What Does An Endocrinologist Treat
An endocrinologist treats conditions and diseases that involve hormonal imbalances or other problems with your bodys endocrine glands. Hormones act as chemical messengers in your body. Because of this, hormone or gland problems affect many of your bodys systems and are often connected. These conditions include:
What Are The Symptoms Associated With Hyperthyroidism
Hyperthyroidism is caused when the thyroid gland produces excessive amounts of thyroid hormones. Also known as Graves disease, an overactive thyroid can lead to extreme weight loss, rapid heart rate, insomnia, irritability, and excessive sweating. When hyperthyroidism begins to become severe, the patient should be evaluated by an endocrinologist who can better treat conditions that affect hormone levels throughout the body. An endocrinologist can provide treatment options that a general practitioner cannot. In most cases, hyperthyroidism is diagnosed by a primary care or family physician and then sent to a specialist when the condition begins to affect other areas of the body.
How Will You Figure Out My Dose
Your doctor will choose your thyroid hormone dose based on your weight, age, and any other conditions you have. Youll get a blood test about once every six to eight weeks after you start taking thyroid hormone. This test checks your levels of thyroid-stimulating hormone, which directs your thyroid gland to release its hormone. Your doctor will adjust your thyroid hormone dose based on the test result.
Once your thyroid hormone level stabilizes, youll have tests about once every six months to make sure youre still on the right dose.
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Insurance Vs Cash Pay
You should be aware that many of the “best” doctors typically do not accept insurance for their services.;
This can be a frustrating thing to hear for many patients but that is the reality of the situation right now.;
The reason is simple:
Insurance usually compensates doctors based on complexity and time. In order to get the most out of that time, doctors need to see a huge number of patients every single day.;
To meet the demands of staff and salary this usually means no more than 5-10 minutes per patient per day.;
It’s just simply not possible to have a meaningful conversation about eating habits, exercise routines, how someone is feeling, and diving deep into a complex medical history in that timeframe.;
But you certainly can look at the TSH and adjust thyroid medication as necessary in 5-10 minutes.;
So guess what happens?
Doctors lean towards the quick visit with minor adjustments to thyroid medication and neglect the other more important areas mentioned above.;
Doctors that break free of the insurance reimbursement model can spend much more time with thyroid patients.;
When I was practicing, my initial visit was 60 minutes and every follow up visit was 30 minutes. I also ensured that I didn’t overload my total patient list so that I could spend enough time with each of my patients.;
And this isn’t uncommon! Other practitioners spend up to 90 minutes or more on initial visits so they can really understand their patients.;
Why Is It Essential To Visit An Endocrinologist For My Thyroid Problems
An endocrinologist is basically referred to a doctor who specializes in treating conditions of the endocrine system. Endocrinology is the study of the endocrine system which generally refers to a collection of glands that produce hormones which are used in the regulation of various day to day activities such as metabolism of the body, growth, reproduction and other sexual functions. Major endocrine glands include the pituitary glands, hypothalamus, thyroid gland, pancreas and reproductive glands like the testes in males and ovaries in females. There are several other glands like the parathyroid glands or the adrenal glands which are also part of the endocrine system.
Endocrinologists are normally concerned with treating people suffering from hormonal imbalances, generally of the endocrine glands. The primary objective of the treatment is to restore the proper functioning of the endocrine glands, thus restoring hormonal balances in the body.
Thyroid gland is an endocrine gland, located in the throat cavity which is concerned with secreting hormones that regulate your blood pressure, temperature of the body, body metabolism as well as heart rate.
When should you go to an endocrinologist?
Any sort of irregularities in functioning of the thyroid gland can give rise to a number of thyroid gland problems, since the hormones produced from the thyroid gland control several key functions in your body.
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Who Treats Thyroid Disease
Several types of doctors can play a role in managing thyroid disease and its symptoms. Some people only see one doctor for thyroid-related issues, while others have a medical team they work with to manage their disease. The types of doctors you may want to consider include:
- Primary care doctors
- Holistic thyroid practitioners, including naturopaths and chiropractors
Traditional And Conventional Doctors That You Can See
These are doctors that are conventionally trained and consist of both MDs and DOs;.;
These doctors have gone to medical school and completed residency and are usually board certified in a specific area of practice.;
They have gone through at least 4 years of college, 4 years of medical school, and anywhere from 3-4 years of residency after medical school.;
Unfortunately, being board certified and having completed residency does not guarantee that they are the “best”, though.;
The good part about standardized medicine is that you can expect a certain degree of competence among all types of physicians.;
The bad part about standardized medicine is that this competence is pretty much the same regardless of what type of doctor you see.;
These types of doctors rarely think “outside” of the box and stick to the rigid guidelines provided by boards and governing medical bodies.;
Again, this isn’t necessarily a bad thing if you are someone that fits the stock standard mold of thyroid management.;
But what if you are someone who doesn’t respond to conventional medications like levothyroxine or Synthroid?
What if you are someone who has abnormal reactions to medications or presents with abnormal symptoms?
What if you are someone who prefers to take a more natural approach to manage your thyroid?
If so, then these are typically not the best doctors for you.;
Having said that, they aren’t all, and some may work well for you.;
Family Practice Doctors or Primary Care Physicians
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What Do I Need To Know About Taking Thyroid Medications
Dr. Mandagere:; For my patients who are already being treated for hypothyroidism, I emphasize the importance of taking their medication in a consistent manner. If a patient Im treating comes to me with elevated symptoms, we sometimes find that it doesnt necessarily mean that their thyroid is slowing down.
This is where, with my passion for, and background in biochemistry and nutrition, things really get interesting in terms of problem-solving with my patients.
We may find that their body is not absorbing the thyroid medication efficiently or that the metabolism of the medication has changed for one reason or another. We talk about a proper dosing routine that includes taking their medication the same time every day on an empty stomach. Its also important that their thyroid medication is separated by at least four hours from certain vitamins and minerals including calcium, iron and fiber and some cholesterol medications. We also discuss other prescriptions or supplements that might be impacting their thyroid medication.
I prefer prescribing Synthroid for my patients but, of course, the brand is more expensive so a lot people do opt for the generic and sometimes that means more monitoring and adjusting. Its also true that sometimes people just feel better on one medication than another, and it could have to do with various chemicals in the formulation, so its hard to say what will work best for every patient.
A Specialist Is Not As Special As You Think
Tell me if this sounds familiar:
You’ve been diagnosed with low thyroid or hypothyroidism by your current doctor because you started to experience fatigue, weight gain, hair loss, and maybe even some depression or anxiety.;
Despite taking thyroid medication you still aren’t feeling any better and in fact, you may actually be slowly getting worse over the course of several years .;
Because you simply aren’t getting better you’ve started to do some research on your own and you’ve found some interesting information that you think could be the reason you aren’t feeling better.;
You’ve learned that not all patients do well on T4 only thyroid medications and you’ve found that your lab tests must be optimal in order for you to feel better.;
These things make perfect sense to you and you want to give them a try.;
You go to your general practitioner who doesn’t feel comfortable with this type of approach so he/she recommends that you go to an endocrinologist.;
You’re excited because you finally think you’ll get on the treatment and therapies that you need to finally start feeling better!;
Is going to a thyroid specialist the solution to your problem?;
Unfortunately, there’s a slim chance that this will happen .;
And this brings me to the main point of this article:
A thyroid specialist is not as special as you might think.;
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Please Tell Your Thyroidologist That The Ata Referred You
The American Thyroid Association® does not guarantee and is not responsible for the services of physicians listed in this Find a Specialist resource. The physicians and surgeons listed have indicated their willingness to be listed in this section as accepting new patients. Listing in this section is not, and does not intend to be, an endorsement by the American Thyroid Association of the quality and competence of persons who are listed or not listed.
Patients who seek to identify a thyroid specialist may also use other professional websites to confirm the doctors professional licensure and board certification statuses.; To find out if your doctor or a doctor you are considering is Board Certified by a Member Board of the American Board of Medical Specialties go to or call toll-free 1-866-275-2267.; For internal medicine only, go to the American Board of Internal Medicine at www.abim.org.
What Treatment Do I Need
The treatment you get for hypothyroidism will depend on how low your thyroid hormone level has dropped. Doctors usually treat this condition with a man-made form of thyroid hormone called levothyroxine . This drug will bring your thyroid hormone levels back up to normal, which should relieve your symptoms. If your thyroid hormone level is only slightly low, you might not need treatment.
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What Does An Endocrinologist Test
An endocrinologist can order or perform a wide variety of diagnostic and screening tests for endocrine or hormonal health problems. These tests include:
Biopsies including fine-needle aspirations
Blood tests including hormone blood levels, blood chemistries, and blood glucose tests
Hormone tests including dexamethasone suppression tests, adrenocorticotropic hormone stimulation tests, corticotropin-releasing hormone stimulation tests, and oral glucose tolerance tests
Imaging exams including radioisotope scans, bone density tests, ultrasounds, , , and EKGs
Urine tests including urinalysis and 24-hour urine collections
Choosing To Stop Treatment Or Choosing No Treatment At All
For some people, when treatments have been tried and are no longer controlling the cancer, it could be time to weigh the benefits and risks of continuing to try new treatments. Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.
Some people, especially if the cancer is advanced, might not want to be treated at all. There are many reasons you might decide not to get cancer treatment, but its important to talk to your doctors and you make that decision. Remember that even if you choose not to treat the cancer, you can still get;supportive care;to help with pain or other symptoms.
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Family Medicine Vs Internal Medicine Physicians
Although family medicine and internal medicine physicians can both treat adults, the American College of Physicians say that there are some key differences.
For example, internal medicine doctors have training in both general medicine and subspecialties. They also tend to be more focused on medical issues that affect adults.
Family physicians, meanwhile, have broader training in medicine that allows them to care for both children and adults. They can treat a wide range of medical issues and emphasize disease prevention and health maintenance.
What Are The Symptoms And Types Of Thyroid Cancer
Thyroid cancer typically does not cause any signs or symptoms early in the disease.; As thyroid cancer grows symptoms may vary from patient to patient, but the main thyroid cancer symptoms include:
- A lump or nodule that can be felt through the skin on the neck
- Problems swallowing
- Pain in the front of the neck or throat
- A cough that does not go away
- Breathing problems, especially the feeling like breathing though a straw
- Cough with blood
- Changes to the voice, including increasing hoarseness
- Swollen lymph nodes in the neck
These symptoms may be associated with other health conditions and do not always relate back to thyroid cancer.; If you have any of these symptoms and find that they worsen or dont go away over time, schedule an appointment with your doctor right away for a proper diagnosis.
Thyroid cancer can be diagnosed in three types: medullary, anaplastic and differentiated.
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What Are The Best Thyroid Cancer Treatment Options
- Thyroidectomy. Doctors apply this method to remove the affected thyroid gland. Such surgeries can be open and endoscopic . Depending on a cancer stage, a surgeon decides what type of operation is required.
- Lymph nodes removals. If cancer has spread to lymph nodes, a surgical oncologist removes them partially or totally to prevent the relapse.
Radioiodine therapy. A radiologist prescribes this option after surgery, for relapsed cancer or when it spreads to lymph nodes or throughout the body.
Hormone therapy. Specialists use hormonal drugs to maintain the patients hormones levels after thyroid cancer surgery.
Chemotherapy. Chemo drugs stop cancer cells division and growth. Medical oncologist can prescribe chemotherapy for metastatic thyroid cancer to reduce its symptoms.
External beam radiation. A doctor applies such a therapy to destroy cancer cells or stop their growth with X-ray beams. This kind of radiation therapy is assigned to patients with medullary and anaplastic thyroid cancer. This is used for metastatic or recurrent cancer. This option can be used alone or combined with chemo drugs.
Targeted therapy. Such a therapy is used when other treatments are ineffective. Targeted drugs destroy cancer genes and proteins with no damage to healthy cells. Side effects are less severe in comparison with chemo.
Only an oncologist can decide what treatment methods will be effective for you. That depends on the cancer stage and overall health condition.
Q&a With Dr Kelly Mandagere Endocrinologist
Hypothroidism can cause fatigue, slowed metabolism, difficulties concentrating, and depression.
As an endocrinologist, Dr. Kelly Mandagere is involved in studying, diagnosing and treating conditions of the;endocrine system. This network of glands and hormones has widespread effects on the body that include regulating growth, metabolism, reproduction, and sexual development.
Combining her credentials as an endocrinologist with a lifelong passion for the science of medicine, a special interest in biochemistry, and training as a nutritionist, Dr. Mandagere provides a unique understanding of endocrine conditions, including hypothyroidism. In this Boulder Medical Center Q&A session, Dr. Mandagere answers questions about her approach to understanding the causes of, and managing this complex and often challenging disorder.
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Can I Switch To Another Thyroid Drug
Several different brand names and generic versions of thyroid hormone replacement are available. Still, its a good idea to stay on the same medicine. Even though all of these drugs contain the same active ingredient, they can also contain different inactive ingredients that might affect your treatment.
What Questions Should I Ask My Doctor
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Types Of Thyroid Doctors
There are two types of physicians who may specialize in any area of medicinemedical doctors and osteopathic physicians . Osteopathic physicians undergo training very similar to that of medical doctors, and the two are considered equal with regard to the ability to care for and treat patients. Some may specialize in endocrine conditions, like thyroid disease, while others may care for patients with these concerns as well as others.
With some thyroid conditions, your family doctor may be your best choice for your care, whereas, with others, you may need to see an endocrinologist or a surgeon who specializes in treating thyroid cancer.
MDs and DOs who may treat thyroid disease include:
How To Get Treatment In The Best Hospitals For Thyroid Cancer
- Submit a request on Bookimed and our manager will contact you shortly
- Together you will choose the most appropriate thyroid cancer center for your case
- Your medical records are sent to the chosen hospital
- You get an initial bill and treatment plan. If you approve it, Bookimed manager arranges your medical trip within several days.
You can contact Bookimed manager anytime you need we provide 24/7 support till the moment you come home after treatment.
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