Integrative Endocrinology

Dr. Barkoff’s unique philosophy of thyroid balance combines elements of traditional Endocrinology with a whole-body integrative approach.  She doesn’t just treat the disease, but also focuses on why the patient is affected by the disease.

I am passionate about helping my patients not only manage their thyroid disease but also improve their quality of life. As a board-certified Endocrinologist and autoimmune thyroid patient myself, I understand it’s important to consider both evidence-based medicine and factors like reproductive goals, the immune system, and nutrition to optimize thyroid health.

I recognize how challenging it can be to find an expert where you live. If you are outside the Chicago area but looking for answers, I am happy to conduct a phone consultation. I can review your history and recommend next steps. I want to help you on your journey back to health. Hope and healing are possible.

Dr. Marla S. Barkoff


Dr. Barkoff is a board-certified Endocrinologist, trained at the University of Chicago, who specializes in all aspects of thyroid health. With over 10 years of experience caring for people with thyroid disease, she believes that achieving thyroid balance requires an individualized and comprehensive approach.


When treating hyperthyroidism and hypothyroidism, it’s important to know if the cause is autoimmune. For Dr. Barkoff, this broadens the treatment approach and may involve reducing other inflammation alongside targeted thyroid treatment. She educates all of her patients on their options and creates a comprehensive plan to both treat the disease and improve quality of life.


Dr. Barkoff believes it’s key to understand a woman’s reproductive plans when designing the best course of treatment. She encourages patients with thyroid disease to see her prior to pregnancy for preconception counseling as thyroid balance impacts pregnancy outcomes. She works side-by-side with the patient and her OB during the pregnancy to regulate the thyroid.


The incidence of thyroid cancer is on the rise, especially in women. Dr. Barkoff has over a decade of experience identifying and treating thyroid cancer. She performs her own ultrasound or minimally invasive biopsy in her office if needed. She educates all of her patients on various treatment approaches should they receive a diagnosis of a suspicious nodule or cancer.


Dr. Barkoff began to see a pattern in patients who continued to feel unwell even after thyroid treatment. Mast cells, an important part of the body's immune defense, can become overactive or overproduced, causing generalized symptoms of hives, nasal congestion, abdominal pain, and anxiety, but also unique symptoms that Dr. Barkoff has identified amongst her patient base.