Dr. David Goltzman – Endocrinologist | Montréal, QC

Dr. David Goltzman, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With conditions related to Diabetes & Metabolism, he practices at Centre universitaire de santé McGill-site Glen, Medicine in Montréal, QC, a key facility in the Notre-Dame-de-Grâce (NDG) Central neighborhood. He adheres to the standards and ethical guidelines established by the Collège des médecins du Québec (CMQ), ensuring high-quality, safe, and patient-centered endocrine care. His practice primarily centers on the comprehensive management of type 1 and type 2 diabetes, metabolic syndrome, and lipid disorders, emphasizing personalized treatment strategies in a supportive environment.

Dr. Goltzman holds a Medical Degree from a recognized institution and has accumulated over 15 years of experience as an Endocrinologist (Diabetes & Metabolism Focus), since 2009. He has completed extensive post-graduate training in endocrinology and is credentialed with the necessary certifications to practice in Quebec, specializing in hormone and metabolism care. His academic and clinical background ensures he remains at the forefront of advances in endocrinology, providing his patients with evidence-based and innovative treatment options.

His clinical philosophy is rooted in a commitment to delivering comprehensive, evidence-based hormonal and metabolic care. Dr. Goltzman emphasizes patient education, early and accurate diagnosis, and personalized management plans to optimize long-term health and quality of life. He is dedicated to serving the Montréal community with compassionate, accessible, and multidisciplinary endocrine services. Fluently speaking French, he ensures clear communication and understanding with his patients, fostering a trusting and collaborative care environment.

Dr. David Goltzman diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• Metabolic Syndrome (Syndrome X, Insulin Resistance Syndrome): A cluster of conditions (central obesity, high blood pressure, high blood sugar, abnormal cholesterol/triglyceride levels) occurring together, elevating the risk of heart disease, stroke, and type 2 diabetes.
• Hypoglycemia (Low Blood Sugar - various causes): Abnormally low blood glucose levels, which can occur as a side effect of diabetes treatment (insulin or certain oral medications), or due to other underlying conditions like insulinoma or adrenal insufficiency.

Thyroid & Parathyroid Gland Disorders

• Thyroid Cancer (Differentiated - Papillary, Follicular; Medullary - follow-up care): Malignant tumors of the thyroid gland. Endocrinologists are involved in post-operative management, hormone suppression, and long-term surveillance.
• Hyperthyroidism & Thyrotoxicosis (Overactive Thyroid - e.g., Graves' Disease, Toxic Adenoma, Toxic Multinodular Goiter): Condition where the thyroid gland produces excessive amounts of thyroid hormone, causing symptoms such as weight loss, rapid or irregular heartbeat, anxiety, tremors, and heat intolerance.

Pituitary, Adrenal & Gonadal Axis Disorders

• Adrenal Nodules (Incidentalomas) & Adrenal Tumors (e.g., Pheochromocytoma, Aldosteronoma): Masses found on the adrenal glands, often discovered incidentally. Evaluation is needed to determine if they are hormonally active or potentially malignant.
• Female Hypogonadism & Premature Ovarian Insufficiency (POI): Conditions involving low estrogen levels in women, leading to symptoms like amenorrhea, infertility, and menopausal symptoms, occurring before the typical age of menopause in POI.
• Pituitary Adenomas & Tumors (e.g., Prolactinoma, Non-Functioning Adenoma, GH-secreting/Acromegaly, ACTH-secreting/Cushing's Disease): Mostly benign growths in the pituitary gland that can cause symptoms due to hormone overproduction (e.g., prolactin, growth hormone, ACTH), hormone deficiency (hypopituitarism), or pressure effects on surrounding structures.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. David Goltzman.

• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Goltzman for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Centre universitaire de santé McGill-site Glen, Medicine is situated in the vibrant Notre-Dame-de-Grâce (NDG) Central neighborhood of Montréal, within the Hochelaga-Maisonneuve District. The facility is easily accessible via public transit, with the Société de transport de Montréal (STM) (Métro, Bus) providing convenient options for patients. The location is fully wheelchair accessible, ensuring barrier-free access for all visitors. Metered street parking and nearby parking lots are available for those arriving by car, making it easy to reach Dr. Goltzman's practice for comprehensive endocrine care.

Are consultations, hormone tests, and treatments with Dr. Goltzman, an Endocrinologist (Diabetes & Metabolism Focus), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Goltzman, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Goltzman's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Goltzman, an Endocrinologist (Diabetes & Metabolism Focus)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Goltzman. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

What is Hormone Replacement Therapy (HRT) and when might Dr. Goltzman recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Goltzman might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Goltzman will discuss thoroughly.

I have a thyroid nodule. What can I expect during an evaluation with an Endocrinologist like Dr. Goltzman?

When evaluating a thyroid nodule, an Endocrinologist like Dr. Goltzman will conduct a thorough assessment. This typically involves reviewing your medical history (including any symptoms of thyroid dysfunction or family history of thyroid disease), performing a physical examination of your neck and thyroid gland, and ordering blood tests to check your thyroid function (TSH, and possibly free T4, T3, and thyroid antibodies). A thyroid ultrasound is almost always performed to precisely characterize the nodule's size, number, and sonographic features (e.g., solid, cystic, calcifications, irregular margins). Based on these ultrasound characteristics and the nodule's size, Dr. Goltzman will determine if a fine-needle aspiration (FNA) biopsy is needed to obtain cells for microscopic examination to rule out thyroid cancer. Most thyroid nodules are benign.

What symptoms might lead my doctor to refer me to an Endocrinologist like Dr. Goltzman?

Your doctor might refer you to an Endocrinologist like Dr. Goltzman if you have symptoms or test results suggestive of a hormone imbalance or endocrine gland problem. This could include: unexplained significant weight gain or loss; persistent fatigue or lethargy; changes in mood or energy levels; excessive thirst or urination; new or worsening high blood sugar; symptoms of an overactive or underactive thyroid (e.g., palpitations, heat/cold intolerance, changes in hair/skin); bone density loss (osteoporosis); recurrent kidney stones; menstrual irregularities or fertility issues; unexplained high blood pressure; or physical changes like excessive hair growth, acromegaly features, or signs of Cushing's syndrome.

Centre universitaire de santé McGill-site Glen, Medicine
EM1.3220-1001 boul Décarie
Montréal, QC H4A 3J1

Phone: (514) 843-1632 | Fax: (514) 933-8784

The facility is wheelchair accessible.

Dr. Goltzman is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Goltzman for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=69093