Dr. Brian J. Fertig, MD, Diabetes & Osteoporosis Center

Conditions Treated

Thyroid Disorders

thyroidMost of the metabolic processes within the body are influenced by the thyroid glands via the hormones it produces. Thyroid disorders range from life-threatening thyroid cancers to goiters, which can be harmless. With proper diagnosis and treatment, most thyroid problems can be effectively managed. At The Diabetes & Osteoporosis Center we are skilled in handling a variety of thyroid disorders, including:

Thyroid Nodules

Thyroid nodules are fluid-filled or solid lumps that occur within the thyroid. In many cases, these nodules are not serious and do not cause any symptoms. Patients often don’t even know they have a nodule until it’s discovered by a physician during a medical exam. However, some nodules may grow large enough to make breathing and swallowing difficult. Some nodules may also produce extra thyroxide, a thyroid hormone, which may cause symptoms like increased sweating, weight loss, irregular or rapid heartbeat, tremors, and nervousness. Treatment varies depending on whether the nodule is cancerous, benign, or causing symptoms.

Thyroid Cancers

Thyroid cancer is very uncommon, and patients who do have thyroid cancer usually do well because it’s usually found early and treatment is usually very effective. However, in some cases, it’s possible for thyroid cancer to come back, even years after treatment. Thyroid cancer often causes difficulty swallowing or breathing, hoarseness, frequent coughing, pain in the neck, and swelling or a lump in the neck. Some patients experience no symptoms at all. Surgery and radioactive iodine are common treatments for thyroid cancer, and it’s rare for patients to need chemo or radiation therapy.


Goiters are enlargements of the thyroid gland that can be temporary problems that resolve on their own or symptoms of other thyroid disorders that may require medical treatment. They often occur when the thyroid is either not producing enough thyroid hormone or when it’s producing too much thyroid hormone. In rare cases, it’s possible for the pituitary gland to stimulate thyroid growth. It’s even possible for goiters to occur when the thyroid is producing hormones normally. Some patients have experienced the growth of goiters after eating too many goiter-promoting foods, including spinach, soybeans, peanuts, peaches, rutabagas, and cabbage.

Hypothyroid Conditions

When the thyroid doesn’t produce enough thyroid hormones, the condition is known as hypothyroidism. Although many patients don’t experience symptoms in the early stages, it can begin to cause health problems over time, including infertility, heart disease, obesity, and joint pain. Common symptoms include weight gain, fatigue, constipation, swelling of the joints, muscle aches, puffy face, thinning hair, reduced heart rate, and depression. In most cases, symptoms improve with the use of synthetic hormone treatments.

Hyperparathyroid Conditions

Hyperparthryoidism occurs when there is too much parathyroid hormone in the bloodstream, which can lead to weight loss, loss of appetite, bone and joint pain, abdominal pain, weakness, fragile bones, nausea, depression, and excessive urination. Patients with this condition must be monitored, and in some cases, medications may be used for treatment. Surgery is also a common treatment option that offers a cure for nearly 95% of patients.

How The Diabetes & Osteoporosis Center Can Help

The Diabetes & Osteoporosis Center offers the experience of Dr. Brian Fertig and Dr. Hassan Kanj in diagnosing and treating thyroid cisorders. With cutting-edge diagnostic technology, such as a Sosonite thyroid ultrasound, BMI machine, ANSAR testing, and an on-site, state of the art laboratory, we’re able to get to a diagnosis quickly so patients can be treated fast and effectively. Every patient is treated by an individual and our team of professionals will come up with a customized treatment plan that fits your unique thyroid needs.