The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
GH treatment can confer a number of measurable benefits to severely GH-deficient adults, such as enhanced energy and strength, and improved bone density. Muscle mass may increase at the expense of adipose tissue. Although adults with hypopituitarism have been shown to have a reduced life expectancy, and a cardiovascular mortality rate more than double controls,  treatment has not been shown to improve mortality, although blood lipid levels do improve. Similarly, although measurements of bone density improve with treatment, rates of fractures have not been shown to improve. 
Others purchase HGH products -- or products that claim to increase your body's own production of HGH -- in the form of pills and sprays. Companies that market these products on TV infomercials or online claim they turn back your body's biological clock, reducing fat, building muscle, restoring hair growth and color, strengthening the immune system, normalizing blood sugar , increasing energy and improving sex life, sleep quality, vision , and memory. However, the Federal Trade Commission has seen no reliable evidence to support the claim that these products have the same effects as prescription HGH, which is always given by injection. Taken orally, HGH is digested by the stomach before it can be absorbed into the body.