Dr. Liuska Pesce

Pediatric Endocrinology
Iowa City, IA
25 years experience female

Locations

Pediatric Endocrinology and Diabetes, University of Iowa Children's Hospital

Iowa City, IA

Address

200 Hawkins Drive, Iowa City, IA
Directions

My office hours

Thursday: 1:00pm - 4:30pm
Show more

Fax

3193568170

Office

Iowa City, IA

About

Bio

Completed Medical school in Universidad Central de Venezuela, Luis Razetti school of Medicine, class of 1998. Postdoctoral research fellowship at Northwestern university, Chicago, IL, pediatric residency at University of Illinois in Chicago and fellowship in pediatric endocrinology at Children' Memorial Hospital, Northwestern University in Chicago. Currently at Iowa City, IA as clinical assistant professor in pediatric endocrinology, University of Iowa Children's Hospital.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pediatric Endocrinology

Languages spoken

Italian

Doctor Q&A

94 Answers
23 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Liuska Pesce
25 years experience
Not a bindin protein: Thyroglobulin is the protein inside the thyroid to wich tyrosine residues iodine binds to make thyroid hormones. The main binding protein that carries... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Liuska Pesce
25 years experience
Different causes: The most common is normal variation of puberty. There is usually a family history of late blooming in this case. Other causes of delayed puberty inclu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Liuska Pesce
25 years experience
Diet and exercise: On top of taking your thyroid hormone, the most important things to do are to eat healthy and exercise. Taking the thyroid hormone to keeo levels norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Liuska Pesce
25 years experience
More research needed: The best treatment for low thyroid function is to replace the thyroid hormone with levothyroxine to get the levels back to normal. New research sugges... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Liuska Pesce
25 years experience
Rarely: Long term, severe hypothyroidism can lead to a rare complication called mixedema coma. Extremely rare. Taking thyroid hormone and keepipng levels norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Liuska Pesce
25 years experience
Yes: Depression can be a symptom of depression, but usually hypothyroidism manifests with other symptoms at the same time. Depresion can also occur indepen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Liuska Pesce
25 years experience
Yes: Depending on the severity and type of thryoid problem. Please seek medical advice.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Liuska Pesce
25 years experience
The: The most important component in the treatment of type 1 diabetes is Insulin and close monitoring.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Liuska Pesce
25 years experience
Unlikely: Pregnancy unlikely with normal period, but could be an infection. See your gynecologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Liuska Pesce
25 years experience
Ask the prescriber: Best to check with the doctor who sent the prescription to clarify.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Liuska Pesce
25 years experience
Labs: You need to have TSH and free thyroxine or total thyroxine levels measured in your blood.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Liuska Pesce
25 years experience
No: Acne is a problem caused by increased sebum production, bacterial infection, inflammation or accumulation of dead cells at the follicle. Puberty incre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Liuska Pesce
25 years experience
Yes: I would not start juice this early, also recommend introducing orange and other acid fruits at last, after baby tolerates milder fruits.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Liuska Pesce
25 years experience
Possible: High calcium in the urine can increase urine output and also can cause burning sensation with urination but i recommend ruling out diabetes ( high blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Liuska Pesce
25 years experience
Testicular size: The first sign of true puberty in boys is growth of the testicles. Best to take your son for an exam. Puberty before the age of 9 years in boys is con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Liuska Pesce
25 years experience
Unclear: No evidence that these type of pills improve weight loss.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Liuska Pesce
25 years experience
Addison's?: If not intentionally tanning, consider having cortisol and acth levels done in the early morning. See your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Liuska Pesce
25 years experience
???: Lupron (leuprolide) decreases hormones of puberty, so it will make you feel like having menopause, but it usually needs several injections to complete... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Liuska Pesce
25 years experience
Not reported: Metformin has not been reported to interfere with the absorption of thyroid hormones. One report suggested it could lower TSH levels in some patients ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Liuska Pesce
25 years experience
Size?: It is correct that in younger people thyroid nodules are benign, however, us is not very good at ruling out malignancy. Close follow up of the nodule ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Liuska Pesce
25 years experience
See your doctor: Do you mean you are still having periods or do you mean you bleed every day? Best to see your gynecologist and have an evaluation to make sure there i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Liuska Pesce
25 years experience
Likely not: Treatment of an overactive thyroid aims to make your thyroid hormone levels normal. Thsi will also normalize your metabolism (it will slow down, as co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Liuska Pesce
25 years experience
Could be dangerous: An overactive thyroid needs to be evaluated and treated. Excessive amount of thyroid hormone levels can lead to severe complications, including rapid ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Liuska Pesce
25 years experience
Unlikely: Most people with underactive thyroid don;t have circulation problems. Very severe hypothyroidism can cause low blood pressure. Hypothyrodism can make ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Liuska Pesce
25 years experience
Exercise and diet: The most effective and lon-lasting way of reducing body fat is diet and exercise.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Liuska Pesce
25 years experience
A cream with SPF: Protecting you skin from sunlight will decrease aging.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Liuska Pesce
25 years experience
L- thyroxine?: If the dose of thyroid hormone replacement is adequate, it usually takes 4-6 weeks in adults for medication to achieve steady levels. Sometimes smalle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Liuska Pesce
25 years experience
Birth controlm pills: Oral contraceptives, if there are no contraindications, are helpful at improving acne.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Liuska Pesce
25 years experience
Depends: Being a late bloomer when you are an adult, should not impact your current health, unless while going trough puberty you did not develop enough bone d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Liuska Pesce
25 years experience
Ignore: Do follow your pediatric endocrinologist recommendations with good compliance.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Liuska Pesce
25 years experience
Yes: Adderall (dextroamphetamine and racemic amphetamine) can affect children's growth, usually by affecting weight gain, with growth deceleration followin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Liuska Pesce
25 years experience
Probably not: If TSH was 3.2 before your started taking thyroxine, with a normal t4, most likely you will not feel bad if you stop treatment. Talk to your doctor a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Liuska Pesce
25 years experience
Possibly: The brain development of the baby in the first trimester is highly dependent on maternal thyroid hormones. Babies of hypothyroid mothers may have lowe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Liuska Pesce
25 years experience
Research is ongoing: Genes in the body can make a person more susceptibe to getting these type of conditions. It is thought that predisposed people then get primed after a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Liuska Pesce
25 years experience
Rare: Thyroid tissue outside the neck is rare, but if supected needs to be evaluated. Agree with your doctor. This is usually called thyroid struma and alth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Liuska Pesce
25 years experience
Needs assessment: Most vaginal discharge is clear or white. Hard to answer question without examining discharge, best to see primary doctor for assessment.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Liuska Pesce
25 years experience
Complex answer: Some potential genes and proteins are being studied, but there is no single answer on what triggers puberty. Puberty is different in boys and girls. F... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Liuska Pesce
25 years experience
Thyroid levels?: An enlarged thyroid on exam is subjective. The us is better at asessing thyroid size and volume and to rule out other problems which sometimes can be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Liuska Pesce
25 years experience
Contamination?: I think your doctor may be worried about breast milk getting contaminated with silicone. I am not an expert on this matter but would discuss with your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Liuska Pesce
25 years experience
Bone age?: I would ask your endocrinologist. Consider a bone age, discussing diagnosis prior to gh treatment and making sure growth factor levels are in therapeu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Liuska Pesce
25 years experience
Over-active thryoid: Hyper means overactive. Hypo means underactive. Whe we, doctors say hyperthyroidism, we mean the thyroid galnd is putting out too much thyroid hormone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Liuska Pesce
25 years experience
Most likely no: Soy does not affect the function of the thyroid gland based on current knowledge and research studies. However, it can affect the absorption of thyroi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Liuska Pesce
25 years experience
Exam and US?: Have you had a genital exam, pelvic us and laboratory evaluation before the treatment started? Vaginal bleeding/ spotting can be caused by different p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Liuska Pesce
25 years experience
Insulin: Type 1 diabetic patients need Insulin in order to be able to utilize glucose and stay healthy, they also need to learn how to count carbohydrates, che... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Liuska Pesce
25 years experience
Depends : If you have severe hypothyroidism it could explain the weight gain. Mild elevations in TSH level with normal free T4 are unlikely to be the cause of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Liuska Pesce
25 years experience
Not if treated: If you receive the adequate hormonal replacement you should be able to have a normal quality of life.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Liuska Pesce
25 years experience
See a doctor: It is unusual for people to be able to tell they hit their thyroid. Several vital structures are close to the thyroid gland. If you feel better and ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Liuska Pesce
25 years experience
Normal TSH?: If the TSH is normal and you have a primary thyroid problem, there is no reason to increase thyroid hormone replacement. Excessive thyroid hormone can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Liuska Pesce
25 years experience
Degree of puberty: Usually men stop growing one to two years after growth spurt, when thety are late in puberty. Slow growth or lack of growth in a male who has full adu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Liuska Pesce
25 years experience
Pain is unusual: Although smaller testicles could be consistent with hypogonadism, other etiologies need to be excluded. If having testicular pain seek medical evaluat... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
212
Thank you notes
Apr 7, 2013
Great responses!
HealthTap member
Mar 30, 2015
Dr. Pesce is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pesce is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you doctor I really needed to know what was thyroglobulin but now I know I'll try to ask more questions thanks again I liked the answe
HealthTap member
Thanks. I will keep trying. The treating psych is unwilling to give a referral to an endocrinologist or to test so waiting until voluntary
HealthTap member
Thanks for your quick reply! I am just wondering if there are any diet pills I can take as well as the thyroid medication.

Education & Training

Medical/Graduate school

Luis razetti univ central de venezuela, ciudad univ
Graduated 1998MD

Awards

Top Doctor, First Place, Iowa City, IA - Winter
2013
Most Influential, First Place, Iowa City, IA - Winter
2013
Thought Leader, First Place, Iowa City, IA - Winter
2013
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