I Have High Levels Of Igf-1 And Igfbp3. Acromegaly Was

Posted on Sun, 30 Aug 2020

Question: i have high levels of igf-1 and igfbp3. acromegaly was ruled out with glucose test. A 3mm cyst was found in my pituitay; told to monitor. what else can it be?

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Please give details and post reports.

Detailed Answer:
Hi.
Thanks or your query, albeit short.
Noted the history and report.
Please give additional information:
Age of patient.
What are the symptoms/complaints for which special investigations are being done?
What is the clinical presentation as explained by your Doctors?
Please post other reports too.

Awaiting for full details as these will help me to assist you better:

Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (2 minutes later)

45 year old male, fatigue, brain fog, low testosterone, severe anxiety, swollen ankles. depressed. poor concentration. achy joints.

Answered by Dr. T Chandrakant (59 minutes later)

Brief Answer:
Please give additional information

Detailed Answer:
Thanks for your PARTIAL feedback.
Please post other reports of investigations .
And let me know the opinion of the Doctors you visited till now.
All these will help me more to assist you better.

Awaiting.
Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (7 minutes later)

very low testosterone levels (140 was total) were blamed for his mood/anxiety. they ran a hormone panel and discovered elevated igf-1 and igfbp3. he has blurred vision, forgetfull, difficult time doing things with his hands. very anxious.
hes on clomid to raise teatosterone.
and vitamin d and omega 3 and magnesium threonate at bed time. he has sleep apnea. weighs 250 and 6ft tall.
blood pressure normal.

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Review testosterone levels and supplementation if required

Detailed Answer:
Thanks for your feedback.
Please get testosterone levels again to see if Clomid has helped or not.
If the levels are still low then your Doctors may consider testosterone supplementation therapy (TST). It may correct the igf-1 and igfbp3 also. which needs to be confirmed by blood tests at an appropriate time.
Best be done under the care of an Endocrinologist.
I hope MRI for pituitary was done which showed the results as you have mentioned about a cyst of 3 mm.
Vitamin A and Vitamin D should be tested by blood tests to know the exact doses to be taken.

I hope this answer helps further. Please get these done and give feedback.
If required Psychoanalysis helps in some patients for any additional investigations and treatment.

Dr T Chandrakant

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar