In an extraordinary display of nature's myriad intricacies,in higher mammals the gonadotropin-releasing hormone (GnRH)pulse generator, which drives the pulsatile secretion of gonadotropinand sex steroids, is kept in abeyance until the onset of puberty,when it is reactivated with remarkable predictability duringthe pubertal transition. Its role in this transition is to promotesexual maturation in synchrony with somatic growth and maturationof sexual and social behaviors. In an earlier era, when mosthumans died before their 25th birthday, food availability wasprecarious, and environmental conditions were unpredictable,failure of the reproductive axis to activate in a timely . . . [Full Text of this Article]
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From the Section of Endocrinology, Diabetes, and Nutrition at Boston Medical Center and the Boston University School of Medicine — both in Boston.
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