Endocrinology

Endocrinology

Diagnosis, treatment, and monitoring of disorders related to hormonal balance and metabolic processes in the body.

Department Overview

The Department of Endocrinology and Metabolism at Zan Mitrev Clinic specializes in the diagnosis, treatment, and monitoring of disorders related to hormonal balance and metabolic processes in the body.

The hormonal system plays a key role in the function of all organs, which is why the department serves as an integrative point connecting multiple medical disciplines.

Using modern diagnostic methods and an individualized approach, we provide early detection, effective treatment, and long-term monitoring of patients, with the aim of improving quality of life.

Diagnostics and Treatments

Laboratory evaluation of hormonal status

Highly precise biochemical analyses for assessment of the function of all endocrine glands, including the thyroid, pituitary, pancreas, parathyroid, adrenal, and reproductive glands, as well as parameters related to bone metabolism, calcium, and vitamin D.

Thyroid ultrasound examination

A non-invasive, high-resolution method for detailed analysis of the structure, size, and possible changes of the thyroid gland.

Fine needle aspiration biopsy (FNA)

A minimally invasive procedure performed under ultrasound guidance for precise cytological diagnosis of thyroid nodules.

Oral glucose tolerance test (OGTT)

A standardized procedure for evaluating the body’s response to glucose, essential for diagnosing diabetes, insulin resistance, and gestational diabetes.

Specific suppression and stimulation tests

Dynamic functional tests used to assess the reserve capacity or hyperfunction of endocrine glands.

Bone densitometry (DEXA scan)

The gold standard for measuring bone density and assessing fracture risk.

Magnetic resonance imaging (MRI) and computed tomography (CT)

Advanced imaging methods for detailed visualization of the pituitary gland, adrenal glands, and pancreas.

The department applies a personalized treatment approach, combining the latest pharmacological advances with modern therapeutic procedures:

Modern antidiabetic therapy

Use of the latest generation of oral and injectable treatments, including GLP-1 receptor agonists, with benefits for glycemic control, cardiovascular protection, and renal protection.

Individualized insulin therapy

Precise initiation and adjustment of therapy according to the patient’s needs and lifestyle.

Hormone replacement therapy

Replacement of hormonal deficiency in disorders of the thyroid gland, pituitary gland, and adrenal glands.

Medical weight management

A comprehensive approach combining pharmacotherapy and clinically supervised nutritional protocols.

Osteoporosis treatment

Use of specific antiresorptive or anabolic therapy to strengthen bone structure.

Autohemotherapy with ozone

A hyperoxygenation method that improves microcirculation and tissue oxygenation, playing an important role in the prevention and treatment of complications in diabetes.

Patient education programs

Structured training for self-management, monitoring of the condition, and early recognition of complications.

Technology and Equipment

  • Integrated laboratory system
    enables rapid and precise biochemical and immunological analysis of blood parameters and hormone levels.
  • High-resolution ultrasound system
    provides detailed visualization of the thyroid gland and guidance during procedures such as fine needle aspiration.
  • InBody 380 body composition analyzer
    enables precise analysis of body fat, muscle mass, and water distribution, essential for monitoring metabolic health.
  • DEXA system for bone densitometry
    technology for quantitative measurement of bone density and early detection of osteoporosis.
  • Autohemotherapy with ozone system
    medical equipment for precise and safe administration of ozone according to clinical standards.
  • Advanced radiological diagnostics (MRI and CT)
    modern imaging systems for detailed visualization of endocrine organs.

Specialists

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All doctors

Patient Journey

  • Consultation
    Initial examination, detailed medical history, and assessment of symptoms by an endocrinologist.
  • Diagnostics
    Laboratory tests and additional investigations according to the clinical presentation.
  • Treatment Plan
    Interpretation of results and definition of an individualized therapeutic approach.
  • Treatment Implementation
    Initiation of therapy, education, and guidance for lifestyle changes.
  • Follow-Up
    Regular check-ups, monitoring of parameters, and adjustment of therapy according to progress.
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