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

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.

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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.

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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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Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local ECNU Certified Endocrinologists Do Ablations or Refer Them to Someone That Does.

Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local ECNU Certified Endocrinologists Do Ablations or Refer Them to Someone That Does.

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

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

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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

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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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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

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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Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

Radiofrequency Ablation RFA for Thyroid Nodules and Cysts 101

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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

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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 No Surgery’s Own Dr.Guttler featured in this Article in VoyageLA. LA’s Most Inspiring Stories

Thyroid No Surgery’s Own Dr.Guttler featured in this Article in VoyageLA. LA’s Most Inspiring Stories

September 25, 2017 Meet Richard Guttler of Santa Monica Thyroid Ablation Center VoyageLA Staff...

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Thyroid Micro-Papillary Cancer Road Map: 2018 An Update

Thyroid Micro-Papillary Cancer Road Map: 2018 An Update

Thyroid Micro-Papillary Cancer Road Map: 2018 An Update No “Screening”thyroid...

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Primary papillary thyroid carcinoma previously treated incompletely with radiofrequency ablation

Primary papillary thyroid carcinoma previously treated incompletely with radiofrequency ablation

Comments: To condemn RFA for primary thyroid papillary thyroid cancer based on one case is self...

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Thyroid No Surgery: Bipolar RFA Systems Work. Pregnant Females and Patients with Pacemakers Benefit Most.

Thyroid No Surgery:  Bipolar RFA Systems Work. Pregnant Females and Patients with Pacemakers Benefit Most.

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Thyroid Ultrasound in Thyroid Tumor Ablation: Danger Triangle: US Lessons Learned in Master’s Class in Thyroid Ablation

Thyroid Ultrasound in Thyroid Tumor Ablation: Danger Triangle: US Lessons Learned in Master’s Class in Thyroid Ablation

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Thyroid No Surgery 101; 7 Year PEI Study for Thyroid Cysts

Thyroid No Surgery 101; 7 Year PEI Study for Thyroid Cysts

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Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.

Thyroid No Surgery 101: Ethanol Ablation in Renal Failure Patients:Endocrinologists Need to Think About PEI in Secondary or Tertiary Hyperparathyroidism.

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Thyroid No Surgery 101: Ethanol Ablation PEI What Can Be Treated Right Now in the USA?

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Thyroid Ultrasound in Thyroid Tumor Ablation: Danger Triangle: US Lessons Learned in Master’s Class in Thyroid Ablation

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Thyroid No Surgery Website thyroid.com Crashed: What Happened?

Thyroid No Surgery Website thyroid.com Crashed: What Happened?

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Endocrine Certified Sonologists find Parathyroid Adenomas and Cysts

Endocrine Certified Sonologists find Parathyroid Adenomas and Cysts

Endocrine Certified Sonologists find Parathyroid Adenomas and Cysts Parathyroid ultrasonography...

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Thyroid No surgery 101: Diagnostic Ultrasound in Small 1 cm Benign and Micro-Papillary Cancers

Thyroid No surgery 101: Diagnostic Ultrasound in Small 1 cm Benign and Micro-Papillary Cancers

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Thyroid No Surgery 2107 Ethanol Ablation PEI and Radiofrequency Ablation RFA are Ready for Prime Time.

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Thyroid No Surgery 2017: New Image-Guided Minimally Invasive Approaches Are the Future.

Thyroid No Surgery 2017: New Image-Guided Minimally Invasive Approaches Are the Future.

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Endocrinologist Did Her First Ethanol Ablation After Master’s Class Training in Thyroid Tumor Ablation Methods

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Endocrinologist Brittany Henderson Did Her First Ethanol Ablation After Master’s Class...

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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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More Neck Surgery for Thyroid Cancer Local Recurrence? Maybe It is Time for New Ideas. Try Ethanol or Radiofrequency ablation RFA.

More Neck Surgery for Thyroid Cancer Local Recurrence? Maybe It is Time for New Ideas. Try Ethanol or Radiofrequency ablation RFA.

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Thyroid No Surgery 2017: Only a Few Years Ago Surgery was the Only Treatment for Thyroid Cancer Treatment. Not Anymore

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Thyroid No Surgery: Massive Thyroid Cyst with Tracheal Deviation for Ethanol Ablation PEI:

Thyroid No Surgery: Massive Thyroid Cyst with Tracheal Deviation for Ethanol Ablation PEI:

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Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.

Not All Cysts in or near the thyroid are thyroid cysts. Parathyroid Hormone PTH Needle Washout for Parathyroid Cysts PC.

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Ethanol Ablation of Benign Thyroid Cysts: Another Twist in the Treatment Plan ?

Ethanol Ablation of Benign Thyroid Cysts: Another Twist in the Treatment Plan ?

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Not all Thyroglassal duct Cysts Need Surgery: Try Scarless, Painless Ethanol Ablation PEI Instead.

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PEI for Thyroid Cysts: 52/64 Were Successful. What about the other 12?

PEI for Thyroid Cysts: 52/64 Were Successful. What about the other 12?

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Using Combination Ablations, PEI and RFA for Mixed Cystic thyroid nodules

Using Combination Ablations, PEI and RFA for Mixed Cystic thyroid nodules

Using Combination Ablations, PEI and RFA for Mixed Cystic thyroid nodules. Comments: Ethanol is...

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Renegade Endocrinologist: A Memoir

Renegade Endocrinologist:  A Memoir

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Santa Monica Thyroid Center’s Dr.Richard Guttler uses Dr.Carole Spencer’s USC Thyroid Laboratory Exclusively

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Get a Second Opinion if a Small Thyroid Nodule is Found by Radiology: Before you let them do a Biopsy.

Get a Second Opinion if a Small Thyroid Nodule is Found by Radiology: Before you let them do a Biopsy.

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

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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

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Thyroid cysts treated with ethanol ablation can mimic malignancy during sonographic follow-up

Thyroid cysts treated with ethanol ablation can mimic malignancy during sonographic follow-up

Thyroid cysts treated with ethanol ablation can mimic malignancy during sonographic follow-up. ...

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How many times will your Physician Drain your thyroid cyst and tell you the only other treatment is surgery?

How many times will your Physician Drain your thyroid cyst and tell you the only other treatment is surgery?

 The record number of times a surgeon has drained a thyroid cysts with equal number of...

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The Momentum for a Third Way to Treat Micro-papillary Cancer with Ethanol or Radiofrequency Ablation Increases with Word from Japan’s Dr. Nobuhiro Fukunari

The Momentum for a Third Way to Treat Micro-papillary Cancer with Ethanol or Radiofrequency Ablation Increases with Word from Japan’s Dr. Nobuhiro Fukunari

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Scare Tactics by ENT Surgeon About Ethanol Ablation #2 ” PEI causes pain and inflammation”

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Ethanol Ablation PEI not Surgery is the Treatment of Choice for Thyroid and Parathyroid Cystic Nodules

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We Need a Third Option to Surgery or Active Surveillance to Include Ethanol PEI or Radiofrequency Ablation RFA of Micro-Papillary Cancers

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AFTN, Toxic Nodule in a Teenager: Alternatives to Surgery

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.Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery

.Thyroid No Surgery 101: Why Both Ethanol and Radiofrequency Ablation Methods Can Save you from Another Expensive Thyroid Cancer Neck Dissection Surgery

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Teaching Master’s Classes : Simulated Dextrose RFA Danger Avoidance Method for Thyroid RFA

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Santa Monica Thyroid Center 2017: Trifold Brochure

Santa Monica Thyroid Center 2017: Trifold Brochure

Santa Monica Thyroid Center 2017: Trifold Brochure Click on the links to see my new brochure...

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ENT Surgeon Scare Tactics: Tells Mother Anything But Surgery is Malpractice in Treating Her Daughter

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Classics in the history of Goiters: Treatment 1920 Style before Surgery Became the Treatment of Choice.

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Thyroid Tumor RFA Master’s Class: Micro-Bubbles Formed Along the 10 mm Hot Tip.

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Teaching RFA Methods: Capsule Lidocaine Infusion for Practice without an RFA System

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Bipolar Electrode: Thyroid Radiofrequency Ablation RFA of Nodules and Cancer for Pregnant Females and Cardiac Patients with Pacemakers.

Bipolar Electrode: Thyroid Radiofrequency Ablation RFA of Nodules and Cancer for Pregnant Females and  Cardiac Patients with Pacemakers.

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