The first step is a detailed assessment, including:
- Thyroid hormone levels (TSH, T3, T4)
- Thyroid antibodies
- Ultrasound of the thyroid
- Fine-needle aspiration (if needed)
- Evaluation of symptoms, family history, and overall hormonal health
This helps identify the underlying cause and severity of your thyroid condition.
Based on your diagnosis, Dr. Bharani designs a customised treatment plan that may include:
- Thyroid hormone replacement therapy for hypothyroidism
- Anti-thyroid medications for hyperthyroidism
- Radioactive iodine therapy (if required)
- Surgical referral for large nodules or cancer suspicion
- Lifestyle and nutrition guidance for autoimmune thyroid conditions
Thyroid levels can change over time, which makes regular follow-ups essential. Monitoring may include:
- Repeat hormone tests
- Adjustments to medication dosage
- Ultrasound tracking of nodules
- Symptom monitoring
Beyond medication, long-term thyroid health depends on:
- Balanced nutrition
- Vitamin D and iodine assessment
- Managing stress and sleep
- Addressing associated issues like cholesterol imbalance or weight fluctuations
Dr. Bharani ensures that all interconnected hormonal and metabolic factors are taken into account.

