Q. A 45-year-old male patient has presented to the medical outpatient department with the gradual enlargement of his hands and feet, facial changes, and headache for about three months.
On physical examination, he is found to have coarse facial features, enlarged hands and feet, and macroglossia. His fasting blood glucose level is normal. Further laboratory investigations show elevated serum insulin-like growth factor-1 (IGF-1) and growth hormone (GH) levels. A pituitary MRI reveals a pituitary adenoma.
What is the most appropriate initial management for this patient?