“…In addition, a recently identified GH-releasing peptide, called Ghrelin, is likely to play a role in the regulation of pituitary GH secretion (Kojima et al 1999). The amplitude and frequency of GH secretory pulses are regulated by a complex array of external and internal stimuli including age (Corpas et al 1993, Arvat et al 1997, gender (Van den Berg et al 1996), oestrous cycle phase (Faria et al 1992), genetic background (Mendlewicz et al 1999), nutritional status (Riedel et al 1995), sleep (Matsuno et al 1998), disease status (Frohman et al 1992) and body composition (Ahmad et al 1989). In addition, hormones such as glucocorticoids and thyroid hormones (Devesa et al 1992) influence the pulsatile secretion pattern of GH.…”