(559) 216-0407 (559) 385-2010 7055 N. Chestnut Ave. #103 Fresno, CA. 93720
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What We Treat

Explore the wide range of hormonal and metabolic conditions treated at Spring Endocrinology. From diabetes to thyroid disorders, we provide expert care tailored to your needs.

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Diabetes

Diabetes & Prediabetes

Many people with prediabetes have no symptoms. Progression from prediabetes to Type 2 diabetes isn't inevitable. With lifestyle changes, weight loss, and medication, it's possible to bring a blood sugar level back to normal.

Diabetes comes in many different forms. Type 1 Diabetes, Type 1.5 Diabetes (LADA), Type 2 Diabetes, Type 3c Diabetes, Cystic Fibrosis Diabetes, Drug Induced Diabetes, Gestational Diabetes, Maturity Onset Diabetes of the Young (MODY).

Diabetes management is complicated and requires special education and training that most general providers are not equipped to handle. Diabetes treatments vary from one patient to another, requiring an individualized plan.

Spring Endocrinology providers are experienced with field proven diabetic treatments. We utilize the latest technologies, medication, and nutritional support to improve quality of lives of people living with diabetes.

Obesity & Weight Management

Obesity & Weight Management

Common treatments for obesity include losing weight through healthy eating, being more physically active, and making other changes to your usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight.

Our providers prescribe a personalized nutrition plan to balance your blood sugar levels and add whole, nutrient-rich foods to your diet to support your unique digestive health needs.

Thyroid Disease & Parathyroid Disorders

Thyroid Disease & Parathyroid Disorders

Your thyroid typically makes hormones that keep your body functioning normally. When the thyroid makes too much thyroid hormone, your body uses energy too quickly. This is called hyperthyroidism. Normally, the glands release just enough PTH to keep calcium levels normal. Disease upsets this delicate balance. There are three types of parathyroid disease: hyperparathyroidism, parathyroid cancer and hypoparathyroidism.

Hyperparathyroidism occurs when one or more of the parathyroid glands make too much PTH. This can happen for several reasons:

A noncancerous tumor on a single gland (adenoma) or multiple glands (hyperplasia)

Overactivity in all four glands (primary hyperparathyroidism)

Having several adenomas (multiple endocrine neoplasia type 1 [MEN-1])

Parathyroid cancer is a rare disease in which malignant (cancer) cells form in the tissues of one or more of the parathyroid glands.

Men’s & Women’s Hormonal Health

Men’s & Women’s Hormonal Health

The primary female sex hormones are estrogen and progesterone. Men’s primary sex hormone is testosterone. However, women produce small amounts of testosterone as well. Similarly, men also produce small amounts of estrogen and progesterone.

Estrogen – Estrogen is responsible for the growth, development, and functioning of the female reproductive system. Estrogen also affects bone density and metabolism.

Progesterone – Progesterone is necessary for pregnancy, as it prepares the uterus for implantation of an embryo (fertilized egg) and helps to maintain the pregnancy. Progesterone production increases during pregnancy, with levels ten times higher than normal levels after eight weeks.

Prolactin – Prolactin stimulates breast development and milk production after childbirth. It also has other functions in females such as stimulating estrogen production by the ovaries and ensuring regular menstrual cycles.

If you live long enough, you will experience some symptoms of age-related hormonal decline. You may have heard about older men who are taking testosterone replacement therapy (TRT) to increase their energy, strength and sexual function. The most common hormonal treatment for women is estrogen replacement for menopause symptoms. But there is a lot more to it than that.

If you are like most men, you are not very familiar with what happens in your body as you get older. Most of us don't know much about our hormones until we start experiencing unpleasant symptoms. By then, the damage has been done and it's more difficult to reverse the process than if you took preventative steps earlier in life.

It's time to learn more about what happens as we age and how we can improve our health and well-being.

Adrenal Disorders

Adrenal Disorders

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.

Your adrenal glands produce hormones that help control your metabolism, immune system, blood pressure, response to stress, and other essential functions. Too much or too little of these hormones can cause a variety of symptoms, including chronic fatigue Syndrome and Cushing's Syndrome.

There are several types of adrenal disorders. Some are caused by problems in the cells of the adrenal cortex, others by problems in the medulla.

The most common adrenal disorder is one called Cushing's Syndrome. Cushing's Syndrome occurs when your body has higher than normal amounts of a hormone called cortisol. This disorder usually develops over time and can be caused by taking certain medication, such as prednisone. The signs and symptoms include weight gain, upper body obesity, a rounded face, increased fat around the neck, thinning arms and legs, severe fatigue and weak muscles.

Addison's Disease is a rare disorder that occurs when your body doesn't produce enough of certain hormones. In Addison's Disease, your adrenal glands don't make enough cortisol or aldosterone (a mineralocorticoid hormone). It can affect both adults and children.

Pituitary Dysfunction

Pituitary Dysfunction

Hypopituitarism is when you have a short supply (deficiency) of one or more of the pituitary hormones. These hormone deficiencies can affect any number of your body's routine functions, such as growth, blood pressure or reproduction. Symptoms typically vary, based on which hormone or hormones you are missing.

Pituitary dysfunction, or hypopituitarism, is a condition in which the pituitary gland — located at the base of the brain — doesn't produce enough of certain hormones. The pituitary gland controls the production of many hormones by other glands and organs.

Pituitary dysfunction can occur when there's damage to the pituitary gland or hypothalamus (the part of your brain that controls your body temperature, appetite and thirst).

Metabolism Disorders

Metabolism Disorders

Metabolic Syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

Your body derives energy from the nutrients in the food you eat. This energy is used to support bodily functions, including breathing, digesting food and repairing cells. Metabolism describes all of the chemical reactions that occur in your body to maintain life. Metabolism is affected by your age, sex, body type, genetics and lifestyle choices and can change over time.

Metabolic disorders occur when abnormal chemical reactions in your body disrupt this process. When this happens, you might have too much of some substances or too little of other ones that you need to stay healthy.

Some metabolic disorders are genetic and inherited from your parents. Others are caused by environmental factors, such as exposure to certain chemicals or viruses. Some metabolic disorders can be prevented by avoiding their known causes while others cannot be prevented.

Osteoporosis

Osteoporosis

The body constantly absorbs and replaces bone tissue. With osteoporosis, new bone creation doesn't keep up with old bone removal. Osteoporosis is usually found after a bone injury or routine screening. Treatment includes medication, healthy diet, and weight-bearing exercise to help prevent bone loss or strengthen already weak bones.

Osteoporosis is a disease that causes your bones to become weak and more likely to break. As you age, your body makes less bone, and it can become thinner and weaker.

Osteoporosis can cause broken bones. Your wrists, hips and spine are most prone to breaking, but osteoporosis can also cause fractures in your arms or ribs.

You may not realize that you have osteoporosis until you snap a bone or lose height. The pain is usually sudden and severe.

Osteoporosis affects both men and women. But women are at greater risk because they start with less bone tissue and lose it at a faster rate than men do as they age. Moreover, after menopause, women lose the protective effects of estrogen on their bones

DOT Exams

DOT Exams

DOT exams are mandatory physical examinations required by the Department of Transportation for individuals holding or applying for a Class A license, such as truck and bus drivers. These exams ensure drivers are physically and mentally fit to operate commercial vehicles safely.

Our DOT exams include a thorough review of your medical history, vision and hearing tests, blood pressure measurement, and physical evaluation. Our goal is to ensure you meet all DOT standards for safety and fitness.

DOT exams are required for individuals driving commercial vehicles over a certain weight, transporting hazardous materials, or carrying more than eight passengers for compensation. These include truck drivers, bus drivers, and other Class A license holders.