Hourglass Wellbeing offers expert, Consultant-led Endocrinology consultation and investigation services, led by Dr. Utkarsh Kulkarni and Dr. Jan Klepacki.

Endocrinology is a medical field which specialises in the diagnosis and treatment of hormonal abnormalities in the human body. There are a multitude of hormones in the human body which tightly regulate physiological processes. Not surprisingly excessive or insufficient hormone secretion can lead to significant health consequences and can manifest with numerous symptoms. Common symptoms that may be related to an underlying endocrine disorder include:

• Unintentional weight gain or weight loss

• Tiredness

• Increased thirst, increased passing of urine (polyuria)

• Infertility, impotence and erectile dysfunction in men

• Infertility, irregular periods, lack of periods or early menopause in women

• Breast enlargement and milk discharge (galactorrhoea)

This list is by no means exhaustive, illustrating only the most common symptoms. If you are concerned about persistent symptoms you can discuss them with one of our Specialists.

Hormone conditions can be complex, and there are many. Some are very rare and can have mixed root causes. Some of the more common endocrine conditions we can help with include:

• Hyperthyroidism (excessive thyroid hormones - overactive thyroid gland)

• Hypothyroidism (deficient thyroid hormones - underactive thyroid gland)

• Type 1 Diabetes (insulin hormone deficiency)

• Type 2 Diabetes (insulin hormone resistance)

• Cushing's disease (cortisol hormone excess)

• Addison's disease  (cortisol hormone deficiency)

• Prolactinoma (prolactin hormone excess)

• Hyperthyroidism (excessive calcium levels due to parathyroid hormone excess)

• Acromegaly (growth hormone excess)

• Reproductive hormones imbalance

• low testosterone hormone in a man

• low oestrogen hormone in a woman

General Wellbeing

Our Endocrinologists are experienced Physicians (Medical Doctors) who can offer testing for and interpretation of a variety of medical conditions via our specialised blood testing panels:

• Well Woman Panel - Blood test. This panel combines a cardiovascular panel with CA125, FSH, LH, oestradiol, active B12, folate, vitamin D.

• Well Man Panel - Blood test. This panel combines a cardiovascular panel with PSA, Testosterone, active B12, folate, vitamin D.

Weight loss and lifestyle support

Weight gain may be a symptom of an Endocrine condition or as a result of lifestyle choices. We can also provide support to exclude Endocrine causes of weight gain and support your weight loss journey. This may involve recommending modifications to diet, lifestyle or the use of specialist prescription-only therapies.