My Thyroid Blog

August 13, 2020 Thyroid0

Do you know signs and symptoms of hypothyroidism? My Thyroid Doctor has compiled a helpful list. The powerful little thyroid gland can have a great impact on your looks as well as your health. Your thyroid gland is a small, butterfly-shaped mass of tissue located in the neck. Despite its small size, it plays a critical role in determining how our bodies function, and ultimately how we feel.

August 10, 2020 Thyroid0

You should know if your infertility is linked to a thyroid condition. Regardless of normal levels of thyroid hormones in the blood – a woman can be suffering from hypothyroidism. To accurately diagnose the type of hypothyroidism a patient is suffering from, Dr. Hugh Melnick evaluates a comprehensive panel of thyroid blood tests.

Hypothyroidism and Female Infertility

Thyroid blood tests diagnose certain types of hypothyroidism.

– TSH – Anti-Thyroid Antibodies
– Total and Free T3 – Anti-Thyroglobin Antibodies
– Total and Free T4 – Prolactin
– Reverse T3 (rT3) – Vitamin B12/Vitamin D3

Elevated TSH Level

Failure of the thyroid gland itself is diagnosed when the TSH level is elevated.

  • Hypothyroidism resulting from autoimmune Thyroiditis (Hashimoto’s) is diagnosed when anti-thyroid antibodies are detected.
  • When a patient has low TSH, T3, and T4 – possibly with an elevated prolactin level – the origin indicates Hypothyroidism of a Pituitary or Hypothalamic
  • High levels of reverse T3 indicate an adrenal gland issue, which is a result of chronic stress
  • When a symptomatic patient has low total T3 and vitamin B 12 levels, subclinical hypothyroidism exists

Thyroflex Nerve Conduction Velocity Testing

One the most significant and characteristic findings in Hypothyroid individuals is their slow deep tendon reflexes. This happens because when there is not enough active Thyroid hormone in the nerve cells, the metabolism of the nerve is reduced, so the conduction of an impulse down a nerve is slower than if the cell’s metabolic function was normal.

This test is a very accurate way to diagnose Hypothyroidism in symptomatic individuals who have all their blood tests in the normal range. The actual speed that the nerve conducts an impulse can be measured accurately by a computer and then the rate can be compared to the nerve transmission speeds in individuals with normal Thyroid function.

Like BBT measurements, the Thyrofex can be used to measure the adequacy of Thyroid treatment. If a patient is taking 60mg of Armour Thyroid and is still symptomatic, yet has normal blood tests, a Thyroflex test that shows slow nerve conduction will tell the Physician that the patient does need an increase in the dose of their medication. The Thyroflex test is an accurate way to insure that a patient is getting the optimal dose of thyroid medication.

Hypothyroidism Therapy Expertise

Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Your initial consultation with the Doctor can be conducted via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.

August 6, 2020 Thyroid0

Your cost of hypothyroidism therapy will range between $350 and $1155 when you seek diagnostic testing and treatment from Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC. Dr. Melnick is one of the very few fertility doctors offering treatment for subclinical hypothyroidism. Blood tests are not included in the cost of your initial consultation and follow up visits.

March 13, 2020 Thyroid0

A coronavirus – COVID-19 – outbreak began in China last December. It has since spread to other countries – including the United States. The CDC has posted travel health notices recommending that U.S. citizens not travel to China. Avoid close contact with anyone showing COVID-19 symptoms if you are trying to get pregnant.

September 28, 2018 Thyroid0

Yes – most insurance plans cover the cost of hypothyroidism diagnosis and treatment. However – you may incur out-of-pocket and co-payment expenses – depending on your insurance coverage terms. You must make sure that your thyroid doctor participates in your insurance plan. If the physician is not a participant in your plan, make sure to find out what your out-of-pocket charges will be when you have to pursue treatment without insurance coverage.

Thyroid Doctor Participating in Insurance Plans

Dr. Hugh Melnick participates in many major insurance plans. There may be additional insurance plans accepted that are not listed below – so please call and ask for assistance from our insurance billing staff.

  • Aetna PPO
  • Aetna/USHC – HMO
  • Cigna HMO
  • Cigna PPO
  • First Health
  • GHI
  • Great West
  • Humana via ChoiceCare
  • Oxford Freedom
  • PHCS – Guardian
  • PHS – HealthNet
  • United HealthCare
  • United – Empire Plan
  • Island Group Administrators

Thyroid Doctor Cost

For patients who are not covered by medical insurance – or – do not want to go through their plans, Dr. Melnick’s cost for diagnosis and treatment can be estimated to be between $350 and $1155 – as follows:

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

Blood tests are not included in the cost of initial consultations and follow up visits, although they are performed in Dr. Melnick’s endocrinology laboratory. In some cases, the cost of blood testing is covered by insurance. However – if there is no coverage available – blood test costs are approximately $60 through Dr. Melnick’s office.

If the patient has some form of coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Thyroflex Testing Cost – No Insurance Coverage

Thyroflex testing costs $150 and is not covered by insurance.

Affordable Thyroid Doctor

It is important to work with a thyroid doctor who has the education and clinical experience to cost-effectively diagnose and cost-effectively treat your hypothyroidism.

You can easily schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services through email – – or – You can also call 212.369.8700 – or – click the icon below.

May 22, 2015 Thyroid0

A Top Doctor for thyroid patients with hypothyroid, hyperthyroid, or other thyroid problems is a doctor who listens to you, cares, has an open mind regarding what you need or ask, wants your understanding and participation in your own treatment decisions, and is not owned and manipulated by a drug company. Thyroid Top Doctors are endocrinologists, thyroid specialists, thyroid surgeons, thyroidologists, integrative physicians, and other medical practitioners highly recommended by patients. These are doctors and practitioners  freely nominated by patients, or who want to make their innovative ideas available to patients. These are NOT doctors who have been paid off by pharmaceutical companies or who pay to be listed in directories. That is an important criteria for patients to use. Your thyroid specialist should embrace the motto that you are a human patient, not a pharmaceutical value.5

  1. The American Thyroid Association has a referral list for exact locales, including the best reviewed thyroid doctor in NYC for the many types of thyroid diseases and issues.
  2. The Endocrinologist Association also has a top referral list, but it should be noted that not all endocrinologists are specialists in thyroidology and thus your inquiry should stipulate need for the best reviewed thyroid doctor in NYC.
  3. Thyroid of Top Doctors of New York has a listing of best reviewed thyroid doctors in NYC.

How to Select a Thyroid Doctor for You

Being listed in a reputable Top Thyroid Doctors Directory doesn’t mean a doctor is the right one for you. Doctors have different bedside manners (or even none), degrees of openness to alternatives, flexibility in treatment styles, and financial arrangements. Some accept Medicare and/or insurance while some do not. Always call the doctor’s office before making your first appointment so you can verify definitely your understanding of the office’s requirements of the patient, and the philosophy, medical approach, sensitivity, cost, and insurance coverage. This will save you costly mistakes as well as embarrassment or having to change doctors immediately upon starting due to not having your doctor’s rules and regulations in hand.

Since there are gyn-ob medical issues resulting from thyroid disease, if you are symptomatic of those problems, you will want to ensure your that thyroidologist has expertise in those professional fields also.

Dr. Hugh D. Melnick is one of the most highly respected and credentialed thyroid specialists in NYC. He is a highly reviewed thyroid specialist in NYC who also specializes in thyroidology, many types of endocrinology, obstetrics, and gynecology medical issues caused by thyroid complications. He has expertise in treating issues of libido decline, infertility, miscarriages, and post partum complications. Contact his friendly and informative office staff today to make your initial conference and consultation appointment.

May 20, 2015 Thyroid0

Treatment of hypothyroidism, or under active thyroid function, is prescribed hormone therapy of T3 and T4. T4 is the most used, as it is able to create T3 in the bloodstream as well, and give the patient the full hormone therapy benefits.

Monitoring for  HypothyroidismDoctor-Thyroid-Treatment

Therapy for hypothyroidism is monitored by doctors who offer hypothyroidism treatment at six week intervals until the blood tests show the patient’s hormone level is stable. During these visits, a blood sample is checked for TSH to see if the right amount of thyroid replacement hormone is being given. The goal is to maintain TSH levels within normal limits. Depending on which thyroid testing lab used, values may vary, but doctors who offer hypothyroidism treatment diagnose a normal TSH range as between 0.5 to 5.0uIU/ml. Once stable, the TSH need be checked only yearly.

Warning of Over Treatment

Over-treating hypothyroidism with too much thyroid medication is potentially harmful and can cause heart beat irregularity and lack of blood pressure control. Expert doctors who offer hypothyroidism treatment are very knowledgeable that drugs treating hypothyroidism can also contribute to osteoporosis. Every effort should be made to keep your TSH within the normal range and to find other therapy treatment if you have a history of heart disease or blood pressure issues.

Thyroidologists Specializing in Hypothyroidism

Due to the medical warnings given above, it is imperative that you select a thyroid specialist who has extensive expertise in treating hypothyroidism. This must be a specialist with expertise beyond that of an endocrinologist, who might not treat the thyroid as a specialty. The American Thyroid Association can refer you to a thyroid specialist in your locale who can diagnose, treat, and monitor your thyroid issues plus any resulting medical problems.

Dr. Hugh D. Melnick of NYC is acclaimed as an expert hypothyroidism physician who can also treat the accompanying issues which frequently cause the patient additional medical difficulty. He is also an expert in treating infertility and childbearing difficulties caused by thyroid dysfunction as well as all types and degrees of thyroid diseases and ailments which frequently are causative factors for medical issues seemingly unrelated to the lay person.

His office has expertise in performing the thyroid tests necessary to determine the TSH range level as well as detecting any nodules or indications of other thyroid distress, including cancer of the thyroid. This expertise has endowed Dr. Melnick with equal expert accreditation in the fertility and OB-GYN specializations.

Contact the efficient and friendly staff of Hugh D. Melnick, M.D. in New York City for an initial conference and consultation regarding any thyroid dysfunction symptoms you may experience.

May 16, 2015 Thyroid0

It is more important to acquire professionally affiliated definite expert referral for thyroid doctor consultations with a thyroid specialist in your area by an expert source such as The American Thyroid Association, than to research sources for discounts in the cost of the examination and tests. However, if price comparing has to be one of your budget considerations, understand that if you have Medicare or private insurance coverage, thyroid examinations and testing are usually covered, at least for 80%, with you paying the remainder 20% of costs.

Discount or Sliding Scale LaboratoriesNYC-Thyroid

There are centers for thyroid treatment across the United States which offer unique discounts on their laboratory services. Other medical centers also offer sliding scale costs for the examination and treatment by their thyroidologists. It is resourceful for the patient to investigate these opportunities for reduced costs prior to making appointments to be evaluated.

American Thyroid Association May Provide Names

If the foregoing listing of affordable medical services for thyroid issues does not connect you with a viable sliding scale or reduced professional cost medical center for treatment of thyroid dysfunction and disease, patients can contact the American Thyroid Association for a listing of affordable care medical centers. The primary focus of the Association is to provide patients with names of specialists in their locale; however, it is possible that they can assist in locating sliding scale facilities. The failure of the Affordable Care Act passed in 2013 was an egregious loss to the medical profession and the American thyroid patients as well as all other diseases and cancers. Nonetheless, affordable care is possible if you do your research for the best center offering reduced costs.

New York City is privileged to have Hugh D . Melnick, MD as an expert in treatment of thyroid dysfunction, cancers, and the fertility and reproductive complications caused by the thyroid dysfunction. Whatever the type and degree of your thyroid medical issue, Dr. Melnick and his sensitive staff can accommodate your needs. For information on the office’s insurance and payment requirements and all other patient needs, contact the office today to determine those regulations for patients and then to arrange for your initial conference and consultation.

May 14, 2015 Thyroid0

How to Tell if You Have a Thyroid Issue

The symptoms that indicate possible or even probable thyroid dysfunction, disease, or even cancer nodes are so wide and encompass many physical and even emotional aspects of the human being, sometimes the effects that are considered symptoms are not; other times, the symptoms are right on target.  For this indefinite status, it is wise to seek the consultation and examination of a specialist who has expertise in the many fields of thyroid issues.  Some of the dysfunctions are less significant to your general health, while other diseases or dysfunctions of your thyroid can deposit you into a life and death health status.

Contact a Specialist; Do Not WaitDoctor-Thyroid-NYC

To acquire a competent referral to a certified thyroidologist with specialization in thyroid medical issues in your area, contact The American Thyroid Association. They have a vital and all-encompassing register that can put your into the hands of a reputable specialist who will conduct essential blood tests to diagnose your ailment appropriately, and who can then proceed into treatment for your unique dysfunction.

The primary symptoms of underactive thyroid issues are:


  • Weight gain and inability to lose weight
  • Always cold, especially hands and feet.
  • Fluid retention, swelling
  • Dry hair and/or hair loss
  • Dry skin, fingernails too brittle and break
  • Constipation
  • Irregular menstrual periods,  heavy menstrual flow, reproductive infertility and miscarriages
  • Intense joint and muscle pains
  • Painful joint Carpal and Metatarsal Tunnel syndrome
  • Hands or feet tingle or are numb
  • You experience ringing or ticking sound
  • You are diagnosed with Fibromyalgia or Chronic Fatigue


  • Extreme chronic fatigue
  • Depression
  • Decreased libido
  • You feel mentally foggy
  • You are diagnosed with AADD, decreased concentration
  • You have poor short term memory
  • You are a woman who has experienced Postpartum Depression

How to Tell if You Have a Thyroid Issue of Hyperthyroidism

  • You lose weight without dieting and cannot gain.
  • You are irritable.
  • You have high or low blood pressure compared to your normal blood pressure.
  • You feel nauseated, are throwing up, or have diarrhea.
  • Your heartbeat is very fast or you have chest pain.
  • You have fever.
  • You are confused or sleepy.
  • You suffer swollen throat or difficulty swallowing.

Hugh D. Melnick, MD, NYC

Hugh D. Melnick, MD, New York City, treats patients of many types and degrees of thyroid dysfunction and Dr. Melnick also has expertise in the illnesses and reproductive issues that are caused by thyroid issues. Contact Dr. Hugh D. Melnick today to set an appointment during which he will determine how to tell if you have a thyroid issue.

May 12, 2015 Thyroid0

Your Hyperthyroidism Requires a Hyperthyroid Specialist

Overactive thyroid dysfunction or hyperthyroidism must be treated by accredited and specializing doctors who treat overactive thyroids with exclusivity, due to the dangerous range of overactive thyroids and their effect upon the human body. Some of the dangers encountered as a patient with overactive thyroid dysfunction are definite life and death endangerment.

The most serious hyperthyroidism danger is a life-threatening condition called thyroid storm.thyroid_1

Call 911 or other emergency services immediately if you have signs of this complication such as delirium. Call your doctor immediately if you have been diagnosed with hyperthyroidism and:

  • You are very irritable.
  • You have unusually high or low blood pressure compared to your norm.
  • You are nauseated,  throwing up, or have diarrhea.
  • Your heartbeat is very fast or you experience chest pain.
  • You develop a fever.
  • You are confused or  sleepy.
  • You cannot breathe well or feel very tired – heart failure symptoms.

You should also call your doctor if:

  • You develop symptoms of Graves Ophthalmology with red and bulging eyes.
  • You are exceptionally tired or weak.
  • You lose weight without intention and even while eating normally.
  • Your throat is swollen or you experience trouble swallowing.

Watchful Waiting

“Watchful waiting” is that period of time during which you and your doctor observe your symptoms without using treatment. However, if you think you have hyperthyroidism, watchful waiting is not a good idea. Contact  your doctor so you can be treated early and reduce chances of more serious problems. Doctors who treat overactive thyroids include the following specialists:

Specialist You Might Contact

For further treatment, your primary doctor may refer you to one of the following specialists:

The American Thyroid Association is well qualified and known as an excellent resource for referral of specialists in each and every field of thyroid dysfunction, including hyperthyroidism. Dr. Hugh D. Melnick of New York City is a highly respected and often referred specialist in treatment of overactive thyroid and other serious thyroid diseases and dysfunctions, including cancer.

Top Overactive Thyroid Doctor in NYC – Hugh D. Melnick, MD 

Due to the sometimes confusing lack of proper diagnosis, many patients come to Dr. Melnick for his expertise in thyroid diseases and other resulting medical issues that arise due to thyroid dysfunction. Those other specializations are in the fields of fertility, childbirth, and postpartum complications. Contact the friendly and sensitive staff at Dr. Melnick’s office to schedule an initial conference and consultation regarding your thyroid issues.

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Copyright by 2019. All rights reserved.

Copyright by 2019. All rights reserved.