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A 43 year old female presents to your office complaining of...

A 43 year old female presents to your office complaining of headaches, pain in her joints, and enlarged shoe, glove, and hat size. Physical examination is significant for a prominent jaw, increased soft tissue in palm and sole, and a large tongue. Laboratory work-up is significant for hyperglycemia.


What is the most like diagnosis?



Which endocrine gland and hormone is responsible for these clinical findings?



For this patient and the hormone involved, what is the mechanism of action for this class of hormone? Be specific.

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