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Primary medical therapy for acromegaly: an open, prospective, multicenter study of the effects of subcutaneous and intramuscular slow-release octreotide on growth hormone, insulin-like growth factor-1, and tumor size

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If you experience any of the following, you should seek medical care immediately: Your systolic (top number) is greater than 180 Your diastolic (bottom number) is greater than 120 You’re experiencing chest pain, shortness of breath, back pain, numbness or tingling, weakness, trouble walking or speaking, or changes in vision