Private Endocrinologist in Sutton Coldfield

Hormone disorders — underactive thyroid, type 2 diabetes, low testosterone, adrenal insufficiency — are conditions where the difference between a GP opinion and a consultant endocrinologist can be years of correct diagnosis. At The Vesey, Dr Yogesh Kalaiah provides consultant-level endocrinology assessment with same-day bloods, treatment initiation, and clear written plans. Appointment availability varies depending on clinician availability — check our online booking system for the latest available appointments.

Conditions we treat

Dr Kalaiah assesses and manages the full range of endocrine conditions. Most patients come with one primary concern — a single appointment frequently reveals and addresses related conditions at the same time.

Procedures & transparent pricing

Every price below is the fee charged at The Vesey. You will always receive a clear itemised quote before any procedure begins.

Prices accurate as of July 2026. Complex cases quoted individually. GLP-1 therapy costs quoted at consultation.

What to expect

From booking to a clear written plan, this is what the endocrinology journey looks like at The Vesey.

Underactive thyroid: when TSH alone isn't enough

Hypothyroidism is the most common endocrine disorder in the UK, affecting approximately 2% of women and 0.2% of men. It is typically managed in primary care on TSH alone, with levothyroxine adjusted until TSH falls within the reference range.

But around 15% of patients on adequate levothyroxine replacement continue to have symptoms — fatigue, brain fog, weight gain, low mood — despite a TSH that appears "normal." The reason is often a failure to achieve adequate free T3 conversion, or persistent thyroid antibody activity.

At The Vesey, Dr Kalaiah assesses the full thyroid axis: TSH, free T4, free T3, TPO antibodies, thyroglobulin antibodies, and reverse T3 where indicated. Some patients benefit from combination T4+T3 therapy (levothyroxine plus liothyronine), which is rarely initiated in NHS primary care. This can produce significant symptomatic improvement in patients where T4 monotherapy has been inadequate.

Thyroid nodule assessment, including ultrasound pathway and fine-needle aspiration referral, is also available. The British Thyroid Association guidelines for nodule management are followed — most nodules are benign, but appropriate risk stratification and follow-up is essential.

Testosterone deficiency (hypogonadism) in men

Testosterone deficiency affects approximately 10–40% of men over 45 and is significantly underdiagnosed in primary care. Symptoms are non-specific — fatigue, low libido, erectile dysfunction, reduced muscle mass and strength, mood changes, poor concentration and cognitive fog — and are frequently attributed to depression, overwork or ageing.

Diagnosis requires morning serum testosterone on two separate occasions, plus LH and FSH to distinguish primary hypogonadism (testicular failure) from secondary hypogonadism (pituitary or hypothalamic cause). Prolactin, SHBG and haematocrit are also essential.

At The Vesey, the full testosterone panel — total testosterone, free testosterone, SHBG, LH, FSH, prolactin, haematocrit — is available same-day. Dr Kalaiah reviews the results personally and provides a written interpretation once results are available.

If testosterone replacement therapy (TRT) is indicated, it can be initiated at the second appointment as daily gel, weekly intramuscular injection or 6-monthly implant. We also review and formally monitor men who are currently self-medicating with TRT without appropriate endocrinological oversight — a patient safety concern that is becoming increasingly common with unregulated online prescribing.

Frequently asked questions