Frequently asked questions

Appointments are scheduled by the team via WhatsApp, on (11) 98823-9928. You can also write to equipe@endocrino.com. The team responds within 24 hours.

The practice is at Av. Brasil, 2.283 — Jardim América, São Paulo / SP, postal code 01430-001, in central São Paulo, with easy access by underground (Brigadeiro / Oscar Freire stations), bus and ride-hailing apps.

Private consultations only. Payment in full or by card. After the appointment you receive a receipt with the physician's CRM and RQE numbers, which you may submit to your health plan for reimbursement according to each insurer's rules.

Appointment duration: approximately 1 hour, with a detailed history, physical examination and a treatment plan.

Yes. Dr. Lorena Amato practises adult and pediatric endocrinology, following patients from childhood through puberty and into adult life.

Telemedicine available. An in-person appointment is preferable whenever possible, so a complete physical examination can be performed.

The main ones are TSH, free T4, T3 and, when indicated, antibodies (anti-TPO, anti-Tg, TRAb) and a thyroid ultrasound. Interpretation depends on symptoms, age, medications in use and clinical history.

In most cases (Hashimoto's thyroiditis, post-surgical), it is a chronic condition controlled with levothyroxine replacement. The dose is adjusted periodically according to tests and symptoms.

No. Most nodules are benign and simply followed with ultrasound. Fine-needle aspiration is indicated according to ultrasound risk criteria, and surgery is reserved for cases with suspected or confirmed malignancy, or for very large or symptomatic nodules.

Fasting glucose, glycated haemoglobin (HbA1c) and, in some cases, an oral glucose tolerance test. Diagnosis requires confirmation with more than one measurement, except in clear hyperglycaemia with symptoms.

In many cases, yes. Lifestyle changes — nutrition, physical activity and weight loss when indicated — can normalise blood glucose and reduce the risk of progressing to type 2 diabetes.

The focus is not sugar alone but the overall eating pattern: type and amount of carbohydrate, fibre, protein and fat. The plan is individualized with the endocrinologist and the dietitian.

Yes. Obesity is a chronic, multifactorial disease with genetic, hormonal, environmental and behavioural components — it deserves long-term medical care, not willpower alone.

With a BMI ≥ 30, or ≥ 27 with related conditions (diabetes, high blood pressure, sleep apnoea and others), and when lifestyle change alone does not achieve the needed result. The choice of medication is individual.

When indicated and monitored by a physician, they have a good safety profile and efficacy proven in studies. They should not be used without a prescription, nor for cosmetic weight loss in people without a clinical indication.

It is a common hormonal disorder in women of reproductive age that may cause irregular periods, acne, excess hair growth, insulin resistance and difficulty becoming pregnant. Treatment is individualized.

For most healthy women with symptoms, when started close to the onset of menopause, it is safe and effective. Indication, dose and route are defined after clinical assessment and tests.

When there are symptoms such as reduced libido, erectile dysfunction, loss of muscle mass, fatigue and mood changes, together with abnormal morning hormone levels on more than one measurement.

Signs of short stature, growth below expectation, very early or delayed puberty, childhood obesity, thyroid changes and suspected diabetes are the main reasons.

No. The indication depends on age, speed of progression, impact on final height and emotional aspects. A full assessment includes physical examination, bone age and hormone measurements.