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Contemporary Metabolism - Volume 2 (Paperback, Softcover reprint of the original 1st ed. 1982)
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Contemporary Metabolism - Volume 2 (Paperback, Softcover reprint of the original 1st ed. 1982)
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It is abundantly clear that a number of subtle abnormalities in
hypothalamic function are associated with human obesity. Some
hormonal abnormalities-the diminished growth hormone responses, for
example-are critically dependent on increased caloric intake and
are quickly reversible with weight loss. Others, such as the
blunted prolactin response to acute hypoglycemia, may persist in
the reduced-obese state. Still others (e. g. , the blunted ACTH
responses to insulin induced hypoglycemia) may, in some patients,
first appear in the reduced-obese state. It remains uncertain
whether any of these abnormalities is ever antecedent to the
presence of obesity. Obviously, it is difficult to plan experiments
in which the amounts of stored triglyceride, the level of caloric
intake, and the state or his tory of obesity can all be
individually evaluated. The issue is made even more complex by the
fact that there may be subgroups of obese in whom hypothalamic
function may be abnormal, whereas many obese may have nearly normal
hypo thalamic function. It should be remembered that for years
clinicians and investigators, working with available research
tools, have ruled out pituitary or hypothalamic abnor malities as a
cause of human obesity. These tools have oftentimes been no more
sophisticated than skull roentgenograms and samples of excreted
steroid hormones in 24-hr urine. The advent of radioimmunoassays
for peptide hormones and the availability of synthetic releasing
hormones have offered possibilities of studying hypothalamic
function undreamed of just a few years ago.
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