Endocrinology Clinic at the Gym

07/09/2026

Our office will be closed Friday, July 10, 2026. We will reopen and resume regular hours on Monday, July 13 at 8am.

For non-urgent prescription refills or scheduling requests, feel free to leave a voicemail or send a message through our patient portal. We will follow up as soon as we return. Thank you for your understanding!

07/05/2026

As a dietitian and diabetes educator I am looking for tasty lower calorie and carbohydrate options. If you love french toast but you do not want to spike blood sugar this replacement is for you. One french toast low carb, high fiber tortilla and 2 tablespoons of sugar free syrup is 80 calories, 17 grams carbs where 12 grams of the carbs are fiber. I paired it with Turkey Sausage to increase protein.

~Michelle RDN, CDCES

07/03/2026

These retrospective tirzepatide data from our friends at the Mayo Clinic are consistent with trial data for both tirzepatide and semaglutide consistently show greater relative (percentage) weight loss in women compared to men, and this is the most robust demographic modifier of GLP-1 receptor agonist efficacy identified to date.

These observational data showed women achieved greater total body weight loss (TBWL) % than men, with significant differences observed at all timepoints from 6 to 15 months (P < .001). Women were approximately twice as likely as men to achieve ≥ 15% TBWL and 2.6-fold more likely to achieve ≥ 20% TBWL at 12 and 15 months.

Obesity (Silver Spring). 2026;
doi:10.1002/oby.70231

07/02/2026

🇺🇸 Wishing everyone a happy and safe 4th of July!

Please note that our office will be closed on Friday, July 3rd so our team can celebrate with family. We will resume normal business hours on Monday, July 6th. Have a great holiday! 🇺🇸

06/29/2026

Small pilot trial shows the artificial sweetener, saccharin, does not appear to influence insulin sensitivity (in case that was a concern).

The study's main strength is the use of the hyperinsulinemic-euglycemic clamp ("gold standard") rather than oral glucose tolerance testing (which can't distinguish insulin sensitivity from β-cell dysfunction).

The unexplained average blood sugar (per HbA1c) drop is interesting puzzle as no dietary changes or weight loss occurred though physical activity was not monitored.

The 2-of-13 responders who did show reduced insulin sensitivity are a caveat for precision medicine framing as this pilot wasn't powered to characterize who those individuals are, which a larger trial would need to address.

J Endocr Soc. 2026;10(6):bvag096.

PMID: 42131794;

06/29/2026

Hyperthyroidism leads to high levels of thyroid hormones dangerously “speeding up” of vital body functions.
The thyroid gland secretes thyroid hormones, which control the speed at which the body’s chemical functions proceed (metabolic rate). Thyroid hormones affect many vital body functions, such as the heart rate, the rate at which calories are burned, skin maintenance, growth, heat production, fertility, and digestion.

Some causes of hyperthyroid disorders (making too much) and thyroiditis-induced thyrotoxicity:

🔹 Graves' Disease: the most common, accounting for 70-80% of cases. It is an autoimmune disorder where the immune system mistakenly attacks the thyroid, causing it to overproduce hormones.

🔹 Toxic multinodular goiter: characterized by an enlarged thyroid gland containing several nodules. One or more of these nodules begin to produce thyroid hormones independently of the body's normal regulatory signals.

🔹 Toxic adenoma: it involves a single, overactive lump (nodule) or clump of cells on the thyroid gland that continuously pumps out excess hormones.

🔹 Thyroiditis: inflammation of the thyroid gland, which can be caused by viral infections, immune system issues, certain medications or after pregnancy (post-partum thyroiditis)

thyroidfederationinternational graphic

06/25/2026

Graves' Disease may have multiple manifestations, affecting various organs: the heart, skeletal muscle, bones, liver, eyes, skin.

Symptoms of Graves’ Disease

🔹 Weight loss: often occurring despite an increased appetite and normal or elevated food intake.
🔹 Cardiovascular: rapid or irregular heartbeat (palpitations) and high blood pressure.
🔹 Energy and mood: nervousness, anxiety, irritability, fatigue, and difficulty sleeping.
🔹 Physical: shaky hands (tremors), heat intolerance, excessive sweating, and muscle weakness (particularly in the upper arms and thighs).
🔹 Hair loss, fragile fingernails
🔹 Enlarged thyroid gland
🔹 Digestion: frequent bowel movements or diarrhea.
🔹 Changes in menstrual cycle: scant menstrual periods.

Some patients may also develop:

Thyroid Eye Disease: affects about a third of patients, causing bulging eyes, double vision, light sensitivity, and a gritty, irritated, or painful feeling in the eyes.
❗ This is a separate disease, requiring separate treatment.
❗ If eye-related symptoms occur, consulting an ophthalmologist as soon as possible is essential to prevent long-term complications.

Graves' Dermopathy: in rare cases, a lumpy, reddish, and thickened skin texture can develop, usually on the shins.

📍 Important:
Several important therapeutic advances are on the horizon that may give hope to patients for improved outcomes.

05/28/2026

My summer mentoring group is open for enrollment!!

The group is ideal for RDs who are:

- new to private practice
- struggling with imposter syndrome
- wanting more guidance on nutrition counseling
- coaching on session flow
- seeking mentorship!

We will meet twice monthly for 3 months (6 sessions) for just $120! That's just $20 per session!

Sign up for more information here- https://forms.gle/LnseXN15M5jRw5KW8

05/25/2026