Endocrinology in Fresno, CA
Each condition has its own page with what we treat, what to expect and answers to common questions. Not sure which one fits? Request an appointment and tell us what is going on.
Type 1, type 2, gestational and LADA diabetes managed with pumps, CGMs, modern medications and a plan that fits your life. Prediabetes caught and reversed early.
Learn moreWeight is a medical condition, not a willpower problem. We look at hormones, metabolism and medications first, then build a plan that lasts.
Learn moreHypothyroidism, Graves disease, Hashimoto's, nodules and parathyroid problems diagnosed and managed by a thyroid specialist, including thyroid eye disease infusions.
Learn moreLow testosterone, menopause, PCOS and hormone imbalance diagnosed properly and treated with the right therapy, by endocrinology specialists rather than a med spa.
Learn moreCushing's syndrome, Addison's disease, adrenal nodules and hormone-driven blood pressure problems, diagnosed with the right testing and managed long term.
Learn morePituitary adenomas, prolactinoma, acromegaly and hypopituitarism evaluated with the right hormone testing and imaging, and managed alongside your neurosurgeon when needed.
Learn moreMetabolic syndrome, insulin resistance, cholesterol and triglyceride problems, fatty liver and gout treated together, because they travel together.
Learn moreBone density results explained, fracture risk calculated and the right treatment chosen, from calcium and vitamin D to the newest bone-building medications.
Learn moreDepartment of Transportation physicals for commercial drivers, with a team that understands how diabetes, insulin and blood pressure rules affect your medical card.
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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.
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.
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.
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.
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.
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).
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.
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 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.
How the condition pages fit together and what to expect from a specialist visit.
Start with the symptom or lab result that brought you here. Abnormal blood sugar points to diabetes or prediabetes, abnormal TSH to thyroid care, weight that will not move to weight management or metabolism, and fatigue with low libido or cycle changes to hormonal health. If you are not sure, request an appointment and tell us what is going on. Figuring out which gland is involved is what we do.
Yes, and we usually do. Diabetes, weight, thyroid, cholesterol and hormone problems overlap constantly, and treating them together is more effective than treating each one in isolation.
Yes. We offer infusion therapy for thyroid eye disease associated with Graves disease and for gout that has not responded to standard treatment. Ask about these at your visit.
Always. We send visit notes and lab results to your primary care provider and coordinate medication changes so everyone is working from the same plan.
Virtual follow-up visits are available for many established patients when an in-person exam is not needed. New patient visits are generally in person at our Fresno clinic.
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