What is endocrine dynamic testing?
Endocrine tests are designed to check the levels of certain hormones within our bodies. Sometimes we have too much or not enough. Depending on which test you're having, you: may require a number of blood tests taken at regular intervals.

Adrenal/anterior pituitary
• Insulin Tolerance Test
• Glucagon Stimulation Test
• Short Synacthen Test
• Saline Infusion Test for Hyperaldosteronism
• Overnight Dexamethasone Suppression Test
• Low Dose Dexamethasone Suppression Test
• High Dose Dexamethasone Suppression Test
• Cortisol Day Curve on Hydrocortisone
• Growth Hormone Suppression Test
Posterior pituitary
• Water Deprivation Test

Hyper/hypoglycaemia
• Oral Glucose Tolerance Test
• 72 hour Fast for Insulinoma Investigations/Prolonged Supervised Fast
• Mixed Meal Test for Postprandial Hypoglycaemia Thyroid
• Levothyroxine Absorption Test

Having a healthy weight can mean many things for many people. Traditionally, having obesity is having a Body Mass Index (BMI) of 30 or greater. But BMI is just one way to measure obesity. Other measurements can also be used, like lean mass and associated comorbidities.

Over time, people with obesity or overweight have an increased risk of developing other serious medical conditions. Our program is committed to helping you achieve and maintain weight-loss success while addressing other medical conditions commonly associated with obesity, such as:

• Type 2 diabetes.
• Hypertension.
• Sleep apnea.
• Polycystic ovarian disease.
• Fatty liver disease.

If you’re looking to improve your health and quality of life through proven medical weight management techniques, you’ll receive a personalized non-surgical weight management plan created by our team of experts in obesity medicine including Endocrinology,Nutrition ,Exercise physiology,and psychology.
Our medical weight loss team knows that every patient is unique. That’s why we consider all aspects of your health when developing the right weight loss plan for you. We offer:
• Medical evaluation and treatment of obesity-related conditions
• Individualized treatment plans
• Dietary and nutritional counseling
• Food-based diets
• FDA-approved weight loss medications
• Behavioral modification and emotional support

Pediatric Weight Loss

Weight loss programs are also available for pediatric patients over the age of 10, adolescents and their families. We offer age-appropriate nutrition and behavioral support and FDA-approved medication, if appropriate.

Parathyroid disorders lead to abnormal levels of calcium in the blood that can cause brittle bones, kidney stones, fatigue, weakness, and other problems.There are typically four parathyroid glands located near the thyroid gland. Each parathyroid gland is normally about the size of a grain of rice (about 3-5 millimeters in diameter and 30 - 60 milligrams in weight).Parathyroid glands release parathyroid hormone (PTH) which controls the calcium levels in the blood stream. Other areas of the body, especially the bones, kidneys and small intestine, respond to PTH by increasing calcium levels in the blood. Calcium is very important for our bodies, especially for muscle and nerve function.

Hyperparathyroidism exists when the parathyroid glands produce too much parathyroid hormone (PTH). This may be due to multiple reasons, and the reason helps determine the appropriate type of treatment. Sometimes treatment is as simple as replacing vitamin D when the parathyroid gland is responding appropriately to a problem elsewhere in the body. In other cases, there is an issue with the gland itself and surgery is required.

Excess parathyroid hormone can lead to negative effects on the body such as osteoporosis which can lead to fractures, kidney stones, decreased kidney function, heart disease, pancreatitis, increased acid secretion in the stomach and ulcers. Many patients experience symptoms of fatigue, depression, anxiety, difficulty concentrating, difficulty with their memory, insomnia, generalized muscle aches and pains, frequent urination (especially at night), and constipation. Because these symptoms may be related to many other disorders, it is never known until after treatment whether or not these will improve.
The opposite problem, hypoparathyroidism, occurs when the parathyroid glands do not produce enough PTH. This leads to a low blood calcium level and can adversely affect muscle, nerve and other functions.

The pituitary gland is an organ that is the size of a pea, located at the base of the brain. Also known as the “master gland,” the pituitary gland helps to regulate other glands in the body. Pituitary gland disorders can disrupt the proper function of hormone-producing organs, such as the thyroid, adrenal glands, and gonads. If the body produces too much or too little of a hormone, symptoms may include:-

• Anxiety or depression
• Diabetes
• Hair loss
• High blood pressure
• Irregular menstrual periods
• Unexpected breast milk production
• Low energy or low sex drive
• Stunted growth or unusual growth spurts
• Unexplained weight gain
• Vision changes

Fatigue
Diaphoresis (sweating)
Weight loss or gain
Irregular menstruation
Sexual dysfunction.

Tumors can also develop in the pituitary gland. These tumors often press on the eye nerve, resulting in vision loss.

The pituitary gland produces many hormones that regulate bodily functions:
• Adrenocorticotropic hormone: ACTH causes the adrenal glands to produce cortisol. This hormone helps your body regulate blood pressure, respond to infections, and control sugar, fat and protein.
• Follicle-stimulating hormone: FSH affects reproduction, helping to release eggs in women and to make sperm in men.
• Growth hormone: GH controls growth in childhood and adolescence. In adults, it maintains body structure and energy production (metabolism).
• Luteinizing hormone: LH, along with FSH, helps with reproduction.
• Prolactin: This hormone is involved in breast milk production (lactation).
• Thyroid-stimulating hormone: TSH controls the amount of hormones produced by the thyroid gland. These hormones affect metabolism and growth.
• Antidiuretic hormone: ADH helps your kidneys manage the amount of water in your body.
• Oxytocin: This hormone helps control reproductive system functions, including birth and lactation.

There are many conditions that can lead to problems with the adrenal gland function. The adrenal glands are small and shaped liked triangles and are located just above each kidney. They are sometimes called suprarenal glands. Their job is to make hormones that you need to keep your metabolism, blood pressure, immune system and stress response in balance.

Adrenal disorders are the result of your glands making too much or not enough of certain hormones. Hormones produced by the adrenals include hydrocortisone (also called cortisol), adrenaline and aldosterone.

There are different conditions related to your adrenal glands. Some of the most common include:

• Addison’s disease also called adrenal insufficiency. In this disorder, you don’t produce enough cortisol and/or aldosterone.
• Cushing’s syndrome. In this disorder, your levels of cortisol are too high. This term can be applied when large doses of steroids are given to treat certain medical conditions.
• Adrenal gland suppression. This is a type of adrenal insufficiency that is related to outside sources of cortisol or related synthetic hormones such as prednisone or dexamethasone.
• Hyperaldosteronism. If you have this condition, your body produces too much aldosterone which can lead to blood pressure elevation and potassium loss.
• Adrenocortical carcinoma. This rare condition refers to cancer forming in the adrenal gland’s outer layer.
• Pheochromocytoma. If you have this condition, your glands make too much epinephrine and norepinephrine which can raise blood pressure or make your heart race.

The thyroid is an important gland that regulates your metabolism, body temperature, energy levels, and your heart rate. If thyroid disorders are left untreated, serious complications may arise. Specializing in thyroidology, Dr. Tivya is the expert to turn to should you have any problems regarding your thyroid gland.

We provide high-quality insulin pumps and continuous glucose monitors for patients with any type of diabetes. While there is currently no cure for diabetes, these instruments that help manage blood sugar play a major role in giving patients a good quality of life.