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.

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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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.

Thyroid No Surgery Nodule and Tumor PEI/RFA Ablation 101: Patients Need to Insist Their Local...

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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.

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

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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

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size? My comments...

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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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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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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

ThyroidNoSurgery.com booth at American Thyroid Association Victoria Canada Lead, follow or be left behind

ThyroidNoSurgery.com booth at American Thyroid Association Victoria Canada Lead, follow or be left behind

The thyroid no surgery booth has had some of the most influential trend setters come by to tell...

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American Thyroid Association National meeting Victoria BC

American Thyroid Association National meeting Victoria BC

American Thyroid Association National meeting Victoria BC Endocrinologists interested in Thyroid...

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Endocrinologist Training in Thyroid Radiofrequency Ablation RFA Master’s Classes in Seoul Korea

Endocrinologist Training in Thyroid Radiofrequency Ablation RFA Master’s Classes in Seoul Korea

Endocrinologist Training in Thyroid Radiofrequency Ablation RFA Master’s Classes in Seoul...

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Thyroid Radiofrequency Ablation RFA of Thyroid Nodules 101:

Thyroid Radiofrequency Ablation RFA of Thyroid Nodules 101:

Radiofrequency ablation for treatment of benign thyroid nodules. Comments on this article by...

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Thyroidectomy 101: Where You Live Puts You at Risk for Too Much Surgery and Associated Complications

Thyroidectomy 101: Where You Live Puts You at Risk for Too Much Surgery and Associated Complications

Thyroidectomy 101: Where You Live Puts You at Risk for Too Much Surgery and Associated...

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Thyroid Cancer Screening Testing 101: A Bad Idea for Most People

Thyroid Cancer Screening Testing 101: A Bad Idea for Most People

 Thyroid Cancer Screening Testing 101: A Bad Idea for Most People.   Remember My Simple...

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Thyroid Radiofrequency Ablation RFA 101: Is it Safe?

Thyroid Radiofrequency Ablation RFA 101: Is it Safe?

Thyroid Radiofrequency Ablation RFA 101: Is it Safe? My comments on this article and it’s...

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Ethanol Ablation Thyroid Complex Cysts Basics 101: How is it done?

Ethanol Ablation Thyroid Complex Cysts Basics 101: How is it done?

Ethanol Ablation PEI of Thyroid Complex Cysts and solid Thyroid Basics 101: How is it done?...

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How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size?

How Good is Radiofrequency RFA for Relief of Symptoms and Decreasing Nodules Size? My comments...

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What Patients Are Candidates for Thyroid Surgery Alternative Treatment with Radiofrequency Ablation RFA?

What Patients Are Candidates for Thyroid Surgery Alternative Treatment with Radiofrequency Ablation RFA?

I make comments on this article and how it has changed since 2012. Dong Gyu Na et al Korean J...

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Master’s Class Graduate Does first Ethanol ablation PEI of a thyroid cancer lymph node

Master’s Class Graduate Does first Ethanol ablation PEI of a thyroid cancer lymph node

Master’s Class Graduate Does first Ethanol ablation PEI of a thyroid cancer lymph node and...

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When is A Thyroid nodule with Hurthle cells not a neoplasm but part of a chronic thyroidits?

When is A Thyroid nodule with Hurthle cells not a neoplasm but part of a chronic thyroidits?

When is A Thyroid nodule with Hurthle cells not a neoplasm but part of a chronic thyroidits?...

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Hurthle Cells are Not Always a Sign of Thyroid Cancer

Hurthle Cells are Not Always a Sign of Thyroid Cancer

Comments: Hurthle Cells are Not Always a Sign of Thyroid Cancer. They are the cause of confusion...

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Be Aware of the Rules for Dealing with Thyroid Nodules.

Be Aware of the Rules for Dealing with Thyroid Nodules.

 Be Aware of My Rules for Dealing with Thyroid Nodules. 1. Do not have a thyroid ultrasound...

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Detailed RFA Ablation Procedure for Benign Thyroid Nodules and Recurrent Thyroid Cancers:

Detailed RFA Ablation Procedure for Benign Thyroid Nodules and Recurrent Thyroid Cancers:

 Comments: This is the blueprint for beginning RFA treatment in the USA with a thyroid friendly...

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Thyroid Micro-Nodules Seen on Ultrasound Need Biopsies?

Thyroid Micro-Nodules Seen on Ultrasound Need Biopsies?

Thyroid Micro-Nodules Seen on Ultrasound Need Biopsies? There is no rush to biopsy or surgery...

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Anaplastic Thyroid Cancer Patients live Longer with Combination surgery,radiation and chemotherapy

Anaplastic Thyroid Cancer Patients live Longer with Combination surgery,radiation and chemotherapy

Anaplastic Thyroid Cancer ATC Patients live Longer with Combination surgery,radiation and...

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Goitre History 101; 1900 Goitre

Goitre History 101; 1900 Goitre

Goitre History 101; 1900 Goitre Taken from the 1904 textbook What will they say about thyroid...

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Thyroid Cancer 101: Higher Iodine Intake= More Papillary Thyroid Cancer

Thyroid Cancer 101: Higher Iodine Intake= More Papillary Thyroid Cancer

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Thyroid Cancer 101: Iodine Promotes Thyroid Cancer Growth.

Thyroid Cancer 101: Iodine Promotes Thyroid Cancer Growth.

Thyroid Cancer 101: Iodine Promotes Thyroid Cancer growth. Wang J. et al Cell Physiol Biochem...

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Thyroid Tumor Ablation Comes of Age at National Thyroid Meeting

Thyroid Tumor Ablation Comes of Age at National Thyroid Meeting

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Thyroid Tumor Ablation 101: Post One session RFA. Can you operate on a Suspicious Thyroid Nodule ?

Thyroid Tumor Ablation 101: Post One session RFA. Can you operate on a Suspicious Thyroid Nodule ?

Thyroid Tumor Ablation 101: Post One session RFA. Can you operate on a Suspicious Thyroid Nodule...

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Subclinical Hypothyroidism 101: When to Treat?

Subclinical Hypothyroidism 101: When to Treat?

Subclinical Hypothyroidism 101: When to Treat? Diagnose and treat early to avoid hypothyroidism...

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Thyroid Tumor RFA 101 : Safety Essentials

Thyroid Tumor RFA 101 : Safety Essentials

“Dextrose Method of Critical Structure Avoidance” Official name: Hydrodissection...

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Thyroid Checkup: Signs you may have a thyroid condition

Thyroid Checkup: Signs you may have a thyroid condition

Thyroid Checkup: Signs you may have a thyroid condition. Comments on article by Dr.G.   1...

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Revolutionary Devices and Techniques in the Use of The Radiofrequency ablation for thyroid nodules cysts and thyroid cancer.

Revolutionary Devices and Techniques in the Use of The Radiofrequency ablation for thyroid nodules cysts and thyroid cancer.

Revolutionary Devices and Techniques in the Use of The Radiofrequency ablation for thyroid...

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Thyroid Nodules 101: 90% of Benign Nodules Grow Over 5 Years

Thyroid Nodules 101: 90% of Benign Nodules Grow Over 5 Years

Thyroid Nodules 101: 90% of Benign Nodules Grow Over 5 Years Alexander EK1, Ann Intern Med. 2003...

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Thyroid Tumor Ablation Workshop for Future Interventional Thyroidologists

Thyroid Tumor Ablation Workshop for Future Interventional Thyroidologists

Thyroid Tumor Ablation Workshop for Future Interventional Thyroidologists     Santa...

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Raw Kale Can Cause Thyroid Dysfunction:

Raw Kale Can Cause Thyroid Dysfunction:

Raw Kale Can Cause Thyroid Dysfunction: Yes but only in large quantities raw in salads.  Raw...

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Thyroid Cancer Treatment 101: There is No Safe Amount of Radiation.You will carry all radiation you were exposed to for your whole life.

Thyroid Cancer Treatment 101: There is No Safe Amount of Radiation.You will carry all radiation you were exposed to for your whole life.

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Thyroid Cancer 101: No Pre-Op Neck Ultrasound? Get Another Opinion Before Surgery

Thyroid Cancer 101: No Pre-Op Neck Ultrasound? Get Another Opinion Before Surgery

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Iodine OTC Supplements 101: No Benefit But Harmful to Thyroid Patients

Iodine OTC Supplements 101: No Benefit But Harmful to Thyroid Patients

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Supplement Warning 101: Weight Loss Supplement Causes Transient Thyrotoxicosis

Supplement Warning 101: Weight Loss Supplement Causes Transient Thyrotoxicosis

Transient thyrotoxicosis from thyroiditis induced by sibutramine overdose: a case report. Kim...

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Thyroid Cancer Recurrent Lymph Node Ablation Therapy with Ethanol PEI or Radiofrequency RFA was 1.6%.

Thyroid Cancer Recurrent Lymph Node Ablation Therapy with Ethanol PEI or Radiofrequency RFA was 1.6%.

Thyroid Cancer Recurrent Lymph Node Ablation Therapy with Ethanol PEI or Radiofrequency RFA was...

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Thyroid Cancer 101: Excessive Aggressive Thyroid Surgery and Radioiodine Dangerous without Benefits.

Thyroid Cancer 101: Excessive Aggressive Thyroid Surgery and Radioiodine Dangerous without Benefits.

Thyroid Cancer 101: Excessive, Aggressive Thyroid Surgery and Radioiodine Treatments are...

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Thyroid Goiter 101: The Good, Bad and Ugly of Iodine Ingestion.

Thyroid Goiter 101: The Good, Bad and Ugly of Iodine Ingestion.

Thyroid Goiter 101: The Good, Bad and Ugly of Iodine Ingestion. Iodine deficiency causes goiter...

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Thyroid Ablation Therapy for Thyroid Nodules 101: Complications of Ethanol Ablation PEI.

Thyroid Ablation Therapy for Thyroid Nodules 101: Complications of  Ethanol Ablation PEI.

Thyroid Ablation Therapy for Thyroid Nodules 101: Complications of Ethanol Ablation PEI. Acta...

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Thyroid Goiter 101: Thyroid Injections for Goiter 1890

Thyroid Goiter 101: Thyroid Injections for Goiter 1890

Thyroid Goiter 101: Thyroid Injections for Goiter: 1890 Injection Treatments used in 1890 are...

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Cats Get Thyroid Cancer

Cats Get Thyroid Cancer

Cats Get Thyroid Cancer Dog lost his cat friend from thyroid cancer but found a new best friend...

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Renegade Endocrinologist: The Introduction to the Memoir

Renegade Endocrinologist: The Introduction to the Memoir

While waiting in the Korean Air first class lounge I began to think about how far I have come in...

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THYROID CANCER 101: Follicular Thyroid Cancer

THYROID CANCER 101: Follicular Thyroid Cancer

THYROID CANCER 101: Follicular Thyroid Cancer FTC Isthmus FTC Nodule= FNA microfollicular...

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Renegade Endocrinologist Goes to College

Renegade Endocrinologist Goes to College

With no direction,no plans, and only my good grades from high school I decided to go to my local...

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Thyroid Cancer 2017: Gone is One Size Fits All: Surgery, Radioiodine and High Dose Thyroid Hormone.

Thyroid Cancer 2017: Gone is One Size Fits All: Surgery, Radioiodine and High Dose Thyroid Hormone.

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Needle Tracker Makes Thyroid RFA Treatment Easier for Nodules

Needle Tracker Makes Thyroid RFA Treatment Easier for Nodules

Needle Tracker Makes Thyroid RFA Treatment Easier for Nodules Ultrasound Med Biol. 2014...

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