IGF1 and hypopituitarism: At the time of conception, hypopituitarism was well compensated (sodium 140 mEq/L, potassium 4.1 mEq/l; insulin-like growth factor 1 (IGF-1) 160.3 ng/mL, normal range 107.8–246.7 ng/mL; fT4 11.7 pg/mL, normal range 9.2–16.8 pg/mL; fT3 3.8 pg/mL, normal range: 2-4.4 pg/mL).