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Dr. Richard Guttler Medical Doctor

Specialty: Endocrinology and Metabolism
Blog: http://thyroid.blogspot.com/
Dr. Guttler has been a Thyroid Expert for 35 years, board certified in endocrinology, Clinical Professor of Medicine, Keck School Medicine USC. He was the past president and founder of the Academy of Clinical Thyroidologists, www.thyroidologists.com. He is beginning in Jan.2009, to give 3 day... Full Bio
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"My Physician found my TSH was high, and started me on thyroid hormone. Why am I worried about... by Dr. Richard Guttler Medical Doctor 1 Comment Posted in: Blog Posts in Cancer The answer to this Ask the Doctor email is yes. The finding of an elevated TSH or even a slowly increasing TSH over a few years is a clue to the onset of hypothyroidism. The a ... Read on »
"My Physician found my TSH was high, and started me on thyroid hormone. Why am I worried... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The answer to this Ask the Doctor email is yes. The finding of an elevated TSH or even a slowly increasing TSH over a few years is a clue to the onset of hypothyroidism. The ... Read on »
88 Year Old with Recurrent Papillary Thyroid Cancer: Do No Harm or Treat? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Case PresentationQuestionWhy are they treating 85-94 year old patients so aggressively? AnswerBecause they have the tools to do it. 88 Y/O male with a 4 cm mass, whi ... Read on »
A German Story of a Failed Treatment Plan for a Radiation Exposured Patient With a Toxic Nodule,... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer A 45 Y/O female presented to my center with a thyroid nodule. The history was positive for radiation therapy for a skin problem as a child in Germany. At age 30 she had symp ... Read on »
A German Story of a Failed Treatment Plan for a Radiation Exposured Patient With a Toxic Nodule,... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer A 45 Y/O female presented to my center with a thyroid nodule. The history was positive for radiation therapy for a skin problem as a child in Germany. At age 30 she had sympto ... Read on »
Alarms Go Off in Restrooms When Radiated Thyroid Patients Urinate. by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer A 30 Y/O female with Graves' hyperthyroidism was treated with 15 Millicuries of radioiodine. The next day she entered the restroom at her workplace, and an alarm of a flame se ... Read on »
Beware of Compounding Pharmacy Thyroid Hormone Dispensing Errors by Dr. Richard Guttler Medical Doctor 2 Comments Posted in: Blog Posts in Cancer I do not recommend the use of compounding pharmacy Read on »
Beware of Compounding Pharmacy Thyroid Hormone Dispensing Errors by Dr. Richard Guttler Medical Doctor 8 Comments Posted in: Blog Posts in Cancer I do not use compounding pharmacy thyroid hormone for my patients. There are pure thyroid hormones made by companies such as Abbott, that makes Synthroid. Errors have been fou ... Read on »
Beware of Generic Substitution of Your Thyroid Hormone Therapy by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 160 adverse events happened in 2007 from switching sources of thyroid hormone, during an Endocrine Society and American Thyroid Association reported study. The FDA method of ... Read on »
Calcitonin Measurement in All New Thyroid Nodules by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Is Calcitonin screening of all thyroid nodules cost Effective? A recent study by Cheung and associates in the JCEM 93:2173-2180,2008, suggests it is worth the expense. They ... Read on »
Clinical Thyroidologists: What we do for our patients. by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer In the last month in cooperation with filmmaker John Lynch, I have produced 5 2 minute videos to explain what a real clinical thyroidologist, who only see patients with thy ... Read on »
HMO Offers Poor and Outdated Thyroid Cancer Diagnosis and Therapy To One of Their Own Employees. by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 45 Y/O F had a isthmus nodule felt by her GI physician. An ultrasound done by a radiologist noted more nodules and one of them was biopsied. The results were suspicious, b ... Read on »
Iodine Induced Graves' Disease Why Treat with Iodine? by Dr. Richard Guttler Medical Doctor 1 Comment Posted in: Blog Posts in Cancer 48 Y/O Female with hypothyroidism was treated with iodine pills and T3 cytomel. While on high dose T3 and iodine, she developed double vision and pop eye on the right. MR= swo ... Read on »
Iodine Induced Graves' Disease Why Treat with Iodine? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 48 Y/O Female with hypothyroidism was treated with iodine pills and T3 cytomel. While on high dose T3 and iodine, she developed double vision and pop eye on the right. MR= s ... Read on »
Lobectomy for a Large Benign Thyroid Nodule? Second Opinion Saved the Day by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 50 Y/O female for second opinion on a referral for a lobectomy for a very large thyroid nodule. The FNA of the nodule was benign, but because of the size her endocrinologis ... Read on »
Mary Shomon, and the Medical Review Board of about.thyroid.com, on their Opinion on the Top... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The last newsletter from Mary Shomon has her company's opinion on the top thyroid websites. I am honored to be listed alongside the Endocrine Society, and the American Thyr ... Read on »
Mary Shomon, and the Medical Review Board of about.thyroid.com, on their Opinion on the Top... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The last newsletter from Mary Shomon has her company's opinion on the top thyroid websites. I am honored to be listed alongside the Endocrine Society, and the American Thyroi ... Read on »
Molecular Classifier saves surgery on a suspicious nodule by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Here is the result of an Afirma molecular classifier test done on a male patient set to go to surgery for a suspicious follicular lesion. they wanted to do a lobectomy.The ... Read on »
Murder by Thyroid Poisoning, or Paranoia? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer A 40+ Y/O male presented to the ER with a rapid pulse and insomnia for a week. He told the ER physician that he felt he was being poisoned by a female friend. He state ... Read on »
My Thyroid Ultrasound Referral Center is Certified by AIUM by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Endocrine Neck Ultrasound Lab of Southern California is the only referral center on the west coast that has both the certification of the physician sonographer by the Ameri ... Read on »
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