Thyroid & Parathyroid Care

A Holistic Approach To Thyroid Disease

When thyroid disorders go untreated, they cause frustrating problems like weight gain as well as serious conditions such as heart arrhythmias. Dr.Ana Silva has extensive experience diagnosing and treating thyroid disorders using a whole-person approach that values how you feel rather than only considering your lab results. Dr. Ana offers her expert care via telehealth to patients throughout Florida so you can get the medical care you need in your own home. To schedule an appointment, use the online booking tool to reserve a date and time for your video conference with Dr. Ana.


Thyroid FAQs

How does the thyroid support my Health?

Your thyroid gland produces two hormones that together virtually regulate every part of your body.

These are only a few examples of the functions regulated by thyroid hormones:

    • Heart rate

    • Body weight

    • Muscle strength

    • Menstrual cycles

    • Cholesterol levels

    • Body temperature

    • Energy and well being

Because thyroid hormones are so powerful, your body maintains tight control over their blood levels. Health problems develop when their levels go higher or lower than normal. 

What symptoms can develop with hypothyroidism (under active thyroid)?

You have hypothyroidism when your thyroid is underactive and doesn’t produce enough hormones. Hypothyroidism is usually caused by an autoimmune disorder, Hashimoto’s thyroiditis. The lack of thyroid hormones can lead  to symptoms such as:

    • Dry skin

    • Fatigue

    • Hair loss

    • Weight gain

    • Hoarseness

    • Sensitivity to cold

    • Irregular periods/infertility

    • Mood changes

When hypothyroidism goes untreated, it can even cause high cholesterol and nerve damage.

What symptoms can I develop with hyperthyroidism (over active thyroid)?

Hyperthyroidism, an overactive thyroid gland, has many causes but the most common is an autoimmune condition, Grave’s disease. When your thyroid hormone levels get too high, you can experience:

    • Weight loss

    • Rapid heartbeat

    • Hand tremors

    • Insomnia

    • Thinning skin

    • Enlarged thyroid gland (goiter)

Hyperthyroidism can also be due to thyroid nodules and may lead to osteoporosis and a higher risk of fractures.

How can thyroid disorders be treated?

Dr. Ana takes a whole-person approach when treating thyroid disorders. While she tests your hormone levels, she doesn’t just go by the numbers to make treatment decisions. She also listens to you, getting feedback on how you feel so she can get a complete understanding of your overall health.

Hypothyroidism often requires hormone replacement therapy to restore normal levels of thyroid hormone. We can use nutrition along with either conventional or compounded hormone options based on your individual needs

Thyroid nodules and goiters may not need treatment if they’re small and don’t overproduce hormones. Dr. Ana will recommend appropriate advanced testing that my include ultrasounds and scan. She will review with you the results in detail. If a biopsy is needed she will refer you to Florida's best cytopathologist.  

When treatment is necessary for hyperthyroidism, Dr. Ana will review your treatment options to control hormone levels and potentially reduce thyroid size.

What are thyroid nodules?

Thyroid nodules are very common and can occur in up to 67% of the population. They are more common in women, people with iodine deficiency, and as we age. Dr.Ana had extensive training with AACE’s Endocrine Certification in Neck Ultrasound to able to review your thyroid ultrasound findings and help you determine what treatment would be needed. She will sit down with you, review your results to give you an understanding of your findings. If needed, she will send you for additional testing and/or biopsy.  The average population has a 5% risk of a nodule being cancerous.

What thyroid conditions are treated?

  • Hashimoto’s thyroiditis

  • Grave’s disease (including Grave’s eye disease)

  • Goiter (large thyroids)

  • Thyroid nodules

  • Under or overactive thyroid 

  • Post-partum thyroid disorders

Ready to seek an expert's advice in managing your thyroid condition?


I love Dr. Silva. She is very knowledgeable and professional. Great Telehealth set up

Veronica M.


Parathyroid Disorders FAQs

When calcium programs go undiagnosed patients can experience fatigue, muscle weakness, and brittle bones. At Endocrine Help, Dr. Ana Silva has experience in the proper diagnosis and treatment options for parathyroid and calcium disorders.

What is a parathyroid gland?

Parathyroid glands are a group of 4 glands that sit behind the thyroid gland. They are responsible for maintaining proper calcium levels.

What is hyperparathyroidism?

Parathyroid glands are often mistaken to be part of the thyroid gland, but they are actually 4 small glands that sit just behind the thyroid. Their main job is to control your calcium balance. Parathyroid glands can become enlarged and lead to high calcium levels, called hyperparathyroidism. Hyperparathyroidism is the most common cause of elevated calcium and can occur in 1 out of every 4 adults. Left untreated hyperparathyroidism can cause osteoporosis, kidney stones, depression and abdominal pain.

If you suffer from thyroid, parathyroid, or calcium problem, Dr. Ana offers the help you need through telehealth services, and direct texting options are available. You can easily schedule an appointment at your convenience using the online booking tool.