Welcome to the Thyroid Center of Santa Monica

Innovative
Diagnostic Options

Diagnostic Endocrine Neck Ultrasound
Ultrasound Guided Extra-Fine #27 Needle Aspiration Biopsy ( No Suction No Local Needed )

eROSE ( Endocrine Adequate Assessment )
Thyroid Cancer Molecular Markers by Needle Washout during the FNA or Later on Cytology Slides or Markers Done on Inadequate Smears

Advanced
Treatments

~ Ultrasound-Guided PEI thyroid cysts,
Parathyroid cysts, and thyroid cancer lymph nodes

~ RFA radiofrequency ablation for solid nodules

~ HIFU echotherapy for solid nodules

Active
Surveillance

The initial thing is to make sure you don’t have a < 1cm papillary thyroid cancer, with low risk features on endocrine neck ultrasound. These include safe location away from the recurrent nerve, and trachea and no lateral neck lymph node involvement. These are “harmless” and low,low risk and can safely be followed. This is called Active Surveillance.

Meet Dr. Guttler

The Thyroid Center of Santa Monica is a multiservice center established for the diagnosis and treatment of thyroid disorders in Santa Monica, California. Since 1974, Dr. Richard Guttler, clinical thyroidologist and board-certified endocrinologist, has been the director for the Thyroid Center of Santa Monica. Dr. Guttler is also the sole owner of the Endocrine Neck Ultrasound Lab of Southern California, an extension of the thyroid center.

Full Bio

Non-Surgical Thyroid Cancer Treatment

Your one-stop-shop for the diagnosis
and treatment of thyroid conditions

Our practice is highly specialized and is one of only a few centers across the United States focused entirely on thyroid problems.

We commonly serve patients who have been diagnosed with hypothyroidism, hyperthyroidism, Hashimoto’s thyroiditis, and other conditions involving the thyroid. For patients diagnosed with thyroid cancer and thyroid nodules, we offer innovative, advanced techniques that are smart, cost-effective alternatives to surgery. Interventional thyroid procedures include ultrasound-guided percutaneous ethanol injections (PEIs) for cysts and thyroid cancer lymph nodes,radiofrequency ablation for solid nodules, and HIFU for solid thyroid nodules

Because of our specialty services, patients come from all over the world to see Dr. Guttler. In addition, endocrinologists travel to Dr. Guttler’s office for his workshops and Masters classes offering advanced training and knowledge in thyroidology.

Thyroid Center of Santa Monica welcomes your call and looks forward to serving patients and their physicians. To request a consultation, please call our office at (310) 393-8860

Thyroid No Surgery 101

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

 Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died. Dr...

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Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101:  Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery. Is It Safe?...

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What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old

What are the Benefits and Risks of Thyroid Nodule Evaluation in Patients ≥70 Years Old. Comments...

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Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office Ethanol Ablation Procedure for thyroid/parathyroid cysts and recurrent thyroid cancer lymph nodes.

Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office Ethanol Ablation Procedure for thyroid/parathyroid cysts and recurrent thyroid cancer lymph nodes.

Published in American Thyroid Association new video journal VideoEndocrinology: My Simple Office...

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Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

Thyroid No Surgery 101: Thyroid Radiofrequency Ablation RFA in 2018

Thyroid No Surgery 101: Thyroid Cancer Radiofrequency Ablation RFA in 2018 Dr.Guttler Comments...

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More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is Needed for Recurrent Thyroid Cancer in the Lymph Nodes.

More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is Needed for Recurrent Thyroid Cancer in the Lymph Nodes.

More Use of Alternative Treatment Without Complications and Expense of Surgery or Radioiodine is...

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Thyroid Ultrasound? You don’t have an indication? Just say No.

Thyroid Ultrasound?  You don’t have an indication? Just say No.

 Thyroid Ultrasound?  You don’t have an indication?            Just say No. What are the...

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Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist

Santa Monica Thyroid Center Richard Guttler MD,FACE,ECNU, Thyroid Tumor Ablation Thyroidologist...

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Rfa 101

Thyroid Radiofrequency RFA 101: RFA for benign thyroid nodules, and Thyroid Cancer nodal metastatic lymph nodes, and micro-papillary thyroid cancer

The patient with a cosmetic or symptomatic  benign thyroid nodules can be treated with RFA.Also thyroid cancer lymph nodes and micro-papillary cancer can be an alternative  active surveillance. We need to send you to Europe or Korea until RFA is approved in the USA.

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Breakthrough Radiofrequency Ablation Treatment

Thyroid Patient’s Hall of Shame: Medical Radiofrequency Device Companies in the USA.

Thyroid Patient’s Hall of Shame: Medical Radiofrequency Device Companies in the USA.

Thyroid Patient’s Hall of Shame 1. Medical Radiofrequency Device Companies in the USA. The...

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What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer?

What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer?

What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer? Still Not...

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Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101:  Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery. Is It Safe?...

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See More About Thyroid RFA
Thyroid Cancer Awareness Month
This is my doctor.
He is amazing.

I was wary because he has reviews that are not favorable. Upon reading the reviews it’s clear that people have him poor reviews for two reasons 1) he does not take insurance so it is a lot of out of pocket expense and 2) He doesn’t go in for “natural” treatments because not a single “natural” cure has even been shown to have any effect whatsoever on thyroid disease. Patients need medication.
He is ALL about using non-invasive treatments whenever possible. He will exhaust options before recommending surgery or life-altering treatments.
He, along with a handful of colleagues, innovated the specialty of neck/thyroid ultrasound. He is kind, gentle, and above all, honest and real with his patients.

Michelle King Cohen

From The Blog

Thyroid Surgery 101: Open Your Mouth and Say Ah

Thyroid Surgery 101: Open Your Mouth and Say Ah

Thyroid Surgery 101: Open Your Mouth and Say Ah. Dr.Guttler’s comments: 1. Except no scar...

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Benign Thyroid Cystic Nodules 101: How to Get Ethanol Ablation Therapy Instead of Thyroid Surgery.

Benign Thyroid Cystic Nodules 101: How to Get Ethanol Ablation Therapy Instead of Thyroid Surgery.

Benign Thyroid Cystic Nodules 101: How to Get Ethanol Ablation ( PEI ) Therapy Instead of...

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Hypothyroidism 101: What a Rwanda Military Resident Physician Has to Say.

Hypothyroidism 101: What a Rwanda Military Resident Physician Has to Say.

Hypothyroidism 101: What a Rwanda Military Resident Physician Has to Say.   DR.G’s...

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Thyroid Cancer 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol Instead of Another Modified Radical Neck Dissection.

Thyroid Cancer 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol Instead of Another Modified Radical Neck Dissection.

Thyroid Cancer 101: Ask Your Primary PMD Why He Doesn’t Recommend Alternative Treatment...

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Thyroid Cystic Nodules 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol?

Thyroid Cystic Nodules 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol?

Thyroid Cystic Nodules 101: Ask Your Primary PMD Why He Doesn’t Recommend Alternative...

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Thyroid Patient’s Hall of Shame: Medical Radiofrequency Device Companies in the USA.

Thyroid Patient’s Hall of Shame: Medical Radiofrequency Device Companies in the USA.

Thyroid Patient’s Hall of Shame 1. Medical Radiofrequency Device Companies in the USA. The...

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What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer?

What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer?

What About Radiofrequency Ablation RFA for Your Thyroid Nodule or Thyroid Cancer? Still Not...

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Thyroid 101: Smokers and Your Thyroid

Thyroid 101: Smokers and Your Thyroid

Thyroid 101: Smokers and Your Thyroid DR. Guttler’s comments: Smoking can cause autoimmune...

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Thyroid 101: Thyroid Tests before Treating Dementia.

Thyroid 101:  Thyroid Tests before Treating Dementia.

Thyroid 101: Thyroid Tests before Treating Dementia. DR. Guttler’s comments...

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Thyroid function 101: In Pregnancy:

Thyroid function 101: In Pregnancy:

Thyroid function 101: In Pregnancy: Dr.Guttler’s Comments:  2,314 participants of the...

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Thyroid Disease 101: Breast Cancer Risk Factors

Thyroid Disease 101: Breast Cancer Risk Factors

Thyroid Disease 101: Breast Cancer Risk Factors. Dr. Guttler’s comments They occur...

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Hyperthyroid 101: Your Heart at Risk

Hyperthyroid 101: Your Heart at Risk

Hyperthyroid 101: Your Heart at Risk Dr. Guttler’s Comments One treatment: surgery may be...

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Thyroid Cancer 101: New Drug for Medullary MCT and Papilary Thyroid Cancers PTC.

Thyroid Cancer 101: New Drug for Medullary MCT and Papilary Thyroid Cancers PTC.

Thyroid Cancer 101: New Drug for Medullary MCT and Papilary Thyroid cancers PTC...

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Thyroid Cancer 101: Flight Attendants FA at Risk?

Thyroid Cancer 101: Flight Attendants FA at Risk?

Thyroid Cancer 101: Flight Attendants at Risk?   Embed from Getty Images Dr...

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Thyroid Hormone for Rapid-Cycling Bipolar Disorder?

Thyroid Hormone for Rapid-Cycling Bipolar Disorder?

Thyroid Hormone for Rapid-Cycling Bipolar Disorder? Not a good Idea.   Dr.Guttler’s...

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Thyroid Disease 101: Five Big Myths

Thyroid Disease 101: Five Big Myths

Thyroid Disease 101: Five Big Myths. DR. Guttler’s Comments: 1.Symptoms without a...

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Thyroid Cancer 101: How Thyroid Peroxidase Antibody and BRAFV600V Status Changes Prognosis

Thyroid Cancer 101: How Thyroid Peroxidase Antibody and BRAFV600V Status Changes Prognosis

Thyroid Cancer 101: How Thyroid Peroxidase Antibody TPO ab and BRAFV600V Status Changes...

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Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.

 Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died. Dr...

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Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101:  Radiofrequency Ablation (RFA) Instead of Surgery.Is It Safe? The Answer is Yes.

Thyroid Nodules and Cancer 101: Radiofrequency Ablation (RFA) Instead of Surgery. Is It Safe?...

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Thyroid Cancer No More Surgery 101: Treatment #1 Ethanol Ablation of Recurrent Cancer Lymph Nodes.

Thyroid Cancer No More Surgery 101: Treatment #1 Ethanol Ablation of Recurrent Cancer Lymph Nodes.

Thyroid Cancer No More Surgery 101: Treatment #1 Ethanol Ablation of Recurrent Cancer Lymph...

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Hypothyroid 101: Milk Ingestion Decreases Absorption of Your Thyroid Medication.

Hypothyroid 101: Milk Ingestion Decreases Absorption of Your Thyroid Medication.

Hypothyroid 101: Milk Ingestion Decreases Absorption of Your Thyroid Medication...

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Hypothyroid Treatment 101: Does Changing the Dose of T4 to Varying TSH levels Effect Mood,Cognition or Quality of Life Q of L ? The Answer is No.

Hypothyroid Treatment 101: Does Changing the Dose of T4  to Varying TSH levels Effect Mood,Cognition or Quality of Life Q of L ? The Answer is No.

Hypothyroid Treatment 101: Does Changing the Dose of T4 to Varying TSH levels Effect...

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Thyroid Disease 101: Hepatitis C Patients Report High Thyroid Dysfunction?

Thyroid Disease 101: Hepatitis C Patients Report High Thyroid Dysfunction?

Thyroid Disease 101: Hepatitis C Patients: Dr. Guttler’s Comments: Diabetes and thyroid...

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Thyroid Nodules 101: Ultrasound Findings That Result in Poor Response to Radiofrequency Ablation RFA

Thyroid Nodules 101: Ultrasound Findings That Result in Poor Response to Radiofrequency Ablation RFA

Thyroid Nodules 101: Ultrasound and Other Findings That Result in Poor Response to...

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Cystic Thyroid/Parathyroid Nodules 101: The Patient Must Refuse Surgery for This Easily Treated Condition with Out Patient Ethanol Ablation.

Cystic Thyroid/Parathyroid Nodules 101: The Patient Must Refuse Surgery for This  Easily Treated Condition with Out Patient Ethanol Ablation.

Cystic Thyroid/Parathyroid Nodules 101: The Patient Must Refuse Surgery for This Easily Treated...

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Medullary Thyroid Cancer 101: Kagermeier Drops Out of Mayoral Race

Medullary Thyroid Cancer 101:  Kagermeier Drops Out of Mayoral Race

Medullary Thyroid Cancer 101: Shari Kagermeier Drops Out of Mayoral Race. Dr.Guttler’s...

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Thyroid Cancer 101: Children and Teenagers:

Thyroid Cancer 101: Children and Teenagers:

Thyroid Cancer 101: Children and Teenagers: Dr. Guttler’s comments: Thyroid cancer is the...

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Thyroid Cancer 101: Effects of Fukushima Continue to Grow

Thyroid Cancer 101: Effects of Fukushima Continue to Grow

Thyroid Cancer 101: Effects of Fukushima Continue to Grow. Dr. Guttler’s Comments: 160...

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Thyroid Cancer 101: Molecular thyroid tests Can Save Unnecessary Surgeries.

Thyroid Cancer 101:  Molecular thyroid tests Can Save Unnecessary Surgeries.

Thyroid Cancer 101: Molecular thyroid tests Can Save Unnecessary Surgeries. Dr. Guttler’s...

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Prospective Validation of ATA and ETA Sonographic Pattern Risk of Thyroid Nodules Selected for FNAC

Prospective Validation of ATA and ETA Sonographic Pattern Risk of Thyroid Nodules Selected for FNAC

DR. Guttler’s comments on this article. Ultrasound is still an operator dependent...

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Will Large Gene Study Help to Personalize Thyroid Cancer Tx?

Will Large Gene Study Help to Personalize Thyroid Cancer Tx?

Dr.Guttler’s Comments on this article.  1. It is too soon to say whether identifying new...

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Thyroid Cancer 101: Radioiodine Therapy

Thyroid Cancer 101: Radioiodine Therapy

Thyroid Cancer 101: Radioiodine Therapy When to use it? Dr. Guttler’s comments on this...

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Thyroid Disease in Pregnancy 101: Graves’Disease

Thyroid Disease in Pregnancy 101: Graves’Disease

Dr.Guttler’s comments on this article. All patients need to have thyroid tests before they...

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Heart Risk Factors Identified in Male Thyroid Cancer Survivors

Heart Risk Factors Identified in Male Thyroid Cancer Survivors

Dr.Guttler’s comments on this article.   Why do Male patients have 50% greater risk...

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Thyroid Cancer 101: Which is Better ThyroSeq v2 or Afirma?

Thyroid Cancer 101: Which is Better ThyroSeq v2 or Afirma?

Thyroid Cancer 101: Which is Better ThyroSeq v2 or Afirma? Comments by Dr.Guttler 1.ThyroSeq v2...

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Impact of Minimal Extrathyroid Extension in Differentiated Thyroid Cancer:

Impact of Minimal Extrathyroid Extension in Differentiated Thyroid Cancer:

Dr.Guttler’s comments 1.The increase in risk is small with minimal  thyroidal extension...

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Benign Thyroid Diseases of of hyperthyroidism, and Hashimoto’s thyroiditis have Increased Risk of Thyroid Cancer

Benign Thyroid Diseases of of hyperthyroidism, and Hashimoto’s thyroiditis  have Increased Risk of Thyroid Cancer

Hashimoto’s thyroiditis after before and treatment. Graves Disease DR.Guttler’s...

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Canned dog food recalled for containing beef thyroid glands with thyroid hormone

Canned dog food recalled for containing beef thyroid glands with thyroid hormone

Canned dog food recalled for containing beef thyroid glands with thyroid hormone...

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Women are diagnosed with Thyroid Cancer three times more often than men as cases of thyroid cancer triple in the last 30 years.

Women are diagnosed with Thyroid Cancer three times more often than men as cases of thyroid cancer triple in the last 30 years.

Dr.Guttler Comments on this article. 1.Dr. Gary Clayman is the founder of the Clayman Thyroid...

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Furniture could be increasing your risk of thyroid cancer

Furniture could be increasing your risk of thyroid cancer

Could your furniture be making you sick? Comments by Dr.Guttler  The culprit may be lurking...

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The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of Blame to Go Around.

The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of Blame to Go Around.

The Sad State of Alternative Treatment for Benign Thyroid Nodules in the USA. There is Plenty of...

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Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Not Ready for Prime Time: Mayo Clinic Experience

Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Not Ready for Prime Time: Mayo Clinic Experience

Radiofrequency Ablation RFA of Benign Thyroid Nodules in the USA 101: Mayo Clinic Experience.Not...

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Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.

Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.

Be Among The First to Have Thyroid Radiofrequency Ablation RFA in my Office in the USA.  ...

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Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea

Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea

Thyroid RFA for Large Benign Thyroid Nodules 101: One Patient’s Experience in Korea My...

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