u/Existing-Dot2939

Hi everyone I have been monitoring a pituitary tumor for almost 3 years now. I recieved my first igf-1 test last year in august and it was a 389. Fast forward now and I had it redone in April and it rose to a 498. My endocrinologist sent me for a glucose suppression test and my results came back as following in the image attached. She told me to seek a second opinion before going to see a neurosurgeon. Are these scores plus everything else enough to just go straight to a neurosurgeon, or do you guys think they're not indicative of acromegaly? I'm really hoping to avoid surgery if possible and try medications. Feel free to share any personal experiences in the comments or any advice.

edit: i also have high cortisol, and high ACTH.