Thyroid nodules are lumps that can form on the thyroid and rarely may be cancerous. As we age, it is common for an individual to develop thyroid nodules. Some nodules can be identified by palpation, meaning your doctor might find them on a clinical examination. However, most nodules are found incidentally on other advanced medical imaging (for instance an MRI of the neck performed to evaluate a pinched nerve or an ultrasound of the carotid arteries performed to identify plaque). In order to properly evaluate your thyroid nodules, our doctors will combine laboratory testing, clinical experience, and high resolution ultrasound to determine if a nodule requires tissue sampling with a Fine Needle Aspiration (FNA). A lot can be learned from the ultrasound features of a nodule and that is exactly why we believe it is imperative that an experienced endocrinologist does not just read a report or review images from outside facilities. We believe the best care is provided when an experienced endocrinologist can evaluate a nodule with a high resolution ultrasound at your visit. The doctors of Advocare Endocrinology Associates of Princeton have been on the cutting edge of clinical thyroidology since the day the practice was founded in 2010, performing thousands of thyroid biopsies, thousands of diagnostic ultrasounds and caring for thousands of thyroid cancer survivors. There is no substitute for the experience and expertise of our physicians in managing thyroid nodules and thyroid cancer.
Diseases of the thyroid include hypothyroidism, hyperthyroidism, autoimmune thyroid disease, postpartum thyroiditis, and toxic adenomas (hot nodules). The physicians of Advocare Endocrinology Associates of Princeton can rapidly identify and correct any disorder of thyroid function by utilizing advanced endocrine testing, nuclear thyroid imaging, and onsite high resolution ultrasound.
Osteoporosis is an underdiagnosed and potentially devastating disease. Osteoporosis can lead to significant debility and even death in the geriatric population.
For years, oral bisphosphonates like Fosamax were the mainstay of treatment. Newer agents are available. If you have experienced a fragility fracture (hip fracture or vertebral crush fracture) or if your bone density is deteriorating, it is time you had a thorough metabolic evaluation by a bone specialist.
Advocare Endocrinology Associates of Princeton is the leader in osteoporosis care in the region.
Low testosterone can cause fatigue, depression, poor libido, poor erectile function, diminished concentration, and weight gain.
Because men frequently will not express their concerns to physicians or loved ones, this disorder remains underdiagnosed and therefore undertreated.
The physicians of Advocare Endocrinology Associates of Princeton treat hundreds of men annually for low T.
Under normal circumstances, calcium homeostasis is controlled mainly by two hormones: 1) parathyroid hormone and 2) vitamin D.
Yes, you read that correctly. Vitamin D is a hormone. For many years the role of vitamin D in maintaining bone health was well recognized. More recently, it is thought that vitamin D sufficiency may protect against certain diseases.
Advocare Endocrinology Associates of Princeton receives a large number of consults annually for difficult cases involving disordered calcium metabolism. Our doctors are quite skilled at identifying parathyroid adenomas with high resolution ultrasound, often eliminating the need for more costly testing that usually requires radiation exposure.
There is an epidemic of obesity in this country which is driving an epidemic of type 2 diabetes mellitus. This disease is largely a lifestyle disease, but it a serious disease none-the-less. The good news is that there are many new treatments designed to improve glycemic control and to improve quality of life.
If you are not achieving your glycemic goals, or your hemoglobin A1c remains above 7% despite your best efforts, take the time out to see a specialist. Remember, uncontrolled diabetes can lead to blindness, accelerated atherosclerosis, kidney failure, and loss of limbs.
The physicians of Advocare Endocrinology Associates are at the forefront of diabetes care. We provide onsite Hemoglobin A1c testing, continuous glucose monitoring, advanced diabetes management with insulin pumps, and comprehensive diabetes education.
The doctors of Advocare Endocrinology Associates of Princeton routinely treat the following diseases:
Pituitary Tumors:
- Cushing’s Syndrome
- Acromegaly
- Prolactinoma
- Benign macroadenomas
Adrenogenital Disorders:
- Congenital adrenal hyperplasia
- Polycystic Ovarian Syndrome (PCOS)
- Hyperaldosteronism
- Hirsuit (excess male pattern hair growth)
Disorders of the Posterior Pituitary:
- Diabetes insipidus
- Syndrome of inappropriate anti-diuretic hormone (SIADH)