Endocrinologist in Singapore with 20+ Years of Experience

These are among the less common endocrine presentations and often reach us as an unexpected scan or blood test finding. We investigate and manage Cushing’s syndrome and disease, primary aldosteronism, adrenal incidentalomas, phaeochromocytoma, pituitary tumours including prolactinoma and acromegaly, hypopituitarism and adult growth hormone deficiency. Assessment may involve dynamic hormone testing and imaging referral.

Lipid problems sit close to insulin resistance and cardiovascular risk, which is why they are managed within endocrinology. Assessment covers lipid profiling and cardiovascular risk stratification, with particular attention to familial hypercholesterolaemia where the pattern or family history suggests it. Management combines lifestyle measures with medication where indicated.

Structured diagnosis and ongoing management for Type 1, Type 2, gestational diabetes and less common forms including MODY. Care typically involves HbA1c and glucose review, insulin regimen adjustment where relevant, continuous glucose monitoring or insulin pump therapy for suitable patients, and monitoring for complications affecting the kidneys, eyes and nerves. Dietetic input is coordinated where it would help.

Insulin resistance often develops quietly and is frequently identified only when it is investigated deliberately. Assessment looks at glucose and insulin measures alongside lipids, blood pressure and waist measurement to build a picture of overall metabolic and cardiovascular risk, and to guide what to do about it.

Hormonal conditions affect both sexes at every life stage. We assess and manage testosterone deficiency in men, and in women, PCOS, irregular or absent periods, and symptoms associated with perimenopause and menopause. Adrenal androgen disorders are also assessed here. Testing is guided by the presenting picture rather than run as a fixed panel.

Weight management here begins with investigation rather than a programme. We look for contributors such as insulin resistance, thyroid underactivity, PCOS or, less commonly, Cushing’s syndrome, and assess body composition and metabolic rate before agreeing a medically supervised plan. Anti-obesity medication is considered where it is clinically appropriate for the individual.

Osteoporosis rarely causes symptoms and is often identified only after a fracture from a minor fall. Assessment involves bone mineral density scanning and fracture risk scoring using validated tools, followed by treatment where indicated, which may include anti-resorptive or anabolic therapy alongside calcium, vitamin D and falls prevention.

Assessment and management of an overactive or underactive thyroid, including Graves’ disease and Hashimoto’s thyroiditis, along with thyroiditis, thyroid nodules and thyroid hormone management after surgery. Assessment usually begins with thyroid function testing covering TSH, free T3, free T4 and antibodies, with in-clinic ultrasound and ultrasound-guided fine-needle aspiration where clinically indicated.