Dr. Philip Kern

Endocrinology
Lexington, KY
45 years experience male

Locations

Office

Lexington, KY

Address

Lexington, KY
Directions

Practice website

University of Kentucky

Lexington, KY

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Endocrinology

Languages spoken

English

Doctor Q&A

1.3K Answers
214 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Hyperthyroidism: There are many different causes of hyperthyroidism. Graves disease is an autoimmune disease most common in young women. Other common forms of hypert... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Microadenoma: The MRI is very sensitive, and it can pick up tiny "lumps" in many people. The presence of a tiny adenoma does not necessarily mean there is a proble... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroid antibodies: You do not say which antibodies are positive. TPO antibodies are found in either Graves or Hashimotos. TSI is part of Graves. Either way, antibodies ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Addison's: There are a number of causes. Autoimmunity is common. Just as Hashimoto's causes decreased function of the thyroid, autoimmunity can cause Addison's... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Hypothyroidism: The hypothyroidism is likely due to Hashimotos thyroiditis, which is autoimmune. People with Hashi have a higher risk of other autoimmune disorders (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Central DI: Hard to answer. It was called "idiopathic", meaning no clear cause. In a 13 yr old, the causes could include a tumor, certain medications, trauma/su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Diet supplements: They don't really say what is in it ("proprietary......") but it appears to be all ground up food of some kind. Just take your synthroid (thyroxine)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Weird stuff: I don't know what your doctor is treating, but I can say that these are very unusual treatments. The mineral supplements are probably harmless, altho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Canola oil: Yes. You need to have your thyroid treated, of course, but why would you think canola oil would be a problem?
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Diabetes treatment: Can you clarify "glaze"? Are you referring to the sugary frosting on a cake or to a medication.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroid treatment: It is hard to answer your question without knowing all your history. What was thyroid tests before/after taking the 50 mcg? If you were indeed hypot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, sugg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Cushings: I am not sure how to interpret what you provided. Just a plain cortisol and ACTH will not diagnose Cushing's. Here is a website that explains some ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
GH release: Massage feels good, and the sensations, chills, are normal. I am not aware that massage can release GH. GH is circadian (higher in early AM), and go... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroidectomy: If they did a complete thyroidectomy, your thyroid levels should be low; you should become hypothyroid and need to be on levothyroxine. However, some... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Usually, yes: A pheo usually secretes catecholamines continuously, so it is not usually necessary to time the collection. These catecholamines yield a lot of breakd... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Non-specific: Abnormal hormones does not mean much unless whomever says that specifies which hormones are abnormal, are they high, low, what is the cause, etc. You... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroid problems: There is no THE TEST. It depends on what kind of dysfunction you are looking for. A TSH is the single best test for diagnosing hypothyroidism, and m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Staying healthy: Even people who do all the right things can still get CAD. Although it is not common, you hear accounts of elite athletes who drop dead from CAD. Fam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
PTH treatment: The standard treatment of hypoparathyroidism is vit D and calcium. But sometimes the blood calcium is difficult to control. There is a new drug out ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Normally a few days: For routine thyroid surgery, such as for graves disease or a benign nodule, surgery can be done on an outpatient basis and recovery is fairly fast. H... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Circadian rhythm: Cortisol is one of many hormones that vary through the day as part of your circadian rhythm. The pituitary sends out acth several hours before you wak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Stress and Graves: Graves disease hyperthyroidism is sometimes preceded by a psychologically stressful situation. Graves is an autoimmune disease, and it is possible th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Probably hypothyroid: Your question is cut off. But the objective of radioactive iodine is usually to make you hypothyroid, and then you take thyroid replacement, levothyr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Common problem: Low vitamin d levels are much more common now than in years past. This is likely due to less sun exposure and low vit d intake. However it is also p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Control the thyroid: I do not know what "pign problem" is. But you need to control the overactive thyroid to control the irreg heartbeat. This will involve medications (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Prolactinoma: You may be going through menopause. The high prolactin of a prolactinoma will certainly disrupt your periods, but if the Dostinex (cabergoline) is co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Neuroendo tumors: Neuroendocrine tumors can make hormones that cause cushings syndrome, carcinoid syndrome, and acromegaly. I am not aware of a relationship between neu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Philip Kern
Endocrinology 45 years experience
No effect: No. There is not much evidence that grapefruit seed extract has any medicinal properties. Some contaminants in it from manufacturing may have some ef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Steroid depression: Yes, antidepressants are often used to treat the psychiatric manifestations of cushings syndrome. Most effective, however, is to cure the cushing's s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Need medication: It is important to determine the cause of diabetes insipidus. It involves the absense of a pituitary hormone. Common causes are head trauma, pituita... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroid & metabolism: Hyperthyroidism increases metabolic rate but also appetite. Now that your thyroid is normal, it is possible that you are continuing to eat more than ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Gives insulin: Insulin pumps is a convenient way to give insulin. The Insulin is in a reservoir and gets pumped through a needle into the skin nearby. You can progr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Fat redistribution: Weight gain, but especially a shift of fat to the abdomen, shoulder. "buffalo hump". Purplish striae (stretch marks) on skin; acne. Diabetes, hyperten... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Mostly thyroid: Thyroid disease: graves or toxic nodular goiter; thyroiditis: subacute, post partum, "hashitoxicosis; very rarely thyroid cancer, or pitutary tu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Philip Kern
Endocrinology 45 years experience
Not at all perfect: Thyroid stimulating immunoglobulin (tsi) is theoretically the cause of graves disease, which is an autoimmune disease. These antibodies stimulate the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Thyroid pregnancy: The required dose of levothyroxine generally is higher during pregnancy, and the target TSH is generally lower. TSH and FT4 should be checked about e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Autoimmune diseases: Both myasthenia gravis and hashimoto's thyroiditis are autoimmune diseases, and they often occur together. Your doctor should check out your thyroid ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Cancer is one risk: There are a lot of possibilities. Cancer is a risk, but most people with goiter do not have cancer. First, is your thyroid overactive, underactive, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Not the thyoid: That TSH is almost normal. Increased pain sensitivity is not really a feature of hypothyroidism. I suggest you consult your doctor about the abdomi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Steroid diabetes: If your glu is in the 300 mg% range, you are on Prednisone and have diabetes on metformin, you may need more meds; just an increase in metformin may n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Depends on condition: It depends on what is going on with your thyroid. If there is no reason to suspect hyperthyroidism, a tsh/ft4 is not usually checked. If you have gra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Hard to predict: With decreased food intake, bile can form sludge, and sometimes this can form small stones. These small stones may not cause symptoms, and may go awa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Propylthiouracil: Ptu (propylthiouracil) is used to treat hyperthyroidism. It is very effective to cool down the hyperthyroidism. Although it is generally well tolera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Why supplements?: Your thyroid and adrenals are precisely regulated by the pituitary and other factors. If your thyroid and adrenal are functioning normally, then you d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Not a problem: A half-thyroid should be fine, assuming the remaining 1/2 thyroid is normal. That 1/2 thyroid will enlarge a bit, but if it is making enough thyroid ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Probably ok: There is not much literature on black seed oil and cholesterol. Black seed oil contains some omega-3 fatty acids, which should (if anything) help tri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Philip Kern
Endocrinology 45 years experience
In moderation: If you don't drink, or have a problem with alcohol, you should not start. But if you like to drink, moderate amounts have a health benefit. Red wine h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Philip Kern
Endocrinology 45 years experience
Autonomous thyroid: Different thyroid preparations (eg synthroid (thyroxine) vs levothroid) can give different results, but not usually this much. It is possible that you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Philip Kern
Endocrinology 45 years experience
Precautions: Presumably you are supposed to get radioactive iodine (rai) and there is a pregnant woman in the family. There are guidelines which you will be given... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

9
Recommendations
1.2K
Thank you notes
Apr 28, 2013
Timely and accurate answers.
Nov 23, 2013
Thank you. Great answers!
HealthTap member
Oct 30, 2013
Dr. Kern has not only been very prompt but also helped understand a medical situation that was getting very critical analysis from other doctors. Thank you Dr. Kern. I highly appreciate your feedback...Read More
HealthTap member
This was very helpful. Thanks! Have had vitiligo & muliple Thyroid nodules for about eight-10 years, Electrolyte imbalance past few years, & recent CAT says Adrenal Mass...now waiting for 1st Endo app...Read More
HealthTap member
Thank you, your answer or tip was very helpful! In the past I had low cortisol that got me hospitalized after a virul inf. Heart rate was messed up with cold sensitivity had cort injectio
HealthTap member
Thank you, your answer or tip was very helpful! I have been seeing A doctor for this and she thought it was hashis as well. All tests are saying it is not. I have had bad anxiety for 2yrs

Education & Training

Medical/Graduate school

New York Medical College, NY
Graduated 1978MD

Awards

Top Doctor, First Place, Lexington, KY - Winter
2013
Most Influential, First Place, Lexington, KY - Winter
2013
Thought Leader, First Place, Lexington, KY - Winter
2013
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