To anyone out there looking for a Endocrinologist who actually gives a damn and adopts a more holistic approach to diagnosing and treating thyroid disease then I can not recommend Dr. Sunil Zachariah highly enough.
He is the first Dr. in the UK whom I actually felt at ease with and confident after seeing that i now stand some chance of being treated properly after going years without being diagnosed.
I saw him in Surrey yesterday morning and upon arrival it was very encouraging to see that he had already reviewed all my history in detail and had plotted on on paper how my bloods have changed etc from test to test with prior Endo.
He spent a good hour with me going through all my symptoms in detail and explained to me in detail exactly how the Hypothalamus, Pituitary, thyroid and adrenals are linked , what each do in the circuit and what failure in the circuit triggers which symptoms and why!
He then also advised that he wanted to do a battery of additional tests and MRI scan to check all my hormones and to rule out any nodules on my pituitary given my prolactin level is high and I have a multi -nodular goitre. In addition he has also suggested a biopsy of the the largest nodule on my thyroid.
Surprisingly he also explained how FT3/4 and TSH bloods can show up within range however if on the lower end in individuals with symptoms (Like myself) then they are hypothyroid and need to be treated accordingly to feel better.
Following this he then went on to explain the various medication options and also explained how T4 medication alone is not always the right option for some patients and they may need T4 and T3 to feel better or just T3. And to top it off he then also talked to me about NDT and how this is a natural option whereas others are synthetic and some people prefer and do better on natural, although not an NHS funded option and there fore patients need to self-fund for this option. He concluded by advising that once the tests/scan results came back and we have a complete picture then we would discuss the best treatment option and he would work with me overtime to ensure I am on the right medication to feel much better.
Music to my ears!!!
I wish the 5 previous combo of GPs/Endo's I have seen had been as thorough and as comprehensive and empathetic to my symptoms and condition as he was.
I hope that by sharing this I spare some of you the frustration I have experienced as newly diagnosed HYPO sufferer.
All the very best