ABSTRACT

Role of Hormones in Nutrition and Wound Healing............................................328 Impaired Healing with Lean Mass Loss ...................................................329 Altered Nutrient Partitioning.....................................................................329 Hormonal Response to Wounding.............................................................330

The Rationale for Hormonal Modification ...........................................................331 Attenuation of Catabolism...............................................................331 Accentuation of Anabolic Activity ..................................................331

Human Growth Hormone (HGH) .........................................................................332 Actions .......................................................................................................332 Results of Exogenous HGH Use...............................................................333 Wound Healing Effect ...............................................................................333 Complications ............................................................................................334 Summary ....................................................................................................334

Insulin-Like Growth Factor (IGF-1) .....................................................................334 Actions .......................................................................................................334 Results of Exogenous IGF-1 Use..............................................................335 Wound Healing Effect ...............................................................................336 Complications ............................................................................................336

Insulin ....................................................................................................................336 Actions .......................................................................................................336 Results of Exogenous Use.........................................................................336 Wound Healing Effect ...............................................................................337 Complications ............................................................................................337 Summary ....................................................................................................337

Testosterone ...........................................................................................................337 Actions .......................................................................................................337 Results of Exogenous Use.........................................................................339