How does hypothyroidism affect your health. What are the key symptoms of an underactive thyroid. When should you see an endocrinologist for hypothyroidism. How is hypothyroidism diagnosed and treated. What lifestyle changes can help manage hypothyroidism symptoms. How does pregnancy impact thyroid function in women with hypothyroidism. What are the potential complications of untreated hypothyroidism.

Understanding Hypothyroidism: Causes, Symptoms, and Prevalence

Hypothyroidism is a common endocrine disorder characterized by an underactive thyroid gland that doesn’t produce enough thyroid hormones. These hormones play a crucial role in regulating metabolism, energy production, and overall bodily functions. According to the National Institute of Diabetes and Digestive and Kidney Diseases, hypothyroidism affects nearly 5% of Americans aged 12 and older.

What are the primary causes of hypothyroidism? The most common cause is an autoimmune condition called Hashimoto’s thyroiditis, where the immune system mistakenly attacks the thyroid gland. Other causes include:

• Surgical removal of the thyroid gland
• Radiation therapy for neck or head cancers
• Certain medications
• Congenital thyroid defects
• Iodine deficiency (rare in developed countries)

Recognizing the symptoms of hypothyroidism is crucial for early diagnosis and treatment. Common symptoms include:

• Fatigue and weakness
• Weight gain
• Sensitivity to cold
• Dry skin and hair
• Constipation
• Depression
• Joint or muscle pain
• Irregular or heavy menstrual periods

The Role of Primary Care Physicians in Managing Hypothyroidism

For most individuals with hypothyroidism, their primary care physician (PCP) can effectively manage their condition. PCPs are typically well-equipped to handle routine thyroid hormone replacement therapy, which is the standard treatment for hypothyroidism.

How do primary care doctors manage hypothyroidism? They usually start by prescribing synthetic thyroid hormone medication, most commonly levothyroxine. This medication aims to replace the hormones that the thyroid gland is not producing in sufficient quantities. The dosage is carefully adjusted based on regular blood tests that measure thyroid hormone levels.

What does routine hypothyroidism management involve? It typically includes:

1. Regular blood tests to monitor thyroid hormone levels
2. Adjusting medication dosage as needed
3. Addressing symptoms and side effects
4. Providing lifestyle and dietary advice
5. Monitoring for potential complications

When to Consult an Endocrinologist for Hypothyroidism

While primary care physicians can manage most cases of hypothyroidism, there are situations where the expertise of an endocrinologist becomes necessary. Endocrinologists are specialists in hormonal disorders and have in-depth knowledge of the endocrine system, including the thyroid gland.

What are the key scenarios that warrant a consultation with an endocrinologist? Consider seeing a thyroid specialist if:

• Your symptoms persist despite treatment
• You have difficulty finding the right medication dosage
• You develop thyroid nodules or an enlarged thyroid gland (goiter)
• Your hypothyroidism is caused by a pituitary gland disorder
• You are pregnant or planning to conceive
• You have other endocrine disorders in addition to hypothyroidism

Persistent Symptoms and Medication Challenges

If you’ve been taking thyroid hormone replacement medication but your symptoms don’t improve, an endocrinologist can provide a second opinion. Dr. Cathy Doria-Medina, an endocrinologist with HealthCare Partners Medical Group, explains that some individuals have difficulty finding the optimal concentration of thyroid hormone medication. In these cases, a specialist’s expertise can be invaluable in fine-tuning the treatment plan.

Thyroid Nodules and Goiter

The presence of thyroid nodules or an enlarged thyroid gland (goiter) requires specialized evaluation. Why is this important? While most thyroid nodules are benign, approximately 5% can be cancerous, according to the Cleveland Clinic. An endocrinologist can perform or arrange for specialized tests, such as fine-needle aspiration biopsies, to determine the nature of these growths and recommend appropriate treatment.

Pituitary Gland Disorders

In rare cases, hypothyroidism can be caused by disorders of the pituitary gland or hypothalamus. These conditions are more complex and often require the expertise of an endocrinologist to manage effectively. How do pituitary disorders affect thyroid function? The pituitary gland produces thyroid-stimulating hormone (TSH), which signals the thyroid to produce its hormones. If the pituitary isn’t functioning correctly, it can lead to secondary hypothyroidism.

Hypothyroidism and Pregnancy: The Crucial Role of Endocrinologists

Pregnancy significantly impacts thyroid function, and for women with hypothyroidism, careful management is essential. Why is specialized care important during pregnancy? Untreated or poorly managed hypothyroidism during pregnancy can increase the risk of complications, including miscarriage, preeclampsia, and developmental issues in the baby.

How does pregnancy affect thyroid hormone requirements? During pregnancy, the body’s demand for thyroid hormones increases. Many women with hypothyroidism need to increase their medication dosage by 25% to 50% to maintain optimal thyroid function. An endocrinologist can closely monitor thyroid hormone levels throughout pregnancy and make necessary adjustments to ensure the health of both mother and baby.

Preconception Planning for Women with Hypothyroidism

If you have hypothyroidism and are planning to conceive, consulting an endocrinologist is highly recommended. They can help optimize your thyroid function before pregnancy, which is crucial for fertility and early fetal development. What steps should be taken before conception?

• Comprehensive thyroid function assessment
• Adjustment of medication to achieve optimal thyroid hormone levels
• Discussion of potential risks and management strategies during pregnancy
• Planning for increased monitoring during pregnancy

Diagnosing Hypothyroidism: The Importance of Accurate Testing

Proper diagnosis of hypothyroidism is crucial for effective treatment. While primary care physicians can order thyroid function tests, endocrinologists have specialized knowledge in interpreting these results, especially in complex cases.

What are the key tests used to diagnose hypothyroidism?

1. Thyroid Stimulating Hormone (TSH) Test: This is the most important initial test. Elevated TSH levels usually indicate hypothyroidism.
2. Free T4 Test: Measures the amount of free thyroxine in the blood. Low levels confirm hypothyroidism.
3. Free T3 Test: Sometimes used to assess thyroid function, particularly in cases where T4 to T3 conversion may be impaired.
4. Thyroid Antibody Tests: Help identify autoimmune thyroid conditions like Hashimoto’s thyroiditis.

How do endocrinologists approach thyroid testing differently? They may consider a broader range of tests and interpret results in the context of the patient’s overall health and symptoms. This comprehensive approach can be particularly beneficial in cases where standard tests yield ambiguous results or when symptoms don’t align with lab values.

Advanced Treatment Options for Complex Hypothyroidism Cases

While levothyroxine (synthetic T4) is the standard treatment for hypothyroidism, some patients may benefit from alternative or additional treatments. Endocrinologists are well-versed in these advanced options and can determine if they’re appropriate for individual cases.

What are some advanced treatment options for hypothyroidism?

• Combination T4/T3 Therapy: Some patients may benefit from adding synthetic T3 (liothyronine) to their T4 medication.
• Desiccated Thyroid Extract: Natural thyroid hormone derived from animal sources, containing both T4 and T3.
• Tirosint: A liquid or gel cap form of levothyroxine, which may be better absorbed by some patients.
• Customized Compounded Thyroid Medications: Tailored to individual patient needs.

When might these alternative treatments be considered? Endocrinologists may explore these options for patients who:

• Continue to experience symptoms despite normal TSH levels on standard treatment
• Have difficulty absorbing standard thyroid medications
• Have genetic variations affecting thyroid hormone metabolism

Managing Hypothyroidism: Lifestyle and Dietary Considerations

While medication is the cornerstone of hypothyroidism treatment, lifestyle and dietary factors can significantly impact thyroid function and overall well-being. Endocrinologists can provide personalized advice on these aspects, complementing medical treatment.

What lifestyle changes can benefit individuals with hypothyroidism?

• Regular Exercise: Helps boost metabolism and manage weight, which can be challenging with an underactive thyroid.
• Stress Management: Chronic stress can affect thyroid function and exacerbate symptoms.
• Adequate Sleep: Essential for hormone balance and overall health.
• Avoiding Environmental Toxins: Certain chemicals can interfere with thyroid function.

How does diet impact thyroid health? Nutritional considerations for hypothyroidism include:

• Iodine Intake: Crucial for thyroid hormone production, but excessive amounts can be harmful.
• Selenium-Rich Foods: Support thyroid function and hormone metabolism.
• Avoiding Goitrogens: Some foods can interfere with thyroid function if consumed in large amounts, especially when iodine intake is low.
• Timing of Medication: Certain foods and supplements can affect thyroid hormone absorption.

The Role of Supplements in Hypothyroidism Management

While a balanced diet is ideal, some individuals with hypothyroidism may benefit from specific supplements. However, it’s crucial to consult with an endocrinologist before starting any supplement regimen. Why is professional guidance important? Some supplements can interact with thyroid medication or affect thyroid function.

What supplements might be considered for hypothyroidism?

• Vitamin D: Often low in individuals with autoimmune thyroid disorders.
• Selenium: May help with thyroid hormone conversion and reduce antibodies in autoimmune thyroiditis.
• Zinc: Plays a role in thyroid hormone metabolism.
• Iron: Iron deficiency can impair thyroid hormone synthesis.

Monitoring and Long-Term Management of Hypothyroidism

Effective management of hypothyroidism requires ongoing monitoring and adjustment of treatment. While primary care physicians can handle routine follow-ups, endocrinologists play a crucial role in complex cases or when treatment goals are not being met.

What does long-term management of hypothyroidism involve?

1. Regular Blood Tests: Typically every 6-12 months once stable, or more frequently if adjusting medication.
2. Symptom Assessment: Evaluating the effectiveness of treatment in relieving symptoms.
3. Medication Adjustments: Fine-tuning dosage based on lab results and symptoms.
4. Monitoring for Complications: Checking for potential long-term effects of hypothyroidism or its treatment.
5. Addressing Comorbidities: Managing other health conditions that may impact or be impacted by thyroid function.

How often should patients with hypothyroidism see an endocrinologist? After initial stabilization, most patients can be managed by their primary care physician. However, annual or biennial check-ups with an endocrinologist can be beneficial, especially for:

• Patients with difficult-to-control thyroid levels
• Those with thyroid cancer history
• Individuals with multiple endocrine disorders
• Patients experiencing significant life changes (e.g., pregnancy, menopause)

The Impact of Aging on Thyroid Function and Treatment

As individuals age, thyroid function and hormone requirements can change. Endocrinologists are particularly attuned to these age-related changes and can adjust treatment accordingly. How does aging affect thyroid health?

• Decreased thyroid hormone production
• Changes in thyroid hormone metabolism
• Increased risk of autoimmune thyroid disorders
• Altered response to thyroid hormone replacement therapy

Elderly patients with hypothyroidism may require special consideration in terms of medication dosing and monitoring. Endocrinologists can provide expertise in managing thyroid disorders in the context of other age-related health conditions and medications.

Emerging Research and Future Directions in Hypothyroidism Treatment

The field of thyroid research is continually evolving, with new insights into the complexities of thyroid function and novel treatment approaches on the horizon. Endocrinologists are at the forefront of these advancements, often participating in or staying informed about the latest research.

What are some promising areas of research in hypothyroidism?

• Personalized Medicine: Tailoring treatment based on genetic profiles and individual thyroid physiology.
• Novel Drug Delivery Systems: Developing new formulations for more effective thyroid hormone replacement.
• Autoimmune Thyroid Disease Interventions: Exploring therapies to modulate the immune response in conditions like Hashimoto’s thyroiditis.
• Thyroid Regeneration: Investigating potential methods to restore thyroid function in damaged glands.
• Improved Diagnostic Tools: Developing more sensitive and specific tests for thyroid dysfunction.

How might these advancements impact patient care? Future developments could lead to more precise diagnosis, individualized treatment plans, and potentially new therapies that address the root causes of thyroid dysfunction rather than just replacing hormones.

The Role of Telemedicine in Thyroid Care

The rise of telemedicine has opened new avenues for thyroid care, particularly for patients in remote areas or those with mobility issues. How can telemedicine benefit hypothyroidism management?

• Increased access to endocrinologists for consultation
• More frequent check-ins and adjustments to treatment plans
• Remote monitoring of symptoms and lab results
• Improved patient education and support

While some aspects of thyroid care, such as physical examinations and certain diagnostic tests, still require in-person visits, telemedicine can complement traditional care models and improve overall management of hypothyroidism.

Hypothyroidism: When to See an Endocrinologist

Your primary care doctor should be able to help you monitor your condition most of the time. However, there may be situations when you need the care of a thyroid specialist.

By Beth W. OrensteinMedically Reviewed by Rosalyn Carson-DeWitt, MD

Reviewed: July 5, 2018

Medically Reviewed

Masterfile

Most people with hypothyroidism take synthetic thyroid hormone replacement medication to make up for what the body isn’t producing. Usually a primary care doctor can manage this condition, which is common and affects nearly five percent of Americans age 12 and older, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

But there are situations in which you may need to have an endocrinologist, a doctor who specializes in the endocrine system, oversee your care. An endocrinologist is particularly knowledgeable about the function of the thyroid gland and the body’s other hormone-secreting glands.

When to See a Thyroid Specialist

Tamara Wexler, MD, PhD, an endocrinologist at NYU Langone Health in New York City recommends seeing an endocrinologist at least once when you’re first diagnosed with hypothyroidism to review your condition, your test results, and your treatment plan. “After one or two visits, you may not need to keep seeing him or her regularly,” she says. That’s when your primary care doctor can usually take over.

Other times it’s smart to see an endocrinologist are when:

Symptoms of hypothyroidism don’t get better despite treatment. If you’ve been taking medication to replace your thyroid hormone for a while but your symptoms persist, you might want to see an endocrinologist for a second opinion, says Cathy Doria-Medina, MD, an endocrinologist with HealthCare Partners Medical Group in Torrance, California. Some people with hypothyroidism have a more difficult time finding the concentration of thyroid hormone medication that works best for them. In these situations, a specialist often can help, she says.

You have a thyroid nodule or lump. Your thyroid gland is located in the front of your neck, just below your voice box. If you have a lump, nodule, or other growth on your thyroid, an endocrinologist should examine it. Most are harmless (benign), but once in a while a more serious change is happening. Five percent of thyroid nodules are cancerous, according to the Cleveland Clinic. And sometimes — though it’s rare — thyroid nodules actually cause hypothyroidism.

You have an enlarged thyroid gland, or goiter. A goiter is an enlargement of part or all of your thyroid gland. If you have one, see an endocrinologist to help you figure out why it has developed, and what treatment will help.  “If you have a goiter, you should see an endocrinologist whether you have hypothyroidism or not,” says Dr. Wexler says.

A pituitary gland disorder is causing hypothyroidism.  This gland, along with the hypothalamus, sits at the base of the brain and controls your body’s production of thyroid hormone. It’s very unusual, but in some people, the pituitary gland fails to release the thyrotropin-releasing hormone (TRH), which stimulates the production of thyroid hormone. This is a complicated condition, so if possible, see an endocrinologist to help you with next steps.

You are pregnant or are trying to conceive. Be sure to educate yourself about the effect of pregnancy on your condition, and vice versa, if you have an underactive thyroid. Pregnancy changes your hormone levels considerably. If you want to get pregnant or you become pregnant, you should see an endocrinologist to monitor your thyroid hormone medication treatment closely and be sure you’re getting enough. Some women need between 25 percent to 50 percent more thyroid hormone while pregnant. Another reason to work with an endocrinologist during pregnancy: untreated hypothyroidism increases the risk of having a miscarriage.

How to Find an Endocrinologist for Hypothyroidism

Your primary care doctor most likely has names of endocrinologists he or she can refer you to. Or you can visit the website of the American Association of Clinical Endocrinologists or the American Thyroid Association to search for endocrinologists in your area.

Additional reporting by Andrea Peirce

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Do You Need an Endocrinologist for Hypothyroidism?

Endocrinology is a specialty that offers advanced training in the endocrine system, which includes various glands and organs that secrete hormones such as the thyroid, pancreas (diabetes), testes, and adrenal glands, among others. Endocrinologists also commonly treat osteoporosis. In this article, the first in a series, we will discuss the thyroid gland and more specifically hypothyroidism (an underactive thyroid).

The thyroid gland is a butterfly-shaped organ located in the base of your neck. It releases hormones that control metabolism, the way your body uses energy. The thyroid’s hormones regulate vital body functions, including your heart rate, body weight, temperature, nervous system, menstrual cycles in women and even has an effect on your cholesterol.

Hypothyroidism (underactive thyroid) is a condition in which your thyroid gland doesn’t produce enough thyroid hormone. About 5% of the general population in the United States has hypothyroidism, although this number has varied widely in studies and within certain groups of people. Women, especially those older than age 60, are more likely to have hypothyroidism. Some studies have shown rates as high as 25% in the older population. Common symptoms in adults are fatigue, feeling cold all the time, weight gain, constipation, change in voice and dry skin, but clinical presentation can differ with age, sex and other factors.

Most people with hypothyroidism take synthetic thyroid hormone medication to replace what the body is unable to produce. Frequently, a primary care doctor can manage this condition.

One of the most common questions I get from the public and even sometimes other physicians is, when should a patient be referred to an endocrinologist for hypothyroidism? Your primary care doctor should be able to help you monitor your condition most of the time. However, there may be situations when you need the care of a thyroid specialist. Even within the community of endocrinologists there are doctors that obtain additional training in the study of the thyroid. We often refer to ourselves as thyroidologists. Thyroidologists are endocrinologists who specifically study, diagnose, manage and treat the thyroid gland.

So when should you see an endocrinologist or even a thyroidologist?

When you are first diagnosed: Some experts recommend, and some patients prefer, seeing an endocrinologist at least once when you’re first diagnosed with hypothyroidism to review your condition, your test results and your treatment plan. In this setting, after a few visits you may not need to keep seeing an endocrinologist regularly and your primary care doctor may resume the care of your condition.

You have an enlarged thyroid gland, or goiter: A goiter is an enlargement of part or all of your thyroid gland. If you have one, it is a good idea to see an endocrinologist to help you figure out why it has developed and what if anything needs to be done about it. Sometimes the entire thyroid gland is enlarged and there are no masses or tumors. This is referred to as a simple goiter.

If you have a thyroid nodule: Sometimes a goiter contains thyroid nodules. If you have a nodule, or other growth on your thyroid, an endocrinologist should evaluate it. Also, sometimes a thyroid nodule may be found on a radiology scan (or by your thyroidologist if they do their own ultrasounds. More about thyroid ultrasounds in the next article). Most thyroid nodules are harmless (benign), but once in a while a more serious condition exists. Thyroid nodules can actually be a cause of an overactive thyroid (hyperthyroidism) or can rarely be cancer. Any given thyroid nodule carries a roughly five to ten percent chance of being malignant (cancer). Ultrasounds and thyroid nodules will be covered in the next article, but are treated by a thyroidologist. Anyone with a thyroid nodule or lump regardless of whether or not they have hypothyroidism should see a thyroidologist.

You are pregnant or are trying to conceive: If you have an underactive thyroid, your medical care can become complicated during pregnancy or even before conception. Pregnancy changes your hormone levels in a dramatic way. If you want to get pregnant or you become pregnant, you should see an endocrinologist to monitor your thyroid hormone medication treatment closely and be sure you are on the correct dose. Some women require an increase between 20 to 30 percent more thyroid hormone while pregnant. The proper timing of a change in your dose may be required before the patient even knows she is pregnant. Untreated or undertreated hypothyroidism increases the risk of miscarriage and other pregnancy complications.

If you have fluctuating blood levels: Sometimes patients who have hypothyroidism will have blood levels that seem to change all the time despite regularly taking their medication. There are other health problems and medications that can influence the absorption and action of thyroid medications or even interfere with the blood tests used to evaluate hypothyroidism. A specialist may be able to sort through your medical history and develop a treatment plan that stabilizes your blood testing and dosage of medication.

If you have hypothyroidism and your symptoms have not gotten better with treatment: If you’ve been taking medication to replace your thyroid hormone for an extended period of time but your symptoms persist, it may be reasonable to see an endocrinologist for a second opinion. Some people with hypothyroidism have a more difficult time finding the dose or type of thyroid hormone medication that works best for them. In these situations, a thyroidologist may be able to help.

A pituitary gland disorder is causing hypothyroidism: It’s very unusual, but in some people, the brain does not secrete TRH or TSH like it is supposed to and the thyroid is not being instructed to make thyroid hormone as it should. In other words, the thyroid gland itself is fine but it does not make thyroid hormone if it is not told by the hypothalamus via the pituitary to do so. This is a complicated condition and an endocrinologist is essential to evaluate and manage this condition.

September is Thyroid Cancer Awareness Month and next month’s feature article will be about thyroid cancer.

By Ian J. Orozco, MD of Carteret Medical Group. Dr. Orozco specializes in Endocrinology and has a particular interest in thyroid disease, parathryoid disease, thyroid cancer and endocrine tumors. He is one of the select few physicians in the nation who holds ECNU – Endocrine Certification in Neck Ultrasound. Dr. Orozco see patients at Carteret Medical Group in Morehead City and Cedar Point, (252) 247-2013, www.carteretmedical.com.

Treatment of the thyroid gland by an endocrinologist at the International Heart Center in St. Petersburg

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• How thyroid disorders affect the heart and blood vessels
• Cardiovascular symptoms of hyper- and hypothyroidism
• Regular examination by an endocrinologist to prevent the development of endocrine and cardiovascular diseases

Both hyperfunction and underfunction of the thyroid gland treated by an endocrinologist are common diseases. Hundreds of thousands of people suffer from them in our country alone. Violations of the work of this small – the volume of the gland normally does not exceed 18-25 ml – organ affects the functioning of other organs and systems of the body, in particular, the work of the heart.

A properly functioning thyroid gland produces the amount of hormones necessary for the normal functioning of the body. If it begins to “fail”, then violations of its function affect the work of all body systems. For example, in patients with hyperthyroidism, or increased thyroid function, an endocrinologist notes an increase in heart rate during an appointment – one of the characteristic symptoms of this disease. In the event that the function of the gland is insufficient, the patient’s heart may beat more slowly than normal – this is the so-called bradycardia.

Endocrinologist tells how the thyroid gland affects the heart

Lack of thyroid hormones in the early stages of the disease provokes a decrease in blood pressure. This is manifested primarily by a feeling of constant fatigue, lethargy and drowsiness, as well as the appearance of edema in the patient. The heart of such a patient beats more slowly than normal, and in the intervals between beats, additional contractions of the heart muscle may appear. In especially advanced cases, it can even lead to cardiac arrest.

Cardiologists-arrhythmologists and endocrinologists note the fact that the lack of treatment of hypothyroidism leads to an increase in blood pressure over time. In turn, this can be complicated by the development of coronary heart disease or atherosclerosis of blood vessels. Timely treatment of insufficient thyroid gland function by an endocrinologist is necessary to prevent the development of these and other possible complications on the heart.

Hyperfunction of the thyroid gland is no less dangerous for the cardiovascular system. This condition can manifest itself in the following ways:

• pain in the chest, the cause of which cannot be determined by ECG;
• increased – sometimes to critical values ​​- blood pressure;
• interruptions in heart rate. Without timely seeking medical help, they can provoke a heart attack and even lead to death.

If the hyperfunction of the thyroid gland is not stopped with the help of drugs selected by the endocrinologist, then the patient may develop titheotoxicosis. This is a poisoning of the body with thyroid hormones – a serious, often life-threatening condition for the patient, which can be accompanied by:

• increased heart rate – more than 300 irregular heartbeats per minute;
• in patients aged 45 years and older – heart failure.

How do you keep your thyroid and heart healthy?

The only possible way to prevent the development of thyroid pathologies and protect your heart from possible complications is regular examination by an endocrinologist . This is especially important for patients with unfavorable heredity in terms of the health of the gland, women during pregnancy and menopause, as well as those who are already 45 years old.

Thyroid dysfunction and other endocrine diseases detected in the early stages are successfully treated by specialists. Endocrinologists of our medical center in St. Petersburg select an effective treatment regimen for each patient. Compliance with all the recommendations of the attending physician and timely examination to control the treatment carried out will not only normalize the functioning of the thyroid gland, but also maintain the health of the cardiovascular and other body systems.

Prices for appointments with an endocrinologist at the International Heart Center

Prices for appointments and treatment with an endocrinologist at our medical center are listed in the price list. To clarify the cost of other procedures and services, as well as make an appointment, you can contact the administrators of the clinic.

If you did not find the service you are interested in, please contact us in any convenient way to clarify the information. You can find a full list of services and prices on the “Prices” page.

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• Appointment for a consultation
• Medical appointments and diagnostics
• Treatment development
• Medical observation
• Rehabilitation

• • Making an appointment will take no more than 5 minutes.
  • The administrator will find out what is bothering you, determine which doctor to refer you to, and help you choose a convenient appointment time – you need to provide your last name, first name and patronymic, date of birth and contact phone number.
  • On the eve of the appointment, our specialist will definitely call and remind you of the time of your visit to the Center.
• • The initial appointment with a doctor will take no more than 50 minutes, the second one – no more than 20 minutes.
  • During the initial examination, your attending physician will ask you about your complaints, evaluate your objective condition and make a preliminary diagnosis.
    To clarify the diagnosis, your attending physician will prescribe a diagnostic examination (from 10 to 50 minutes) using expert-class equipment and decide on the treatment tactics.
• • Based on the results of the examination, your attending physician will prescribe treatment and, if necessary, recommend consultations from related specialists.
    If the diagnostic tests are positive, your doctor will refer you for a consultation with an interventional cardiologist or cardiac surgeon.
  • If hospitalization is necessary, the doctor will select the most suitable medical institution, prepare a complete set of necessary medical documents.
• • If you come to the Center for an examination, you will be given an accurate diagnosis and given recommendations on lifestyle, treatment and frequency of examination.
  • If it is necessary to perform coronary angiography and subsequent surgical intervention, you will be referred to a medical institution with subsequent (after inpatient treatment) long-term observation by the Center’s specialists.
• • The life of patients with heart disease makes many patients think about the need to change their lifestyle.
  • After suffering a myocardial infarction or heart surgery, patients are prescribed a course of medical rehabilitation, after which constant follow-up by a cardiologist is required.
  • Take care of yourself! Take care of your health!

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90 000 Clinic of the Thyroid Gland of Dr. A. V. Ushakov – official site.

Clinic of the Thyroid

Every day at the clinic, we work on repairing someone’s thyroid gland. Procedures are performed every hour. Every day we hear from the patients of Dr. Ushakov’s clinic about the improvement. Even in difficult cases, we find a way to recovery. This is supported by our knowledge and many years of experience.

Every time we see normalization in blood tests and ultrasound results, we feel professional pride. We know we can cure you. For this, a well-coordinated team of doctors and nurses of the Clinic makes every effort.
We know we can cure you!
Even in difficult situations we find a way to recovery
Restoration of the thyroid gland in our clinic
Without surgery
The unique technique of Dr. A.V. Ushakov

Hypothyroidism is curable in most cases

Hypothyroidism is not really a disease as it has no specific symptoms. This state of hormonal metabolism in the form of increased stimulation of the thyroid gland, is determined only by an excess of TSH, using a blood test. More than 90% of all cases are primary hypothyroidism, in which the thyroid gland functions overstrained, which can cause it to become exhausted… Further →

Academician of the Russian Academy of Sciences Nozdrachev A.D. about the scientific position of Ph.D. A.V. Ushakova

The monograph is written simply, intelligibly, extremely interesting, although it is devoted to such a seemingly boring subject as classification. The wide erudition and philosophical type of thinking of the author allow us to recommend the monograph for reading to practicing clinicians and theorists in the field of fundamental medicine… Further →

TI-RADS in cancer diagnosis

TI-RADS is a thyroid nodule ultrasound assessment system for reporting the likelihood of malignancy (cancer) and indicating fine needle biopsy. This system has features of classification and helps to unify the conclusion about the likelihood of thyroid cancer and the choice of diagnostic tactics for doctors of different specialties. There are different systems… Next →

Thyroid Ultrasound

Ultrasound is an important diagnostic tool. Even in the case of normal values ​​​​of hormonal indicators in a blood test, ultrasound is able to detect initial changes. Indications for thyroid ultrasound cover a wide range of cases. Ultrasound can be done at any age… More →

Thyroid repair

The treatment technique used in our Clinic is aimed at changes in organs and systems that affect the thyroid gland. As a result of the procedures, the overstrain of the gland tissue is reduced. Due to regenerative renewal, its structure is restored.

Recovery from Hypothyroidism and AIT

Rehabilitation in Hyperthyroidism and AIT

As treatment progresses, blood test parameters normalize, the state of the gland improves on ultrasound, medications are canceled. The control of our patients after 2-3 years shows the stability of the rehabilitation treatment.

Atlas-Guideline

Ultrasound diagnosis of thyroid cancer by ACR TI-RADS

for physicians

At the beginning of the book, an analysis of the ACR TI-RADS structure is provided, the author’s lexicon is explained, and the best variants of terms for practical application are proposed. The advantages and limitations of ACR TI-RADS are shown.

The book includes a large number of examples of ACR TI-RADS evaluation of nodes, with large ultrasound images in two projections. All examples are taken from real practice and reflect different variants of nodular pathology of the thyroid gland… Further →

Patient’s Guide

Thyroid Restoration

Popular Science Edition

The author invites you into the world of medicine to knowledge hidden from patients. You will learn something that is overlooked by many endocrinologists, and as a result leads to errors.

The book captures the reader’s attention from the first lines. Knowledge about diseases and restoration of the thyroid gland is presented simply and clearly. A series of interconnected stories about the thyroid gland unfolds before the reader.

Currently, the entire circulation is sold, but now you can download the electronic version of the book for free in a format convenient for you.