Treatments provided by Chinnadorai Rajeswaran (Raj)

Conditions treated

Dr Raj offers expert treatment and management for a wide range of conditions, including:

Addison’s disease	Menopause
Adrenal problems	Obesity
Diabetes (Type 1 and 2)	Osteoporosis
Erectile dysfunction	Polycystic ovary syndrome (PCOS)
Fatty liver	Prediabetes
Female hypo sexual desire disorder	Pituitary problems
Goitre	Post bariatric surgery hypoglycaemia
Hirsutism	Post bariatric surgery weight gain
Hypoglycaemia	Sweating, excessive
Hypothyroidism (Hashimotos)	Tiredness
Infertility	Thyrotoxicosis (Graves’ disease)
Low libido	Uncontrolled blood pressure

Consultation

Dr Raj is available for private consultation at the following locations. He also offers virtual consultations for people who are unable to travel to the clinics and to support social distancing.

Claremont Private Hospital, Sheffield	Thursday PM and evening
Nuffield Hospital Leeds	Thursday AM
Simplyweight, Bradford	Wednesday AM and PM
Ten Harley Street, London	Friday and Saturday AM and PM

Fees

Dr Raj is registered as a recognised specialist with several private medical insurance companies and follows an approved-fee policy.

His fees for self-pay patients are as follows:

Weight management

Initial consultation (London)	£300
Initial consultation (Outside London)	£200
12-week MDT Weight Management plan + 9 months online support	Personalised plan decided after initial consultation
12-week Saxenda MDT Weight Management plan + 9 months online support	Personalised plan decided after initial consultation

Online weight management plan (Simplyweight)

Online specialist weight management (1 year)

£130

Diabetes

Initial consultation	£200
Follow-up consultation	£150
Follow-up virtual consultation	£150

Endocrine

Initial consultation	£200
Follow-up consultation	£150
Follow-up virtual consultation	£150

Miscellaneous

Private prescriptions	£50
Medical certificate (e.g. sick note)	£100
Medical letter (e.g. travel insurance, etc.)	£50

Treatments, operations and tests

Hyperparathyroidism treatment

Hyperparathyroidism (and hypoparathyroidism) are rare hormone disorders caused by the parathyroid glands in the neck producing too little (hypo) or too much (hyper) parathyroid hormone. In the latter the parathyroid glands (there are 4) produce too much PTH. This causes blood calcium levels to rise (hypercalcaemia) and blood phosphorus levels to fall (hypophosphataemia). Hyperparathyroidism is diagnosed via a blood test which may show high levels of PTH, high levels of blood calcium low levels of phosphorus. Primary hyperparathyroidism can only be treated with surgery to remove the adenoma from the parathyroid gland. Following surgery, the patient should avoid a high-calcium diet and drink plenty of water to prevent dehydration.

Treatment of secondary hyperparathyroidism depends on the underlying cause. Kidney disease is the most common cause of secondary hyperparathyroidism. In some people where secondary hyperparathyroidism is caused by kidney disease, medication may be prescribed to manage the condition.

Pituitary tumour treatment

The treatment of pituitary gland tumour depends upon the type of tumour and its size. Most pituitary tumours are benign and termed as ‘pituitary adenomas’ but a few may be cancerous. It may be treated with radiation, medications, surgery or hormonal block. In fact, surgery is the most common modality used for treating pituitary tumours. Medications like bromocriptine may be used to suppress lactation in prolactin secreting tumours of the pituitary gland. Radiotherapy, which kills the tumour cells by energy rays, may be used as an adjunct to surgical treatment. Regular check-up of affected individuals is needed to detect and manage any recurrence of tumour activity.