Duke thyroid disease specialists specialize in diagnosing and treating the full range of benign thyroid disorders, including hyperthyroidism (overactive thyroid like Graves' disease), hypothyroidism (underactive thyroid) and postpartum hypothyroidism and goiter (large thyroid). We pinpoint the cause of your abnormal thyroid levels and determine the most effective treatment for you. Our goal is to personalize your treatment plan to your specific needs so you feel like yourself again.
Duke Health offers locations throughout the Triangle. Find one near you.
Your doctor may suspect thyroid disease if you experience some of the common symptoms, such as unexplained weight loss or gain, moodiness or depression, and fatigue. In many cases, abnormal thyroid levels may turn up when your doctor orders a blood test as part of a routine physical exam. Your doctor may order one of the following tests to confirm your diagnosis.
Thyroid Function Tests
Measures the amount of thyroid hormone in your blood, and can help diagnose functional disease, such as hypothyroidism (low levels of thyroid hormone) or hyperthyroidism (high levels of thyroid hormone).
This non-invasive test uses sound waves to take pictures of organs and tissues inside your body. A thyroid ultrasound shows the thyroid gland’s size and shape. An enlarged thyroid with nodules or growths may indicate thyroid disease.
Radioactive Iodine Uptake Test
A radioactive substance called a tracer is injected into your bloodstream. The test determines how much tracer your thyroid gland absorbs, which can tell your doctor how well it is working.
This scan also uses a radioactive tracer. A special camera takes 3D pictures of your thyroid gland as it absorbs the tracer. The pictures help your doctor determine which parts of your thyroid are overactive or underactive.
Why Choose Duke
Experts in Precise Dosing
Our team has the experience and advanced training to make sure we get your treatment dose right, whether it’s medication to control thyroid blood levels or radioactive iodine treatments to shrink or destroy tissue in an overactive thyroid. Both of these treatment approaches require precise dosing, tailored to each patient’s needs.
Specialized Nuclear Medicine
If you have Graves' disease or hyperthyroidism, we may recommend radioactive iodine therapy to control your thyroid hormone levels. Our team includes highly trained radiologists who administer our radioactive iodine treatments. Their experience working with proper dosing for thyroid patients means safe and effective results for you.
Leaders in Thyroid Surgery
Our surgeons handle more than 600 cases every year, making us one of the busiest endocrine surgery teams in North America. We have performed thousands of successful thyroid-specific surgical procedures using open and minimal access techniques. Our less invasive options lead to less pain, fewer complications, minimal scarring and shorter hospital stays.
Our endocrinologists work closely with other Duke specialists to manage and treat every aspect of your thyroid disease, to guide your care and manage your treatment plan. We work with endocrine surgeons, otolaryngologists (ear, nose, throat and neck specialists) and radiologists specially trained in nuclear medicine thyroid treatments.
If your doctor prescribes hormone replacement therapy for hypothyroidism, we work closely with you to make sure you understand how your thyroid medication works. When and what you eat, what supplements you take and even what time you take your medication can impact its effectiveness. We give you step-by-step directions before you leave our office and closely follow how your body reacts to the medication so we can make adjustments.
When it comes to your care, you want the very best. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our diabetes and endocrinology program is nationally ranked, and the highest ranked program in North Carolina, according to U.S. News & World Report for 2021–2022.