The USADA, in a Feb. 13, 2019 article, "Growth Hormone in Sport: What Athletes Should Know," available at usada.org, stated:

“Humans naturally produce growth hormone, which controls how the body grows from childhood to adulthood but doesn’t directly act on the bones and muscles. When growth hormone is released by the pituitary in the brain, it circulates in the blood and stimulates the release of a protein called IGF-1 from the liver. The IGF-1 protein is what ultimately stimulates the growth of bones, muscle, and other tissues.

Growth hormone levels are highest in children and decrease with age. While adults still produce growth hormone, the levels are much lower than in children and adolescents…

Growth hormone may only be legally prescribed for a small number of conditions. In pediatric patients, doctors can prescribe it to treat growth hormone deficiency, Prader-Willi syndrome, Turner syndrome, idiopathic short stature (when children are smaller than normal but there isn’t a clear reason) and to treat growth failure in children born small who don’t catch up by the time they are two…

In adults, growth hormone can also be prescribed to treat growth hormone deficiency as a result of pituitary disease, radiation therapy, or trauma. However, the medical use of growth hormone is complex because determining the right time to give the medication and figuring out who will actually benefit from it can be subjective. Growth hormone does not always cause a measurable increase in the rate of growth or development…

The use of growth hormone for an “off-label” use (not approved by the Food and Drug Administration) is unlawful and a felony under the Food, Drug, and Cosmetic Act.”

Feb. 13, 2019