Dr. Tricia Peters

Dr. Tricia Peters diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• Diabetes Complications (Neuropathy, Nephropathy, Retinopathy - endocrine management aspects): Management focused on glycemic, blood pressure, and lipid control to prevent or slow the progression of nerve damage, kidney disease, and eye damage associated with diabetes.
• Type 2 Diabetes Mellitus (T2DM): A progressive condition characterized by insulin resistance (where the body's cells don't respond effectively to insulin) and/or relative insulin deficiency, often linked to genetics, lifestyle factors, and obesity.

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.
• Diabetes Insipidus (Central or Nephrogenic): A rare disorder characterized by intense thirst and the excretion of large amounts of dilute urine, caused by problems with the hormone vasopressin (ADH) or the kidneys' response to it.

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.
• Hyperthyroidism & Thyrotoxicosis (Overactive Thyroid - e.g., Graves' Disease, Toxic Adenoma, Toxic Multinodular Goiter): Condition where the thyroid gland produces excessive amounts of thyroid hormone, causing symptoms such as weight loss, rapid or irregular heartbeat, anxiety, tremors, and heat intolerance.

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

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.

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

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôpital général juif is situated in Montréal's Côte-des-Neiges Central (UdeM area) neighborhood. The hospital serves as a key medical facility with a dedicated endocrinology unit. The hospital is conveniently accessible via public transit, including Société de transport de Montréal (STM) services such as Metro and Bus routes. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at or near the hospital, facilitating comfortable arrival for those using private transportation. The hospital's location within a prominent healthcare hub makes it a central point for specialized endocrine care in Montréal.

Are consultations, hormone tests, and treatments with Dr. Peters, an Endocrinologist (Diabetes & Metabolism Focus), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Peters, 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 Régie de l'assurance maladie du Québec (RAMQ) in QC 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. Peters's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Peters, 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. Peters. 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. Peters recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Peters 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. Peters will discuss thoroughly.

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

Your doctor might refer you to an Endocrinologist like Dr. Peters 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.

Dr. Peters mentioned 'dynamic endocrine testing'. What does that mean?

Dynamic endocrine testing involves tests that assess how your endocrine glands respond when stimulated or suppressed by specific substances. Unlike simple blood tests that measure baseline hormone levels, these tests evaluate the gland's functional reserve or its responsiveness to normal control mechanisms. For example, an ACTH stimulation test checks how well your adrenal glands produce cortisol when stimulated. A dexamethasone suppression test helps diagnose Cushing's syndrome by seeing if cortisol production can be suppressed. An oral glucose tolerance test can be used to diagnose diabetes or acromegaly. These tests usually involve taking a baseline blood sample, then administering a medication or substance, followed by one or more timed blood samples to measure hormone changes. Dr. Peters uses these tests for more precise diagnosis of certain complex endocrine conditions.

Hôpital général juif
3755 ch Côte-Sainte-Catherine
Montréal, QC H3T 1E2

Phone: (514) 340-8090

The facility is wheelchair accessible.

Dr. Peters is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Peters for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17713