Dr. Rabih Nour – Endocrinologist | Windsor, ON

Dr. Rabih Nour, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With conditions related to Diabetes & Metabolism, he practices at Royal Victoria Regional Health in Windsor, ON, a vital part of the local healthcare community. His practice primarily centers on the comprehensive management of type 1 and type 2 diabetes, metabolic syndrome, and lipid disorders, ensuring tailored treatment plans to optimize patient health. The clinic adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), emphasizing safe, evidence-based, and patient-centered care.

Dr. Nour graduated with a Medical Degree from Wayne State University School of Medicine in the United States. He has over 15 years of dedicated experience as an Endocrinologist (Diabetes & Metabolism Focus), having practiced since 2009. He is recognized as a CPSO Recognized Specialist, reflecting his expertise and commitment to maintaining the highest standards of medical practice in Ontario.

His clinical philosophy is rooted in providing evidence-based hormonal and metabolic care, prioritizing patient education on managing chronic conditions, early and accurate diagnosis, and developing personalized treatment strategies focused on long-term well-being. Dr. Nour is committed to supporting his patients in Windsor through compassionate, comprehensive, and innovative endocrine care. He is fluent in both English and French, facilitating clear communication and understanding with a diverse patient population.

Dr. Rabih Nour diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• Type 1 Diabetes Mellitus (T1DM): An autoimmune condition resulting in the destruction of insulin-producing beta cells in the pancreas, requiring lifelong insulin therapy for survival and glucose management.
• Hypoglycemia (Low Blood Sugar - various causes): Abnormally low blood glucose levels, which can occur as a side effect of diabetes treatment (insulin or certain oral medications), or due to other underlying conditions like insulinoma or adrenal insufficiency.

Pituitary, Adrenal & Gonadal Axis Disorders

• Pituitary Adenomas & Tumors (e.g., Prolactinoma, Non-Functioning Adenoma, GH-secreting/Acromegaly, ACTH-secreting/Cushing's Disease): Mostly benign growths in the pituitary gland that can cause symptoms due to hormone overproduction (e.g., prolactin, growth hormone, ACTH), hormone deficiency (hypopituitarism), or pressure effects on surrounding structures.
• Cushing's Syndrome & Cushing's Disease (Hypercortisolism): A hormonal disorder caused by prolonged exposure of the body's tissues to high levels of cortisol, either from medication (exogenous) or due to overproduction by the body (endogenous - e.g., pituitary or adrenal tumor).

Thyroid & Parathyroid Gland Disorders

• Hypercalcemia & Hypocalcemia (Disorders of Calcium Metabolism): Evaluation and management of abnormally high or low levels of calcium in the blood, which can have various underlying endocrine or non-endocrine causes.
• Thyroid Cancer (Differentiated - Papillary, Follicular; Medullary - follow-up care): Malignant tumors of the thyroid gland. Endocrinologists are involved in post-operative management, hormone suppression, and long-term surveillance.
• Hypoparathyroidism: A rare condition in which the parathyroid glands produce too little PTH, resulting in low blood calcium levels (hypocalcemia) and high phosphorus levels.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Rabih Nour.

• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Nour for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Royal Victoria Regional Health, located in Windsor's Walkerville neighborhood within Ottawa Street Village, is a leading medical facility serving the community. The endocrinology unit is situated within this hospital, offering comprehensive hormone and metabolism care. The facility is easily accessible via Highway 401, with nearby Windsor Crossing Premium Outlets providing convenient shopping options. Public transit services, including Transit Windsor, connect the hospital to the wider Windsor area. The hospital's environment is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located on-site, facilitating a comfortable visit for patients and their families. As a key part of Windsor's healthcare infrastructure, the hospital is dedicated to providing specialized endocrine services with a focus on patient safety and comfort.

Are consultations, hormone tests, and treatments with Dr. Nour, an Endocrinologist (Diabetes & Metabolism Focus), covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Nour, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Nour's office, the hospital/clinic, or Ontario Health Insurance Plan (OHIP) directly.

Is a referral required to see Dr. Nour, an Endocrinologist (Diabetes & Metabolism Focus)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Nour. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

What is Hormone Replacement Therapy (HRT) and when might Dr. Nour recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Nour might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Nour will discuss thoroughly.

What conditions does an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Nour typically treat?

An Endocrinologist (Diabetes & Metabolism Focus) is a medical doctor who specializes in diagnosing and treating diseases related to the endocrine system, which is the network of glands that produce and release hormones. These hormones control many important body functions, including metabolism (how your body gets energy from foods), growth and development, sexual function and reproduction, sleep, and mood. He is an Endocrinologist (Diabetes & Metabolism Focus), specializing in Diabetes & Metabolism. Dr. Nour manages conditions such as diabetes, thyroid diseases (hyperthyroidism, hypothyroidism, nodules), osteoporosis, adrenal gland disorders (like Cushing's or Addison's disease), pituitary gland disorders, parathyroid and calcium imbalances, polycystic ovary syndrome (PCOS), and some forms of hypertension or lipid disorders related to hormonal imbalances.

What symptoms might lead my doctor to refer me to an Endocrinologist like Dr. Nour?

Your doctor might refer you to an Endocrinologist like Dr. Nour if you have symptoms or test results suggestive of a hormone imbalance or endocrine gland problem. This could include: unexplained significant weight gain or loss; persistent fatigue or lethargy; changes in mood or energy levels; excessive thirst or urination; new or worsening high blood sugar; symptoms of an overactive or underactive thyroid (e.g., palpitations, heat/cold intolerance, changes in hair/skin); bone density loss (osteoporosis); recurrent kidney stones; menstrual irregularities or fertility issues; unexplained high blood pressure; or physical changes like excessive hair growth, acromegaly features, or signs of Cushing's syndrome.

Does Dr. Nour deal with hormonal issues related to infertility or conditions like PCOS?

[If provider is Reproductive Endocrinologist (REI):] Yes, as a Reproductive Endocrinologist and Infertility specialist (REI), Dr. Nour has advanced training in diagnosing and treating complex hormonal disorders that affect fertility and reproductive health in both women and men. This includes conditions like Polycystic Ovary Syndrome (PCOS), ovulatory dysfunction, endometriosis-related hormonal issues, premature ovarian insufficiency, male hypogonadism impacting fertility, and recurrent pregnancy loss. He can manage ovulation induction, provide hormonal support for assisted reproductive technologies like IVF, and address other intricate reproductive endocrine problems. [Else:] A general Endocrinologist (Diabetes & Metabolism Focus) like Dr. Nour routinely manages common endocrine conditions that can impact reproductive health, such as thyroid disorders or prolactin imbalances, and can provide initial evaluation and management for Polycystic Ovary Syndrome (PCOS), including its metabolic and hormonal aspects. For complex infertility requiring assisted reproductive technologies (like IVF) or highly specialized reproductive surgeries, He would typically collaborate with or refer patients to a subspecialist in Reproductive Endocrinology and Infertility (REI).

Royal Victoria Regional Health
2462 Howard Avenue, Department of Hospitalists Centre
Windsor, ON N8X 3V6

Phone: (519) 946-2003 | Fax: (519) 946-2004

The facility is wheelchair accessible.

Dr. Nour is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Nour for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nour-Rabih/0255494-90382