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17th September 2024
A 35-year-old male presents with a change in the character of his headaches, now associated with blurred vision
A 35-year-old male presents with a change in the character of his headaches, now associated with blurred vision. He also reports feeling lethargic, low in mood, socially isolated, reduced exercise tolerance, and an increase in body weight over the past two years. On examination, he has bitemporal hemianopia; the rest of the examination is normal. Routine bloods are shown below.
| TSH | 0.38 mU/l (0.35-5.5) |
| Free T4 | 13.4 pmol/l (11.5-22.7) |
| IGF-1 | 8 nmol/l (16-118) |
| Prolactin | 350 mU/l (45-375) |
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