Management of your thyroid may form part of a general metabolic assessment or be considered alongside other endocrine disease, diabetes, hypertension or heart disease. If you would like a thorough assessment please get in touch.
I work closely with my colleagues in diagnostic imaging. nuclear medicine, the biochemical and immunology laboratories, surgeons, pathologists and other thyroid experts at King's and in London should your care need it.
Maintaining your thyroid health
I am a thyroid specialist and member of the British Thyroid Association with now over 20 years' of experience diagnosing and managing all forms of thyroid disease, maintaining thyroid health and helping people find the right treatment for them. The main conditions that affect thyroid health are:
If you have an over-active thyroid (hyperthyroidism or thyrotoxicosis) it is usual to be assessed by a thyroid specialist. Patients often (but not always) lose weight, may feel full of energy but be exhausted, have palpitations and sweats and sleep poorly amongst a whole host of other symptoms. The thyroid can cause so many symptoms, some quite vague, so it is easy to miss and it is helpful to see an expert either to be certain of the diagnosis and/or decide on treatment. The treatment needs to be specific to the cause of the hyperthyroidism and fit in with your life. If you would like to see a thyroid specialist at King's College Hospital , The Shard or at 25 Harley Street please email LondonSwissMedical.
An under-active thyroid (hypothyroidism) is very common, many patients will have little trouble being treated either by their general practitioner or a general endocrinologist. However, if things are difficult, you have persistent fatigue, trouble with your weight, cannot make sense of your treatment, feel depressed and/ or have concerns about fertility then you might benefit from seeing an thyroid expert. If so please email LondonSwissMedical.
This is a particularly common clinical and biochemical problem. The decisions about what you do with treatment, perhaps a strategy of watching and waiting, and the pros and cons of each need to be made with you and be specific for where you are in your life. We have new scientific papers being published on this topic that may be relevant so it is important to not feel rushed into making a decision on your therapy.
If you would like an endocrinology expert for your thyroid please email LondonSwissMedical.
Thyroid disease and pregnancy
Maintaining thyroid health before and during pregnancy is very important, both for the mother and the developing baby and this is a central piece of our work at LondonSwissMedical. We will work with you to get you as well as possible for conception, whether it is natural or assisted, whether you are thinking 6months or 6 years hence, then have you well controlled during pregnancy, breastfeeding and motherhood. If you get pregnant and have thyroid disease and need to know you are in good health call the team now and we will see you as soon as possible. Doses of thyroxine should often be reconsidered if planning pregnancy and once it occurs and it is important you see a thyroid specialist.
Pituitary disease causing thyroid dysfunction
Thyroid health is more difficult to maintain in pituitary and hypothalamic disease. The clinical picture is more complex and the normal rules to interpreting thyroid blood tests usually do not apply. It is essential decisions about therapy are made by a thyroid specialist used to dealing with pituitary disease with or without multiple hormone deficiencies.
My clinical practice also included the assessment and management of thyroid eye disease/ Graves' ophthalmopathy, thyroid nodules and tumours including thyroid cancer, what to do with abnormal thyroid function tests or autoimmune thyroid disease, or what it means for youif you have thyroid antibodies or a pattern of thyroid disease in the family.
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