transfer
of information to cells via nonmolecular mechanisms of action are being
investigated by several laboratories.43, 46, 47
The current double-blind
placebo-controlled
study represents a clinical demonstration of Hahnemann’s Law of
Similars,
i.e. positive actions of hGH can be gained with a homeopathic
formulation.
Conventional clinical practitioners administer pharmacologic
concentrations
of injectable hGH for 3-4 weeks until optimal physiologic responses are
achieved and then they cycle the dose to every 3-4 days at lower
concentrations
with periods of no treatment.48 The same dosing schedule of 3-4 weeks
with
daily HhGH followed with cycling the dose to every 3-4 days may be
ideal
for achieving optimal quality-of-life benefits without negative
effects.
Additional and long-term studies are necessary to determine if side
effects
above placebo effects occur with HhGH. In our studies, no toxic side
effects
were reported.
Hahnemann’s
Law
of
Similars Was
Applicable
The third significant
implication of these
findings relates to the other part of Hahnemann’s Law of Similars,
which
states: “Whatever symptoms and syndromes a substance causes in large or
toxic doses, it can heal when given in specifically prepared,
exceedingly
small homeopathic doses.”49 Subjects who received HhGH in these three
differently
designed studies reported relief from symptoms that they reported when
they entered the studies. Symptoms relieved by HhGH treatment often
matched
the symptoms known to be caused by toxic doses of injectable hGH.
Specifically
relieved above placebo were headaches, edema, pain, and anxiety.
Reductions
in systolic blood pressure from HhGH are consistent with the findings
that
excessive hGH in patients with acromegaly correlated directly with
cardiac
abnormalities.
Exercise
and Serum Insulin-Like
Growth-Factor-1 Levels
Serum IGF 1 has been
cited most frequently
as a reliable measure of hGH physiologic activity, however serum IGF-1
levels are not good indicators of GHD.14 We found that a statistically
significant number of people enrolled in these studies were below
national
laboratory reference ranges for serum IGF-1. The potential high
frequency
of GHD within the general population observed in these studies suggest
that stress, exercise, and lifestyle/diet in American society may play
a significant role in aging. It is noteworthy that the participants
from
the Seattle study had a history of exercising at least 3-5 times per
week.
Yet, these “healthy subjects,” who were 18-57 years old were all below
the normal reference range for serum IGF-1 levels at baseline.
Additionally,
3 people in Boulder that exercised regularly and did not administer
treatment
or placebo fell below their baseline values of serum IGF-1 throughout
much
of the study. Thus, exercise without adequate nutrition may contribute
to low serum IGF-1 levels.
Homeopathic
hGH
Works;
More Studies Can Bolster Findings
The data collected in the
Boulder study on
lean body mass raises an interesting question related to the
dose-response
curve between lean body mass gain and concentration of hGH administered
to the body. Lean body mass increased after pharmacologic doses of
injectable
hGH by approximately 7 percent in patients with hypothalamic-pituitary
disease or GHD, and/or in healthy elderly subjects (ranging from 0.03
mg/kg
per week to 0.55 mg per week) for 6-12 months. 11, 20, 52 Loss of
fat mass did not always accompany the lean body mass increases of
0.88-1.1
lbs per month induced by injectable hGH. In our studies with healthy
adults,
chewable tablets of the 6C + 100C + 200C HhGH, lean body mass increased
by approximately 3.2 ± 1.7 lbs per month during a short-term
3-week
treatment period). Further research is warranted with age-matched,
gender-matched,
and baseline-specific controls on larger sample sizes and for
longer-term
treatment periods to test if HhGH produces long-term positive results
at
far lower concentrations than injectable hGH. Overall Homeopathic
HhGH is an effective oral therapy that evokes positive physiologic and
psychologic benefits above the placebo effect without toxicity.