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Dr. Pankaj Kumar Dr. Pankaj Kumar General & Lifestyle Physician | Diabetes & Weight Loss Doctor Book appointment

Thyroid doctor in Dwarka

An underactive or overactive thyroid can cause tiredness, weight change, hair fall and mood changes. We confirm it with the right tests, get the dose right and keep it right.

Dr. Pankaj Kumar · MBBS, DNB (Family Medicine), DNHE · 16 years · Sector 6, Dwarka · In-clinic & online

TSH · Free T4 · Anti-TPO

Thyroid problems we treat

Hypothyroidism (underactive)

Tiredness, weight gain, constipation, dry skin, feeling cold, heavy periods. Treated with daily thyroxine and regular TSH checks.

Hyperthyroidism (overactive)

Weight loss, fast heartbeat, tremor, sweating, anxiety. Needs the cause found first, often Graves' disease or a thyroid nodule.

Borderline TSH (subclinical)

Slightly abnormal TSH with normal T4. Not everyone needs tablets: we decide on symptoms, antibodies, age and pregnancy plans.

Thyroid in pregnancy

TSH targets are tighter before and during pregnancy. Doses often need to rise early in pregnancy.

Thyroid, weight and PCOD

Weight that won't shift, hair fall and irregular periods. Thyroid, insulin resistance and PCOD are checked together.

Thyroid swelling or nodules

A lump or swelling in the neck is examined and, when needed, sent for ultrasound.

How Dr. Pankaj Kumar treats it

Getting the thyroid dose right

Most thyroid problems are easy to control once the dose and the way you take the tablet are right.

1

Test properly

TSH and free T4, with anti-TPO antibodies when the cause is unclear. We also check vitamin D, B12, iron and haemoglobin, because their symptoms overlap.

2

Start at the right dose

The dose depends on weight, age, heart health and pregnancy. Older adults and heart patients start low and go slow.

3

Take it the right way

Thyroxine on an empty stomach, 30–60 minutes before breakfast or tea. Keep calcium, iron and antacids 4 hours apart.

4

Recheck and adjust

TSH again 6–8 weeks after any dose change, then every 6–12 months once stable. Reports can be reviewed online.

Frequently asked questions

What is a normal TSH level?

For most adults, the lab range is about 0.4–4.0 mIU/L, though it varies by lab, age and pregnancy. One borderline result is usually repeated before starting treatment.

Can thyroid problems cause weight gain?

An underactive thyroid can add a few kilos, mostly fluid, and make weight loss harder. Once TSH is normal, extra weight is usually due to diet, sleep, activity or insulin resistance, which we also treat.

Do I need thyroid tablets for life?

Most people with hypothyroidism from Hashimoto's thyroiditis need lifelong treatment. Thyroid problems after pregnancy or during an illness can be temporary and are re-tested.

Why do I still feel tired when my TSH is normal?

Low vitamin D or B12, anaemia, poor sleep, sleep apnoea, depression or blood sugar problems are common reasons. They are worth checking before changing the thyroid dose.

Can I take thyroid medicine with tea or coffee?

No. Coffee, tea, milk and food reduce its absorption. Take it with water only, then wait 30–60 minutes.

Can thyroid be managed through online consultation?

Yes. Once you have been examined, dose changes based on reports work well as online follow-ups.

Read more from Dr. Pankaj Kumar

What happens at a thyroid consultation in DwarkaEarly thyroid symptoms: 9 warning signsUnexplained weight gain: medical causes to checkPersistent fatigue: 9 medical causes worth checking

See a doctor in Dwarka Sector 6

Doctors Lane, Pocket 2, Sector 6, Dwarka, New Delhi · Mon–Sat 10 AM–2 PM & 5–9 PM · Sun 10 AM–2 PM

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This page gives general information and is not a substitute for a consultation. Treatment is decided after examination and tests. Last reviewed by Dr. Pankaj Kumar, MBBS, DNB (Family Medicine), on 21 October 2026.