Dr. Guttler’s Life in Pictures 2012 Example of a biopsy called class III but was inadequate due to bloody distortion artifacts. Field strip and clean my 12 gauge shogun. Cystic lymph node from papillary thyroid cancer. Treated with ethanol...More info
Dr.Guttler’s Life 101: Pictures from 2011 Presenting Ethanol paper atNational meeting 1000 meter rifle range in Michigan Lake Northern Pike Master Class endocrinologist doing a radioiodine uptake test. Endocrine neck ultrasound class...More info
Thyroid Nodules 101: What happens if you have a thyroid nodule? Dr.Guttler’s comments: You might be looking in the mirror while shaving or fastening a necklace when you first see it. The doctor might feel it during a routine physical exam...More info
Hypothyroidism 101: Do You Have Hashimoto’s Thyroiditis CHT as the Cause? Dr.Guttler’s comments: You may be diagnosed with subclinical hypothyroidism SCH if you have a thyroid function test indicating normal thyroxine (T4)...More info
Thyroid No Surgery 101: Patients Who Did Not Want Surgery and Came to Me for Alternative therapy with Ethanol PEI or Radiofrequency Ablation RFA for their Benign Thyroid Nodules.
Thyroid No Surgery 101: Benign Thyroid Nodules and Goiters. Patients Who Did Not Want Surgery and Came to Me for Alternative therapy with Ethanol PEI or Radiofrequency Ablation RFA. Just a few of my cases pre-treatment pictures. All had either...More info
Thyroid Nodules 101: Alternative Therapy with Ethanol PEI Dr.Guttler’s comments: PEI for thyroid nodules has been available in the US for many years but is under-utilized as an effective alternative to thyroid surgery Primary care to...More info
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Thyroid cancer . Tatyana E. Fontenot,et al JAMA Otolaryngol Head Neck Surg. 2015;141(6):512-518. Dr.Guttler’s...More info
Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.
Percutaneous ethanol PEI effective for small papillary thyroid cancers SIPC. Small non-invasive papillary thyroid cancer for PEI. Alternative to surgery Dr.Guttler’s comments: PEI is an outpatient procedure which may represent an...More info
Thyroid Disease Treatment 101: Don’t be fooled by Thyroid Supplement Claims. Just Say No! Typical thyroid Supplement with excess iodine ( 250 mcgs) including Kelp for the US market which does not need it with 300 mcg in the food we eat...More info
Thyroid Cancer 101: Genes involved in thyroid cancers. Dr.Guttler’s comments: Next-generation sequencing to analyze the transcriptome of 60 authenticated thyroid cell lines and compared our findings with the known genomic defects in human...More info
Thyroid Cancer 101: Obesity and the Risk of Thyroid Cancer Being overweight has long been associated with several cardiovascular diseases. Overweight people are at higher risk of serious health conditions like high blood pressure, type-2...More info
Thyroid Cyst Therapy PEI 101: Treating Thyroid Cysts at Home. 35 Y/O female with a benign cystic thyroid nodule was told she needed surgery. Benign thyroid cyst seen on thyroid ultrasound She did not want surgery and was unable to find an...More info