A 40-year-old male patient presents to the endocrinology clinic with complaints of gradual changes in his physical appearance and health. The patient reports that over the past few years, his hands and feet have grown larger, and he has noticed a gradual enlargement of his facial features, including the nose, lips, and forehead. He also mentions experiencing frequent headaches and some changes to his vision. On examination, the patient’s hands and feet are visibly larger than average, and he has prominent facial features. His blood pressure is elevated, and there are signs of joint pain and limited joint mobility.