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Dr. Richard Guttler Medical Doctor

Specialty: Endocrinology and Metabolism
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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Thyroid Cancer: A Lesson in What Can Go Wrong with Multiple Unnecessary Surgeries by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 39 Y/O female has a lump found below her right ear. First problem. A excision biopsy was done by an ENT without any ultrasound, or fine needle biopsy. It was papillary thyroid ... Read on »
Pregnant, But is Your Baby Getting Enough Iodine from Your Prenatals ? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The American Thyroid Association recommends prenatal vitamins with 150 mcg elemental iodine during pregnancy. The Institute of Medicine recommends 220 mcg iodine in pregnanc ... Read on »
Thyroid Nodule Therapy in Patients with Insulin Resistance by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Recent studies have shown that patients with high levels of insulin seen in obesity, diabetes, and in thin patients with insulin resistance have a larger thyroid gland by v ... 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 »
What if My Primary Physician Tells Me I have a Single Thyroid Nodule? by Dr. Richard Guttler Medical Doctor 3 Comments Posted in: Blog Posts in Cancer First of all do not panic. 31% of the time the palpation is NOT accurate. 16% of the time there is no nodule at all! The referral to the radiologist for an USGFNA may result ... Read on »
What do I Need to do Before my Thyroid Cancer Surgery? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer If you are told you have a positive cancer FNA biopsy result on a thyroid nodule, or they say it is suspicious for cancer, what do you neeed to be done BEFORE the surgery? ... Read on »
What is a Low Risk Thyroid Cancer, and Do I Need Radiation? by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer How do I know if I am very, low risk? If you are <45 years old, Get your pathology report from your surgery. Look for these itemsVery Low Risk is a patient has a single < ... Read on »
Why a General Endocrinologist Should Not be your Thyroid Doctor by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 10-15 years ago, a referral for thyroid second opinion from an internist, and from a general endocrinologist would show that the endocrinologist knew more about the thyroid co ... 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 »
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 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 »
Why I Need to Know About Alternatives to Surgery for my Large Simple Goiter by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer There are not many therapy alternatives to surgery if you have a goiter. The large goiter may be causing obstructive symptoms, or harbor a cancer. The obstructive component ... 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 »
What Should You do if your Primary Care, or Endocrinologist tell You that Your Blood Calcium is... by Dr. Richard Guttler Medical Doctor 1 Comment Posted in: Blog Posts in Cancer The most common cause is over-active parathyroid gland activity. Usually a single non cancerous tumor called a parathyroid adenoma. The screening testing is easy. Calcium, p ... Read on »
What is Thyroid Cancer Ultrasound Lymph Node Mapping, and why do I need to have one BEFORE my... by Dr. Richard Guttler Medical Doctor 6 Comments Posted in: Blog Posts in Cancer Prior to the new approach to thyroid cancer, the radio-iodine whole body scan WBS, was the mainstay of diagnostic cancer studies. Along came highly sensitive cancer markers, T ... Read on »
What is Methylene Blue Dye Localization, and why do I need to know about it if I have recurrent... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer Case Presentation: 69 Y/O female with an aggressive form of papillary thyroid cancer called Tall Cell Variant. She has had total thyroidectomy, and central compartment node ... 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 »