@Type-IIx First and foremost I'd like to thank you for everything you've shared on this forum. The amount of work you've put into your research, your friendly manners, the way you help people on this forum and the fact that you are doing all this for free has left me speechless. Your contribution to this community and the bodybuilding community in general has been absolutely invaluable. I am a med school student and having done research myself I can only imagine the time you've invested into your research. I am really happy to see someone bunking many of the old bodybuilding broscience myths with sound evidence from scientific literature.
This is going slightly off-topic, but I feel like this is a more appropriate place to ask your view on this subject rather than making a new thread. In theory, what do you think would be the most effective protocol for dosing HGH while maximizing ones own natural HGH secretion? This would mostly be relevant to younger inviduals who still secrete a substantial amount of HGH naturally. Note this is not about maximing fat loss or anabolism, but merely about maximing the total cumulative amount of HGH entering ones system during a longer period of time, say a week (= amount of IU's/week from both exogenous and endogenous sources).
According to this study by Hashimoto et al (
Exogenous 20K Growth Hormone (GH) Suppresses Endogenous 22K GH Secretion in Normal Men) the administration of exogenous HGH via s.c. route seemed to suppress endogenous HGH secretion for around 20-24 hours. It is unfortunate however that they did not measure the HGH secretion past 24 hour mark, because the peak of the bolus around the 24 hour mark seems to be much smaller than the bolus at the beginning of the study. It is also noteworthy that it took several hours for the suppression to really kick in after administrating the HGH exogenously. Note that the HGH was administrated via s.c. injection in this study, so it could very well be that the suppression of endogenous secretion would last several hours less if the HGH was administrated via i.m. route.
So I've been thinking that for younger people who would like to maximize the natural secretion of HGH while using exogenous HGH it would make sense to pin the HGH intramuscularly midnight after the largest bolus of endogenous HGH secretion (which would happen during the first few hours of sleep). Since the rHGH would clear from the system faster when administrated via i.m, we could theorize that the suppression would last less than the 20-24 hours seen in the Hashimoto et al study. In theory we could then get the large endogenous bolus of HGH the next night prior to pinning again. To play it even safer, one could also combine the midnight administrations with dosing only every other day. I know this is a very simple and naive theory that does not include the fact that IGF-1 stays elevated longer and most likely at some point will reach high enough levels to completely shut down endogenous HGH section, or any other mechanisms unknown to me that may play a role in regulating the endogenous production of HGH. But that is exactly why I am asking for your view, because I know you are far more knowledgeable than me on this subject. Let's also leave the practicality out from this, as I understand it is not practical for most people to wake up mid night just to pin their HGH.