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Endocrine and Bariatric
Center of Ocala

311 SE 29th Place, Ocala, Fl, 34471


Medical Information


Xray illustration of adrenal glands

The adrenal glands are small organs that sit on top of the kidney. They produce different hormones which are important for the body’s reaction to stress, your fluid and electrolyte balance, and blood pressure.

One of the major hormones produced by the adrenal gland is cortisol. Deficiencies of cortisol may cause excessive fatigue, low blood pressure, or even death. These are many other more common causes of fatigue, however, including depression, lack of sleep, overwork, thyroid disease, or other medical conditions.

If your doctor suspects you have adrenal problems, Dr. Ramharrack will schedule the necessary tests and treatment.


Xray illustration of gallbladder and pancreas

Diabetes is a very demanding disease that requires constant attention, affecting every day of your life. You may have to constantly monitor yourself for symptoms of high or low blood sugar, remember to eat on time, and take your medications and insulin on time. It is no wonder you may feel overwhelmed at times by your disease, causing deterioration in your quality of life.

Dr. Ramharrack has extensive experience in the management of Type 1 and Type 2 Diabetes, including management of insulin pumps. He will work with you to get your diabetes optimally controlled and get you back to the enjoyment of living.

Low Testosterone

Low testosterone (Hypogonadism/Andropause) is fairly common, affecting roughly 40% of men over the age of 45. The likelihood of having low testosterone typically increases with age. Many people associate low testosterone with sexual symptoms such as reduced desire for sex and poor erectile function, but there are many non-sexual symptoms as well. Men may also experience fatigue, increase in body fat, decrease in muscle mass, depression, and loss of body hair.

Though there are risks with testosterone therapy, patients can greatly reduce those risks with the guidance of their physician. Dr. Ramharrack works with his patients to determine whether or not testosterone therapy is needed, and also helps guide patients in reducing the risks for negative side effects of treatment. If you suspect you have low testosterone, you should contact Dr. Ramharrack as soon as possible, as untreated low testosterone can have serious risks to your health.


Xray illustration of spine

Osteoporosis, meaning porous bone, is a common disease that affects about half of all women over 50 and a quarter of all men over 50 in the U.S. Bones become weak from bone mass depletion and/or the body’s reduced ability to make more bone cells, increasing the likelihood of breaking bones. Women, especially those who have gone through menopause, are at a higher risk for Osteoporosis.

Breaking a bone is often the first sign of Osteoporosis, because patients often do not know their bones are weakening until it happens. Some symptoms include back pain, reduced height, a stooped posture, and easily fractured bones. If you have recently broken a bone, have a family history of osteoporosis or broken hips, or otherwise suspect you have Osteoporosis, schedule an appointment with Dr. Ramharrack. He will evaluate if you have Osteoporosis or if you are at a risk of having Osteoporosis and subsequently work with you to find the right treatment.


xray illustration of pituitary gland

The pituitary is a small gland located at the base of the brain. The pituitary is sometimes called “the master gland,” as it regulates fluid balance, growth, and the function of the other major endocrine glands such as the thyroid, adrenal, ovaries, and testes.

The pituitary may be affected by different disorders that may affect the function of one or more of your other glands. It may also be affected by tumors or near the gland, altering its function. If you have a pituitary tumor, you may also notice a change in your vision, as it can cause pressure on the optic nerves (the large nerves to your eyes responsible for your vision).

If your primary physician suspects you may have a pituitary problem, Dr. Ramharrack will schedule the necessary tests for proper diagnosis and treatment of your condition.


Xray illustration of thyroid

The thyroid is a gland located on the front of the neck whose sole function is the creation of thyroid hormones, which regulate your metabolism. Some common symptoms related to thyroid problems include difficulty breathing or swallowing, and rapid weight gain or weight loss. 

Dr. Ramharrack has over 18 years experience in performing thyroid ultrasounds and ultrasound-guided thyroid biopsies and is certified by AACE in Thyroid ultrasound proceedings. His experience helps make your ultrasound experience as comfortable as possible. He is also experienced in the use of all FDA-approved medications to optimize your thyroid status needed to get you back to optimal functioning.

Weight Loss

Illustration of obese person

You have probably tried many diets in the past and have been frustrated by the yo-yo pattern of weight loss and gain. Dr. Ramharrack applies his knowledge and experience as a specialist in endocrinology and metabolism to provide a physician-supervised program specifically tailored to your individual needs and goals, taking into account all of your medical conditions. He utilizes various weight-loss options such as meal replacements. He gets you started with products for rapid weight loss then transitions you to a more long-term, sustainable regimen using your own foods.

Dr. Ramharrack utilizes Optifast Meal Replacement products along with other programs as appropriate for your unique requirements.

Being overweight affects not only your self-image and sense of well-being, but it also causes many other psychological and physical ailments. It increases your risk for many diseases such as diabetes, hypertension, heart disease, arthritis, and different types of cancers.

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