Dr. Ronald Goldenberg Bio
Dr. Ronald Goldenberg is a consultant endocrinologist affiliated with North York General Hospital in Toronto, Ontario and LMC Diabetes & Endocrinology in Thornhill. His major areas of interest include clinical care of diabetes, obesity, dyslipidemia and thyroid disorders. Dr. Goldenberg is a past Medical Director of the Diabetes Education Centre at NYGH and North York Branson Hospital. He is a past chair of the Ontario Medical Association Section on Endocrinology & Metabolism and a previous President of the Toronto Diabetes Association.
Dr. Goldenberg is a councillor on the 2010-2014 Canadian Diabetes Association Clinical & Scientific Section Executive Committee and a member of the Steering Committee for the 2013 CDA Clinical Practice Guidelines, the Executive Board of the Canadian Society for the Study of the Aging Male, Canadian Diabetes Association, American Diabetes Association, Endocrine Society, American Association of Endocrinologists, European Association for the Study of Diabetes, Canadian Society of Endocrinology & Metabolism and a Fellow of The American College of Endocrinology.
Dr. Goldenberg has been an investigator in a wide array of clinical trials in the areas of diabetes, hypertension, obesity, and dyslipidemia. He has been actively involved in Continuing Medical Education for the last two decades and is a key opinion leader amongst community-based endocrinologists in the Toronto area. He has been awarded an Honorable Citation by the Medical Staff Association of North York General Hospital for excellence in the practice of endocrinology and dedication to patient care in the community.
Dr. Goldenberg completed his residency in Internal Medicine in 1987 at the University of Toronto, and his fellowship in Endocrinology & Metabolism in 1989 at the University of Toronto.
( Dr. Ronald Goldenberg, Endocrinologist, Thornhill, ON) is in good standing with the College of Physicians and Surgeons.
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Sarah is a 32 year-old software engineer who presents with a one year history of fatigue, difficulty losing weight, dry skin, cold intolerance and difficulty concentrating. She has been busy working long hours and initially attributed her symptoms to long work hours and stress. Her mother has a history of hypothyroidism.
At her routine follow-up with her family physician, Sarah mentioned her symptoms, and her physician noted slight enlargement of her thyroid gland. The results of her blood tests were as follows:
Thyroid stimulating hormone (TSH): 15.6 mIU/L (N 0.32-400 mIU/L) Free thyroxine (Free T4): 7 pmol/L (N 9-19 pmol/L)
The combination of signs and symptoms along with bloodwork showing an elevated TSH and low Free T4 confirmed the diagnosis of hypothyroidism, almost certainly due to Hashimoto’s thyroiditis, the most common cause of hypothyroidism and typically more common in women than men and often associated with a family history of thyroid disease.
Sarah is started on thyroid hormone replacement therapy with a high quality brand preparation of levothyroxine (Synthroid®). Her pharmacist instructs her to take the medication on an empty stomach every morning. Within about 6 weeks, all of Sarah’s symptoms have resolved and she has returned to feeling perfectly normal. Repeat bloodwork done 8 weeks after initiating treatment revealed a normal TSH.
Sarah will benefit from regular follow-up with her family physician, with TSH testing at least once yearly or if symptoms return. Her pharmacist can help with ongoing reminders about how to properly take her medication.