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Sherlock M et al. - There is a close relationship between a basal fasting GH < 2·5 mug/l and nadir/mean GH < 2·5 mug/l during OGTT/GHDC. There is a large discordance between disease activity when assessed by GH and IGF-I which is further increased by radiotherapy. These observations illustrate the challenge of defining appropriate biochemical end-points to achieve control of disease and normalization of mortality in acromegaly.

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