Why See an Endocrinologist?

Why Should an Obese Patient See a Clinical Endocrinologist?
Although family doctors, such as an internists or primary care physicians, often first diagnose and treat obesity, an endocrinologist may be needed if obesity is associated with underlying hormonal conditions (thyroid disease, hypothyroidism). Endocrinologists are best equipped as specialists to manage the conditions associated with obesity, such as diabetes, PCOS, hypertension, childhood (pediatric) obesity, insulin resistance and the metabolic syndrome.

In addition, an individual with a personal or family history of high blood pressure (hypertension), high cholesterol or triglycerides, diabetes or other metabolic/endocrine disorders is at increased risk of obesity-related problems. These individuals should work closely with their primary care provider to determine whether consultation with an endocrinologist is required.

In general, a patient should see an endocrinologist if:

• Behavior modifications, such as increased exercise and improved diet, are not effective for weight loss;
• The patient has an endocrine disorder, such as diabetes, metabolic syndrome or polycystic ovary syndrome (PCOS), that may be aggravated by obesity; and
• The patient has an underlying endocrine condition that increases their risk for obesity, such as Cushing’s syndrome or hypothyroidism.

How Do Endocrinologists Treat the Overweight and Obese?
Treatment of the overweight or obese patient is a two-step process that includes:

1. Obesity assessment; where an endocrinologist determines the degree of obesity and overall risk status; and
2. Weight loss treatment management; which includes both weight loss and instituting other measures to control accompanying risk factors⁹¹.