Thyroid, diabetes, weight and hormonal imbalance.
Assessed and treated by a GMC-registered GP
Prescriptions, sick notes and referral letters included
A written treatment plan after every appointment
Your NHS records in the room, with your consent
Every condition below has its own page covering symptoms, causes, how it is diagnosed, whether it can be treated online, and when to seek urgent help.
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
This is the category where testing earns its keep. Thyroid disease, insulin resistance and vitamin deficiency all present as vague symptoms — tiredness, weight change, low mood — and all are identifiable from a blood sample.
A great many people told their results are normal have had a fraction of the relevant markers measured.
Thyroid disease, insulin resistance and vitamin deficiency all present as vague symptoms — tiredness, weight change, low mood — and all are identifiable from a blood sample. That makes remote care genuinely well suited here.
Prescribe desiccated thyroid extract. It is unlicensed in the UK, hormone content varies between batches, and it is not recommended by the British Thyroid Association — though it is widely sold online, which is precisely the problem.
Sell repeat thyroid panels every few weeks. TSH takes six to eight weeks to settle after a dose change; testing sooner produces a number nobody can act on.
Type 2 diabetes and prediabetes are silent for years. By the time thirst and tiredness appear, blood sugar has usually been raised for a long time.
Prediabetes is the useful finding — it is the point at which the trajectory can still be changed, and it is routinely reported without anyone explaining what to do with it.
In England, an underactive thyroid requiring levothyroxine qualifies you for a medical exemption certificate — which makes all your NHS prescriptions free, for everything, not just the thyroid. The same applies to diabetes treated with medication.
Many people entitled to one have never applied. Prescriptions are free anyway in Scotland, Wales and Northern Ireland.
Worth looking at what was actually measured rather than the word "normal".
Three things explain most of these. The panel was incomplete — thyroid antibodies, ferritin, B12 and vitamin D are frequently not included. The result was inside the range but not optimal for you. Or it is something else entirely — sleep apnoea, depression, perimenopause and coeliac disease all present identically.
Bring the actual numbers, which is why we ask for results rather than a summary.
Because TSH takes that long to settle after a dose change. A test at three weeks gives a number nobody can act on — and frequently prompts a dose change that was not needed.
It is the commonest reason titration goes wrong, and waiting is genuinely the faster route to the right dose.
It matters a great deal, and it is the most useful result on this page. It means blood sugar is above normal but below the diabetes threshold — a warning with a window still open.
The NHS Diabetes Prevention Programme is free and genuinely reduces progression. Ask about it rather than being handed a number and left with it.
Yes, and they are frequently omitted. They tell you whether this is autoimmune Hashimoto's and therefore likely to progress — which changes how a borderline TSH is interpreted.
Not always, and we will say so rather than treating a number.
Treatment is generally warranted with a TSH above 10, with positive antibodies, with symptoms, or in pregnancy. Otherwise monitoring is often the better answer.
T3 is a real option for the minority who remain symptomatic on levothyroxine alone — but it is specialist-initiated in the UK, so we refer.
Desiccated thyroid extract we do not prescribe. Unlicensed in the UK, hormone content varies between batches, and not recommended by the British Thyroid Association.
Before either, it is worth being sure the dose is optimised, the timing is right, and iron, B12 and vitamin D are adequate — which resolves a good number of cases.
Tell us immediately, and never stop it. Requirements rise by around 25–50% in early pregnancy and the dose needs increasing promptly — which is frequently missed, and untreated hypothyroidism in pregnancy carries real risks.
Sometimes, and it is worth excluding rather than assuming either way. Underactive thyroid, PCOS, sleep apnoea and Cushing's all affect weight, and several common medicines drive weight gain — some antidepressants, antipsychotics, insulin, steroids.
Those are all findable, and a medication review costs nothing.
Everyone in the UK is advised to consider 10 micrograms daily between October and March, and year-round for people with darker skin or limited sun exposure. It is cheap and sensible.
High-dose supplementation without testing is not — vitamin D can be taken to excess, unlike most vitamins.
Often not, and that is worth saying before you buy one. Broad panels in people with no symptoms produce incidental findings that generate anxiety and further tests without improving anything.
Targeted testing guided by your symptoms and risk is more useful and costs less.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 29, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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