A 3-month program led by Dr. Roshani Sanghani - American Board-Certified in Endocrinology, Diabetes, and Metabolism. She investigates what is actually driving your symptoms, not just whether your TSH is in range.
American Board-Certified Endocrinologist · ★ 4.8 · 223 Google reviews · 20+ years
First Consultation
A clinical review of your thyroid reports, metabolic markers, and daily context.
Before the call, Dr. Roshani and her team review everything, so the consultation is spent making sense of it with you - not gathering facts.
You leave with a clear picture of what is driving your symptoms - the thyroid, insulin resistance, or both.
In person in Mumbai or online by video
Watch: Thyroid management with Dr. Roshani
Maybe you take the pill every morning, your TSH comes back in range, and you are told everything is fine - come back in six months. Or your dose keeps changing because the levels will not settle. You may be managing Hashimoto’s or an overactive thyroid, and still not have a clear picture of what is driving how you feel.
Either way, you still do not feel right. You may be exhausted or foggy. For many, the weight will not shift no matter how carefully you eat.
The missing question is how much the thyroid explains - and what else may be contributing. Insulin resistance, sleep disruption, medication timing, stress load, or another hormonal pattern can all affect how you feel.
That is why a thyroid result alone may not explain the whole picture.
The number may be controlled. The wider pattern may not be understood yet.
Thyroid number
TSH, T3, T4, antibodies, dose history, and whether the labs match how you feel.
Metabolic picture
Insulin resistance, body composition, hunger, energy, and weight changes that can mimic thyroid symptoms.
Medication context
What you take, when you take it, what changed over time, and what should not be changed abruptly.
Hormonal overlap
PCOS, cycles, perimenopause, stress load, and sleep patterns when they are part of the picture.
Thyroid function is sensitive to the lifestyle environment surrounding it. Dr. Roshani and her team review your thyroid panel alongside metabolic markers, medication history, symptoms, and lifestyle data before deciding what needs attention first.
Thyroid medication has a clear role. The direction is always clinical supervision, not abrupt discontinuation. For patients in India, Dr. Roshani manages thyroid medications directly. For international patients, she provides clinical guidance for your local prescriber.
Nutrition
Build meals around your actual kitchen while reducing the metabolic load around the thyroid.
Sleep
Look at the recovery pattern that affects energy, appetite, and hormonal stability.
Stress
Treat stress as part of the endocrine picture, especially when Hashimoto's is involved.
Exercise
Use movement and resistance training after the body is ready to build a stronger metabolic buffer.
Dr. Roshani and her team don't give you a diet chart. They help you understand how different foods affect your thyroid and your metabolic health - and they work with the food you actually eat. Vegetarian, non-vegetarian, Jain, eggetarian, vegan. The most common reason people leave other programs is they could not sustain the diet.
Start with one conversation.
₹5,000 / USD 60 · In person in Mumbai or online by video
These are real, individual results - and they vary from person to person. Thyroid medication is only ever changed under medical supervision, never on your own.
Patient-reported thyroid medication change
“When I joined I was on a Thyroid pill but in 3 months it's well under control without the pill. The intrinsic values and confidence that I have gained is above and beyond. I feel more confident taking on any challenges in life - including motherhood, which has always been very scary for me.”
Patient-reported thyroid change
“I was suffering from thyroid and tried all possible doctors - could not cure it. One month of strictly following and changing the lifestyle. It actually helped and it was a miracle for even the best of doctors, how it changed without any medication.”
Patient-reported medication restraint
“My TSH was 6.9. After just one visit with doctor and no thyroxine (which 99% doctors prescribe with this level of TSH), in 6 months my TSH is 5.6. I feel healthier and stronger.”
In 3 months
“My blood report showing high TSH levels came as a shock to me. I began eating healthy or what I thought was healthy and exercised for a whole month, but all in vain. I felt even more exhausted than before.
She had dealt with hypothyroidism herself and had been living free of 'the pill' for the past 8 years. I thought to myself, 'She knows her stuff, she's a walk-the-talk kind of person.' Over the next 3 months Dr. Roshani proved me right.
On a rare occasion, her answer was a straight 'I don't know, there isn't enough research on this.' Her honesty left me amazed.
Within 3 months my TSH levels came down and every other health parameter improved. At the end of my 3-month program with Dr. Roshani I feel fully equipped to continue working on my health.”
For many Indian-origin patients, thyroid symptoms, weight changes, PCOS, and insulin resistance travel together. Treating them as separate problems can miss the interaction between the thyroid number and the metabolic picture underneath it.
That is why thyroid management at Reisaan is not separated from metabolic health. The goal is to understand which part of the pattern is actually driving how you feel.
Most of Reisaan's patients are of Indian origin, living across 12+ countries. Patients from other backgrounds are welcome when this approach fits.
The program starts only after the First Consultation has clarified the pattern and you decide the approach fits. It is not a prescription handoff or a diet chart.
Before the consultation
Share your reports, current medications, symptom history, and lifestyle questionnaire before you meet.
First Consultation
In person in Mumbai or online by video
Dr. Roshani reviews whether the symptoms are explained by thyroid alone, insulin resistance, medication timing, or a wider hormonal pattern.
Program if it fits
If the approach is right for your case, the 3-month program works on food, sleep, stress, movement, and medication review in sequence.
Independence
After the program, you have the knowledge and habits to manage more independently. For patients who want continued clinical involvement, maintenance options are available.
Note: Working online with Dr. Roshani does not replace the need for physical examinations with your primary care provider.
Every 10–12 days with Dr. Roshani and the coaching team.
Reports, symptoms, medicines, food, sleep, stress, and movement reviewed before consults.
India: managed directly by Dr. Roshani. International: clinical guidance for your local prescriber.
Log food, sleep, stress, exercise.
Via Telegram, Mon–Fri. During your program.
Dr. Roshani's video course - 3 months access.
(on the book)
“Dr. Roshani has simplified the steps of reversing metabolic disease and covered every aspect of lifestyle change that people need. A potential life changer.”
- Dr. Jason Fung, NYT Bestselling Author, The Obesity Code and The Diabetes Code
Meet your doctor
American Board-Certified in Endocrinology, Diabetes, and Metabolism
Dr. Roshani Sanghani has practiced lifestyle-first endocrinology for over 20 years. She is American Board-Certified in Endocrinology, Diabetes, and Metabolism, and a MINT-Certified Motivational Interviewing Trainer. Thyroid conditions - hypothyroidism, Hashimoto's, hyperthyroidism - sit directly within her clinical core.
She also brings something most endocrinologists cannot: personal experience. Dr. Roshani has Hashimoto's hypothyroidism. Through sustained lifestyle change - specifically stress management - her thyroid function stabilized to the point where she has not needed a thyroid pill for over a decade. She shares this not to make a promise, but because her patients deserve to know what is possible when the thyroid's environment changes.
American Board-Certified in Endocrinology, Diabetes, and Metabolism·American Board-Certified in Internal Medicine·MINT-Certified Motivational Interviewing Trainer·Certified Personal Trainer
View full credentials →Hypothyroidism, Hashimoto's thyroiditis, and hyperthyroidism. The hormonal imbalance is different in each, but the lifestyle foundation that supports thyroid function is the same. Dr. Roshani manages the clinical and medication side; the program addresses the lifestyle environment that affects thyroid function across all of them.
Two things may need review at the same time. TSH within range does not always explain how a person feels. Fatigue, brain fog, and difficulty losing weight can also come from insulin resistance, sleep disruption, stress load, medication timing, or a related hormonal pattern. Dr. Roshani looks at the thyroid number and the metabolic picture underneath it.
Yes, the environment around the thyroid matters. Dr. Roshani also brings personal experience here: she has Hashimoto's hypothyroidism, and her thyroid function stabilized after sustained stress-management practice. She shares this as context, not as a promise that the same medication outcome applies to everyone.
Bring your thyroid reports, current medicines, symptoms, and questions. The First Consultation is where Dr. Roshani helps clarify what your thyroid explains, what it may not explain, and whether the program fits.
In person in Mumbai or online by video
★ 4.8 · 223 Google reviews · 20+ years clinical experience
Watch: Dr. Roshani describes the first consultation →