Endocrinology | Concord Endocrinology

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Endocrinology

Endocrinology is the field of hormone-related diseases. Hormones regulate metabolism, respiration, growth, reproduction, sensory perception, and movement. Hormone imbalances are the underlying reason for a wide range of medical conditions. When you need diagnosis or treatment for hormone problems and the complications that arise from them, turn to the specialists at Concord Endocrinology for the most advanced care options to help restore your hormone balance.

Conditions Diagnosed & Treated

  • Adrenal disorders
  • Diabetes mellitus – Type 1, Type 2 & Gestational
  • Diabetes insipidus
  • Gender dysphoria (Transgender medicine)
  • Hypercalcemia/hypocalcemia management
  • Hyperlipidemia
  • Obesity
  • Osteoporosis
  • Paget’s disease
  • Polycystic ovary syndrome (PCOS)
  • Pituitary disorders
  • Thyroid cancer
  • Thyroid disorders

Procedures & Tests Performed

  • Fine needle aspiration of thyroid nodules
  • Thyroid function tests
  • Dynamic endocrine testing
    • ACTH stimulation test
    • Dexamethasone suppression test
  • Bone density test
  • Recombinant TSH injections for thyroid scanning

Advanced Endocrinology Treatment Options

Insulin Pump Therapy

If you're diagnosed with Type 1 or Type 2 Diabetes, you may be a candidate for an insulin pump therapy — a procedure that delivers insulin continuously under the skin based on your needs.

A Continuous Glucose Monitor (CGM) may be used together with this procedure to help monitor the daily patterns of blood sugar, which may help to adjust the pump settings.

Pump therapy/CGM may be a good option if you:

  • Experience multiple hypoglycemia events;
  • Want better control of your diabetes;
  • Have not achieved the recommended A1C level.

Osteoporosis Treatment

This treatment option is for you if you're diagnosed with osteoporosis and require intravascular or subcutaneous injections.

This treatment may be a good option if you:

  • Experienced hip fracture;
  • Need an alternative to oral treatments to stabilize your bone mass;
  • Have a family history of hip fractures.

Male Hormone (Testosterone) Replacement Therapy

Testosterone replacement therapy might be initiated by your endocrinologist following a hypogonadism diagnosis to restore your hormone balance. Advantages and disadvantages of the treatment should be analyzed prior to initiation of the therapy.

Fine Needle Aspiration of Thyroid Nodules

Thyroid nodule fine needle aspiration (FNA) is a procedure to determine whether the growth in your thyroid gland is benign or malignant. It’s necessary when there is enlargement of the thyroid gland. Ultrasound and fine needle aspirations improve diagnosis and eliminate the need for surgery in many patients. Dr. Marangoz is one of only a few endocrinologist in the Concord area with specialized training to perform thyroid FNA. He performs the procedure in the office with the guidance of thyroid ultrasound. It's a relatively pain free procedure and takes about an hour so you can get back to your daily routine after this minimally invasive procedure. Also available is a genetic test called the Afirma Gene Expression Classifier by Veracyte. If a biopsy is indeterminate, the Afirma test can identify the nodule as either benign or still suspicious for malignancy.

High Quality Diabetes Education

As a patient of Concord Endocrinology, you have access to certified diabetes educators through our Diabetes Self-Management Education program. Educators conduct assessments and recommend safe and appropriate medication and/or insulin requirements based on pattern management. Your specialty and primary providers receive a summary of your diabetes education visits and your specific goals.

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  • Endocrinology