Reference: Leonidas H. Duntas et al Endocrine volume 66, pages 63–69 (2019) Dr.Guttler’s comments: 1. The population is aging with millions of people today living into their 90 s. 2.Hypothyroidism, is widespread and it is expected to...
More infoDr.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 infoDR.Guttler’s Patient Thyroid Blog Post: Infants at risk for thyroid dysfunction after contrast dye testing.
DR.Guttler’s Patient Thyroid Blog Post: Infants at risk for thyroid dysfunction after contrast dye testing. Dr.Guttler’s comments: 1. 3,481 patients under 3 years of age who were exposed to ICM, thyroid dysfunction was reported in...
More infoDR.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 infoDr.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 infoDr. Guttler’s Patient thyroid Blog Post#15: Primary hypothyroidism and quality of life
Dr.Guttler’s Comments: 1. In the 1970s, treatment with thyroid extract was superseded by levothyroxine, a synthetic l form of tetraiodothyronine and is still there has been no major innovation since. 2.Adverse health effects have been...
More infoDR.Guttler’s Patient Thyroid Blog Post #12 Patient satisfaction and quality of life in hypothyroidism:
Dr.Guttler’s Comments: In this study 969 hypothyroid patients answered the QoL questions. Dissatisfaction with treatment was common (77.6%), and overall QOL scores were low. There was no significant between LT4 vs LT4/LT3 combination...
More infoDr.Guttler’s Patient Blog Post #7 What is Your Quality of Life with Hypothyroidism?
Dr.Guttler’s comments: 1970s treatment switched for Armour thyroid to synthetic LT4. Subclinical hypothyroidism is still debated as a treatable entity. Screening leads to over-diagnosis. Case finding is necessary for CHT patient’s...
More infoDR.Guttler’s Patient Blog Post #6 New T3 Levels the peak action of Cytomel.
New LT3: Possible loss of the peak levels seen with Cytomel. Rat studies on A metal coordinated form of LT3, known as poly-zinc-liothyronine (PZL), avoided in rats the typical triiodothyronine (T3) peak seen after oral administration of LT3...
More infoDr.Guttler’s Patient Blog Post# 5 Do You Know Your Family is At Risk Because You Have Hypothyroid Hashimoto’s Thyroiditis?
Case Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis. Familial Risk of Hashimoto’s Thyroiditis Among First-Degree Relatives: A Population-Based Study in Korea Hyun Jung Kim,et al Background: Few...
More infoDr.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 infoDR.Guttler’s Patient’s #3 Blogpost: Thyroid Diseases 101: A Patient’s List Dr.Guttler’s comments:
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