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
DR. Guttler’s Comments: Dan was a corporate type in addition to being a great physician. He was my guiding light who helped push for change in how we treat thyroid nodules and cancer.He even promoted my plan to get endocrinologists to the...
More info
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 Comments: This paper describes how a specific genetic is the hallmark of a rare thyroid nodular disease that mimics papillary thyroid cancer and in the past resulted in surgery to make the diagnosis. Many patients suffered the...
More infoPapillary Thyroid Cancer: Positive Thyroid Antibodies associated with less lymph node and extra-thyroidal extension and better prognosis. DR. Guttler’s Comments: Study of 4000 patients that had thyroid surgery. 3000 were diagnosed...
More info
Reasons to Insist on an Endocrinologists to evaluate and if needed do the thyroid needle biopsy. DR. Brittany Henderson endocrinologist does over 100 biopsies a year. Dr.Guttler’s comments. Your primary is not qualified to do a...
More info