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June 17, 2025 55 mins

Toxic Thyroid Nodules: RFA vs. RAI—What’s the Difference?


In this episode, endocrinologist Dr. Ian Orozco joins Jennifer Holkem to break down the two main non-surgical treatment options for toxic thyroid nodules: radioactive iodine (RAI) and radiofrequency ablation (RFA). Learn how these treatments work, who they’re right for, and what every patient needs to know before choosing a path. If you've been told surgery is your only option, this episode is a must-watch.


🔹 What is a toxic thyroid nodule?

🔹 RFA vs. RAI: key differences, benefits, and risks

🔹 How to preserve thyroid function and avoid unnecessary surgery

🔹 Real-world considerations: lifestyle, fertility, and recovery

🔹 Why the experience of your provider matters


Chapters

00:00 Introduction to Thyroid Nodules and Treatments

03:00 Understanding Toxic Thyroid Nodules

06:03 Treatment Options: RFA vs RAI

09:13 Radioactive Iodine: Administration and Effects

12:09 Patient Considerations for Radioactive Iodine

14:56 Radiofrequency Ablation: A New Approach

17:50 Comparing RFA and Surgery

20:59 Recovery and Lifestyle Considerations

32:47 Effectiveness of RFA vs. Traditional Treatments

38:00 Nuances in Treatment for Toxic Nodules

43:44 Understanding RFA Risks and Misconceptions

46:56 The Role of RFA in Modern Treatment

52:50 Future Directions for RFA and Thyroid Treatments


Learn more about Dr. Ian Orozco:

https://ianorozcomd.com/


Thank you to the sponsor of this episode, Cambridge Interventional: 

https://www.cambridgeinterventional.com/


Disclaimer: None of the statements made in this or any other video by "Its me Jen again" should be considered medical advice.


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Resources:

👉Podcast: https://www.saveyourthyroidwithjen.com/

👉Patient site: https://www.saveyourthyroid.org/

👉Private FB group: https://www.facebook.com/groups/saveyourthyroidnonsurgical

👉Patient Navigation: https://www.saveyourthyroidwithjen.com/p/patient-navigation-services/


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