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Endocrinologists online in Spain

Book an online consultation with Endocrinologists. Discuss your symptoms or follow up on your treatment online.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Endocrinologists for hormonal symptoms and metabolic conditions

What endocrinologists treat, which hormonal symptoms lead to a consultation, and when ongoing care is needed

What an endocrinologist does

What an endocrinologist does

An endocrinologist is a medical doctor specialising in conditions related to hormones and the endocrine system. This includes glands such as the thyroid, adrenal glands, pancreas, pituitary, and reproductive glands.

Hormones regulate metabolism, energy levels, weight, mood, growth, and many other bodily functions. When hormonal balance is disrupted, symptoms can affect multiple systems at once.

People consult an endocrinologist when symptoms are persistent, unexplained, or involve metabolic or hormonal changes. These may develop gradually and are often difficult to identify without specialist assessment.

Endocrinology frequently involves long-term management. Many endocrine conditions require monitoring over time rather than one-time evaluation.

An endocrinologist also helps determine whether symptoms are hormonally driven or related to other medical causes.

Common hormonal symptoms and reasons to book

Common hormonal symptoms and reasons to book

Unexplained weight gain or weight loss is a common reason for endocrinology consultation. These changes may be linked to thyroid disorders, insulin resistance, or other hormonal imbalances.

Persistent fatigue, low energy levels, or changes in temperature sensitivity can also point to endocrine issues, particularly thyroid or adrenal conditions.

Blood sugar abnormalities are another frequent concern. Symptoms related to diabetes or prediabetes often require specialist evaluation and follow-up.

Changes in appetite, thirst, or urination may signal metabolic or hormonal dysregulation and should be assessed.

Reproductive and hormonal symptoms, including menstrual irregularities or hormonal changes affecting daily functioning, are also commonly evaluated by endocrinologists.

Chronic endocrine conditions and ongoing care

Chronic endocrine conditions and ongoing care

Many endocrine disorders are chronic and require long-term follow-up. Diabetes, thyroid disease, adrenal disorders, and metabolic syndromes often need continuous management.

Ongoing care allows hormone levels to be monitored and treatments adjusted as the body responds over time.

Medication management plays a key role in endocrinology. Dosages often need careful adjustment to maintain hormonal balance and avoid side effects.

Some conditions remain stable for long periods, while others fluctuate. Regular follow-up helps maintain metabolic control and prevent complications.

For people living abroad or adjusting to new environments, continuity of endocrine care is particularly important.

Endocrinology assessment and diagnosis

Endocrinology assessment and diagnosis

An endocrinology consultation involves structured medical evaluation. The endocrinologist reviews symptoms, their progression, and how they affect daily life.

Medical history, family history, and previous laboratory findings are important components of the assessment.

Many endocrine conditions present with overlapping symptoms. Specialist evaluation helps clarify the underlying cause and guide appropriate management.

Assessment also determines severity. Some situations require monitoring, while others need active intervention.

Accurate diagnosis is essential for safe and effective endocrine care.

When endocrinology may not be enough

When endocrinology may not be enough

Although endocrinology covers a wide range of hormonal conditions, some situations require urgent or multidisciplinary care. Severe metabolic disturbances or acute symptoms need immediate attention.

Endocrinologists also identify when symptoms are better managed by other specialists, depending on the underlying cause.

Some hormonal symptoms may be secondary to systemic illness and require broader medical evaluation.

Recognising these limits is part of responsible endocrine practice.

Knowing when to seek endocrine care and when urgent help is needed is important for patient safety.

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Practical information about the healthcare system, doctors and medical services in Spain.

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Endocrinologists: frequently asked questions

Answers to common questions about endocrinology, hormonal symptoms, and when to see an endocrinologist

What conditions does an endocrinologist treat?
Endocrinologists treat disorders related to hormones and metabolism, including thyroid disease, diabetes, and other endocrine conditions.
When should I see an endocrinologist?
When hormonal symptoms persist, worsen, or affect metabolism, energy, or daily functioning.
Do endocrinologists manage long-term conditions?
Yes. Many endocrine disorders require ongoing monitoring and treatment adjustment.
What symptoms commonly lead to endocrinology consultations?
Weight changes, fatigue, blood sugar issues, temperature sensitivity, and metabolic symptoms.
Do endocrinologists manage medication?
Yes. Hormonal and metabolic medication management is central to endocrinology care.
Is endocrinology only for severe conditions?
No. Endocrinologists also assess early-stage hormonal imbalances and metabolic risk.
When is urgent care needed instead of endocrinology?
Acute metabolic disturbances or rapidly worsening symptoms require immediate medical attention.
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