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Acromegaly is a rare hormonal disorder that causes abnormal growth of bones and tissues in the hands, feet, and face during adulthood. It is caused by excessive production of growth hormone, typically from a benign tumor in the pituitary gland. The Insulin-Like Growth Factor I (IGF-I) test is the most important test for diagnosis because IGF-1 levels remain stable throughout the day and directly reflect growth hormone activity.
Acromegaly is caused by excessive production of growth hormone from the pituitary gland, almost always due to a benign tumor called a pituitary adenoma. This tumor secretes uncontrolled amounts of growth hormone, which triggers the liver to produce high levels of insulin-like growth factor 1 (IGF-1). The excess growth hormone and IGF-1 cause bones and soft tissues to grow abnormally, particularly in the hands, feet, and facial features.
The Insulin-Like Growth Factor I (IGF-I) test is the most important screening test for acromegaly because it provides a stable measure of growth hormone activity throughout the day. Unlike growth hormone levels that fluctuate significantly, IGF-1 remains consistent and accurately reflects chronic growth hormone excess. Elevated IGF-1 levels strongly indicate acromegaly caused by a pituitary tumor. Your doctor may also order a Human Growth Hormone test to measure growth hormone directly, and IGF Binding Protein-3 (IGFBP-3) to provide additional supportive evidence of excessive hormone production.
You should get tested if you notice gradual changes in your appearance, such as your hands or feet becoming larger and requiring bigger rings or shoe sizes, your facial features becoming more pronounced, or your jaw and forehead protruding more. Other warning signs include joint pain, thickening of your skin, deepening of your voice, excessive sweating, or new gaps developing between your teeth. Because acromegaly develops slowly over years, early testing is important if you or family members notice these changes.
What this means
Your IGF-1 levels are below the optimal range for your age group. This may explain symptoms like fatigue, difficulty building muscle, slower recovery after workouts, or decreased vitality. Low IGF-1 can indicate reduced growth hormone activity or inadequate nutrition, both of which can impact your energy, metabolism, and body composition.
Recommended actions
Incorporate regular resistance training and high-intensity interval workouts to stimulate growth hormone production
Prioritize 7-9 hours of quality sleep each night, especially deep sleep when growth hormone is released
Ensure adequate protein intake from quality sources like lean meats, fish, eggs, and dairy products
Consider retesting in 3-6 months after implementing lifestyle changes to track improvements
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