Dr. Richard Guttler Medical Doctor

Specialty: Endocrinology and Metabolism
Dr. Guttler has been a Thyroid Expert for 35 years, board certified in endocrinology, Clinical... Full Bio
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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= 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= swo ... Read on »
"My Physician found my TSH was high, and started me on thyroid hormone. Why am I worried about... 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 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 a ... Read on »
Surgery for Benign Thyroid Cystic Nodules? Not Anymore! There is a New Medical Treatment Using... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 42 year old female with a large visible mass on the right thyroid lobe. She had local symptoms and did not like the looks of the mass, as it distorted her thin neck. Her thyro ... Read on »
Surgery for Benign Thyroid Cystic Nodules? Not Anymore! There is a New Medical Treatment Using... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer 42 year old female with a large visible mass on the right thyroid lobe. She had local symptoms and did not like the looks of the mass, as it distorted her thin neck. Her thyro ... Read on »
Thyroid.About.Com, the Source for Dangerous Thyroid Information has Done it Again. Now You Don't... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The about.thyroid.com website, for alternative medical information has reached a new low. Patients with thyroid disease should NOT see an endocrinologist or thyroidologist. Th ... Read on »
Thyroid.About.Com, the Source for Dangerous Thyroid Information has Done it Again. Now You Don't... by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The about.thyroid.com website, for alternative medical information has reached a new low. Patients with thyroid disease should NOT see an endocrinologist or thyroidologist. Th ... 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 »
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 »
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 »
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 »
The Brits are Half Right, and Mary Shomon is as Usual All Wrong by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The national health service NHS, of the United Kingdom, has banned the use of Armour thyroid, compounded combination thyroid preparations, Cytomel, and other products with any ... Read on »
The Brits are Half Right, and Mary Shomon is as Usual All Wrong by Dr. Richard Guttler Medical Doctor Posted in: Blog Posts in Cancer The national health service NHS, of the United Kingdom, has banned the use of Armour thyroid, compounded combination thyroid preparations, Cytomel, and other products with any ... Read on »
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 pregnancy, ... 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 vol ... 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 d ... Read on »
What if My Primary Physician Tells Me I have a Single Thyroid Nodule? by Dr. Richard Guttler Medical Doctor 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 i ... 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? Fi ... Read on »