IGF1 and hypogonadotropic hypogonadism: At 48–72 h, we received the remaining results of the blood test requested by endocrinology after the first evaluation, updating the diagnosis to “panhypopituitarism” after documenting hypogonadotropic hypogonadism and both insulin-like growth factor 1 (IGF-I) and prolactin deficiencies (Table 1, Column 3).