Issues of effectiveness and safety of the use of growth hormone drugs in pediatric practice


Jintropin[edit | edit code]

Chinese Jintropin Packaging from Europharm (Russia, Ukraine)
Jintropin

Jintropin®
rhGH
is the trade name of a biosynthetic DNA recombinant growth hormone produced by GeneScience Pharmaceuticals Co., LTD in Changchun Province, China since 1998.[1] Jintropin is certified in Russia and Ukraine, the official distributor is Europharm.[2]

Jintropin is certified in Russia and is available in pharmacies.[3]

Products webpage:

https://gensci-china.com/

Jintropin is available in bottles filled with dry lyophilized somatotropin powder for injection. Since 2005, an aqueous solution has been available (Jintropin® rhGH Liquid Formulation in cartridges).[4]

The drug is produced by genetic engineering: the somatotropin gene is introduced into the DNA of Escherichia coli bacteria, as a result of which these bacteria begin to synthesize full-fledged growth hormone.

By structure, Jintropin is a peptide consisting of 191 amino acids and has a molecular weight of 22,125 Da. The amino acid sequence of the drug is identical to the amino acid sequence of human growth hormone produced by the pituitary gland.[5]

Jintropin is intended for use only in China, because... not approved for sale or import into the United States [6]. Since the beginning of 2007, GeneScience has officially stated on its website that it does not supply Jintropin to other countries, [7], but the United States accuses the company of smuggling the drug [8]. And in September 2007, US federal authorities charged GeneScience and its CEO, Lei Jin, with smuggling.

Definition of counterfeit[edit | edit code]

How to determine authenticity

Counterfeit detection Security fibers

Description of anti-counterfeit protection used by GenSci:

  • One package of Jintropin contains 5 bottles of freeze-dried somatropin powder, 5 ampoules of water for injection in the size of 1 ml, 5 insulin syringes. There are also packages of 10 and 20 bottles. Inside the package there are instructions for using the drug with a registration number in the Ministry of Health.
  • Each original package of Jintropin has an anti-counterfeiting non-holographic sticker. To open the box, this sticker must be torn off. But first, you need to erase the silver stripe on the sticker, under which there is a security code
    . Below the code is the inscription “check authenticity on the site [1]”.
  • On the sticker, above the strip with the anti-counterfeit code, there is a field of twelve cells with numbers from 1 to 12. Also against their background are security fibers
    embedded in the paper. By opening a page on the company’s website called “Jintropin™ Anti-counterfeiting System” and entering the security code, a window will open on the site with a black and white image of the sticker, which you should compare to see if the placement of the protective fibers matches.
  • If the display of the anti-counterfeit sticker on the GenSci Pharmaceuticals website fully matches what is on your package, then by clicking the “same” button you can verify the authenticity of Jintropin and see information about the country importing the drug. The example shown is GenLei® Jintropin® for Ukraine Market.

Jintropin in pharmacies[edit | edit code]

Registration Certificate
Jintropin is officially registered in Russia. Registration tenure: unlimited. Since 2016, the drug has been dispensed in pharmacies mainly by prescription.

Jintropin is officially supplied to Russia and Ukraine by the British company (europharm.com).

Official sales have a significant advantage: you are guaranteed to receive Jintropin, which has been stored properly. From China, the drug is delivered in insulated containers with ice; In pharmacies it is stored in refrigerators.

Dilution and preparation of solution[edit | edit code]

According to the data, it is quite acceptable to dilute with water for injection. This solution remains stable for about 48 hours when stored in the refrigerator. Diluted with bacteriostatic water (a solvent without which, as I already wrote, the drug is not sold), Jintropin will remain stable - also in the refrigerator - for about 10 days. And after 2 weeks, the content of the active substance in such a solution will be approximately 7.5 IU instead of 10.

Quality and side effects[edit | edit code]

Examination of the quality of Jintropin (Vadim Ivanov)
The body is capable of producing antibodies to exogenous growth hormone. This is a consequence of the fact that manufacturers of cheap drugs, in order to reduce production costs, save on purification. And growth hormone that has not undergone the normal purification procedure from related proteins produced by the E. coli bacterium contains undesirable impurities. As a result, there is a significant increase in the formation of antibodies to this hormone and a sharp decrease in the effectiveness of the course.

In high-quality drugs, the level of antibody formation is within 2%. "Jintropin" is one of the leaders in this indicator: it is 1.6%.

It should be added that the above antibodies also interfere with the normal secretion of endogenous growth hormone. That is, low-quality drugs significantly suppress the body’s production of its own somatotropin. In addition, antibodies are the “source” of various side effects.

Before receiving permission for official sales in Ukraine, Jintropin underwent clinical trials. The Institute of Endocrinology named after. Komisarenko NAS of Ukraine. So, according to the results of a three-month trial, not a single side effect was identified in a group of 60 patients who received daily injections of Jintropin. Reviews are mostly positive.

Jintropin course for mass and depth

The Jintropin course for weight, according to reviews from many who have tried it personally, has an excellent level of effectiveness and safety. For beginners, the course can be carried out using only one drug - Jintropin. But for more advanced athletes who seek to significantly improve and increase previously gained volumes, experts recommend using this hormone in combination with other drugs.

Jintropin and Fragment 176-191

One of these is the peptide HGH Frag 176-191, widely known in bodybuilding circles. This combination of two powerful products is suitable even for less experienced athletes. Its duration is 12 weeks.

This course hits excess fat the hardest and is ideal for those who want to gain definition with minimal loss in dry mass. The pair of drugs in question deals an incredibly powerful blow to fat cells, turning each of them into high-quality energy. The HGH Frag 176-191 peptide not only stimulates fat burning, but also acts as a barrier to the formation of new fat cells.

To conduct a course, a bottle of Jintropin with a volume of 10 units is diluted with an ordinary solution for injection (1 ml). The finished mixture is used for two days, 5 units per day. The drug is administered in the same way as we indicated above - in places with the greatest accumulation of fat before bedtime. The drug must be stored in the refrigerator at all times.

A 5 mg bottle of HGH Frag 176-191 should also be diluted with water for injection (2 ml). Injections should be given in the amount of 0.4 ml in the same way as Jintropin - 1 mg immediately after waking up, and 1 mg on a training day, half an hour before going to the gym or before lunch. Store the remaining solution in the refrigerator.

Jintropin and peptide CJC-1295

The second option for a very effective course for gaining mass and burning excess subcutaneous fat is the combination of Jintropin and the CJC-1295 peptide . This course is more focused on gaining than on fighting fat. However, the fat-burning effect is still present here, just not in such a clear form as with the combination of Jintropin and the HGH Frag 176-191 peptide.

This course is also suitable for beginners with more or less decent volumes. The course is also designed for 12 weeks. The anabolic effect of the CJC-1295 peptide and the effects of hypertrophy and hyperplasia of muscle structures from Jintropin, forming an excellent pair, will provide you with all the delights of a powerful synergy that will mercilessly stimulate muscle growth.

To carry out this course, Jintropin must be used twice a day, 5 units at a time. Dilute the drug according to the same scheme as described above.

A 2 mg bottle of CJC-1295 peptide is diluted in 2 ml of water for injection. The drug should be used at a dose of 1 mg twice a week. Redness may form in the injection area (as during the Mantoux test).

History of the creation of Jintropin[edit | edit code]

Jintropin has two founding fathers: the first is Dr. Lei Jin, a graduate of Peking University, who trained in the USA for a long time, the second is the Chinese state. Yes, that’s right: “Jintropin” was created as part of the state program for the development of the pharmaceutical industry; China needed its own high-quality synthetic growth hormone.

At the very beginning of 1996, the company Gene Science Pharmaceuticals Co., Ltd (abbreviated as GenSci) was founded in the Middle Kingdom, 50 percent of the shares belonged to Li Jin, and 50 percent to the state. In September of the following year, the installation of equipment was completed, and three months later the first samples of the drugs Jintropin and Scimax. By this time, in terms of its capacity, GenSci was considered the largest pharmaceutical company in China producing synthetic growth hormone.

At first, all Jintropin produced was purchased by the state. But the company developed, orders appeared from private hospitals and pharmacies, and GenSci’s production potential gradually began to exceed government needs. In 2002, Jintropin already owned two-thirds of the domestic market for synthetic growth hormone, and it began to be considered the number 1 pharmaceutical brand in China. And two years later, new capacities were put into operation, which made it possible to annually produce up to 5 million vials of various drugs. Finally, in 2005, a liquid form of Jintropin (in the form of a pen) was released onto the market.

Ban 2006-2011[edit | edit code]

GenSci's production potential gradually began to exceed the needs of the state. The company began to expand the market and Jintropin went on sale to pharmacological distributors within the country. Which slowly began to distribute “Jintropin” throughout the world. The relatively low price and high quality of the drug quickly made it popular; “Jintropin” became especially popular in the USA, where it was used not only by ordinary citizens, but also by show business “stars” who wanted to push back the threshold of aging, tone aging muscles or get rid of excess fat under the skin. By the way, Madonna owes her almost impeccable physical shape to “Gin.” Jintropin was also widely used by athletes; one of the most famous is baseball player Barry Bonds.

And at the beginning of 2007, video footage spread around the world showing Sylvester Stallone trying to smuggle “Jintropin” into this country illegally in his luggage on the day of the presentation in Australia of his film “Rocky Balboa” (“Rocky 6”).

In the end, the number of “Jintropin” detained in air and sea ports, and postal parcels exceeded all conceivable and unimaginable volumes. Doping scandals with the seizure of Jintropin from the defendants have become the most frequent news in sports and sports circles. The patience of the US authorities ran out, and in 2007 they accused Li Jin, who had been the head of GenSci all these years, of organizing a network of suppliers involved in the illegal export of Jintropin to the United States. At one time there was even a question about Lee Jin's extradition to the United States.

Under these conditions, the GenSci company was forced to completely curtail production - the state suspended the license for the production of Jintropin and withdrew the GMP certificate. And since the beginning of 2008 - in connection with the Olympic Games in Beijing - synthetic somatotropin preparations were included in the list of specially controlled substances, which resulted in the cessation of sales of these drugs in the pharmacy chain. Please note: from early 2007 until mid-2010, GenSci did not produce Jintropin at all. That is, all the drugs that hit the market at that time were exclusively counterfeit.

In 2011, production of Jintropin was resumed, but GenSci learned that lesson very well. The procedure for dispensing the drug has been seriously tightened. Now, for delivery to their country, it can only be purchased by official distributors, who must have a license to officially sell Jintropin, that is, the drug must undergo official registration and certification.

For those who want to purchase Jintropin on their own, it will first be useful to go to the official GenSci website and read what is written there.

Course of Jintropin and designer steroids

The course of designer steroids and Jintropin is gaining incredible proportions today. Many athletes resort to such combinations, trying to add a dozen “extra” kilograms of lean muscle in the shortest possible time. Let's look at the main ones of these connections.

Jintropin + Nandrolone is a cosmic pair of drugs that has a truly brutal effect. Did you want accelerated growth of lean muscles without fat deposits and excess water? Then you've come to the right place!

Jintropin + 1-Andro . You can also add 4-Andro here. This will significantly accelerate muscle growth and prevent a significant amount of fluid from accumulating. This combination of powerful drugs boasts even faster metabolism and metabolic processes. In addition, the safety of this course is quite high.

Jintropin + 7-DHEA is one of the safest combinations for the fastest dry mass gain. Boldenone is one of the modern and safest injectable drugs, the action of which is aimed at stimulating anabolic reactions.

These are just examples of some combinations of GH with prohormones. In fact, there are a huge number of complex designer steroids containing several compounds at once. Not only will they give you more effectiveness than solo, but they will go well with taking GH!

Side effects

According to reviews, Jintropin can cause side effects such as increased intracranial pressure, hyperglycemia, decreased thyroid function, epiphysiolysis of the femoral head, leukemoid reactions, myalgia, arthralgia, fluid retention in the body with the development of peripheral edema, and tunnel syndrome.

As a rule, all of the above symptoms are dose-dependent and disappear after dose adjustment.

Sometimes allergic reactions such as itching and skin rash are possible. Very rarely, antibodies to the drug can form in the body, which reduces its effectiveness.

Local reactions to the use of Jintropin may be the following: itching, pain, swelling, hyperemia and lipoatrophy at the injection site.

Contraindications

Jintropin is contraindicated in the following cases:

  • period of pregnancy and breastfeeding (in the case of using Jintropin, it is advisable to avoid breastfeeding);
  • active brain tumors;
  • malignant neoplasms;
  • hypersensitivity to somatropin and additional components of the drug;
  • depressed states (in particular after undergoing operations on the heart and abdominal cavity, in acute respiratory failure).

According to reviews, Jintropin should be prescribed with caution in cases of intracranial hypertension, diabetes mellitus, and hypothyroidism.

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