Integrative Endocrinology

We are passionate about helping people optimize their thyroid health. Your history, lived experience, and symptoms are unique. Your thyroid care should be too.

As an Endocrinologist and Autoimmune Thyroid Disease patient myself, I founded Integrative Endocrinology in 2016 with a goal to improve the quality of life in people managing thyroid diseases.

We are proud to have built a medical space where you will truly be heard.  We believe that understanding what is happening in your body is the first step in regaining control of you health, so we are dedicated to teaching you. We partner with you to create a treatment plan that aligns with your goals.

Our medical care is founded on science, empathy, and hope.

Dr. Marla S. Barkoff

SPECIALTIES

Integrative Endocrinology was founded in 2016 by Dr. Barkoff, a board-certified Endocrinologist trained at the University of Chicago, who specializes in all aspects of thyroid health. With over 15 years of experience caring for people with thyroid disease, she believes that achieving thyroid balance requires an individualized and comprehensive approach.

AUTOIMMUNE THYROID DISEASE

When treating hyperthyroidism and hypothyroidism, it’s important to know if the cause is autoimmune. For our medical team, this knowledge broadens the investigation and treatment approach, as other underlying autoimmune condiations may be present. We educate all our patients on scientifically-proven options and create a comprehensive plan to both treat the disease and improve quality of life.

THYROID AND PREGNANCY

As thyroid optimazation can play an important role in pregnancy outcomes, we believe it’s essential to understand a woman’s reproductive plans when designing the best course of treatment. People with thyroid disease are encouraged to see us prior to pregnancy for preconception counseling. During fertility treatment and pregnancy, we work side-by-side with your OB/GYN to achieve thyroid goals.

THYROID NODULES AND THYROID CANCER

A thorough physical exam and in-office thyroid ultrasound are the first steps in evaluating any thyroid gland structural concerns. If indicated, minimally-invasive thyroid nodule biopsies are available in our office. Based on updated American Thyroid Association guidelines, we educate our patients on treatment approaches should they receive a diagnosis of a suspicious nodule or thyroid cancer. We partner closely with surgical and radiology teams to make sure you are receiving the most comprehenisve care.

MAST CELL DISEASES

In 2015, Dr. Barkoff began to recognize a pattern in patients who continued to feel unwell even after thyroid treatment. Many of these patients exhibtied evidence of mast cell activation. Mast cells, an important part of the body's immune defense, can become overactive or overproduced, causing a multisystem inflammatory cascade including flushing/hives, abdominal distress, nasal congestion, and cardiovascular instability. With over a decade of clinical expertise in this field, our practice uniquely treats Mast Cell Diseases within a broader Endocrine perspective.