RT Journal Article SR Electronic T1 New options for diagnosing and treating acromegaly JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 343 OP 349 VO 65 IS 7 A2 Wilke, William S. A1 Barkan, Ariel L. YR 1998 UL http://www.ccjm.org/content/65/7/343.abstract AB Insulin-like growth factor 1 (IGF-1) is the final pathway of the growth hormone cascade, and is a better clinical measure of acromegaly than growth hormone itself. In patients with acromegaly, medical treatment w i t h a somatostatin analog normalizes growth hormone and IGF-1 levels and produces clinical improvement quickly.