# The Thyroidologist

> Dedicated thyroid care and specialist consultation: accurate diagnosis, personalised management and ongoing monitoring of thyroid conditions for patients in Nepal and internationally.

The Thyroidologist is a dedicated thyroid care practice based in Kathmandu, Nepal, serving patients in Nepal and internationally.
This site provides evidence-based patient education on thyroid conditions, symptoms, diagnostic tests, treatments, and services.
All medical content is for general education only and does not constitute medical advice.

## Key pages

- [Thyroid specialist in Nepal](https://thethyroidologist.com/thyroid-specialist-nepal/): Dedicated thyroid specialist consultation across Nepal
- [Thyroid treatment in Kathmandu](https://thethyroidologist.com/thyroid-treatment-kathmandu/): Treatment options and pathways in Kathmandu
- [Thyroid test in Nepal](https://thethyroidologist.com/thyroid-test-nepal/): Where to get tested, test types, preparation
- [Thyroid test price Nepal](https://thethyroidologist.com/thyroid-test-price-nepal/): Costs, panels and how to choose a lab
- [Thyroid consultation cost Nepal](https://thethyroidologist.com/thyroid-consultation-cost-nepal/): What specialist consultations cost
- [Endocrinologist Kathmandu](https://thethyroidologist.com/endocrinologist-kathmandu/): Hormone disorder specialist care
- [Thyroidologist vs endocrinologist](https://thethyroidologist.com/thyroidologist-vs-endocrinologist/): Specialist comparison guide
- [FAQ](https://thethyroidologist.com/faq/): Common questions about thyroid care
- [Glossary](https://thethyroidologist.com/glossary/): Thyroid terminology explained
- [Patient resources](https://thethyroidologist.com/patient-resources/): Practical guides for appointments, tests and daily life
- [What to expect](https://thethyroidologist.com/what-to-expect/): The consultation process explained
- [Fees and payment](https://thethyroidologist.com/fees-and-payment/): How fees and receipts work
- [Refer a patient](https://thethyroidologist.com/refer-a-patient/): Information for referring clinicians
- [Thyroid myths vs facts](https://thethyroidologist.com/thyroid-myths/): Common misconceptions debunked
- [Editorial team](https://thethyroidologist.com/editorial-team/): Meet the team behind the content

## Practice

- [About](https://thethyroidologist.com/about/): About the practice and specialist
- [Services](https://thethyroidologist.com/services/): 18 specialist thyroid services
- [Locations](https://thethyroidologist.com/locations/): 29 service areas across Nepal
- [Contact](https://thethyroidologist.com/contact/): Phone, email, WhatsApp, hours
- [Book appointment](https://thethyroidologist.com/appointment/): Request a consultation

## Conditions

- [All conditions](https://thethyroidologist.com/conditions/): Complete directory
- [Hypothyroidism](https://thethyroidologist.com/conditions/hypothyroidism/): Learn about hypothyroidism — an underactive thyroid
- [Hyperthyroidism](https://thethyroidologist.com/conditions/hyperthyroidism/): Hyperthyroidism explained — Graves’ disease, thyroiditis and nodular causes, symptoms, TSH/T4/T3 testing, and antithyroid drugs, RAI or surgery options
- [Hashimoto’s Thyroiditis](https://thethyroidologist.com/conditions/hashimotos-thyroiditis/): Hashimoto’s thyroiditis — the most common cause of hypothyroidism
- [Graves’ Disease](https://thethyroidologist.com/conditions/graves-disease/): Graves’ disease — the leading cause of hyperthyroidism
- [Thyroiditis](https://thethyroidologist.com/conditions/thyroiditis/): Thyroiditis — thyroid gland inflammation
- [Thyroid Nodules](https://thethyroidologist.com/conditions/thyroid-nodules/): Thyroid nodules are common — most are benign
- [Thyroid Goitre](https://thethyroidologist.com/conditions/thyroid-goiter/): A goitre is an enlarged thyroid
- [Thyroid Cancer](https://thethyroidologist.com/conditions/thyroid-cancer/): Thyroid cancer overview — papillary, follicular, medullary and anaplastic types, how it is diagnosed, and treatment pathways including surgery and follow-up
- [Papillary Thyroid Cancer](https://thethyroidologist.com/conditions/papillary-thyroid-cancer/): Papillary thyroid cancer is the most common thyroid cancer
- [Follicular Thyroid Cancer](https://thethyroidologist.com/conditions/follicular-thyroid-cancer/): Follicular thyroid cancer — the second most common differentiated thyroid cancer
- [Medullary Thyroid Cancer](https://thethyroidologist.com/conditions/medullary-thyroid-cancer/): Medullary thyroid cancer — arises from parafollicular cells, can be hereditary (MEN2)
- [Anaplastic Thyroid Cancer](https://thethyroidologist.com/conditions/anaplastic-thyroid-cancer/): Anaplastic thyroid cancer is rare but aggressive
- [Subclinical Hypothyroidism](https://thethyroidologist.com/conditions/subclinical-hypothyroidism/): Subclinical hypothyroidism — elevated TSH with normal free T4
- [Subclinical Hyperthyroidism](https://thethyroidologist.com/conditions/subclinical-hyperthyroidism/): Subclinical hyperthyroidism — suppressed TSH with normal thyroid hormones
- [Postpartum Thyroiditis](https://thethyroidologist.com/conditions/postpartum-thyroiditis/): Postpartum thyroiditis affects up to 10% of women after delivery
- [Congenital Hypothyroidism](https://thethyroidologist.com/conditions/congenital-hypothyroidism/): Congenital hypothyroidism — present at birth
- [Toxic Multinodular Goitre](https://thethyroidologist.com/conditions/toxic-multinodular-goiter/): Toxic multinodular goitre — a goitre with nodules that produce excess hormone
- [Thyroid Cysts](https://thethyroidologist.com/conditions/thyroid-cysts/): Thyroid cysts are fluid-filled nodules — usually benign
- [Thyroid Eye Disease](https://thethyroidologist.com/conditions/thyroid-eye-disease/): Thyroid eye disease — bulging eyes, double vision, eye irritation linked to Graves’
- [Central Hypothyroidism](https://thethyroidologist.com/conditions/central-hypothyroidism/): Central hypothyroidism arises from the pituitary or hypothalamus rather than the thyroid itself
- [Subacute Thyroiditis](https://thethyroidologist.com/conditions/subacute-thyroiditis/): Subacute thyroiditis is a painful, temporary inflammation of the thyroid
- [Silent Thyroiditis](https://thethyroidologist.com/conditions/silent-thyroiditis/): Silent thyroiditis causes thyrotoxicosis without pain, followed by a hypothyroid phase
- [Amiodarone-Induced Thyroid Disease](https://thethyroidologist.com/conditions/amiodarone-induced-thyroid-disease/): Amiodarone, a heart rhythm drug, can cause both over- and underactive thyroid
- [Iodine Deficiency Disorders](https://thethyroidologist.com/conditions/iodine-deficiency-disorders/): Iodine is essential for thyroid hormone
- [Euthyroid Sick Syndrome](https://thethyroidologist.com/conditions/euthyroid-sick-syndrome/): Thyroid tests can be abnormal during serious illness even when the thyroid is normal
- [Toxic Adenoma](https://thethyroidologist.com/conditions/toxic-adenoma/): A toxic adenoma is a single thyroid nodule that produces excess hormone
- [Hashitoxicosis](https://thethyroidologist.com/conditions/hashitoxicosis/): Hashitoxicosis is a temporary overactive phase in someone with Hashimoto’s thyroiditis
- [Thyroid Hormone Resistance](https://thethyroidologist.com/conditions/thyroid-hormone-resistance/): Thyroid hormone resistance is a rare genetic condition in which tissues respond poorly to thyroid hormone
- [Lithium-Induced Thyroid Dysfunction](https://thethyroidologist.com/conditions/lithium-induced-thyroid-dysfunction/): Lithium can cause goitre and an underactive thyroid, and less often overactivity
- [Checkpoint Inhibitor Thyroiditis](https://thethyroidologist.com/conditions/checkpoint-inhibitor-thyroiditis/): Immune checkpoint inhibitors used in cancer treatment can cause thyroid inflammation and hypothyroidism
- [Retrosternal Goitre](https://thethyroidologist.com/conditions/retrosternal-goitre/): A retrosternal goitre extends below the breastbone and can press on the windpipe
- [Suppurative Thyroiditis](https://thethyroidologist.com/conditions/suppurative-thyroiditis/): Suppurative thyroiditis is a rare bacterial infection of the thyroid
- [Thyroid Dysgenesis](https://thethyroidologist.com/conditions/thyroid-dysgenesis/): Thyroid dysgenesis is abnormal development of the thyroid before birth and a common cause of congenital hypothyroidism
- [Pregnancy and the Thyroid](https://thethyroidologist.com/conditions/pregnancy-and-thyroid/): Thyroid disease before, during and after pregnancy — how requirements change, what is monitored and why treatment matters for mother and baby
- [Thyroid Disease in Children](https://thethyroidologist.com/conditions/thyroid-children/): Thyroid problems in children — congenital hypothyroidism, acquired thyroid disease, growth concerns and when to investigate

## Symptoms

- [All symptoms](https://thethyroidologist.com/symptoms/): Complete directory
- [Unexplained Weight Gain](https://thethyroidologist.com/symptoms/unexplained-weight-gain/): Unexplained weight gain can have many causes
- [Unexplained Weight Loss](https://thethyroidologist.com/symptoms/unexplained-weight-loss/): Losing weight without trying can signal hyperthyroidism — but also many other conditions
- [Fatigue and Tiredness](https://thethyroidologist.com/symptoms/fatigue-and-tiredness/): Persistent fatigue has many causes — hypothyroidism is one possibility
- [Hair Loss](https://thethyroidologist.com/symptoms/hair-loss/): Thyroid disorders can cause diffuse hair shedding
- [Neck Swelling](https://thethyroidologist.com/symptoms/neck-swelling/): A swelling in the front of the neck may be thyroid-related — goitre, nodules — or something else entirely
- [Thyroid-Related Hair Changes](https://thethyroidologist.com/symptoms/thyroid-related-hair-changes/): Beyond shedding — hypothyroidism can cause dry, brittle hair and eyebrow thinning
- [Palpitations](https://thethyroidologist.com/symptoms/palpitations/): A racing or irregular heartbeat can be caused by hyperthyroidism — but also anxiety, caffeine, arrhythmias
- [Heat Intolerance](https://thethyroidologist.com/symptoms/heat-intolerance/): Feeling excessively hot, sweating more, or disliking warm weather can signal hyperthyroidism — but also menopause, medications, and other causes
- [Cold Intolerance](https://thethyroidologist.com/symptoms/cold-intolerance/): Feeling cold all the time, needing extra layers, cold hands and feet — a classic hypothyroid symptom
- [Irregular Menstruation](https://thethyroidologist.com/symptoms/irregular-menstruation/): Thyroid disorders can disturb menstrual cycles — heavy, missed or irregular periods
- [Difficulty Concentrating](https://thethyroidologist.com/symptoms/difficulty-concentrating/): Trouble focusing, memory lapses and "brain fog" can occur with thyroid dysfunction — but also stress, sleep problems, and mood disorders
- [Anxiety and Thyroid Disorders](https://thethyroidologist.com/symptoms/anxiety-and-thyroid-disorders/): Hyperthyroidism can mimic anxiety — palpitations, tremor, restlessness
- [Constipation](https://thethyroidologist.com/symptoms/constipation/): Constipation is a recognised hypothyroid symptom — but also caused by diet, medications, and many other conditions
- [Tremors](https://thethyroidologist.com/symptoms/tremors/): Fine hand tremors can be caused by hyperthyroidism — but also essential tremor, anxiety, caffeine, and Parkinson’s
- [Sleep Disturbances](https://thethyroidologist.com/symptoms/sleep-disturbances/): Thyroid dysfunction can disturb sleep — hyperthyroidism causes insomnia, hypothyroidism causes fatigue
- [Dry Skin and Thyroid Disease](https://thethyroidologist.com/symptoms/dry-skin/): Dry, rough or flaky skin is a common thyroid symptom, especially in hypothyroidism
- [Muscle Aches and Weakness](https://thethyroidologist.com/symptoms/muscle-aches-and-weakness/): Muscle pain, cramps and weakness can accompany both an under- and overactive thyroid
- [Low Mood and Depression](https://thethyroidologist.com/symptoms/low-mood-and-depression/): An underactive thyroid can cause low mood, and an overactive thyroid can cause anxiety
- [Swollen Legs and Puffy Face](https://thethyroidologist.com/symptoms/swollen-legs-and-puffy-face/): Fluid retention causing puffy eyes, face and swollen legs can be a sign of hypothyroidism
- [Difficulty Swallowing](https://thethyroidologist.com/symptoms/difficulty-swallowing/): A large goitre or nodule can press on the swallowing passages
- [Voice Changes and Hoarseness](https://thethyroidologist.com/symptoms/voice-hoarseness/): A hoarse or changing voice can relate to thyroid enlargement or, after surgery, to the nerve that controls the vocal cords
- [Itchy Skin and Thyroid Disease](https://thethyroidologist.com/symptoms/itchy-skin/): Both an under- and overactive thyroid can cause itchy, dry or irritated skin
- [Memory Problems and Brain Fog](https://thethyroidologist.com/symptoms/memory-problems/): An underactive thyroid can slow thinking and memory, while an overactive thyroid can cause racing thoughts
- [Excessive Sweating](https://thethyroidologist.com/symptoms/excessive-sweating/): An overactive thyroid commonly causes excessive sweating and heat intolerance
- [Heavy Menstrual Bleeding](https://thethyroidologist.com/symptoms/heavy-menstrual-bleeding/): An underactive thyroid can cause heavy or irregular periods
- [Eye Bulging (Exophthalmos)](https://thethyroidologist.com/symptoms/eye-bulging/): Bulging eyes can be a sign of thyroid eye disease, most often associated with Graves’ disease
- [Thyroid Neck Pain](https://thethyroidologist.com/symptoms/thyroid-neck-pain/): Pain in the thyroid area can come from thyroiditis, a cyst or another neck structure
- [Slow Heart Rate (Bradycardia)](https://thethyroidologist.com/symptoms/slow-heart-rate/): An underactive thyroid can slow the heart rate
- [Reduced Libido](https://thethyroidologist.com/symptoms/reduced-libido/): Thyroid disease can affect sex drive through fatigue, mood, hormones and body changes

## Tests

- [All tests](https://thethyroidologist.com/tests/): Complete directory
- [TSH Test](https://thethyroidologist.com/tests/tsh-test/): The TSH test is the first-line thyroid screening test
- [Free T4 Test](https://thethyroidologist.com/tests/free-t4-test/): The free T4 test measures the active, unbound thyroid hormone
- [Free T3 Test](https://thethyroidologist.com/tests/free-t3-test/): The free T3 test measures the most active thyroid hormone
- [Total T3 Test](https://thethyroidologist.com/tests/total-t3-test/): The total T3 test measures all triiodothyronine including protein-bound
- [Total T4 Test](https://thethyroidologist.com/tests/total-t4-test/): The total T4 test measures all thyroxine including protein-bound
- [Anti-TPO Antibody Test](https://thethyroidologist.com/tests/anti-tpo-antibody-test/): The anti-TPO antibody test detects autoimmune thyroid disease — the marker for Hashimoto’s thyroiditis
- [Anti-Thyroglobulin Antibody Test](https://thethyroidologist.com/tests/anti-thyroglobulin-antibody-test/): The anti-thyroglobulin (anti-Tg) antibody test detects another autoimmune thyroid marker and serves as a tumour marker after thyroid cancer treatment
- [TRAb Test](https://thethyroidologist.com/tests/trab-test/): The TRAb test detects thyroid-stimulating immunoglobulins — the antibodies that cause Graves’ disease
- [Thyroid Ultrasound](https://thethyroidologist.com/tests/thyroid-ultrasound/): Thyroid ultrasound evaluates nodules, goitre and thyroid structure
- [Thyroid FNAC](https://thethyroidologist.com/tests/thyroid-fnac/): Fine needle aspiration cytology (FNAC) samples thyroid nodule cells to check for cancer
- [Thyroid Biopsy](https://thethyroidologist.com/tests/thyroid-biopsy/): Thyroid biopsy types — FNAC (needle) and surgical biopsy
- [Thyroglobulin Test](https://thethyroidologist.com/tests/thyroglobulin-test/): Thyroglobulin is a tumour marker used after thyroid cancer surgery
- [Radioactive Iodine Uptake Test](https://thethyroidologist.com/tests/radioactive-iodine-uptake-test/): The radioactive iodine uptake (RAIU) test measures how much iodine the thyroid absorbs
- [Calcitonin Test](https://thethyroidologist.com/tests/calcitonin-test/): Calcitonin is a hormone made by the thyroid’s C-cells and a marker for medullary thyroid cancer
- [Reverse T3 Test](https://thethyroidologist.com/tests/reverse-t3-test/): Reverse T3 is an inactive form of thyroid hormone
- [Thyroid Scintigraphy](https://thethyroidologist.com/tests/thyroid-scintigraphy/): A thyroid scan uses a small amount of radioactive tracer to show how the gland functions — useful for nodules and thyrotoxicosis
- [Newborn Thyroid Screening](https://thethyroidologist.com/tests/neonatal-thyroid-screening/): Newborn screening for congenital hypothyroidism prevents lifelong disability
- [Thyroid CT and MRI](https://thethyroidologist.com/tests/thyroid-imaging-ct-mri/): CT and MRI are not routine for thyroid problems but help assess large goitres, spread of cancer and pressure on nearby structures
- [Thyroid Genetic Testing](https://thethyroidologist.com/tests/thyroid-genetic-testing/): Genetic testing can identify inherited thyroid cancer syndromes and some forms of congenital thyroid disease
- [Thyroid Elastography](https://thethyroidologist.com/tests/thyroid-elastography/): Elastography is an ultrasound technique that measures thyroid tissue stiffness
- [TRH Stimulation Test](https://thethyroidologist.com/tests/trh-stimulation-test/): The TRH stimulation test assesses how the pituitary responds to TRH
- [Laryngoscopy and Vocal Cord Check](https://thethyroidologist.com/tests/laryngoscopy-vocal-cord-check/): Laryngoscopy examines the vocal cords before or after thyroid surgery, or when a voice change needs investigation
- [Thyroid Testing in Pregnancy](https://thethyroidologist.com/tests/pregnancy-thyroid-testing/): Thyroid tests in pregnancy use trimester-specific ranges
- [Bone Density Scan in Thyroid Care](https://thethyroidologist.com/tests/bone-density-scan-thyroid/): Long-standing overactive thyroid or prolonged TSH suppression can thin the bones

## Treatments

- [All treatments](https://thethyroidologist.com/treatments/): Complete directory
- [Levothyroxine Treatment](https://thethyroidologist.com/treatments/levothyroxine-treatment/): Levothyroxine is the standard hypothyroidism treatment
- [Antithyroid Medications](https://thethyroidologist.com/treatments/antithyroid-medications/): Antithyroid medications block thyroid hormone production
- [Radioactive Iodine Therapy](https://thethyroidologist.com/treatments/radioactive-iodine-therapy/): Radioactive iodine treats hyperthyroidism and thyroid cancer
- [Thyroidectomy](https://thethyroidologist.com/treatments/thyroidectomy/): Thyroidectomy — surgical removal of all or part of the thyroid
- [Thyroid Hormone Replacement](https://thethyroidologist.com/treatments/thyroid-hormone-replacement/): Thyroid hormone replacement beyond levothyroxine — combination therapy, desiccated thyroid, and when alternatives are considered
- [Thyroid Cancer Treatment Options](https://thethyroidologist.com/treatments/thyroid-cancer-treatment-options/): Thyroid cancer treatment depends on type and stage — surgery, radioactive iodine, hormone suppression, and targeted therapy
- [Thyroid Monitoring](https://thethyroidologist.com/treatments/thyroid-monitoring/): How thyroid conditions are monitored — TSH testing intervals, antibody checks, ultrasound surveillance, and when monitoring can stop
- [Medication Adherence](https://thethyroidologist.com/treatments/medication-adherence/): Taking thyroid medication consistently is essential for control
- [Thyroid Medication Management](https://thethyroidologist.com/treatments/thyroid-medication-management/): Managing thyroid medication alongside other drugs — interactions, timing, pregnancy, and when doses need adjustment
- [Beta-Blockers for Thyroid Symptoms](https://thethyroidologist.com/treatments/beta-blockers-for-thyroid/): Beta-blockers rapidly ease the palpitations, tremor and anxiety of an overactive thyroid while other treatment takes effect
- [TSH Suppression Therapy](https://thethyroidologist.com/treatments/tsh-suppression-therapy/): TSH suppression uses levothyroxine at a higher dose to reduce stimulation of thyroid cancer cells
- [Thyroid Eye Disease Treatment](https://thethyroidologist.com/treatments/thyroid-eye-disease-treatment/): Thyroid eye disease (Graves’ orbitopathy) can affect the eyes even when thyroid levels are controlled
- [Calcium and Vitamin D After Thyroid Surgery](https://thethyroidologist.com/treatments/calcium-and-vitamin-d-after-surgery/): The parathyroid glands can be temporarily affected by thyroid surgery, causing low calcium
- [Targeted Therapy for Thyroid Cancer](https://thethyroidologist.com/treatments/thyroid-cancer-targeted-therapy/): Targeted drugs can slow advanced or radioactive-iodine-resistant thyroid cancer
- [Thyroid Lobectomy](https://thethyroidologist.com/treatments/thyroid-lobectomy/): A thyroid lobectomy removes one lobe of the thyroid
- [Completion Thyroidectomy](https://thethyroidologist.com/treatments/completion-thyroidectomy/): A completion thyroidectomy removes the remaining thyroid after an initial lobectomy, usually when cancer is found
- [Active Surveillance for Thyroid Cancer](https://thethyroidologist.com/treatments/active-surveillance-thyroid-cancer/): Active surveillance monitors small, low-risk thyroid cancers instead of immediate surgery
- [Alcohol Ablation for Thyroid Cysts](https://thethyroidologist.com/treatments/alcohol-ablation-thyroid-cyst/): Ethanol ablation is a minimally invasive treatment for recurrent benign thyroid cysts
- [Combination T4 and T3 Therapy](https://thethyroidologist.com/treatments/combination-t4-t3-therapy/): Some people take both levothyroxine (T4) and liothyronine (T3) for hypothyroidism
- [External Beam Radiotherapy for Thyroid Cancer](https://thethyroidologist.com/treatments/external-beam-radiotherapy-thyroid/): External beam radiotherapy is used for selected advanced or recurrent thyroid cancers

## Services

- [All services](https://thethyroidologist.com/services/): Complete directory
- [Thyroid Specialist Consultation](https://thethyroidologist.com/services/thyroid-specialist-consultation/): Comprehensive thyroid specialist consultation — history, examination, test interpretation and personalised management plan for thyroid conditions
- [Thyroid Function Assessment](https://thethyroidologist.com/services/thyroid-function-assessment/): Thyroid function assessment — TSH, free T4, free T3, antibody panels and interpretation
- [Thyroid Hormone Testing](https://thethyroidologist.com/services/thyroid-hormone-testing/): Complete thyroid hormone panel — TSH, free T3, free T4, total hormones, and antibody tests
- [Thyroid Ultrasound](https://thethyroidologist.com/services/thyroid-ultrasound/): Thyroid ultrasound imaging — evaluate nodules, goitre, cysts and thyroid structure
- [Thyroid Nodule Evaluation](https://thethyroidologist.com/services/thyroid-nodule-evaluation/): Comprehensive thyroid nodule evaluation — ultrasound risk stratification, FNAC when indicated, and clear management recommendations
- [Thyroid Cancer Assessment](https://thethyroidologist.com/services/thyroid-cancer-assessment/): Thyroid cancer evaluation — suspicious nodule workup, FNAC, staging, genetic testing for medullary cancer, and treatment planning
- [Thyroid Medication Management](https://thethyroidologist.com/services/thyroid-medication-management/): Expert management of thyroid medications — levothyroxine dosing, antithyroid drugs, interaction review, and optimisation for stable control
- [Hypothyroidism Management](https://thethyroidologist.com/services/hypothyroidism-management/): Comprehensive hypothyroidism management — diagnosis confirmation, levothyroxine optimisation, monitoring, and addressing persistent symptoms
- [Hyperthyroidism Management](https://thethyroidologist.com/services/hyperthyroidism-management/): Comprehensive hyperthyroidism management — cause identification, antithyroid drugs, RAI or surgery, and long-term follow-up
- [Thyroid Disorder Follow-up](https://thethyroidologist.com/services/thyroid-disorder-follow-up/): Ongoing thyroid follow-up — periodic monitoring, treatment adjustment, and long-term management for stable thyroid conditions
- [Second Opinion Consultation](https://thethyroidologist.com/services/second-opinion-consultation/): Independent second opinion on thyroid diagnosis, test results, or treatment recommendations — review your case with a thyroid specialist
- [Thyroid Teleconsultation](https://thethyroidologist.com/services/teleconsultation/): Remote thyroid specialist consultation by video or phone — review your tests, get expert advice and a management plan without travelling
- [Pregnancy and Thyroid Clinic](https://thethyroidologist.com/services/pregnancy-thyroid-clinic/): Specialist thyroid care before, during and after pregnancy — preconception planning, trimester monitoring and postpartum review
- [Children’s Thyroid Service](https://thethyroidologist.com/services/paediatric-thyroid-service/): Thyroid assessment and management for children and adolescents — congenital hypothyroidism, growth concerns and thyroid lumps
- [Thyroid Cancer Follow-up](https://thethyroidologist.com/services/thyroid-cancer-follow-up/): Structured follow-up after thyroid cancer treatment — monitoring, thyroglobulin testing, imaging and long-term surveillance
- [Thyroid Genetic Counselling](https://thethyroidologist.com/services/thyroid-genetic-counselling/): Genetic counselling for inherited thyroid cancer syndromes and congenital thyroid disease — what testing involves and what results mean
- [International Patient Service](https://thethyroidologist.com/services/international-patient-service/): Thyroid specialist care for international patients — remote review, travel planning and coordinated follow-up in Nepal
- [Corporate Thyroid Screening](https://thethyroidologist.com/services/corporate-thyroid-screening/): Workplace thyroid screening and awareness sessions — testing, education and follow-up for organisations in Nepal

## Locations

- [All locations](https://thethyroidologist.com/locations/): Complete directory
- [Thyroid Specialist in Kathmandu](https://thethyroidologist.com/locations/thyroid-specialist-kathmandu/): Thyroid specialist consultation for patients in Kathmandu, Kathmandu Valley
- [Thyroid Specialist in Lalitpur](https://thethyroidologist.com/locations/thyroid-specialist-lalitpur/): Thyroid specialist consultation for patients in Lalitpur, Kathmandu Valley
- [Thyroid Specialist in Bhaktapur](https://thethyroidologist.com/locations/thyroid-doctor-bhaktapur/): Thyroid specialist consultation for patients in Bhaktapur, Kathmandu Valley
- [Thyroid Specialist in Thamel](https://thethyroidologist.com/locations/thyroid-specialist-thamel/): Thyroid specialist consultation for patients in Thamel, Kathmandu
- [Thyroid Specialist in Baneshwor](https://thethyroidologist.com/locations/thyroid-specialist-baneshwor/): Thyroid specialist consultation for patients in Baneshwor, Kathmandu
- [Thyroid Specialist in Maharajgunj](https://thethyroidologist.com/locations/thyroid-specialist-maharajgunj/): Thyroid specialist consultation for patients in Maharajgunj, Kathmandu
- [Thyroid Specialist in Patan](https://thethyroidologist.com/locations/thyroid-doctor-patan/): Thyroid specialist consultation for patients in Patan, Lalitpur
- [Thyroid Specialist in Jawalakhel](https://thethyroidologist.com/locations/thyroid-specialist-jawalakhel/): Thyroid specialist consultation for patients in Jawalakhel, Lalitpur
- [Thyroid Specialist in Chabahil](https://thethyroidologist.com/locations/thyroid-specialist-chabahil/): Thyroid specialist consultation for patients in Chabahil, Kathmandu
- [Thyroid Specialist in Koteshwor](https://thethyroidologist.com/locations/thyroid-specialist-koteshwor/): Thyroid specialist consultation for patients in Koteshwor, Kathmandu
- [Thyroid Specialist in Kirtipur](https://thethyroidologist.com/locations/thyroid-specialist-kirtipur/): Thyroid specialist consultation for patients in Kirtipur, Bagmati
- [Thyroid Specialist in Budhanilkantha](https://thethyroidologist.com/locations/thyroid-specialist-budhanilkantha/): Thyroid specialist consultation for patients in Budhanilkantha, Kathmandu
- [Thyroid Specialist in Pokhara](https://thethyroidologist.com/locations/thyroid-specialist-pokhara/): Thyroid specialist consultation for patients in Pokhara, Gandaki
- [Thyroid Specialist in Chitwan](https://thethyroidologist.com/locations/thyroid-specialist-chitwan/): Thyroid specialist consultation for patients in Chitwan, Bagmati
- [Thyroid Specialist in Biratnagar](https://thethyroidologist.com/locations/thyroid-specialist-biratnagar/): Thyroid specialist consultation for patients in Biratnagar, Koshi
- [Thyroid Specialist in Butwal](https://thethyroidologist.com/locations/thyroid-specialist-butwal/): Thyroid specialist consultation for patients in Butwal, Lumbini
- [Thyroid Specialist in Dharan](https://thethyroidologist.com/locations/thyroid-specialist-dharan/): Thyroid specialist consultation for patients in Dharan, Koshi
- [Thyroid Specialist in Nepalgunj](https://thethyroidologist.com/locations/thyroid-specialist-nepalgunj/): Thyroid specialist consultation for patients in Nepalgunj, Lumbini
- [Thyroid Specialist in Birgunj](https://thethyroidologist.com/locations/thyroid-specialist-birgunj/): Thyroid specialist consultation for patients in Birgunj, Parsa
- [Thyroid Specialist in Hetauda](https://thethyroidologist.com/locations/thyroid-specialist-hetauda/): Thyroid specialist consultation for patients in Hetauda, Makwanpur
- [Thyroid Specialist in Itahari](https://thethyroidologist.com/locations/thyroid-specialist-itahari/): Thyroid specialist consultation for patients in Itahari, Sunsari
- [Thyroid Specialist in Janakpur](https://thethyroidologist.com/locations/thyroid-specialist-janakpur/): Thyroid specialist consultation for patients in Janakpur, Dhanusha
- [Thyroid Specialist in Dhangadhi](https://thethyroidologist.com/locations/thyroid-specialist-dhangadhi/): Thyroid specialist consultation for patients in Dhangadhi, Kailali
- [Thyroid Specialist in Bhairahawa](https://thethyroidologist.com/locations/thyroid-specialist-bhairahawa/): Thyroid specialist consultation for patients in Bhairahawa, Rupandehi
- [Thyroid Specialist in Birtamod](https://thethyroidologist.com/locations/thyroid-specialist-birtamod/): Thyroid specialist consultation for patients in Birtamod, Jhapa
- [Thyroid Specialist in Damak](https://thethyroidologist.com/locations/thyroid-specialist-damak/): Thyroid specialist consultation for patients in Damak, Jhapa
- [Thyroid Specialist in Ghorahi](https://thethyroidologist.com/locations/thyroid-specialist-ghorahi/): Thyroid specialist consultation for patients in Ghorahi, Dang
- [Thyroid Specialist in Baglung](https://thethyroidologist.com/locations/thyroid-specialist-baglung/): Thyroid specialist consultation for patients in Baglung, Baglung
- [Thyroid Specialist in Rajbiraj](https://thethyroidologist.com/locations/thyroid-specialist-rajbiraj/): Thyroid specialist consultation for patients in Rajbiraj, Saptari

## Topics

- [All topics](https://thethyroidologist.com/topics/): Costs, procedures and practical guides
- [Cost of a Thyroid Test](https://thethyroidologist.com/topics/cost-of-thyroid-test/): What a thyroid test costs, which tests are usually included, and the factors that change the price — a practical guide to thyroid testing costs
- [Cost of Thyroid Treatment](https://thethyroidologist.com/topics/cost-of-thyroid-treatment/): Thyroid treatment costs range from inexpensive daily medication to surgery
- [Cost of a Thyroid Consultation](https://thethyroidologist.com/topics/cost-of-thyroid-consultation/): What a thyroid specialist consultation costs, what is included in the fee, and how it differs from a general doctor visit
- [Cost of a Thyroid Ultrasound](https://thethyroidologist.com/topics/cost-of-thyroid-ultrasound/): What a thyroid ultrasound costs, what the scan includes, and why the price varies between imaging centres — a practical cost guide
- [Cost of a Thyroid Biopsy](https://thethyroidologist.com/topics/cost-of-thyroid-biopsy/): What a thyroid biopsy (fine needle aspiration) costs, what is included, and what can add to the price — a clear cost guide
- [Cost of Thyroid Surgery](https://thethyroidologist.com/topics/cost-of-thyroid-surgery/): What thyroid surgery costs, what the fee includes, and the factors that affect the price of a thyroidectomy — a practical cost guide
- [Cost of Thyroid Medicine](https://thethyroidologist.com/topics/cost-of-thyroid-medicine/): Thyroid medication is usually inexpensive
- [The Thyroidectomy Procedure](https://thethyroidologist.com/topics/thyroidectomy-procedure/): What happens during thyroid surgery — before, during and after the procedure — explained in plain language
- [The Thyroid FNAC Procedure](https://thethyroidologist.com/topics/thyroid-fnac-procedure/): How a thyroid fine needle aspiration (FNAC) biopsy is performed — preparation, the procedure itself, and what to expect afterwards
- [The Thyroid Ultrasound Procedure](https://thethyroidologist.com/topics/thyroid-ultrasound-procedure/): What happens during a thyroid ultrasound scan — how to prepare, what the sonographer does, and what the results mean
- [The Radioactive Iodine Procedure](https://thethyroidologist.com/topics/radioactive-iodine-procedure/): How radioactive iodine therapy is given, what happens during and after treatment, and the precautions you need to take
- [The TSH Blood Test Procedure](https://thethyroidologist.com/topics/tsh-blood-test-procedure/): How a TSH blood test is performed — preparation, the blood draw itself, and how quickly results are available
- [Fasting Before a Thyroid Test](https://thethyroidologist.com/topics/thyroid-test-fasting/): Thyroid blood tests usually do not require fasting
- [Thyroid Test Normal Ranges](https://thethyroidologist.com/topics/thyroid-test-normal-ranges/): What "normal" means for TSH, free T4 and free T3, why ranges vary between laboratories, and why context matters more than a single number
- [Cost of Radioactive Iodine Therapy](https://thethyroidologist.com/topics/cost-of-radioactive-iodine/): What radioactive iodine therapy costs, what the fee includes, and the follow-up costs to expect after treatment
- [Thyroid Treatment Side Effects](https://thethyroidologist.com/topics/thyroid-treatment-side-effects/): Common and serious side effects of thyroid treatment — levothyroxine, antithyroid medicines, radioactive iodine and surgery
- [Recovery After Thyroid Surgery](https://thethyroidologist.com/topics/thyroid-surgery-recovery/): What recovery after thyroid surgery involves — the first days, returning to normal activity, scar care, and when to call your surgeon
- [How Long Thyroid Test Results Take](https://thethyroidologist.com/topics/thyroid-test-results-time/): How quickly thyroid blood tests, ultrasound and biopsy results are ready, and what can make results take longer
- [Preparing for a Thyroid Blood Test](https://thethyroidologist.com/topics/preparing-for-thyroid-blood-test/): A simple checklist for preparing for a thyroid blood test — medication, supplements, food and what to bring on the day
- [When to See a Thyroid Specialist](https://thethyroidologist.com/topics/when-to-see-thyroid-specialist/): Which symptoms and results mean you should see a thyroid specialist rather than wait — a practical guide to getting the right care
- [How to Read Your Thyroid Test Report](https://thethyroidologist.com/topics/how-to-read-thyroid-test-report/): A practical guide to reading thyroid blood test reports — reference ranges, TSH, free T4, free T3, antibodies and what the combinations mean
- [Your Thyroid Ultrasound Report Explained](https://thethyroidologist.com/topics/thyroid-ultrasound-report-explained/): What the terms in a thyroid ultrasound report mean — size, echogenicity, nodules, TIRADS, lymph nodes and what happens next
- [Questions to Ask Your Thyroid Specialist](https://thethyroidologist.com/topics/questions-to-ask-thyroid-specialist/): A practical checklist of questions to ask at a thyroid consultation — about diagnosis, tests, treatment, monitoring and lifestyle
- [Travelling with Thyroid Medication](https://thethyroidologist.com/topics/travelling-with-thyroid-medication/): How to travel safely with levothyroxine and other thyroid medicines — packing, timing, time zones and what to do if you run out
- [Thyroid Surgery Scar Care](https://thethyroidologist.com/topics/thyroid-surgery-scar-care/): How to care for a thyroidectomy scar — healing stages, sun protection, massage and when to seek advice
- [Low-Iodine Diet: A Practical Guide](https://thethyroidologist.com/topics/low-iodine-diet-guide/): A practical guide to the low-iodine diet used before radioactive iodine treatment — what to avoid, what to eat and how long to follow it
- [When to Repeat a Thyroid Test](https://thethyroidologist.com/topics/when-to-repeat-thyroid-test/): How soon to repeat thyroid blood tests after an abnormal result, a dose change or during pregnancy — and why timing matters
- [Thyroid Emergency Warning Signs](https://thethyroidologist.com/topics/thyroid-emergency-warning-signs/): Recognise the rare but serious thyroid emergencies — thyroid storm, myxoedema coma, airway compression and severe low calcium after surgery

## Blog

- [Blog index](https://thethyroidologist.com/blog/)
- [Thyroid Nodule Biopsy Results: Understanding Bethesda Categories](https://thethyroidologist.com/blog/thyroid-biopsy-bethesda/): FNAC biopsy results are reported on the Bethesda scale — from non-diagnostic to malignant. What each category means and what happens next.
- [Graves' Disease vs Hashimoto's: The Two Main Thyroid Autoimmune Diseases](https://thethyroidologist.com/blog/graves-vs-hashimotos/): Both are autoimmune — but Graves' attacks the receptor causing overactivity, while Hashimoto's destroys the gland causing underactivity. How they differ and why it matters.
- [Thyroid and Pregnancy: What to Know Before, During and After](https://thethyroidologist.com/blog/thyroid-pregnancy/): Thyroid health in pregnancy — why testing matters, how requirements change, postpartum thyroiditis, and protecting your baby's development.
- [TSH Normal Range: What Your Numbers Actually Mean](https://thethyroidologist.com/blog/tsh-normal-range/): What is a normal TSH level? Understanding TSH ranges, why 'normal' varies, subclinical disease, and when borderline results need attention.
- [Hyperthyroidism: A Complete Guide to an Overactive Thyroid](https://thethyroidologist.com/blog/hyperthyroidism-guide/): An overactive thyroid speeds up the body and can affect the heart, weight and mood. This guide covers causes, symptoms, diagnosis and treatment options.
- [Subclinical Thyroid Disease: What It Means and Whether You Need Treatment](https://thethyroidologist.com/blog/subclinical-thyroid-disease/): Subclinical hypothyroidism and hyperthyroidism explained — abnormal tests with normal hormone levels, who needs treatment, and who just needs monitoring.
- [Types of Thyroid Cancer: A Plain-Language Guide](https://thethyroidologist.com/blog/thyroid-cancer-types-explained/): Papillary, follicular, medullary and anaplastic thyroid cancer are different diseases. How they differ, how they are diagnosed and how they are treated.
- [Thyroid Disorders in Children: Recognition and Management](https://thethyroidologist.com/blog/thyroid-children/): Thyroid problems can affect children too — congenital hypothyroidism, autoimmune disease and the importance of early diagnosis.
- [Thyroid and Fertility: What You Need to Know Before Trying to Conceive](https://thethyroidologist.com/blog/thyroid-fertility/): How thyroid disorders affect fertility and pregnancy — why testing before conception matters and what treatment can do.
- [Thyroid Medication: What You Need to Know About Levothyroxine](https://thethyroidologist.com/blog/thyroid-medication-guide/): How levothyroxine works, how to take it correctly, what affects absorption, and why consistency matters.
- [Thyroid and Menopause: What Changes and How to Manage Them](https://thethyroidologist.com/blog/thyroid-menopause/): How menopause affects thyroid function and why thyroid symptoms can be mistaken for menopause — and vice versa.
- [Thyroid and PCOS: The Connection Women Should Know About](https://thethyroidologist.com/blog/thyroid-pcos/): Why thyroid disorders and PCOS often occur together — overlapping symptoms, shared risk factors, and why testing matters for women with PCOS.
- [Levothyroxine Side Effects: What's Normal, What's Not, and When to Call](https://thethyroidologist.com/blog/levothyroxine-side-effects/): Taking levothyroxine for hypothyroidism? Learn which side effects are common, which are rare but serious, and how dosing affects how you feel.
- [Thyroid Diet and Nutrition: What Actually Helps](https://thethyroidologist.com/blog/thyroid-diet-and-nutrition/): Can diet fix a thyroid problem? What iodine, selenium, cruciferous vegetables and supplements really do — and what to avoid.
- [Thyroid Eye Disease: Symptoms, Stages and Treatment](https://thethyroidologist.com/blog/thyroid-eye-disease-guide/): Thyroid eye disease can affect the eyes even when thyroid levels are normal. Recognise the symptoms, understand the stages and know when to seek urgent help.
- [Thyroid and Weight: Why the Scale Changes](https://thethyroidologist.com/blog/thyroid-and-weight/): Does thyroid disease cause weight gain or loss? How much weight is really down to the thyroid, and what happens to weight after treatment.
- [Thyroid Storm: Recognising a Thyroid Emergency](https://thethyroidologist.com/blog/thyroid-storm-emergency/): Thyroid storm is a rare but life-threatening surge of hyperthyroid symptoms. Learn the warning signs, triggers and what to do.
- [Thyroid and Sleep: Why Your Sleep Changes](https://thethyroidologist.com/blog/thyroid-and-sleep/): Both an overactive and underactive thyroid can disturb sleep. Understand the link, the role of sleep apnoea, and what helps.
- [Thyroid Antibodies Explained: TPO, Tg and TRAb](https://thethyroidologist.com/blog/thyroid-antibodies-explained/): What thyroid antibodies mean, which tests measure them, and what a positive result does — and does not — tell you about your thyroid.
- [Where to Get a Thyroid Test in Nepal: TSH, T3, T4 and What to Expect](https://thethyroidologist.com/blog/thyroid-test-nepal/): Looking for a thyroid test in Nepal? Where TSH and thyroid panels are available, how to prepare, what results mean, and when specialist review helps.
- [Thyroid and Hair Loss: What to Expect](https://thethyroidologist.com/blog/thyroid-and-hair-loss/): Hair thinning is a common thyroid symptom. Why it happens, how it differs from other hair loss, and how long regrowth takes after treatment.
- [Thyroid Nodules Explained: What a Lump in the Thyroid Means](https://thethyroidologist.com/blog/thyroid-nodules-explained/): Most thyroid nodules are harmless, but some need investigation. How nodules are found, assessed and managed — and when to worry.
- [Thyroid and the Menstrual Cycle](https://thethyroidologist.com/blog/thyroid-and-menstrual-cycle/): How thyroid disease affects periods, fertility and menopause — and what to expect when thyroid function is treated.
- [Thyroid Surgery: What to Expect Before, During and After](https://thethyroidologist.com/blog/thyroid-surgery-what-to-expect/): A practical guide to thyroid surgery — the types of operation, how to prepare, what recovery involves and the risks to know about.
- [Fatigue, Weight Gain, Feeling Cold? When Thyroid Testing Makes Sense](https://thethyroidologist.com/blog/when-to-test-thyroid/): Persistent fatigue and weight gain have many causes — but thyroid dysfunction is a recognised contributor. When is a thyroid test worthwhile?
- [Living Well with Hypothyroidism](https://thethyroidologist.com/blog/living-with-hypothyroidism/): Practical advice for daily life with an underactive thyroid — medication routine, monitoring, energy, weight and when to ask for help.
- [Radioactive Iodine Therapy: A Patient Guide](https://thethyroidologist.com/blog/radioactive-iodine-guide/): How radioactive iodine treatment works, who it is for, what the day involves, and the safety precautions afterwards.
- [Thyroid and Exercise: Moving Well with a Thyroid Condition](https://thethyroidologist.com/blog/thyroid-and-exercise/): How thyroid disease affects energy and exercise, and how to stay active safely whether your thyroid is under- or overactive.
- [Understanding Your Thyroid Ultrasound](https://thethyroidologist.com/blog/understanding-thyroid-ultrasound/): What a thyroid ultrasound shows, how nodules are described, what TIRADS means and when a biopsy is needed.
- [Thyroid Medication Interactions: What to Know](https://thethyroidologist.com/blog/thyroid-medication-interactions/): Common medicines, supplements and foods that interact with levothyroxine and antithyroid drugs — and how to manage them safely.
- [How to Read Health Research Without Being Misled](https://thethyroidologist.com/blog/how-to-read-health-research/): A practical guide to reading thyroid studies — study types, absolute versus relative risk, confounding, and questions to ask before believing a headline.
- [Thyroid Tests Decoded: What TSH, T3, T4 and Antibodies Actually Mean](https://thethyroidologist.com/blog/thyroid-tests-explained/): Thyroid blood tests can be confusing. This guide explains what each test measures, how they work together, and what your results might mean.
- [Hypothyroidism: What It Is, Why It Happens, and How It's Treated](https://thethyroidologist.com/blog/hypothyroidism-guide/): A plain-language guide to hypothyroidism — the most common thyroid disorder. Causes, symptoms, diagnosis and why levothyroxine works so well.
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## AI / LLM resources

- [Full content for LLMs](https://thethyroidologist.com/llms-full.txt): Complete text of all structured content
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- [Editorial policy](https://thethyroidologist.com/editorial-policy/): How medical content is reviewed
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## Practice information

- Name: The Thyroidologist
- Specialty: Thyroid & Endocrine Disorders
- Location: Kathmandu, Nepal
- Hours: Sun–Fri, 9:00 AM – 5:00 PM (NPT)
- Contact: hello@thethyroidologist.com

Last updated: 2025-11-15