Being a 14 year old boy with panhypopituitarism means that Sasha needs testosterone to get him into puberty. He is getting a starter dose of .125 ml of testosterone through a subcutaneous injection on a weekly basis. He had his first testosterone injection on December 21, 2016 (one month ago) and has had 5 injections total. On December 18, he was 172.1 cm or 5' 7.75" and weighed 70.6 kg or 155 pounds (BMI=23.8, 90th%). Today on January 20, (only one month later) he is 174 cm or 5' 8.5" and his weight is 72.3 kg or 159 pounds (BMI=23.8, 90th%). With his recent dramatic gain in height, he possesses the exact same BMI and weight percentile as he had on December 18. I have been reading that sex hormones cause weight (muscle) and height gains in teens and I guess that is what is happening with him. I have not seen any obvious increases in his appetite/eating yet nor have I suspected or received any news of food sneaking from anyone in the last week (and yes, I asked his teachers and after school director) so I don't believe his weight gain is explained by his increased eating.
I have heard from other parents of PHP kids that changes are noticeable quickly after the start of sex hormones and we might be seeing some of these changes already. Sasha sprouted his first pimple (he had flawless complexion until recently, boo hoo!) about two weeks after his first T injection and I am just waiting for the hairy, smelly changes to follow... will his appetite also increase? Probably. Will he get a teen attitude? Probably. Will he start thinking about sex? (cringing) I guess so. It is all natural and normal (with a little help from Pfizer), after all!
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