Acromegaly Blood Test

What is Acromegaly?

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.

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What causes acromegaly?

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.

What is the best test for acromegaly?

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.

When should I get tested for acromegaly?

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 are the symptoms of acromegaly?
Acromegaly symptoms develop gradually and include enlarged hands and feet that make rings and shoes too tight, pronounced facial features with a protruding jaw and brow, thickened skin, and excessive sweating. You might notice your voice deepening, gaps developing between your teeth, or joint pain and limited mobility. Other symptoms include fatigue, weakness, headaches, vision problems, sleep apnea, and in women, irregular menstrual periods. Because changes happen slowly over 7 to 10 years, many people do not recognize symptoms until they compare old photos.
Who is at risk for acromegaly?
Acromegaly typically affects middle-aged adults between 40 and 60 years old, though it can occur at any age after puberty. The condition affects men and women equally. Risk factors include having genetic conditions like multiple endocrine neoplasia type 1 (MEN1) or familial acromegaly syndrome, though most cases occur randomly without a family history. People with these genetic syndromes should be monitored regularly, as they have a higher risk of developing pituitary tumors that cause acromegaly.
What happens if acromegaly is left untreated?
Untreated acromegaly leads to serious complications that can be life-threatening. Excessive growth hormone damages your heart, causing enlarged heart muscle, high blood pressure, and increased risk of heart disease and heart failure. You may develop type 2 diabetes, colon polyps with increased cancer risk, severe arthritis, carpal tunnel syndrome, and sleep apnea. The pituitary tumor can grow and press on nearby structures, causing vision loss and persistent headaches. Early diagnosis and treatment are critical because these complications can significantly reduce your lifespan and quality of life.
Can acromegaly be diagnosed with a blood test?
Yes, acromegaly is primarily diagnosed through blood tests that measure growth hormone and insulin-like growth factor 1 (IGF-1) levels. The IGF-1 test is the most reliable screening tool because elevated levels clearly indicate excess growth hormone production. Your doctor may also perform an oral glucose tolerance test, where growth hormone levels are measured after drinking a glucose solution - in healthy people, glucose suppresses growth hormone, but in acromegaly, levels remain high. After blood tests confirm the diagnosis, imaging studies like MRI scans locate the pituitary tumor causing the condition.
How is acromegaly treated?
Acromegaly treatment focuses on reducing growth hormone production and tumor size through surgery, medication, or radiation therapy. Transsphenoidal surgery to remove the pituitary tumor is usually the first treatment and can cure many patients by normalizing hormone levels. If surgery does not fully remove the tumor or is not possible, medications like somatostatin analogs, dopamine agonists, or growth hormone receptor antagonists control hormone production. Radiation therapy may be used when surgery and medication are not fully effective. Treatment goals include normalizing hormone levels, shrinking the tumor, and preventing complications.
How can I prevent acromegaly?
Acromegaly cannot be prevented because it is caused by a pituitary tumor that develops spontaneously, not from lifestyle factors or environmental exposures. However, if you have a genetic condition like multiple endocrine neoplasia type 1 (MEN1) that increases your risk, regular monitoring with blood tests and imaging can detect acromegaly early. Early detection allows for prompt treatment before serious complications develop. If you notice gradual changes in your appearance or symptoms, seeking medical evaluation quickly improves treatment outcomes and prevents long-term damage to your heart, joints, and other organs.
What can I do at home for acromegaly?
While home remedies cannot treat acromegaly itself, you can manage symptoms and support your overall health during medical treatment. Maintain a healthy diet to control blood sugar levels and prevent diabetes, and exercise regularly to manage weight and maintain joint mobility despite arthritis. Use a CPAP machine if you have sleep apnea, which is common with acromegaly. Monitor your symptoms by taking photos periodically to track physical changes, and keep all medical appointments for blood tests and imaging. Stay informed about your condition and communicate openly with your healthcare team about new symptoms or concerns.
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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
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IGF-1 (Insulin-Like Growth Factor 1) 145 ng/mL
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145 ng/mL

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.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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No extra fees paid at the lab

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