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	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
	<html>
	<head>
	<title>Pituitary Function Testing</title>
	
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	<meta name="description" content="">
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		@import url(default.css);
		@import url("healthsystem.css");
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<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
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	this.ptrImage = BillzNavBarMM_findObj(arg[0]);
	this.imageMO = new Image();
	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
	this.Moused = false;
	this.OriginalSrc = '';
	return true;
}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
	var imageKey = (rollover_key_img_name.length > 0) ? rollover_key_img_name : img_name;
	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
	}
	return true;
}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
	var imageKey = null;
	var o = null;
	if (runMouseOvers) 
	{				
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	return true;
}

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if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

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}

function BillzMouseOutTimer() {
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}

function nbMouseOutTimer() {
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}

function RestoreAll() {
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}

function BillzMouseoverRestore() {
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}

function nbMouseoverRestore() {
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function BillzLayerRestore() {
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	return pushIt;
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}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
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}

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}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
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}
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	return x;
}

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	var foundit = false;
	var i = 0;
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	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
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		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
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			NavBarRegisterLayer(args[i], x);
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			v = args[i + 2];
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			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
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				document.body_left_2.src=SM8_BannerItems[iNum][0].src; 
				SM8_ThisBanner=iNum;
				SM8_Timer=setTimeout('SM8_SwapBanner()',6000);
				if(SM8_MO){SM8_BannerWindowStatus();}else{window.status='';}
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			SM8_Timer=setTimeout('SM8_SwapBanner()',6000);
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<script type="text/javascript">
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function DHTMLNavBar_configureCookie(linkID) {
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	var cookie_name = '';
	var cookie_value = '';
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}
function DHTMLNavBar_setPLinkIDCookie(linkID){
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function findPosY(obj) {
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var DHTMLrunMouseOvers = false;
var aryDHTMLMoImages = new Array();
var DHTMLimageList = new Array();
var DHTMLTimerID=null;
var itmp=0;

function DHTMLMOImage() {
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	this.ptrImage = DHTMLNavBarMM_findObj(a[0]);
	this.imageMO = new Image();
	this.imageMO.src = a[1];
	this.HTMLname = a[0];
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// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image)
function DHTMLNavBarImagePreload() {
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function DHTMLNavBarMouseover() {
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	var o = null;	
	if (DHTMLrunMouseOvers)
	{
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		a = DHTMLNavBarMouseover.arguments;
		imageKey = (a[2])?a[2]:a[0];
		if(!(aryDHTMLMoImages[imageKey].ptrImage))
			aryDHTMLMoImages[imageKey].ptrImage = DHTMLNavBarMM_findObj(a[0]);		
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		{
			aryDHTMLMoImages[imageKey].OriginalSrc = a[1];
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}

var DHTMLNavBarTemponload = null;
if (window.onload && window.onload != null)
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function DHTMLFullyLoaded() {
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		DHTMLNavBarTemponload();
	DHTMLrunMouseOvers = true;
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}	
function DHTMLNavBarMouseOutTimer() {
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function DHTMLRestoreParent(layername) {
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				DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);			
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}	
function DHTMLRestoreAll() {
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}	
function DHTMLNavBarMouseoverRestore() {
	var i = 0;
	var o = null;
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	{
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		{
			if (aryDHTMLMoImages[imageList[i]].Moused && (o = aryDHTMLMoImages[imageList[i]].ptrImage)) {
				o.src = aryDHTMLMoImages[imageList[i]].OriginalSrc;
				aryDHTMLMoImages[imageList[i]].Moused = false;
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	return true;
}	
function DHTMLNavBarLayerRestore() {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
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			DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);		
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}	
function DHTMLNavBarArrayPushUnique(aryArray, varNewElement){
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	var pushIt = true;
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	{
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	if(pushIt) 
		DHTMLNavBarArrayPush(aryArray, varNewElement);	
	
	return pushIt;
}
function DHTMLNavBarArrayPush(aryArray, varNewElement) {
	//Implement Array Push 'cause IE cant handle it
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}	
function DHTMLNavBarArrayPop(aryArray) {
	//Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
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		aryArray[aryArray.length]=null;
	}
	return varItemToPop;
}
	
var registeredObjects = new Array();
//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function DHTMLNavBarMM_findObj(n, d) {
	x = document.getElementById(n);
	return x;
}
	
var DHTMLNavBarTime         = 100;
var DHTMLNavBarTimes        = 2;
var DHTMLNavBarmoveDistance = 1;
var DHTMLNavBarThisLoc      = 325;
var aryDHTMLLayerNames      = new Array();
var aryDHTMLNavBarLayerInfo = new Array();
var aryDHTMLNavBarLayers    = new Array();
	
function DHTMLNavBarArrayContains()	{
	var a = DHTMLNavBarArrayContains.arguments;
	var foundit = false;
	for(var i=0; i < a[0].length && !foundit; i++) 
	{
		foundit = (a[1]==a[0][i]);
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	return foundit;
}
	
function DHTMLNavBarRegisterLayer()	{
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	var n = a[0];
	var d = a[1];
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		var mo = true;
	else 
		var mo = false;	
	
	if(!(DHTMLNavBarArrayContains(aryDHTMLLayerNames,n)))
	{
		if(o = DHTMLNavBarMM_findObj(n))
		{
			aryDHTMLNavBarLayers[n] = o;
			DHTMLNavBarArrayPushUnique(aryDHTMLLayerNames,n);
			aryDHTMLNavBarLayerInfo[n] = new DHTMLNavBarLayer(n,d,mo);
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideLayers()	{
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer(); 
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	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
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		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
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				v = (v=='show')?'hide':'show';			
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
				obj.visibility = v;			
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideGrandLayers() {
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideGrandLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer();
	for (var i=0; i < (args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 			if(args[args.length-1] == "restore"){
				v = (v=='show')?'hide':'show';		
			}
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
	 			obj.visibility = v;			
		}
	}
}
function DHTMLNavBarRestoreLayers()	{
	var i,p,v,obj,args = DHTMLNavBarRestoreLayers.arguments;
	for (var i=0; i < (args.length); i++)
	{		
	 	if (obj = aryDHTMLNavBarLayers[args[i]])
		{
			v = aryDHTMLNavBarLayerInfo[args[i]].defaultVisibility;
			var strobjid = obj.id;
			if (obj.style)
			{
				obj=obj.style;				
				v=(v=='show')?'visible':(v='hide')?'hidden':v;
			}
			obj.visibility = v;
			if (!aryDHTMLNavBarLayerInfo[args[i]].MOutLayer) 
				aryDHTMLNavBarLayerInfo[args[i]].isDefault=true;			
		}
	}
}
function DHTMLNavBarLayer()	{
	var a = DHTMLNavBarLayer.arguments;
	this.defaultVisibility = a[1];
	this.isDefault = true;
	this.MOutLayer = a[2];
}
	
var viz = "hide";
function DHTMLNavBarNavMove() {
	if(thisl==DHTMLNavBarMM_findObj("DHTMLNavBarScrollLayer"))	
	{
		if(thisl.style)
		{
			thisl=thisl.style;
			viz="hidden";
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		{
			DHTMLNavBarThisLoc=325;
			DHTMLNavBarTimes--;
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	if (DHTMLNavBarTimes<=0)
	{
		otherl=DHTMLNavBarMM_findObj("DHTMLNavBarLayer");
		otherl.visibility=viz;
	}
	else setTimeout("DHTMLNavBarNavMove()",DHTMLNavBarTime);	
}
function DHTML_swapImgRestore()	{ 	
 	var i,x,a=document.Sliding_sr;
 	for(var i=0; a && i < a.length && (x=a[i]) && x.oSrc; i++) 
	{			
		x.src = x.oSrc;
	}
}
function DHTML_preloadImages() { 
 	var d=document;
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 	{
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			d.Sliding_p=new Array();	
		var i,j=d.Sliding_p.length,a=DHTML_preloadImages.arguments;
		for(var i=0; i < a.length; i++)
		{
	 		if (a[i].indexOf("#")!=0)
			{
				d.Sliding_p[j]=new Image;
				d.Sliding_p[j++].src=a[i];
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		}
	}
}
function DHTML_findObj(n, d) { 
	var p,i,x;
	if(!d) 
		d=document;	
	if((p=n.indexOf("?")) > 0 && parent.frames.length)
	{
	 	d=parent.frames[n.substring(p+1)].document;
		n=n.substring(0,p);
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	{
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	{
		x = DHTML_findObj(n,d.layers[i].document);
	}
	 if(!x && d.getElementById) 
		x=d.getElementById(n);	
		
	return x;
}
function DHTML_swapImage() { 
	var i,j=0,x,a=DHTML_swapImage.arguments;
	document.Sliding_sr=new Array;
	for(var i=0; i < (a.length-2); i+=3)
	{
		if ((x=DHTML_findObj(a[i]))!=null)
		{
			document.Sliding_sr[j++] = x;
			if(!x.oSrc)
				x.oSrc=x.src;			
			x.src = a[i+2];
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}
function DHTMLNavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
window.onload = DHTMLFullyLoaded;
			

//-->
</script>
			
	
<table border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td valign="top">
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				<tr id="pRow15" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink15"><a href="body.cfm?id=15" target="" class="clMain1">Conditions Treated</a></td>
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			</table>
			<div id="lyr15" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow15_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
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						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
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					<tr id="cRow15_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_2"><a href="body.cfm?id=379" target="" class="clSubb1">Adult Conditions - Neurological</a></td>
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					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_3"><a href="body.cfm?id=23" target="" class="clSubb1">Pediatric Conditions</a></td>
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						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
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					<tr id="cRow15_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_4"><a href="body.cfm?id=24" target="" class="clSubb1">Brain Conditions [A—L]</a></td>
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					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_5"><a href="body.cfm?id=846" target="" class="clSubb1">Brain Conditions [M—Z]</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_6"><a href="body.cfm?id=294" target="" class="clSubb1">Brain Tumor</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
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					<tr id="cRow15_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_7"><a href="body.cfm?id=25" target="" class="clSubb1">Spine Conditions</a></td>
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				<div id="endTablelyr15" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr15" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:105;z-index:-1;filter:mask();"></iframe>
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		<div id="lryParentmain19" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTMLNavBarMM_showHideLayers('lyr19','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('19');">
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				<tr id="pRow19" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink19"><a href="body.cfm?id=19" target="" class="clMain1">Find a Doctor</a></td>
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			</table>
			<div id="lyr19" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow19_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_1"><a href="body.cfm?id=943" target="" class="clSubb1">Physicians</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow19_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_2"><a href="body.cfm?id=840" target="" class="clSubb1">Research Scientists</a></td>
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					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow19_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_3"><a href="body.cfm?id=20" target="" class="clSubb1">Need Help?</a></td>
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						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
				</table>
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				<div id="endTablelyr19" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr19" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:45;z-index:-1;filter:mask();"></iframe>
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		</td>
		<td valign="top">
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				<tr id="pRow16" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink16"><a href="body.cfm?id=16" target="" class="clMain1">Patient Resources</a></td>
				</tr>
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								  <h1 class="pagetitle" id="pagetitle"><strong>Treatment Options for Pituitary Tumor</strong> / Pituitary Function Testing</h1>
                                
                                
		
		<P><STRONG>Pituitary Tumor &amp; Neuroendocrine Disorders</STRONG></P>
<UL>
  <LI>Pituitary hormones are released in pulses, levels fluctuate during the 
  day, and the release of one hormone directly affects the release of others. 
  For these reasons, a single blood test often is not sufficient to determine 
  the nature and extent of a specific type of pituitary deficiency. Effective 
  assessment tests include the following:</LI></UL>
<P><SPAN class=CenterSubTitle style="MARGIN-LEFT: 0px"><STRONG>Cortrosyn 
Stimulation Test</STRONG></SPAN> </P>
<UL style="MARGIN-TOP: 0px; PADDING-TOP: 0px">
  <LI 
  style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">Adrenocorticotropic 
  hormone (ACTH) is injected to stimulate the adrenal glands and blood cortisol 
  level is checked 60 minutes later. 
  <LI style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">When pituitary 
  disease impairs ACTH production, the adrenal glands lose their capacity to 
  secrete cortisol in response to stimulation. </LI></UL>
<P><SPAN class=CenterSubTitle style="MARGIN-LEFT: 0px"><STRONG>Metyrapone 
Test</STRONG></SPAN> </P>
<UL style="MARGIN-TOP: 0px; PADDING-TOP: 0px">
  <LI style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">This test also 
  assesses pituitary ACTH hormones. Twelve tablets (3 grams) of metyrapone are 
  given to the patient at bedtime and blood is drawn the following morning to 
  check ACTH levels. 
  <LI style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">Since 
  metyrapone blocks adrenal hormone production, normal individuals respond by 
  producing large amounts of ACTH. Lack of response indicates pituitary disease 
  affecting ACTH production.</LI></UL>
<P><SPAN class=CenterSubTitle style="MARGIN-LEFT: 0px"><STRONG>Insulin Tolerance 
Test</STRONG></SPAN> </P>
<UL style="MARGIN-TOP: 0px; PADDING-TOP: 0px">
  <LI style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">In this test, 
  insulin is injected to lower blood sugars (hypoglycemia). 
  <LI style="MARGIN-TOP: 5px; MARGIN-LEFT: 0px; PADDING-TOP: 0px">The normal 
  response to hypoglycemia is release of ACTH and growth hormone (GH), which 
  counteracts low blood sugars. Patients deficient in GH and ACTH fail show no 
  hormonal response to hypoglycemia.</LI></UL>
	 

                              
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