Concierge NP Thyroid Management
1. Initial Comprehensive Evaluation
- In-depth review of patient history (family, autoimmune, medications, prior thyroid disease).
- Symptom assessment (fatigue, weight changes, mood, hair/skin changes, palpitations, menstrual changes, etc.).
- Physical exam (neck/thyroid palpation, cardiovascular, metabolic signs).
- Lab review/ordering:
- TSH, Free T4, Free T3
- Thyroid antibodies (TPO, TgAb, TSI if Graves suspected)
- Vitamin D, B12, Ferritin, Cortisol (optional holistic workup).
2. Personalized Care Plan
- Hypothyroidism: Levothyroxine/Tirosint/NP thyroid dosing, monitoring, lifestyle counseling.
- Hyperthyroidism: Referral for endocrinology co-management, medication monitoring (methimazole/PTU), symptom control.
- Hashimoto’s Thyroiditis: Integrative care approach with autoimmune lifestyle support, supplements, and regular monitoring.
3. Concierge Model Benefits
- Same-day or next-day appointments (in-person or virtual).
- Direct messaging access for medication adjustments and symptom updates.
- Routine labs coordinated at local or mobile labs.
- Customized medication delivery via partnered pharmacy (including compounding if desiccated thyroid needed).
- Coordination with endocrinologists if advanced care (radioiodine, surgery) is required.
4. Follow-up & Monitoring
- 6–8 weeks after medication adjustments, then every 3–6 months.
- Telehealth check-ins for dose fine-tuning.
- Annual comprehensive thyroid wellness review.
5. Added Value in Concierge NP Practice
- Nutrition counseling (anti-inflammatory diet, iodine, selenium, gluten sensitivity in Hashimoto’s).
- Weight management support (if thyroid dysfunction contributes).
- Hormone balance discussions and treatment if indicated (thyroid + menopause/andropause interplay).
- Holistic symptom tracking (sleep, mood, energy, cognition).
Rodeynurse September 2025