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Insulin-Like Growth Factor 1 (IGF-1) Testing

Insulin-Like Growth Factor 1 (IGF-1) Testing

January 21, 2026
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Do I need an Insulin-Like Growth Factor 1 (IGF-1) test?

Feeling unusually fatigued, struggling with muscle weakness, or noticing changes in your body composition? Could your growth hormone levels be affecting how you feel, and might an IGF-1 test reveal what's happening?

IGF-1 reflects your body's growth hormone activity and plays a key role in muscle maintenance, metabolism, and tissue repair. When levels are off, you may experience persistent fatigue, difficulty building muscle, or unexplained physical changes.

Testing your IGF-1 gives you a valuable snapshot of your growth hormone function, helping pinpoint whether hormonal imbalances are contributing to your fatigue or body changes. It's your first step toward a personalized health plan that addresses the root cause and helps you regain your strength and vitality.

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If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

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With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Insulin-Like Growth Factor 1 (IGF-1) testing

  • Reveals whether your growth hormone system is working properly or out of balance.
  • Flags pituitary gland disorders that cause excess or deficient growth hormone production.
  • Explains unexplained symptoms like fatigue, muscle loss, or abnormal growth patterns.
  • Guides treatment decisions for growth hormone therapy and monitors its effectiveness over time.
  • Tracks age-related decline in growth hormone to clarify metabolic and body composition changes.
  • Clarifies causes of delayed growth or short stature in children and adolescents.
  • Best interpreted alongside symptoms, age, and sometimes a growth hormone stimulation test.

What is Insulin-Like Growth Factor 1 (IGF-1)?

Insulin-like growth factor 1 (IGF-1) is a hormone produced primarily by the liver in response to signals from growth hormone (GH), which is released by the pituitary gland in the brain. Small amounts are also made locally in tissues throughout the body. IGF-1 gets its name because its molecular structure resembles insulin, though its main job is promoting growth rather than regulating blood sugar.

IGF-1 drives growth from childhood through adolescence

IGF-1 is the body's principal growth promoter during childhood and adolescence. It stimulates the growth of bones, muscles, and organs by encouraging cells to multiply and mature. Beyond growth, IGF-1 helps maintain muscle mass, supports bone density, and influences how the body uses protein and fat for energy.

A window into growth hormone activity

Because IGF-1 levels are more stable throughout the day than growth hormone itself, measuring IGF-1 provides a reliable window into whether the growth hormone system is functioning properly. It reflects the integrated effect of growth hormone over time.

Why is Insulin-Like Growth Factor 1 (IGF-1) important?

IGF-1 is a hormone produced mainly by the liver in response to growth hormone signals from the pituitary gland. It orchestrates tissue growth, cellular repair, and metabolic balance throughout life. Reference ranges vary widely by age and sex, peaking during puberty and declining steadily into older adulthood.

Growth isn't just for kids

When IGF-1 runs low, the body struggles to build and maintain muscle, bone density weakens, and energy metabolism slows. Adults may notice fatigue, reduced exercise capacity, and slower recovery from injury. In children and adolescents, insufficient IGF-1 can delay growth and sexual maturation.

Too much of a growth signal

Elevated IGF-1 typically signals excess growth hormone, often from a pituitary tumor. This drives abnormal tissue enlargement in adults, causing thickened bones in the hands, feet, and face, along with joint pain and cardiovascular strain. In children, it can trigger excessive height before growth plates close. Chronically high levels also raise the risk of certain cancers by promoting unchecked cell division.

A window into lifelong vitality

IGF-1 connects growth hormone regulation to bone health, muscle function, glucose metabolism, and cardiovascular resilience. Tracking it helps identify growth disorders, pituitary disease, and metabolic imbalances early. Over time, balanced IGF-1 supports healthy aging, preserving strength and metabolic flexibility well into later life.

What do my Insulin-Like Growth Factor 1 (IGF-1) results mean?

Low IGF-1 levels

Low values usually reflect reduced growth hormone activity or impaired liver production of IGF-1. This can occur with growth hormone deficiency, malnutrition, chronic illness, liver disease, or poorly controlled diabetes. In children and adolescents, low IGF-1 may signal delayed growth or pituitary dysfunction. In adults, it can contribute to reduced muscle mass, bone density loss, fatigue, and changes in body composition. IGF-1 naturally declines with age, so interpretation depends heavily on age-specific reference ranges.

Optimal IGF-1 levels

Being in range suggests appropriate growth hormone signaling and healthy metabolic coordination between the pituitary, liver, and peripheral tissues. For most adults, optimal values tend to sit in the mid to upper portion of the age-adjusted reference range, reflecting balanced anabolic activity that supports tissue repair, bone health, and metabolic stability.

High IGF-1 levels

High values usually reflect excess growth hormone production, most commonly from a pituitary adenoma causing acromegaly in adults or gigantism in children. Elevated IGF-1 can also occur with pregnancy or certain medications. Chronically high levels may contribute to tissue overgrowth, joint changes, metabolic disturbances, and cardiovascular strain.

Factors that influence IGF-1 interpretation

IGF-1 must always be interpreted using age- and sex-specific reference ranges, as levels peak during puberty and decline steadily thereafter. Nutritional status, liver function, thyroid hormones, and insulin sensitivity all influence IGF-1 production and bioavailability.

Method: Laboratory-developed test (LDT) validated under CLIA; not cleared or approved by the FDA. Results are interpreted by clinicians in context and are not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
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  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
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Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

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Superpower is currently available in the following US states:

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Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about Insulin-Like Growth Factor 1 (IGF-1) Testing

What is Insulin-Like Growth Factor 1 (IGF-1) and how is it related to growth hormone (GH)?

Insulin-Like Growth Factor 1 (IGF-1) is a hormone made mainly by the liver in response to growth hormone (GH) released by the pituitary gland. IGF-1 circulates in the bloodstream and helps drive cell growth, division, and repair across bones, muscles, and organs. Although it’s structurally similar to insulin, IGF-1’s primary role is supporting growth, tissue building, and long-term maintenance.

Why is an IGF-1 blood test used to measure growth hormone activity?

An IGF-1 test is commonly used because IGF-1 levels are more stable throughout the day than GH, which fluctuates in pulses. Measuring IGF-1 provides a reliable snapshot of overall growth hormone activity and how effectively the GH–IGF-1 axis is working. This makes IGF-1 helpful for evaluating growth, metabolism, tissue repair, and suspected growth hormone disorders.

What are the key benefits of IGF-1 testing for symptoms like fatigue, muscle weakness, or abnormal growth?

IGF-1 testing can help explain unexplained fatigue, muscle weakness, changes in body composition, or unusual growth patterns by assessing growth hormone signaling. It may spot growth hormone deficiency or excess early and clarify whether symptoms stem from hormone imbalance versus other causes like nutrition or chronic illness. Results can also guide next steps, such as additional endocrine evaluation or targeted treatment planning.

What does a low IGF-1 level mean in adults and children?

Low IGF-1 typically suggests reduced growth hormone activity or impaired liver production of IGF-1. Causes can include growth hormone deficiency, malnutrition, chronic illness, liver disease, or poorly controlled diabetes. In children and adolescents, low IGF-1 may be linked to slowed height gain or delayed puberty. In adults, it can relate to fatigue, reduced muscle mass, increased body fat, fragile bones, and subtle cognitive changes.

What does a high IGF-1 level mean and how is it connected to acromegaly or pituitary tumors?

High IGF-1 most often reflects excess growth hormone, commonly due to a pituitary adenoma that can cause acromegaly in adults (or gigantism in children). Persistently elevated IGF-1 can drive abnormal bone and soft tissue growth, joint pain, insulin resistance, and cardiovascular strain. IGF-1 may also rise with pregnancy or certain medications, but sustained elevation in adults typically warrants investigation for GH excess.

How should IGF-1 results be interpreted with age-specific reference ranges and puberty changes?

IGF-1 varies significantly by age: it peaks during puberty and declines steadily with aging. Because of these normal shifts, results should be interpreted using age- and sex-specific reference ranges. “Low” or “high” values can mean different things depending on life stage, including adolescence growth spurts or the natural decline seen in menopause and older adults. Accurate interpretation also considers symptoms and clinical context.

What factors can affect IGF-1 levels besides growth hormone (nutrition, liver function, thyroid, insulin sensitivity)?

IGF-1 production depends on more than growth hormone alone. Nutritional status, liver function, thyroid hormones, and insulin sensitivity can all influence IGF-1 levels. Malnutrition, chronic illness, liver disease, or metabolic issues (including poorly controlled diabetes) may lower IGF-1 even if pituitary function is normal. Because multiple systems affect IGF-1, clinicians interpret results alongside health history and other labs.

How is IGF-1 testing used to guide growth hormone therapy and monitor treatment response?

IGF-1 testing helps guide dosing and decisions when someone is on growth hormone therapy by reflecting overall GH activity in the body. It’s also used to track response to treatment for growth disorders or pituitary tumor–related conditions affecting GH secretion. Monitoring IGF-1 over time can indicate whether therapy is achieving appropriate, age-adjusted levels without pushing IGF-1 too high.

When is a growth hormone stimulation test needed in addition to an IGF-1 test?

An IGF-1 test is often a first-line indicator of GH axis function, but it may not fully confirm certain diagnoses. A growth hormone stimulation test is sometimes needed when IGF-1 results and symptoms suggest growth hormone deficiency or when the clinical picture is unclear. Because IGF-1 can be influenced by nutrition, liver function, and other hormones, stimulation testing can provide additional diagnostic certainty.

Does IGF-1 directly control blood sugar like insulin, and what’s a common misconception about IGF-1?

A common misconception is that IGF-1 works like insulin to regulate blood sugar. While IGF-1 is structurally similar to insulin, its main role is promoting growth, tissue repair, and cell survival across the body. IGF-1 does interact with metabolism and is influenced by insulin sensitivity, but it’s best understood as a key messenger of growth hormone rather than a primary blood-glucose regulator.

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