Body mass index and insulin-like growth factor 1 as risk factors for discordant growth hormone and insulin-like growth factor 1Â levels following pituitary surgery in acromegaly

Body mass index and percentage of upper limit of normal range IGF-1 before TSA might constitute prognostic risk factors for discordance in IGF-1 and GH levels in acromegaly. Additional attention should be devoted to potential risk factors for this phenomenon, and methods for modifying the cure and control criteria for acromegaly should be developed.