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 No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Thyroid Ultrasound Don’t Listen to...

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Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second Opinion

Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second Opinion

Thyroid No Surgery 2: The Art of Refusing a Thyroid Needle Biopsy with the Help of a Second...

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Thyroid No Surgery #3 The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer

Thyroid No Surgery #3  The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer

Thyroid No Surgery #3 The Art of Refusing a Surgery for a Small Micro-Papillary Thyroid Cancer...

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Thyroid No More Surgery # 6: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease

Thyroid No More Surgery # 6: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease

Thyroid No More Surgery: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph...

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Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P

Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P

Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary...

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Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts

Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts

Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts You have known there was...

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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

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101 Cartoon of the decrease in the...

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Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon Comment: The...

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What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA? RFA is a minimally invasive alternative to thyroid...

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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 HIFU 101: Focused Ultrasound Thyroid Nodule Treatment in Lugano Switzerland

Thyroid HIFU 101: Focused Ultrasound Thyroid Nodule Treatment in Lugano Switzerland

Thyroid HIFU 101: Focused Ultrasound Thyroid Nodule Treatment in Lugano Switzerland  After my...

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Thyroid HIFU 101: Focused Ultrasound Thyroid Nodule Treatment in Hong Kong China

Thyroid HIFU 101:  Focused Ultrasound  Thyroid Nodule Treatment in Hong Kong China

Thyroid HIFU 101: Focused Ultrasound Thyroid Nodule Treatment in Hong Kong China After my...

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Thyroid No Surgery Rule #1: No Screening Thyroid Ultrasounds

Thyroid No Surgery Rule #1: No Screening Thyroid Ultrasounds

Thyroid No Surgery Rule #1-2: No Screening Thyroid Ultrasounds, and no biopsy if you have an...

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Another Breakthrough Product from Star Med Korea: “Skinny” Cancer RFA Probe

Another Breakthrough Product from Star Med Korea: “Skinny” Cancer RFA Probe

Another Breakthrough Product from Star Med Korea: “Skinny” Cancer RFA Probe  ...

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Thyroid Radiofrequency RFA 101: RFA for Palliation Therapy for Thyroid Cancer.

Thyroid Radiofrequency RFA 101: RFA for Palliation Therapy for Thyroid Cancer.

Thyroid Radiofrequency RFA 101: RFA for Palliation Therapy for Thyroid Cancer. The patient had...

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Can Radiofrequency Ablation RFA Treat Local Recurrence in Neck Lymph Nodes?

Can Radiofrequency Ablation RFA Treat Local Recurrence in Neck Lymph Nodes?

Can Radiofrequency Ablation RFA Treat Local Papillary Cancer Recurrence in Neck Lymph Nodes?...

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Master’s Class on Radiofrequency Ablation RFA of Thyroid Nodules

Master’s Class on Radiofrequency Ablation RFA of Thyroid Nodules

Master’s Class on Radiofrequency Ablation RFA of Thyroid Nodules DR.Guttler inspecting a...

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Thyroid RFA 101: Researcher and Teacher with Students and a few of his key thyroid RFA papers

Thyroid RFA 101: Researcher and Teacher with Students and a few of his key thyroid RFA papers

Thyroid RFA 101: Researcher and Teacher with Students and a few of his key thyroid RFA papers...

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RFA: Radiofrequency Thyroid Ablation 101: How It Works

RFA: Radiofrequency Thyroid Ablation 101: How It Works

RFA: Radiofrequency Thyroid Ablation 101: How It Works Ionic agitation and formation of friction...

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Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101 Cartoon of the decrease in the...

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Star Med Korea Cool Needle Tracker Helps Novices Learn RFA for Thyroid Nodules

Star Med Korea Cool Needle Tracker Helps Novices Learn RFA for Thyroid Nodules

Star Med Korea Cool Needle Tracker Helps Novices Learn RFA for Thyroid Nodules   Image from...

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Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon

Thyroid No Surgery: Ablation of Micro-Cancers with Radiofrequency RFA Coming Soon Comment: The...

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Thyroid RFA 101:The Center of RFA Research and Teaching

Thyroid RFA 101:The Center of RFA Research and Teaching

Thyroid RFA 101:The Center of RFA Research and Teaching. Professor JH Baek  Researcher and...

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Surgery vs Radiofrequency Ablation RFA for Thyroid Nodules

Surgery vs Radiofrequency Ablation RFA for Thyroid Nodules

Surgery vs Radiofrequency Ablation RFA for Thyroid Nodules:  Che et al AJNR 2015 JUL 36( 7) 200...

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Radiofrequency Ablation RFA 101: A New Teaching Tool for Future Interventional Thyroidologists

Radiofrequency Ablation RFA 101: A New Teaching Tool for Future Interventional Thyroidologists

Radiofrequency Ablation RFA 101: A New Teaching Tool for Future Interventional Thyroidologists...

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Thyroid Radiofrequency Ablation RFA 101: Generator

Thyroid Radiofrequency Ablation RFA 101: Generator
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Radiofrequency Ablation RFA Treatment after Candidate Evaluation in California

Radiofrequency Ablation RFA Treatment after Candidate Evaluation in California

Radiofrequency Ablation RFA Treatment after Candidate Evaluation in California. Thyroid no...

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Thyroid RFA 101: Long Term Results of Treated Benign Thyroid Nodules Thyroid RFA 101: Long Term Results of Treated Benign Thyroid Nodules

Thyroid RFA 101: Long Term Results of Treated Benign Thyroid Nodules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Thyroid RFA 101: Long Term Results of Treated Benign Thyroid Nodules

Thyroid RFA 101: Long Term Results of Treated Benign Thyroid Nodules Kim HK et al Eur Radiol...

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Demo of Moving Shot Method with Blue Phantom Model for RFA for Thyroid Nodules.

Demo of Moving Shot Method with Blue Phantom Model for RFA for Thyroid Nodules.

Demo of Moving Shot Method with Blue Phantom Model for RFA for Thyroid Nodules.

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RFA Effective in Randomized Control Trial Solid Benign Nodules vs Observation.

RFA Effective in Randomized Control Trial Solid Benign Nodules vs Observation.

RFA Effective in Randomized Control Trial  Thyroid Nodules vs Observation. Deandrea M et al...

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What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA?

What is Radiofrequency Thyroid Ablation RFA? RFA is a minimally invasive alternative to thyroid...

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Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule

Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and Symptomatic Benign Thyroid Nodule

Patient of Mine Returning From Italy After RFA Radiofrequency Ablation of His Cosmetic and...

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RFA Thyroid Ablation 101: The Moving Shot Technique

RFA Thyroid Ablation 101: The Moving Shot Technique

RFA Thyroid Nodule Ablation 101: The Moving Shot Technique The green colored thyroid nodule is...

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Demo of Lidocaine Injection on the Capsule Before RFA ablation of a Thyroid Nodule

Demo of Lidocaine Injection on the Capsule Before RFA ablation of a Thyroid Nodule

Demo of Lidocaine Injection on the Capsule Before RFA ablation of a Thyroid Nodule    ...

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Thyroid RFA 101: Multiple Symptomatic Nodules

Thyroid RFA 101: Multiple Symptomatic Nodules

Thyroid RFA 101: Multiple Symptomatic Nodules Clinical Study Hong MJ et al  RFA Preserves...

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Master’s Class in RFA: Practice Lidodaine Injection of the Nodule Capsule with Blue Phantom Model.

Master’s Class in RFA: Practice Lidodaine Injection of the Nodule Capsule with Blue Phantom Model.

Master’s Class in RFA: Practice Lidodaine Injection of the Nodule Capsule with Blue...

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New Master’s Class Diploma for 5 Day Intensive Workshop on Thyroid Radiofrequency Ablation RFA, and Ethanol Ablation PEI of Thyroid Cysts

New Master’s Class Diploma for 5 Day Intensive Workshop on Thyroid Radiofrequency Ablation RFA, and Ethanol Ablation PEI of Thyroid Cysts

New Master’s Class Diploma for 5 Day Intensive Workshop on Thyroid Radiofrequency Ablation...

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RFA Radiofrequency Thyroid Ablation 101: The Thyroid RF Mini Electrode and The Technique

RFA Radiofrequency Thyroid Ablation 101:  The Thyroid RF Mini Electrode and The Technique

RFA Radiofrequency Thyroid Ablation 101: The Thyroid RF Mini Electrode and The Technique  ...

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Master’s Class in RFA: AceNeedleMe Torso Used to Simulate an Actual Patient for Moving Shot Method.

Master’s Class in RFA: AceNeedleMe Torso Used to Simulate an Actual Patient for Moving Shot Method.

Master’s Class in RFA: AceNeedleMe Torso Used to Simulate an Actual Patient for Moving...

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Thyroid Ablation Therapy with Radiofrequency Frequency RFA for Autonomous “HOt”Thyroid Nodules. Alternative to Surgery or Radiation? Yes

Thyroid Ablation Therapy with Radiofrequency Frequency RFA for Autonomous “HOt”Thyroid Nodules. Alternative to Surgery or Radiation? Yes

Thyroid Ablation Therapy with Radiofrequency Frequency RFA for Autonomous...

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Demo of Capsule Injected with Lidocaine Prior to RFA Ablation

Demo of Capsule Injected with Lidocaine Prior to RFA Ablation

Demo of Capsule Injected with Lidocaine Prior to RFA Ablation  

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Radiofrequency Ablation Thyroid Nodules (RFA ) What Can Go Wrong?

Radiofrequency Ablation Thyroid Nodules (RFA ) What Can Go Wrong?

Radiofrequency Ablation Thyroid Nodules (RFA ) What Can Go Wrong? Complications Following...

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Thyroid RFA 101: Can You Use RF to Treat Benign Nodules in a Patient With a Prior Lobectomy? The Answer is Yes

Thyroid RFA 101: Can You Use RF to Treat Benign Nodules in a Patient With a Prior Lobectomy? The Answer is Yes

Thyroid RFA 101: Can You Use RF to Treat Benign Nodules in a Patient With a Prior Lobectomy? The...

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Thyroid RFA 101: Mini-Probe: How it Will Decrease The Surgeries for Benign Thyroid Nodules and Even Some Thyroid Cancers in the USA.

Thyroid RFA 101: Mini-Probe: How it Will Decrease The Surgeries for Benign Thyroid Nodules and Even Some Thyroid Cancers in the USA.

Thyroid RF Mini-Probe: How it Will Decrease The Surgeries for Benign Thyroid Nodules and Even...

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Thyroid RFA 101: Obstruction of Upper Airway with Massive Goiter: RFA and Temporary Trachael Stenting

Thyroid RFA 101: Obstruction of Upper Airway with Massive Goiter: RFA and Temporary Trachael Stenting

Thyroid RFA 101: Obstruction of Upper Airway with Massive Goiter: RFA and Temporary Tracheal...

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RFA video

RFA video
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Ill Defined Nodule Margins Can Lead to Poor Volume Reduction with Radiofrequency Ablation RFA

Ill Defined Nodule Margins Can Lead to Poor Volume Reduction with Radiofrequency Ablation RFA

Ill Defined Nodule Margins  on Ultrasound Can Lead to Poor Volume Reduction with Radiofrequency...

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Thyroid RFA 101: Nodules and Cancer

Thyroid RFA 101: Nodules and Cancer

Thyroid RFA 101: Nodules and Cancer What is radiofrequency ablation RFA for thyroid? The tip of...

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New Procedure for Avoiding Complications for the RFA Procedure for Thyroid Nodules and Recurrent Thyroid Cancer

New Procedure for Avoiding Complications for the RFA Procedure for Thyroid Nodules and Recurrent Thyroid Cancer

New Procedure for Avoiding Complications for the RFA Procedure for Thyroid Nodules and Recurrent...

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RFA 101

RFA 101

Procedure Similar with performing a thyroid ultrasonography or biopsy, treatment is done with...

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Thyroid HIFU 101: Treatment Centers in Europe, Middle East and China

Thyroid HIFU 101: Treatment Centers in Europe, Middle East and China

Thyroid HIFU 101: Treatment Centers in Europe, Middle East and China Echotherapy Centers-Thyroid...

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Thyroid HIFU 101: Traveling to Europe for Thyroid Nodule Treatment

Thyroid HIFU 101: Traveling to Europe for Thyroid Nodule Treatment

Thyroid HIFU 101: Traveling to Europe for Thyroid Nodule Treatment. You can have HIFU for your...

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Thyroid HIFU 101: Size Matters: Big Nodules are a Problem for HIFU Treatment

Thyroid HIFU 101: Size Matters: Big Nodules are a Problem for HIFU Treatment

Thyroid HIFU 101: Size Matters: Big Nodules are a Problem for HIFU Treatment. One session is not...

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Thyroid HIFU 101: What is the Clinical Procedure?

Thyroid HIFU 101: What is the Clinical Procedure?

Thyroid HIFU 101: What is the Clinical Procedure? The Echopulse®, device for non invasive...

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