Endocrinology Center of New Jersey, Dr Svetlana Shifrin …

August 15th, 2015 4:49 am

Dr Shifrin-Douglas is Board Certified Endocrinologist with more than 10 years of clinical experience, including 7 years of Academic Experience as an Assistant Clinical Professor of Endocrinology at Penn State Milton S Hershey Medical Center.

Dr Shifrin-Douglas has been selected as CASTLE CONNOLLY TOP DOCTOR in ENDOCRINOLOGY for 2015

Affiliations: -Jersey Shore University Medical Center -Monmouth Medical Center- press release

Providing consultation and treatment for an adults with following Endocrine problems:

Thyroid Gland:

In people with Hashimoto's hypothyroidism occurs at a rate of 4.3% per year versus 2.6% per year who do not have Hashimoto's. Evaluation for Hashimoto's should be considered when evaluating patients with recurrent miscarriage, with or without infertility.

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Parathyroid Glands

(abnormal calcium level):

Pituitary Gland:

Adrenal glands:

Bone Metabolism:

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Genetic Endocrine Syndroms:

Multiple Endocrine Neoplasia Type 1 (MEN 1)

Multiple Endocrine Neoplasia Type2A and 2B(MEN 2A and MEN 2B)

Familial Medullary Thyroid Carcinoma Syndrome (FMTC)

Familial Hypocalciuric Hypercalcemia (FHH)

Pregnancy and Infertility

Overt untreated hypothyroidism during pregnancy may adversely affect maternal and fetal outcomes. These adverse outcomes include increased incidences of spontaneous miscarriage, preterm delivery, preeclampsia, maternal hypertension, postpartum hemorrhage, low birth weight and stillbirth, and impaired intellectual and psychomotor development of the fetus.

Women with positive TPOAb may have an increased risk for first trimester miscarriage, preterm delivery, and for offspring with impaired cognitive development.

It is important to have normal thyroid function prior to conceiving.

Requirements of thyroid hormone increase during pregnancy.

When a woman with hypothyroidism becomes pregnant, the dosage of L-thyroxine should be increased as soon as possible.

"Treatment with L-thyroxine should be considered in women of childbearing age with normal serum TSH levels when they are pregnant or planning a pregnancy, including assisted reproduction in the immediate future, if they have or have had positive levels of serum TPOAb, particularly when there is a history of miscarriage or past history of hypothyroidism."

"Women of childbearing age who are pregnant or planning a pregnancy, including assisted reproduction in the immediate future, should be treated with L-thyroxine if they have or have had positive levels of serum TPOAb and their TSH is greater than 2.5 mIU/L."

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It would be important to be evaluated for Endocrine cause of obesity.

Did you know that several endocrine abnormalities, including Hypothyroidism, Cushings, Polycystic ovary syndrome (PCOS), Subclinical Hypothyroidism are considered as causative factors of obesity?

Prevalence in obesity of Cushings 1%, metabolic syndrome 40%, PCOS 12%, Hypothyroidism 5%, Hashimoto's thyroiditis 11%.

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