Services

Investigation into and management of the following conditions:

Obesity – Diet

  • Resting Metabolic Rate measurement calculating the body’s basic needs in calories in the resting state (RMR) and their metabolic substratum (burning of carbohydrates, proteins and fat).
  • Assessment of Advanced glycated end products (AGES).
  • Examination of body composition and the alterations of this at the start of and during weight loss, sleep study when appropriate, assessment of stress and of inflammation levels in the body, estimated nutritional needs, physical examination and laboratory investigation into metabolic risk factors, control of fatty liver filtration, diet planning and complementary medication.

Nutritional support following bariatric surgery for obesity

  • Resting Metabolic Rate measurement calculating the body’s basic needs in calories in the resting state (RMR).
  • Special diet plans designed in accordance with the time lapse from surgery.
  • Achievement of further weight loss and/or maintenance.
  • During weight loss, the changes in basic metabolism and in body composition are monitored.
  • Assessment of Advanced glycated end products (AGES)

Diabetes mellitus types 1 and 2

  • Ultrasound scan of the pancreas.
  • Nutritional evaluation.
  • Resting Metabolic Rate measurement calculating the body’s basic needs in calories in the resting state (RMR) and their metabolic substratum (burning of carbohydrates, proteins and fat).
  • Examination of body composition.
  • Assessment of stress and of inflammation levels in the body.
  • Assessment of Advanced glycated end products (AGES).
  • Medical examination, on-the-spot optic fundoscopy, examination of diabetic foot with the tuning fork, a Doppler examination, estimation of the 1-year cardiovascular risk-score, assessment of the patency of the arteries of the lower limbs and carotids.

Endocrinology of pregnancy

  • Estimation of metabolic risk for the foetus and the mother, monitoring of weight gain, nutritional instructions, control of calcium levels and treatment when necessary, monitoring of thyroid hormones and treatment recommendations, blood sugar control and treatment of gestational diabetes via diet or medication.
  • Monitoring of pregnant women with congenital adrenal hyperplasia, primary aldosteronism syndrome,
  • Cushing’s syndrome, pituitary hormone disorders, polycystic ovary syndrome.
  • Assessment of Advanced glycated end products (AGES)

Thyroid diseases

  • Ultrasound scan of the thyroid gland.
  • Control and monitoring of thyroid nodules, ultrasound-guided fine-needle aspiration of thyroid nodules, assessment of upper airway obstruction / pressure in patients with goitre via flow volume loops (FVL), control of thyroid hormones and regulation of treatment, basal metabolic rate measurement calculating the body’s basic needs in calories in the resting state (RMR).
  • Examination of body composition, nutritional instruction, weight control.

Osteoporosis

  • Nutritional instructions, exercise instruction, study of height and weight, study of fracture risk, diagnostic control via bone metabolism laboratory tests, recommended treatment and monitoring.

Polycystic ovary syndrome, increased hair growth, acne

  • Ultrasound scan of the ovaries and endometrium.
  • Basal metabolic rate measurement calculating the body’s basic needs in calories in the resting state (RMR), and their metabolic substratum (burning of carbohydrates, proteins and fat).
  • Examination of body composition, determination of clinical hyperandrogenism score, assessment of nutritional planning, physical examination, hormonal investigation, recommendations for hormone regulation.
  • Assessment of stress and of inflammation levels in the body.
  • Assessment of Advanced glycated end products (AGES)

Control and treatment of menstrual disorders

Subfertility / Infertility of the couple testing and treatment.

  • Ultrasound scan. Hormonal assessment, of stress and of inflammation levels in the body
  • Assessment of Advanced glycated end products.(AGES).

Andrological Endocrinology

  • Ultrasound scan of the testis.
  • Erectile dysfunction, subfertility / infertility, gynaecomastia, sperm control and hormonal treatment, alopecia treatment

Investigation into and treatment of pituitary disorders

  • Adenomas, Disorders of Hormonal secrecion

Investigation into and treatment of adrenal disorders

  • Primary Hyperaldosteronism,
  • Disorders of Cortisol Secretion,
  • Congenital Adrenal Hyperplasia,
  • Phaechromocytoma

Paediatric Endocrinology

  • Investigation into and treatment of endocrine diseases (diabetes, metabolism, thyroid, short stature, tall stature, precocious puberty, assessment of testicular volume and of breast development) and nutritional support. (As part of my specialty at Birmingham Children’s Hospital, Birmingham, UK, I undertook a training course in Paediatric Endocrinology.)

Investigation into and treatment of calcium disorders

  • Parathyroid gland function assessment (Hyperparathyroidism, Hypoparathyroidism),
  • Vitamin D Deficiency
  • Investigation of low and high serum calcium levels

Investigation into and treatment of dyslipidaemias

  • Analysis of body composition, RMR, cardiovascular risk assessment.
  • Assessment of Advanced glycated end products.(AGES)

Nutritional support for athletes

  • RMR is performed whereby the body’s basic needs in calories are calculated in the resting state as well as maximal oxygen consumption (VO2 max).
  • Diet planning undertaken based on the type, duration and intensity of exercise.
  • Changes in body composition and medical history are also taken into account.

Investigation into and treatment of neuroendorcine tumours

Fine-needle aspiration biopsy

of the thyroid

 Direct ophthalmoscopy

assessment of retinal vascular caliber

 Measurement of

resting metabolic rate (RMR)
Measurement of dysthyroid

ophthalmopathy

 Checking for patent arteries in diagnosis

of diabetic foot disease