Laboratory evaluation of hypothalamic and pituitary axis revealed a pan-hypopituitarism i.e. free T4: 0.6 (0.7–2.5 ng/dL), free T3: 0.18 (0.2–0.5 ng/dL), thyroid-stimulating hormone (TSH): 0.47 (0.3–4.2 μIU/mL), cortisol at 8 am: 3 (5–23 μg/dL), adrenocorticotrophic hormone (ACTH): 24.78 (7.2–64 pg/mL), luteinizing hormone (LH): 1.2 (8.2–40.8 IU/L), follicle-stimulating hormone (FSH): 5.3 (35–153 IU/L), prolactin: 9.7 (2.1–17.7 ng/mL), and insulin like growth factor-1 (IGF-1): 24 (33–220 ng/mL). Here, IGF1 is linked to hypopituitarism.