Thyroid disorders
Assessment and management of an under- or over-active thyroid, thyroid nodules and goitre, and autoimmune thyroid disease, including interpretation of borderline results.
Conditions & services
What Dr Spiliotis treats
If you have been told you have a hormone or metabolic problem, or a treatment is not controlling your symptoms, a specialist assessment may help. The conditions below are grouped by system. New patients are seen face to face first; any investigations are chosen to fit your situation, and a written summary follows, with a copy to your GP if you agree. Plain-English explainers for many of these are in Health guides.
Diabetes & diabetes technology
Type 1 and type 2 diabetes, together with the less common and harder-to-classify forms such as monogenic diabetes (MODY) and latent autoimmune diabetes in adults (LADA), alongside insulin regimens and diabetes technology including continuous glucose monitoring (CGM) and hybrid closed-loop ("artificial pancreas") systems.
Obesity & weight management
Medical assessment of weight, including hormonal and metabolic factors where relevant, such as thyroid function, insulin resistance and PCOS / PMOS, and a plan agreed with you. There is a particular interest in people with type 1 diabetes, for whom weight, insulin doses and the risk of hypoglycaemia need to be considered together. Whether any treatment is suitable is discussed at consultation.
PCOS / PMOS & women's hormone health
Polycystic ovary syndrome, renamed in 2026 as polyendocrine metabolic ovarian syndrome (PMOS), together with irregular cycles and androgen excess such as acne or unwanted hair, and the insulin-resistance and metabolic aspects that often accompany it.
Pituitary & adrenal disorders
Investigation of pituitary and adrenal gland conditions, including disorders of cortisol and other hormones, and abnormal results found on scans.
Parathyroid & calcium disorders
Assessment of high or low calcium, parathyroid hormone abnormalities, and recurrent kidney stones with an endocrine cause.
Men's health & hypogonadism
Assessment of suspected low testosterone (hypogonadism), including symptoms, the appropriate hormone tests and the underlying cause, with treatment considered where it is clinically appropriate. Testosterone is not prescribed on request, or for sport, body-building or anti-ageing.
When the type is not clear. Not all diabetes is type 1 or type 2, and the label given at diagnosis is sometimes the wrong one. Monogenic diabetes (MODY) is inherited and often needs quite different treatment, sometimes none at all. Latent autoimmune diabetes in adults (LADA) develops slowly in adult life and is frequently mistaken for type 2. Diabetes can also follow pancreatic disease or surgery, or be brought on by steroid treatment. Getting the classification right matters because it can change treatment. Where the picture does not fit, tests such as antibodies, C-peptide or genetic testing may be considered.
On obesity & weight management. This service is a medical assessment and a plan agreed with you, which may include a review of eating patterns and lifestyle, investigations and follow-up. Whether any treatment is suitable is decided only after a consultation, and information about specific treatments is given during that consultation rather than online.