top of page
All Posts


Orforglipron vs oral semaglutide and Mounjaro vs retatrutide
What makes a non-peptide tablet different from oral semaglutide? Why does retatrutide add a third hormonal signal to the two used by Mounjaro? Explore the molecular design, weight-loss evidence and practical trade-offs behind choosing a treatment that fits your health and daily life.

Kasi Subbiah
Oct 1312 min read


AVP Deficiency - The leaky water tank, desmopressin and finding the right balance
Central diabetes insipidus, now called AVP deficiency, is fundamentally a problem of water balance. Using a simple “leaky tank” analogy, we explain thirst, sodium, desmopressin, different formulations, breakthrough polyuria and the unusual triphasic response after pituitary surgery.

Kasi Subbiah
Oct 113 min read


Graves disease - when the thyroid accelerator gets stuck
What Graves disease is, why it makes the whole body run too fast, and how to choose between tablets, radioiodine and surgery

Kasi Subbiah
Sep 2315 min read


Hashimoto disease - when the immune system slowly dims the thyroid
Hashimoto Disease - what the antibodies mean, when treatment is needed and how to live well with an underactive thyroid

Kasi Subbiah
Sep 2310 min read


Hydrocortisone Emergency Injections
This article explains the practical emergency hydrocortisone injection options relevant to UK patients with adrenal insufficiency.

Kasi Subbiah
Sep 215 min read


Surgery And Adrenal Insufficiency: Steroid Cover
Surgical steroid cover protects patients with adrenal insufficiency during anaesthesia, fasting and recovery.

Kasi Subbiah
Sep 204 min read


Sick Day Rules For Adrenal Insufficiency
Sick day rules help replace the extra cortisol the body would normally produce during illness.

Kasi Subbiah
Sep 204 min read


Congenital Adrenal Hyperplasia and Pregnancy
Pregnancy with congenital adrenal hyperplasia is possible, but the preparation begins before conception. Discover why adrenal progesterone can delay ovulation, how treatment is optimised, what genetic testing means and why labour needs a written steroid plan.

Kasi Subbiah
Sep 1615 min read


Fatigue after thyroidectomy or radio-iodine ablation - when the thyroid is gone but the tiredness stays
Most people feel well on levothyroxine after thyroidectomy or radio-iodine ablation. Why does a minority remain exhausted despite a normal TSH, and what can be done?

Kasi Subbiah
Sep 139 min read


Hypogonadism and Fertility Preservation - Clomiphene for Secondary Hypogonadism
Clomiphene works upstream through the brain and pituitary; gonadotrophins act closer to the testes. Both depend on choosing the right biological problem.

Kasi Subbiah
Sep 109 min read


Starting Mounjaro safely
A patient friendly UK guide to the first injection, the first month, side effects and the habits that help tirzepatide work well.

Kasi Subbiah
Sep 513 min read


Testosterone Replacement Preparations for hypogonadism
Testosterone Replacement Preparations for hypogonadism - considering various options.

Kasi Subbiah
Sep 415 min read


Plenadren vs Efmody?
How two modified-release hydrocortisone medicines try to return cortisol to the right hour—and why timing may matter as much as dose.

Kasi Subbiah
Sep 39 min read


Efmody: Teaching Hydrocortisone to Tell the Time
Efmody: Teaching Hydrocortisone to Tell the Time. Why replacing cortisol is not only about giving the right hormone, but helping it arrive at the right moment.

Kasi Subbiah
Sep 39 min read


PCOS & Metabolic Risks
An evidence-based, patient-friendly guide to weight, insulin resistance, metformin and modern weight-management medicines.

Kasi Subbiah
Sep 113 min read


PCOS & Life Quality
PCOS Beyond the Usual Checklist: Mood, Sleep and Quality of Life. Because feeling well is part of treatment - not the optional extra

Kasi Subbiah
Sep 110 min read


PCOS & Irregular Periods
PCOS, Irregular Periods and Endometrial Protection: What Actually Keeps the Womb Lining Safe?

Kasi Subbiah
Sep 111 min read


PCOS & Fertility
PCOS and Fertility: Excellent Treatments, Realistic Hope and a Clear Route to Pregnancy

Kasi Subbiah
Sep 113 min read


PCOS and Hyperandrogenism
A friendly, evidence-based guide to unwanted hair, acne and scalp-hair thinning

Kasi Subbiah
Aug 319 min read


PCOS Treatment Options: One Diagnosis, Five Directions
PCOS treatment: start with the question that matters most
Because PCOS is not one problem - and it does not come with one universal treatment plan

Kasi Subbiah
Aug 315 min read
bottom of page