This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of pituitary gland, Subject name: Medicine
Acromegaly is associated with all of the following EXCEPT: 
Select and explain. 
A. Nasal sinus enlargement, B. Increased heel pad thickness, C. Diabetes mellitus, D. Muscle hyperophy
D: Muscle hyperophy
Answer: D: Muscle hyperophy 
Explanation: Screening - IGF-1 | IOC - glucose challenge Test Rx - Transsphenoidal Sx (Definitive Rx) DOC- Octreotide Other drugs Pegvisomant Cabergoline Bromocriptine