Thyroid Care for Hashimoto's, Graves' & Nodules
Board-certified endocrinology evaluation and individualized management for the full spectrum of thyroid conditions — from autoimmune thyroid disease to nodules and survivorship care.
Conditions We Evaluate & Manage
A thoughtful, evidence-based approach to every thyroid concern — from first labs through long-term follow-up.
Hypothyroidism & Hashimoto's Thyroiditis
Hashimoto's is the most common cause of an underactive thyroid in the United States. The immune system gradually reduces the thyroid's ability to make hormone, which can lead to fatigue, weight gain, cold intolerance, dry skin, hair changes, constipation, brain fog, and mood changes.
Evaluation may include
- Comprehensive thyroid panel (TSH, Free T4, Free T3)
- Thyroid antibodies (TPO, thyroglobulin) when indicated
- Thyroid ultrasound when clinically appropriate
- Review of nutritional, metabolic, and lifestyle contributors
Approach to care
Care is individualized and may include levothyroxine, combination therapy where appropriate, and ongoing monitoring. Treatment decisions follow current endocrinology guidelines and are tailored to each patient.
Hyperthyroidism & Graves' Disease
An overactive thyroid can cause palpitations, unintentional weight loss, heat intolerance, anxiety, tremor, sleep disturbance, and eye changes. Graves' disease is an autoimmune cause of hyperthyroidism that requires careful diagnosis and monitoring.
Evaluation may include
- TSH, Free T4, Free T3, and TSI / TRAb antibodies when indicated
- Thyroid uptake and scan referral when clinically appropriate
- Cardiac and bone health review
- Eye symptom screening for thyroid eye disease
Approach to care
Management options are discussed in detail and may include antithyroid medication, radioactive iodine, or surgical referral. The goal is to restore safe thyroid levels and protect heart and bone health long term.
Thyroid Nodules
Thyroid nodules are common and most are benign. Evaluation focuses on identifying the small subset that need closer attention while avoiding unnecessary procedures.
Evaluation may include
- Diagnostic thyroid ultrasound with TI-RADS risk assessment
- Thyroid function testing
- Referral for fine-needle aspiration biopsy when ultrasound criteria are met
- Structured surveillance plan when biopsy is not indicated
Approach to care
Follow-up frequency, biopsy decisions, and any specialist referrals are guided by nodule size, ultrasound features, and patient history — not a one-size-fits-all rule.
Thyroid Cancer Survivorship & Surveillance
For patients with a history of thyroid cancer, structured long-term follow-up is essential. Care focuses on thyroid hormone optimization, surveillance labs, and imaging on an appropriate schedule.
Evaluation may include
- TSH targets based on risk stratification
- Thyroglobulin and antibody monitoring
- Neck ultrasound surveillance
- Coordination with surgical and oncology teams as needed
Approach to care
Survivorship plans are tailored to each patient's risk category and treatment history, with attention to quality of life and long-term hormone balance.
Thyroid disease and PCOS share symptoms such as irregular cycles, weight change, hair thinning, and fatigue, which is why thyroid testing is part of a PCOS evaluation. See our PCOS care page
Thyroid disease and the menopause transition overlap in fatigue, weight change, temperature intolerance, hair thinning, and mood changes, which is why thyroid testing is part of a menopause evaluation. See our menopause care page
What to Expect at Your Thyroid Visit
Full clinical review
A detailed history, symptom review, and review of prior labs and imaging.
Targeted testing
Lab work and imaging are ordered based on your clinical picture — not a generic panel.
Individualized plan
A clear, shared plan with follow-up timing, treatment options, and what to watch for.
Frequently Asked Questions
Ready for a thoughtful thyroid evaluation?
Schedule with Palm Beach Thyroid & Endocrinology Wellness in Wellington, Florida.
Medical disclaimer: This page is educational and does not replace a medical consultation, diagnosis, or treatment. Thyroid conditions vary widely between individuals — testing, treatment, and follow-up should always be guided by your endocrinologist. If you are experiencing severe symptoms such as chest pain, severe shortness of breath, or a thyroid storm crisis, seek emergency care immediately.