Dr.Guttler’s Patient Thyroid Blog Post: Why Anti-Thyroid Drugs Are The Best Treatment Over Surgery or Radioiodine. Dr.Guttler’s comments: 1. This article reviews results in 4600 Graves’ patients. 2.Patients received ATD...More info
Dr.Guttler’s Patient Thyroid Blog Post: maternal thyroid function and risk of gestational hypertension and pre-eclampsia:
Dr.Guttler’s Patient Thyroid Blog Post: maternal thyroid function and risk of gestational hypertension and pre-eclampsia: Dr.Guttler’s comments: 1. 46 528 pregnant women, of whom 39 826 (85·6%) women had sufficient data (TSH and FT4...More info
DR.Guttler’s Patient Thyroid Blog Post#22 Yes, Runners Get Thyroid Disease, Too. Here’s Why That’s Confusing
Runner’s World Cindy Kuzma Mar 18, 2022 Last summer, as he prepared for the 2021 New York City Marathon, interval workouts like 800-meter and mile repeats still went fairly well. On his typically strong tempo and long runs, though, he...More info
Dr.Guttler’s Patient Thyroid Blog Post #17 Reduced Quality of Life with RAI/131 for Graves’ disease.
Dr.Guttler’s comments: 1. Study was to assess QoL in patients 6–10 years after treatment for Graves’ disease. 2. Patients treated with RAI had worse thyroid-related and general QoL than patients treated with ATD.Surgery has...More info
Dr.Guttler’s Patient Thyroid Blog Post #16 Miss leading paper of Quality of life after surgery for Graves’ and Toxic nodular goiter.
Dr.Guttler’s comments: In 2022 surgery and radioiodine are used less often than long term low dose Anti thyroid drugs. Surgery has it’s own loss of quality of life when complications occur and a scar is left , and life long thyroid...More info
Quality of Life Impairment 6 months after therapy Toxic Nodules. Dr.Guttler’s comments: Just looking at Toxic nodules in this study. They looked at 68 patients with toxic nodular goiter. The patients were treated with antithyroid drugs...More info
Dr.Guttler’s Thyroid Blog Post #9 Open Letter to 10,000 Patients who have had a complete thyroid Evaluation by Me
Many of you are still seeing me to make sure your thyroid care for nodules, goiter, cancer and hormone dosing is adjusted as needed by 6-12 month check ups. Many have moved to general physicians in their network. Many have not had a dose change...More info
Thyroid Diseases 101: A Patient’s List Dr.Guttler’s comments: The thyroid is a butterfly-shaped organ that sits in the front of the neck. It makes thyroid hormones triiodothyronine (T3) and thyroxine (T4). Hyperthyroidism is one of...More info
RFA for Thyroid Nodules and Cancer:: Transformative Therapy With Abuse Risks. Endocrine Practice 28( 2022) 233-234. Haymart MR et at Dr.Guttler’s comments. 1. RFA can and will change how we care for patients with nodules and cancer...More info
1. Thyroid nodule: how is it diagnosed? The presence of goiter and thyroid nodules does not give rise to specific symptoms, unless the size is such that it causes compression of the trachea or oesophagus, leading to swallowing or breathing...More info
Radiofrequency ablation RFA of Autonomous or Toxic Nodule Preserved Normal thyroid function compared to Radioiodine therapy..
Dr.Guttler’s comments: 1. The major difference was not in nodule reduction or treating the hyperthyroidism, it was in the preservation of normal thyroid function, and avoiding radiation exposure in young adults. All patients responded to RI...More info
Patient’s Guide to Available Thyroid and Neck Ablation For Nodules,Cysts, Parathyroid Adenoma and Cancer
1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...More info