Dr. Saji Koshy, MD

About Dr. Saji Koshy, MD

Dr. Saji Koshy, MD is an Endocrinology specialist practicing at AdventHealth Medical Group Diabetes & Endocrinology in Tampa, FL. He is dedicated to providing comprehensive and patient-centered care, registered with the Florida Board of Medicine and practicing under Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). I provide comprehensive care for patients with hormone imbalances, including thyroid disorders, diabetes, pituitary and adrenal conditions, and metabolic issues, ensuring optimal health and well-being. I serve all ages and am currently welcoming new patients. Please call (813) 615-7620 to schedule an appointment.

With over 30 years of dedicated experience in Endocrinological care, Dr. Koshy brings a wealth of clinical knowledge and compassionate care to his patients and their families. He is board certified in internal medicine and in endocrinology, diabetes, and metabolism, and a fellowship-trained physician who has been treating patients with diabetes, endocrine, and metabolic disorders in the Tampa area since 2006. He has been the Associate Director at the Diabetes and Endocrinology Institute since 2008. Dr. Koshy earned his medical degree from Gandhi Medical College in 1992, completed an internship at Flushing Hospital Medical Center, and then undertook residency training in Endocrinology at Flushing Hospital Medical Center, followed by fellowship training at St Luke's-Roosevelt Hospital Center. He is Board Certified in Diabetes, Metabolism & Endocrinology by the American Board of Internal Medicine, and Board Certified in Internal Medicine by the American Board of Internal Medicine. Dr. Saji Koshy is fluent in Hindi and also offers consultations in Spanish.

Endocrinological Conditions Addressed

Dr. Saji Koshy addresses a wide range of Endocrinological health concerns, including:

• Adrenal Gland Diseases: Adrenal gland diseases encompass a range of disorders impacting the production or function of cortisol, aldosterone, and other crucial hormones.
• Secondary Hyperparathyroidism: Secondary hyperparathyroidism is a condition where the parathyroid glands become overactive due to another medical problem, often related to the kidneys.
• Hypopituitarism: Hypopituitarism is a rare disorder characterized by the underproduction of one or more hormones by the pituitary gland.
• Renal Hyperparathyroidism: Renal hyperparathyroidism develops due to kidney disease and involves excessive production of parathyroid hormone, affecting calcium levels.
• Thyroid Nodule: Your thyroid gland may sometimes develop a nodule, which is a small mass or swelling.
• Proteinuria: Proteinuria is a condition where too much protein is found in the urine.
• Vascular Disease: Vascular disease affects the blood vessels, potentially leading to problems with blood flow throughout the body.
• Hypothalamus Cancer: A tumor in the hypothalamus can affect hormone production and other bodily functions.
• Pituitary Cancer: Pituitary cancer is a rare type of cancer that starts in the pituitary gland, a small gland at the base of the brain.
• Hyperprolactinemia: Hyperprolactinemia is characterized by abnormally elevated prolactin levels, potentially causing irregular periods, infertility, and other symptoms.
• Acanthosis Nigricans: Darkened, velvety skin patches, typically in the armpits, neck, or groin, are a sign of acanthosis nigricans.
• Endocrine Gland Cancer: Endocrine gland cancer is a serious condition where cancerous cells develop within a hormone-producing gland, potentially disrupting hormone balance.

Please note: This list highlights some common health concerns that Dr. Saji Koshy addresses and is for informational purposes only; it does not constitute medical advice. The range of conditions a Endocrinology manages is broad, and this list is not exhaustive. For a comprehensive understanding of how he can assist with your Patient's specific health needs or to discuss any particular symptoms, it's always best to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Endocrinological Services Provided

Dr. Saji Koshy offers a range of services to support your Patient's health and well-being, such as:

• Dynamic Endocrine Function Test: This test helps doctors understand how well your endocrine glands are working by observing hormone fluctuations over time.
• Continuous Glucose Monitoring: With CGM, you get frequent glucose readings without having to prick your finger, providing a more comprehensive picture of your blood sugar trends.
• ACTH (Cosyntropin) Stimulation Test: This test involves injecting a hormone to see if your adrenal glands can produce enough cortisol in response.
• Dexamethasone Suppression Test: The dexamethasone suppression test helps determine if high cortisol levels are due to a pituitary or adrenal gland problem.
• Thyroid Nodule Evaluation: This evaluation checks for problems with a lump or growth in your thyroid gland.
• Thyroid Hormone Replacement: This treatment uses synthetic thyroid hormones to restore normal levels in individuals with hypothyroidism.
• VAP Lipid Testing: VAP Lipid Testing helps evaluate your cholesterol and other fats in your blood.
• Angioplasty With Stent Placement: This service involves widening a narrowed artery and placing a small, expandable tube (stent) to help improve blood flow.
• Diabetic Evaluation: This appointment focuses on checking your blood sugar control, reviewing your medications, and discussing ways to improve your diabetes management.
• Thyroid Scan: A thyroid scan uses radioactive material to create images of your thyroid gland, helping to detect problems with its size and function.
• Thyroid Screening: Through blood work, thyroid screening can detect early signs of an underactive or overactive thyroid, allowing for timely treatment.
• Cholesterol Screening: This service helps check your cholesterol levels to assess your heart health risk.

Please note: This list highlights some of the key services that may be offered by Dr. Saji Koshy. Service availability can change and not all services listed may be appropriate or offered to every patient. The scope of services provided by a Endocrinology can vary. For a comprehensive understanding of all available services or to discuss your Patient's specific healthcare needs, it's always best to schedule a consultation. Some specialized procedures or advanced diagnostic tests may require referral to a subspecialist.

All medical services are provided in accordance with the standard scope of practice for Endocrinologies in Florida and adhere to the ethical and professional guidelines set forth by The Florida Board of Medicine.

Frequently Asked Questions

Here are answers to some common questions about care with Dr. Saji Koshy:

What is an Endocrinologist?

An endocrinologist is a doctor specializing in the endocrine system, which includes glands that produce hormones. They diagnose and treat hormonal imbalances, and various conditions like diabetes, thyroid problems, and metabolic disorders.

What should I expect during my first visit with Dr. Saji Koshy?

Your first visit with Dr. Koshy will involve a comprehensive review of your symptoms, medical history (personal and family), a physical exam focusing on potential hormonal signs, and a review of any prior lab results. Please bring a list of all medications and supplements you are currently taking.

Does Dr. Saji Koshy accept my insurance?

Dr. Koshy's office accepts a variety of insurance plans. To confirm your specific plan's coverage, please call the office directly with your insurance information.

What treatments do you offer for osteoporosis?

We offer a comprehensive approach to osteoporosis treatment, encompassing lifestyle modifications like calcium and vitamin D intake, and weight-bearing exercise, alongside prescription medications to slow bone loss or stimulate new bone growth. DEXA scans are used to monitor treatment progress and adjust the plan as needed.

What are the treatment options for low testosterone (Low T)?

Treatment options for low testosterone, such as gels, injections, or pellets, are available after a thorough diagnosis confirms a deficiency. Your provider will discuss the risks and benefits of each option to determine the best course of action for you.

What is a DEXA scan and why do I need one?

A DEXA scan is a simple, non-invasive imaging test that measures bone density. It's the gold standard for diagnosing osteopenia and osteoporosis, and is essential for assessing fracture risk and monitoring treatment effectiveness.

Can a hormone problem cause high blood pressure?

While most high blood pressure doesn't stem from a single cause, some cases are linked to underlying endocrine conditions like hyperaldosteronism, pheochromocytoma, or Cushing's syndrome. An endocrinologist can investigate for these specific causes, particularly in cases of persistently high blood pressure that's difficult to manage.

How can Dr. Saji Koshy help with menopause symptoms?

Dr. Koshy can help manage menopause symptoms like hot flashes, night sweats, and mood changes through a personalized approach. This may include hormone replacement therapy (HRT) or non-hormonal options, depending on your individual health profile. We will work together to create a plan that best addresses your needs.