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Joined September 2009
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340B Program savings should help rural hospitals and community health centers, not large for-profit companies. 
 @SenMullin, please champion bipartisan #340BReform to close program loopholes and protect vulnerable patients.
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Acromegaly Community retweeted
14 Nov 2025
A new review by Andrea Giustina, MD, and Annamaria Colao, MD, PhD, updates the pathophysiology and disease course of acromegaly, focusing on the general clinician’s key role in early diagnosis and management. At diagnosis, approximately 70% of patients with acromegaly have identifiable macroadenomas that may have grown laterally and extend into the cavernous sinus. In the large Liège Acromegaly Survey, physical changes were most often what led patients with acromegaly to seek medical evaluation and care, especially the development of dysmorphic facies (in 21.5% of cases), which were associated with macroglossia, dental diastema (gaps), mandibular overgrowth, and prognathism, and enlarged hands and feet (in 13.6%). Headache (in 7.5% of cases), asthenia (in 5.9%), and excess perspiration (in 2.0%) also led patients to seek care. Coexisting conditions noted at diagnosis included thyroid enlargement (in 34.0% of cases), hypertension (in 28.8%), diabetes (in 27.5%), sleep apnea (in 25.5%), and cardiac hypertrophy (in 15.5%) (seen in figure). Learn more in the Review Article “Acromegaly,” from San Raffaele Vita-Salute University (@MyUniSR), IRCCS San Raffaele Hospital (@SanRaffaelespa), and @UninaIT: nej.md/3JPVdBg
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On Wednesday, the @GOPHELP committee will hold a hearing on the future of biotech. Rare diseases, like Acromegaly, depend on R&D to develop innovative treatments. @SenMullin, please push to strengthen funding for the FDA and NIH to support R&D and patient access to treatments.
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Thank you @SenMullin for listening to patient voices & pushing progress on the upcoming @GOPHELP hearing on #340B. Spending soared from $6.6B (2010) to $43.9B (2021) while patients still face barriers. Reform must introduce transparency and accountability to this program.
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The 340B Program’s rapid expansion has been linked to insurance premium increases of $22 billion a year, costing families $415/year. This was never the goal.   @SenMullin please support #340BReform to restore integrity & reinvest savings in care. nationalalliancehealth.org/w…

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@LAGovJeffLandry, Louisiana patients need reform that tackles the root cause of high drug costs: PBMs’ profits tied to inflated prices. We need to bring transparency and fairness to the system to lower out of pocket costs for patients. #LALeg
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The #MFN rule won’t help Medicaid patients. No cost savings, just less access & lost innovation.    We need reform that works. The #EPICAct is the right path for patients. @RepGusBilirakis @DrNealDunnFL2 @SenAshleyMoody @SenBillCassidy @SenatorWicker @SenMullin
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Small-molecule medicines treat cancer, heart disease & more, but they face harmful obstacles under the "pill penalty."   Patients deserve better. @VernBuchanan @RepGregSteube @repkevinhern, please stand up for health access and innovation. Support the #EPICAct to protect patients
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90% of U.S. prescriptions are pills. The “pill penalty” puts those at risk, leading to fewer treatments and less access.    @VernBuchanan @RepGregSteube @repkevinhern, please support the bipartisan #EPICAct to fix this harmful penalty.
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Patients shouldn’t have to pay more while middlemen profit. Congress must include #PBMReform in the year-end healthcare package @RepGusBilirakis @VernBuchanan @Kat_Cammack @USRepKCastor @DrNealDunnFL2 @RepDarrenSoto @RepGregSteube @repkevinhern
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Acromegaly Community retweeted
On #AcromegalyAwarenessDay, we collectively raise awareness and offer hope to the acromegaly community. At Crinetics, we’re proud to work alongside patient-centered organizations like @AcroCommunity, @AcromegalyCAN, @pituitaryorg, and @Pituitary_org.
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Acromegaly Community retweeted
Free SharedIt link: rdcu.be/dJ6TP Read our collab international review led by @DrDanielaEspo. #Complications in #acromegaly are numerous &important to treat simultaneously. Personalized medical RX should consider all comorbidities. @OHSUBrain @AcroCommunity @WAPO_org

New content online: Diabetes mellitus in patients with acromegaly: pathophysiology, clinical challenges and management dlvr.it/T7w7zB
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Acromegaly Community retweeted
5 Apr 2024
Superb talk by @gadelha_monica! Next up is @martin_reincke and Mark Gurnell for HCP. #patients meet with @CSRFnet and @AcroCommunity @MSKCancerCenter @MSKNeurosurgery
5 Apr 2024
Looking forward to session II of the #MSKpituitaryCME, where we welcome @gadelha_monica, @BouNassif_MD, and @EBGeerMD to discuss new therapies for #Acromegaly, intra-operative AI, & patient reported outcomes in #Cushings. bit.ly/pituitary2024
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Acromegaly Community retweeted
29 Mar 2024
26 Mar 2024
Join us for a #pituitary tumor update, focusing on evidence-based care & multidisciplinary collaboration. Providers & patients welcome! 🗓️ April 5 (Virtual) Register ➡️ bit.ly/pituitary2024 @EBGeerMD @MSKNeurosurgery @AcroCommunity @CSRFnet @MSKCancerCenter #MSKpituitaryCME
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Acromegaly Community retweeted
Consider joining our virtual #pituitary support group featuring @jakeeide1 . @AcroCommunity @pituitaryorg @PituitarySoc @HeadfortheCure @theABTA
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