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Dr. Guido Gonzalez, MD

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(Dr. Guido Lastra Gonzalez, M.D.)

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Specializes in: Adult Endocrinology

National University of Colombia Faculty of Medicine

Professional interests include: hypertension (high blood pressure), cholesterol problems (lipid disorders), endocrine diseases (hormone disorders), and more.

1 Hospital Drive
Columbia, MO

(573) 882-4141

Dr. Guido Gonzalez, MD is an endocrinologist in Columbia, MO specializing in adult endocrinology. He graduated from National University of Colombia Faculty of Medicine. Dr. Guido Gonzalez, MD is affiliated with University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

Address:

1 Hospital Drive
Columbia, MO

Address:

1 Hospital Drive
Columbia, MO 65212

Address:

1100 Virginia Avenue
Columbia, MO

Some issues Dr. Guido Gonzalez, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

blood draw	30
doctor visit	222
hospital care	13
inpatient care	13

**Gender**
Male	65
Female	95

**Ethnicity**
Non-Hispanic White	142
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	71
From 75 to 84	0
85 and over	0
Less than 65	63

Hypertension	73
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	42
Depression	39
Chronic Kidney Disease	33
Asthma	7
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	24
Chronic Obstructive Pulmonary Disease	18
Diabetes	71
Dementia	8
Cancer	0

blood draw	33
doctor visit	210
hospital care	15
inpatient care	15
neck imaging	11
ultrasound (sonogram)	11

**Gender**
Male	65
Female	95

**Ethnicity**
Non-Hispanic White	146
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	63
From 75 to 84	0
85 and over	0
Less than 65	68

Hypertension	73
High Cholesterol	65
Stroke	8
Ischemic Heart Disease	42
Depression	39
Chronic Kidney Disease	37
Asthma	12
Osteoperosis	8
Atrial Fibrilation	15
Heart Failure	30
Chronic Obstructive Pulmonary Disease	23
Diabetes	67
Dementia	8
Cancer	8

**Gender**
Male	168
Female	278

**Ethnicity**
Non-Hispanic White	392
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	196
From 75 to 84	0
85 and over	0
Less than 65	168

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	42
Depression	35
Chronic Kidney Disease	41
Asthma	17
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	29
Chronic Obstructive Pulmonary Disease	26
Diabetes	70
Dementia	10
Cancer	8

**Gender**
Male	97
Female	123

**Ethnicity**
Non-Hispanic White	202
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	95
From 75 to 84	0
85 and over	0
Less than 65	70

Hypertension	75
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	43
Depression	35
Chronic Kidney Disease	57
Asthma	25
Osteoperosis	10
Atrial Fibrilation	12
Heart Failure	29
Chronic Obstructive Pulmonary Disease	24
Diabetes	70
Dementia	10
Cancer	13

doctor visit	170
hospital care	32
inpatient care	32
neck imaging	18
ultrasound (sonogram)	18

**Gender**
Male	68
Female	84

**Ethnicity**
Non-Hispanic White	134
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	0
85 and over	0
Less than 65	46

Hypertension	75
High Cholesterol	72
Stroke	8
Ischemic Heart Disease	46
Depression	32
Chronic Kidney Disease	61
Asthma	9
Osteoperosis	0
Atrial Fibrilation	16
Heart Failure	34
Chronic Obstructive Pulmonary Disease	24
Diabetes	72
Dementia	9
Cancer	13

doctor visit	137
hospital care	14
inpatient care	14
neck imaging	21
ultrasound (sonogram)	21

**Gender**
Male	58
Female	75

**Ethnicity**
Non-Hispanic White	120
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	0
85 and over	0
Less than 65	40

Hypertension	73
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	36
Depression	32
Chronic Kidney Disease	55
Asthma	9
Osteoperosis	12
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	21
Diabetes	71
Dementia	9
Cancer	8

doctor visit	37
neck imaging	20
ultrasound (sonogram)	20

**Gender**
Male	18
Female	39

**Age**
From 65 to 74	30
From 75 to 84	0
85 and over	0
Less than 65	16

Hypertension	70
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	30
Depression	32
Chronic Kidney Disease	53
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	26
Chronic Obstructive Pulmonary Disease	0
Diabetes	47
Dementia	0
Cancer	0

doctor visit	21
hospital care	11
inpatient care	11
neck imaging	17
ultrasound (sonogram)	17

**Gender**
Male	19
Female	40

**Ethnicity**
Non-Hispanic White	48
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	26
From 75 to 84	0
85 and over	0
Less than 65	17

Hypertension	75
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	36
Depression	42
Chronic Kidney Disease	58
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	24
Chronic Obstructive Pulmonary Disease	0
Diabetes	53
Dementia	0
Cancer	0

doctor visit	79
hospital care	20
inpatient care	20
neck imaging	55
ultrasound (sonogram)	55

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Guido Gonzalez, MD for Medicare patients.

The highest averages for the top procedures that Dr. Guido Gonzalez, MD treated as an endocrinologist in Columbia, MO were blood draw, ultrasound (sonogram), neck imaging and hospital care.

aspiration	11
blood draw	33
diagnostic procedures	11
doctor visit	159
hospital care	23
image guided procedures	11
inpatient care	23
minimally invasive procedures	11
minor procedures	11
neck imaging	25
ultrasound (sonogram)	25

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Guido Gonzalez, MD.

**Gender**
Male	55
Female	82

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	118
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	0
85 and over	0
Less than 65	48
65 to 74	61

Average of Total of Conditions of Medicare patients treated by Dr. Guido Gonzalez, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Guido Gonzalez, MD treated were hypertension, diabetes, high cholesterol and chronic kidney disease.

Hypertension	58
High Cholesterol	50
Stroke	2
Ischemic Heart Disease	31
Depression	28
Chronic Kidney Disease	39
Asthma	7
Osteoporosis	4
Heart Failure	21
Chronic Obstructive Pulmonary Disease	13
Diabetes	52
Atrial Fibrillation	7
Cancer	5
Dementia	5

Education & Training

Dr. Guido Gonzalez, MD graduated from National University of Colombia Faculty of Medicine. He completed residency at University of Missouri Health System. He is certified by the American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism and has a state license in Missouri.

Medical School: National University of Colombia Faculty of Medicine

Residency: University of Missouri Health System

Board Certification: American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism

Licensed In: Missouri

Affiliations & Hospitals

Dr. Guido Gonzalez, MD is associated with these hospitals and organizations:

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Guido Gonzalez, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
COMSORT, Inc	$125 GRASTEK $125
Pfizer Inc.	$109 SOMAVERT $75	XELJANZ $34
Lilly USA, LLC	$88 HUMULIN $88
Merck Sharp & Dohme Corporation	$84 ZETIA $84
Novo Nordisk Inc	$51 Victoza $34	Levemir $17
Other	$168 t-slim insulin pump $48	COMETRIQ $33	BYDUREON WEEKLY $21	Cycloset $19	NATPARA $18	Other $30

**Types of Payments**
Food and Beverage	$500
Consulting Fee	$125

Research Payments

Dr. Guido Gonzalez, MD has received 2 research payments totaling $606.

Biography

Dr. Guido Gonzalez works as an adult endocrinology. He has indicated that his clinical interests include diabetes, pancreas problems, and thyroid problems. He attended National University of Colombia Faculty of Medicine and then went on to complete his residency at the University of Missouri Health System. Dr. Gonzalez has received the distinction of Selected for Oral abstract Presentation in the Aldosterone International Conference, Toronto, Canada. He is professionally affiliated with the University of Missouri Health Care. He welcomes new patients at his office inColumbia, MO as reported by University of Missouri Health Care.