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Dr. Natalia Genere, MD

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Specializes in: Adult Endocrinology

University of Minnesota Medical School (2013)

Professional interests include: thyroid problems, endocrine diseases (hormone disorders), adrenal disorders

4921 Parkview Place
Saint Louis, MO 63110

(314) 362-3500

Dr. Natalia Genere, MD is an endocrinologist in Saint Louis, MO specializing in adult endocrinology. She graduated from University of Minnesota Medical School in 2013 and has 11 years of experience. Dr. Natalia Genere, MD is affiliated with Washington University Physicians, BJC HealthCare, Barnes-Jewish West County Hospital, Barnes-Jewish Hospital and Washington University in St. Louis (WUSTL).

Office Locations

Address:

4921 Parkview Place
Saint Louis, MO 63110

Unable to locate address.

Address:

4921 Parkview Place Div Im Endocrinology, Suite 13b
Saint Louis, MO 63110

Some issues Dr. Natalia Genere, 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.

doctor visit	59

**Gender**
Male	39
Female	42

**Age**
From 65 to 74	39
From 75 to 84	29
85 and over	0
Less than 65	0

Hypertension	58
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	38
Depression	19
Chronic Kidney Disease	31
Asthma	0
Osteoperosis	23
Atrial Fibrilation	15
Heart Failure	15
Chronic Obstructive Pulmonary Disease	0
Diabetes	49
Dementia	0
Cancer	15

doctor visit	80

**Gender**
Male	29
Female	52

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	19

Hypertension	56
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	31
Depression	27
Chronic Kidney Disease	37
Asthma	0
Osteoperosis	31
Atrial Fibrilation	0
Heart Failure	15
Chronic Obstructive Pulmonary Disease	0
Diabetes	40
Dementia	0
Cancer	0

doctor visit	16

**Age**
From 65 to 74	19
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	53
High Cholesterol	34
Stroke	0
Ischemic Heart Disease	0
Depression	34
Chronic Kidney Disease	38
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	44
Dementia	0
Cancer	0

doctor visit	35
hospital care	13
inpatient care	13

**Gender**
Male	32
Female	44

**Ethnicity**
Non-Hispanic White	51
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	36
From 75 to 84	0
85 and over	0
Less than 65	24

Hypertension	72
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	47
Depression	29
Chronic Kidney Disease	61
Asthma	0
Osteoperosis	18
Atrial Fibrilation	0
Heart Failure	28
Chronic Obstructive Pulmonary Disease	0
Diabetes	67
Dementia	0
Cancer	16

Average Medicare Procedure Volume From 2017 - 2021

Volume of procedures performed by Dr. Natalia Genere, MD for Medicare patients.

The highest averages for the top procedures that Dr. Natalia Genere, MD treated as an endocrinologist in Saint Louis, MO were hospital care, inpatient care, lab tests and preventive care.

diabetes management	13
doctor visit	88
hospital care	191
inpatient care	191
lab tests	28
preventive care	28
removal of lesion (e.g. growth)	17
skin procedures	17

Average Medicare Patient Data From 2017 - 2021

Information about Medicare patients treated by Dr. Natalia Genere, MD.

**Gender**
Male	10
Female	13

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	5
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	2
85 and over	0
Less than 65	4
65 to 74	13

Average of Total of Conditions of Medicare patients treated by Dr. Natalia Genere, MD From 2017 - 2021

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

Hypertension	23
High Cholesterol	19
Stroke	0
Ischemic Heart Disease	11
Depression	10
Chronic Kidney Disease	16
Asthma	0
Osteoporosis	7
Heart Failure	5
Chronic Obstructive Pulmonary Disease	0
Diabetes	20
Atrial Fibrillation	1
Cancer	3
Dementia	0

Education & Training

Dr. Natalia Genere, MD graduated from University of Minnesota Medical School in 2013. She has a state license in Missouri.

Medical School: University of Minnesota Medical School (2013)

Licensed In: Missouri

Affiliations & Hospitals

Dr. Natalia Genere, MD is associated with these hospitals and organizations:

Washington University Physicians

BJC HealthCare

Barnes-Jewish West County Hospital

Barnes-Jewish Hospital

Washington University in St. Louis (WUSTL)

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General Payments

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

**Payments by Company**
AbbVie Inc.	$16 Synthroid $16

**Types of Payments**
Food and Beverage	$16

Biography

Dr. Natalia Genere's area of specialization is adult endocrinology. Dr. Genere is especially interested in thyroid problems and adrenal disorders. She attended medical school at the University of Minnesota Medical School. Her professional affiliations include Barnes-Jewish West County Hospital, Washington University Physicians, and Barnes-Jewish Hospital.