Thyroid Disorders Are More Common Than You Think
The thyroid gland — a small butterfly-shaped gland in your neck — controls your metabolism, energy, weight, mood, heart rate, body temperature and fertility. When it stops working properly, every system in your body is affected.
Thyroid disease affects an estimated 42 million people in India — making it one of the most common hormonal conditions in the country. Yet studies suggest that over 60% of thyroid patients in India remain undiagnosed, often attributing their symptoms to stress, ageing or "just being tired."
Thyroid disorders also have important connections to diabetes, cardiovascular disease, depression, fertility and bone health — making accurate diagnosis and monitoring critical, not optional.
"Thyroid disorders are among the most mismanaged conditions I see — patients on incorrect doses for years, or dismissed because their TSH is 'technically normal' despite ongoing symptoms. Proper management requires understanding the whole patient, not just the number."
— Dr. Manuj Sondhi, MRCP (UK)
At Nirvana Clinic, thyroid disorders are managed with the same rigour Dr. Manuj applies to all metabolic conditions — comprehensive baseline assessment, symptom-driven dose optimisation, and monitoring for downstream effects on diabetes, lipids, bone and mood.
Hypothyroidism vs Hyperthyroidism — Know the Difference
Both conditions are common but cause opposite symptoms. Many patients have symptoms for years before getting the correct diagnosis.
Thyroid Conditions Managed at Nirvana Clinic
Dr. Manuj Sondhi manages the full spectrum of thyroid disorders using evidence-based international protocols.
Hypothyroidism
The most common thyroid disorder in India. The thyroid produces insufficient thyroxine, slowing metabolism and every body system. Treated with precise thyroxine replacement — dose determined by symptoms and labs, not just TSH alone.
Hashimoto's Thyroiditis
The leading cause of hypothyroidism in India — an autoimmune condition where the immune system attacks the thyroid. Diagnosed by anti-TPO antibodies. Requires long-term monitoring and often lifelong thyroid hormone replacement.
Hyperthyroidism
Overactive thyroid producing excess hormones. Most commonly caused by Grave's disease or a toxic multinodular goitre. Treated with antithyroid medications. Requires cardiac monitoring to prevent arrhythmias.
Subclinical Hypothyroidism
TSH mildly elevated (4.0–10.0) with normal T4. Very common in India — especially in women with PCOS or a family history of thyroid disease. Requires clinical assessment to determine whether to treat or monitor.
Thyroid Nodules
Lumps or swellings within the thyroid gland. Most are benign — but all need evaluation for size, function and malignancy risk. Dr. Manuj coordinates ultrasound assessment and FNAC referral when indicated.
Thyroid in Pregnancy
Thyroid disorders are especially common during and after pregnancy. Untreated hypothyroidism in pregnancy increases miscarriage risk and affects fetal brain development. Requires careful monitoring and dose adjustment every trimester.
How Thyroid Affects Your Other Health Conditions
The thyroid interacts with virtually every other body system. At Nirvana Clinic, these connections are actively managed — not treated in isolation.
Hypothyroidism worsens insulin resistance and makes blood sugar harder to control. Hyperthyroidism can cause blood sugar spikes. Dr. Manuj manages both simultaneously — adjusting diabetes medications when thyroid status changes. A key Nirvana Clinic advantage.
Hypothyroidism is a well-known cause of depression, fatigue and brain fog. Hyperthyroidism causes anxiety and panic attacks. At Nirvana Clinic, Dr. Manuj screens thyroid function before Dr. Debolina treats mood disorders — ensuring no physical cause is missed.
Untreated hypothyroidism raises LDL cholesterol and increases cardiovascular risk. Hyperthyroidism causes atrial fibrillation and heart failure in severe cases. Thyroid control is part of Dr. Manuj's cardiac risk reduction strategy.
Thyroid disorders are far more common in women and directly affect menstrual cycles, fertility, PCOS, pregnancy outcomes and menopause. Every woman with irregular periods, PCOS or fertility concerns should have thyroid function tested.
Dr. Manuj's Approach to Thyroid Management
Thyroid management at Nirvana Clinic goes beyond writing a repeat prescription. Dr. Manuj takes a structured approach — starting with a full picture of your thyroid function, symptoms and other connected conditions before making any treatment decision.
Explore More at Nirvana Clinic
Frequently Asked Questions
Visit Dr. Manuj at Nirvana Clinic, Greater Noida
Sun Twilight Mall,
Opp. Delta 1 Metro Station,
Greater Noida, UP 201308
Sunday: Closed
Video consultations available
Stop Feeling Tired, Cold and Unwell
Expert thyroid diagnosis and management at Nirvana Clinic, Sun Twilight Mall, Greater Noida. Integrated metabolic care by Dr. Manuj Sondhi, MRCP (UK).