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Asking For Self, Female 37, Rawalpindi
I had a transsphenoidal surgery for acromegaly adenoma. My tumor has been removed and my latest MRI shows no further adenoma. but it's been four months my HGH has decreased significantly. It was 50 before surgery and 1.5 after surgery but my igf-1 is still 397. My surgeon and endocrinologist both think I don't need sandostatin at this level. I just want to take opinion of other endocrinologist here too. what do they suggest? is 396 igf-1 safe and it doesn't have any side effects on my organs? can this elevated igf-1 cause tumors if left untreated?
they are right you do not require immediate hormone replacement .you will need periodic hormonal assesment and if the hormonal imbalance persists replacement therapy may be required.
Consult some neurosurgeon plz
You need to direct this query to an endocrine physician. I am a gastrointestinal ( GI) and General surgeon so can’t help you here. Thank you. Dr Daudi
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