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Actions of GHB in the Body. It temporarily inhibits the release of
dopamine in the brain. This may cause increased dopamine storage,
and later increased dopamine release when the GHB influence wears
off . This effect could account for the middle-of-the-night wakings
common with use of higher doses, and the general feelings of
increased well-being, alertness and arousal the next day. It
also stimulates pituitary growth hormone (GH) release. One
methodologically rigorous Japanese study reported nine-fold and
sixteen-fold increases in growth hormone 30 and 60 minutes
respectively after intravenous administration of 2.5 grams of GHB in
six healthy men between the ages of twenty-five and forty. GH levels
were still seven-fold higher at 120 minutes. The mechanism by which
growth-hormone release is not known. Dopamine activity in the
hypothalamus is known to stimulate pituitary release of growth
hormone, but GHB inhibits dopamine release at the same time that it
stimulates GH release. This suggests that GHB's GH-releasing effect
takes place through an entirely different mechanism.
At the same time GH is being released, prolactin levels also rise. Serum prolactin levels increase in a similar time-dependent manner as GH, peaking at five-fold above baseline at 60 minutes. This effect, unlike the release of GH, is entirely consistent with GHB's inhibition of dopamine. Other compounds which lessen dopamine activity in the brain (such as the neuroleptic Thorazine) have been shown to result in prolactin release. Although prolactin tends to counteract many of the beneficial effects of GH, the sixteen-fold increases in GH probably overwhelm the five-fold increases in prolactin. It induces "remarkable hypotonia" (muscle relaxation).
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