Metabolic disorder care in Fresno, CA
Metabolic syndrome is a cluster of findings that tend to appear together: extra weight around the waist, high blood pressure, high blood sugar, high triglycerides and low HDL cholesterol. On their own each one is a nuisance. Together they multiply the risk of type 2 diabetes, heart attack, stroke and fatty liver disease. Insulin resistance is usually the thread that connects them, and it is very common in the Central Valley.
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We treat the cluster, not just the lab that happens to be flagged. That means a full metabolic workup, including thyroid, insulin, lipids, liver and uric acid, and then a plan that may combine nutrition changes, activity, sleep and, where needed, medication for blood sugar, lipids, blood pressure or weight. For gout, we manage uric acid long term and offer infusion therapy in the clinic for patients whose gout has not responded to standard treatment.
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Metabolic syndrome is reversible, and the earlier it is treated the more of the damage is avoided. Small, sustained changes in weight and activity improve every component at once, and modern medications can help when lifestyle alone is not enough. We track your numbers over time so you can see the progress, and we coordinate with your primary care provider and cardiologist so everyone is working from the same plan.
Call Spring Endocrinology for metabolic disorder care in Fresno, Clovis, Madera and across the Central Valley.
(559) 216-0407
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If any of these sound familiar, a specialist visit is worth it. Bring recent labs if you have them.
Hormone conditions overlap. These are the ones we most often treat alongside metabolic disorder care.
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 moreLocal details for metabolic disorder care in the towns we serve most, from our Northeast Fresno clinic. See every area.
Straight answers from the Spring Endocrinology team. For more, read the full FAQ.
Insulin resistance means your cells no longer respond normally to insulin, so the pancreas makes more of it. We assess it with fasting glucose, A1C, fasting insulin, triglycerides and your exam, and we treat it with weight, activity and medication when needed because it is the root of most metabolic syndrome.
Yes. We manage uric acid long term to prevent attacks and we offer infusion therapy for gout in the clinic for patients whose disease has not responded to standard oral medication.
Yes. Losing 5 to 10 percent of body weight, moving more and improving sleep improve every component, and medications can help when needed. Many patients bring their blood sugar, blood pressure and lipids back into the normal range.
Fatty liver disease is closely tied to insulin resistance, weight and diabetes, which is why endocrinologists treat it. Improving metabolic health is the main treatment, and newer medications are also available for some patients.
We go deeper on the hormonal causes and have more experience with the newer metabolic and weight medications. Most patients see us alongside their primary care provider, and we share the plan.
Google reviews from patients across Fresno, Clovis and the Central Valley.