Thyroid function review, hypothyroidism and hyperthyroidism follow-up, and medication optimisation by video or phone with Dr Syed Kazmi, Consultant Endocrinologist — available to adults anywhere in Ireland, most weekday evenings.
What Can Be Reviewed Remotely
Who You'll See
Dr Syed Kashif Hussain Kazmi — MRCPI, FRCP Glasgow, CCT in Diabetes and Endocrinology, IMC 213626, GMC 6117450 — conducts online thyroid consultations personally, with access to the established physical clinic in Naas whenever face-to-face assessment is clinically required.
A clinic letter is sent to your GP after your consultation, the same as after an in-person visit, and both self-referral and GP referral are accepted.
How It Works
Call 089 656 7597 or email the clinic. Self-referral and GP referral both accepted.
Share recent thyroid function tests (TSH, free T4, free T3), thyroid antibodies, and any ultrasound or biopsy reports.
By video or phone, weekday evenings. Dr Kazmi reviews results, symptoms, medication and any monitoring needed for antithyroid treatment.
A letter goes to your GP with the plan; repeat bloods are arranged locally and reviewed at a short follow-up.
Scope, Tests & Prescriptions
Handled Remotely
Thyroid management is largely blood-test and symptom driven, which suits a remote review well.
Needs In Person or Local
Anything involving the gland itself needs hands-on or imaging assessment.
Related Online Consultations
The endocrinology hub — full scope, contraindications and emergency exclusions.
PCOS/PMOS and female hormone assessment by video, Ireland-wide.
Our clinical information page on hypothyroidism, hyperthyroidism and nodules.
Frequently Asked Questions
Yes. Review of thyroid function test results (TSH, free T4, free T3, thyroid antibodies) and discussion of hypothyroidism or hyperthyroidism management is well suited to a video or phone consultation with Dr Kazmi.
Medication review and dose adjustment can be discussed during a video consultation based on your blood test results and symptoms, at your consultant's clinical discretion — the same standard applied in person.
This depends on when you were last tested and your specific situation. If needed, blood tests can usually be arranged locally to you ahead of or after your consultation.
An initial discussion of symptoms, history and any existing scan or biopsy results can take place online, but a physical examination of the neck and thyroid gland requires an in-person visit to the Naas clinic.
New patient assessment is possible online where a physical examination is not immediately required — Dr Kazmi will advise if an in-person visit is needed based on your history and any results already available.
Thyroid hormone levels take time to stabilise, so blood tests are usually repeated around six to eight weeks after a levothyroxine dose change rather than sooner — checking earlier tends to give a misleading picture. Dr Kazmi will specify the interval for your situation, arrange the test to be done locally to you, and review the result with you at a brief follow-up by video or phone, adjusting the dose again if needed. Between reviews your GP continues to issue the prescription.
Follow-up of hyperthyroidism on carbimazole or propylthiouracil suits a video consultation well, because it is driven by thyroid function tests, symptoms and safety bloods. Dr Kazmi reviews your results, adjusts the dose, and sets the monitoring schedule — including full blood count and liver function tests — with requests sent for local testing. You must seek urgent in-person care, not wait for a booked consultation, if you develop a sore throat, mouth ulcers, fever or unexplained bruising on antithyroid medication, as these can signal a rare but serious drop in white cells.
Dr Kazmi identifies exactly which tests are needed for your thyroid condition and provides a request. In most cases these are done locally to you — through your GP practice, a hospital phlebotomy service, or a private lab — and the results are sent to the clinic and reviewed with you at a short follow-up by video, phone or in person. Where a test genuinely has to be done at a specific facility, that is explained before you proceed. You do not need to travel to Naas simply to have blood drawn.
Yes, where it is clinically appropriate. After the consultation Dr Kazmi sends a detailed letter to your GP setting out the diagnosis, the plan and any recommended change to levothyroxine or antithyroid medication or other medication, so your GP can issue or adjust the prescription as part of shared care. Where a private prescription is more appropriate, the arrangements are discussed with you directly. Some changes are deliberately held until a blood test or an in-person review is done first.
Follow-up intervals are individual to your condition, how stable it is, and Dr Kazmi's clinical judgement — they are not fixed for every patient. Many people with thyroid condition settle into a pattern of one or two reviews a year once treatment is established, with extra reviews around any medication change or new symptom. A clinic letter goes to your GP after every consultation so your primary care team stays informed throughout.
Both. New-patient assessments are carried out online where a physical examination is not immediately required — Dr Kazmi takes a full history, reviews any results and referral information, and sets out an initial plan. If the assessment shows that a hands-on examination or an on-site test is needed to be safe and complete, an in-person appointment in Naas is arranged, usually as the next step after the video consultation rather than instead of it.
Book Today
Video and phone consultations with Dr Kazmi. Same fee as in-person. Weekday evenings, 16:00–19:00, Monday–Friday.