Think fertility ends in your 40s? Not so fast. Even as hormone levels fluctuate and cycles become irregular, many women in perimenopause are surprised to learn that pregnancy is still possible — and sometimes more common than you might think.

In this episode, we explore what really happens to your fertility during perimenopause, why your ovaries can still release eggs, and how conditions like thyroid disease and autoimmune disorders can affect conception.

💡 We discuss:

• How perimenopause differs from menopause

• Why ovulation still happens (even with unpredictable cycles)

• How egg quantity and quality change with age

• The impact of thyroid and autoimmune conditions on fertility

• What tests and steps to take if you’re trying — or trying to avoid — pregnancy

• Why reliable contraception is still important until menopause is confirmed
  

🎧Tune in and uncover – whether you’re hoping to conceive or preventing pregnancy – how your body changes in perimenopause can help you make informed decisions.

LEARN MORE

You can learn more about the topic at the Paloma blog:

Can You Get Pregnant During Perimenopause?

https://www.palomahealth.com/learn/pregnant-during-perimenopause 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

🎙️ Follow Paloma Health for empowering conversations about thyroid health, hormonal balance, fertility, and perimenopause — all backed by science and patient experience.

For decades, doctors have told patients with hypothyroidism to take their thyroid medication first thing in the morning — on an empty stomach — and wait up to an hour before eating or drinking coffee. ☕ But is that the only way to make your thyroid meds work?

In this episode, we break down the science behind thyroid medication absorption — and reveal what recent research says about timing flexibility. You’ll learn why food, coffee, calcium, and iron can interfere with your medication, and how alternative dosing schedules may make life easier without sacrificing effectiveness.

💊 We cover:

• Why the “empty stomach” rule became standard advice

• How much absorption actually changes with food or coffee

• What studies show about taking thyroid medication with breakfast

• The growing evidence supporting bedtime dosing

• How to space supplements like iron and calcium for best results

• Why consistency is the most important factor of all
  

🎧If you’re tired of the morning medication routine, tune in to find out if this episode could change how you take your thyroid pills for good.

LEARN MORE

You can learn more about the topic at the Paloma blog: 

Morning Thyroid Medication: Fasting or With Breakfast?

https://www.palomahealth.com/learn/morning-thyroid-medication-fasting-breakfast 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

🎙️ Follow Paloma Health for more expert-backed insights on thyroid and hormonal health, medication management, and lifestyle tips to help you feel your best.

Your thyroid might be quietly steering more than just your metabolism—it could be influencing your cholesterol levels, heart health, and even stroke risk. In this episode, we break down the hidden ways hypothyroidism and Hashimoto’s can affect your cardiovascular system.

From subtle shifts in LDL and HDL cholesterol to the real impact of untreated thyroid disease on heart disease and stroke risk, we explore what the numbers might be telling you. And if you’ve ever wondered whether thyroid medication can actually protect your heart, we’ve got the answers.

Whether you’re navigating high cholesterol, concerned about heart health, or just curious about the thyroid-heart connection, this conversation gives you the clarity—and action steps—you need.

🎧Tune in and uncover how supporting your thyroid could be a game-changer for your heart.

LEARN MORE

You can learn more about the topic at the Paloma blog:

Hypothyroidism and high cholesterol

https://www.palomahealth.com/learn/hypothyroidism-high-cholesterol 

Does Thyroid Medication Lower Your Risk For Heart Disease?

https://www.palomahealth.com/learn/thyroid-medication-lower-risk-heart-disease 

Hypothyroidism and Stroke: The Connection

https://www.palomahealth.com/learn/hypothyroidism-stroke-connection 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

What if your period is trying to tell you something deeper? In this episode, we dive into the underappreciated dialogue between hypothyroidism, Hashimoto’s disease, and menstruation—and uncover what your cycle might be signaling.

From heavy or unpredictable bleedings to the months when your period vanishes altogether, thyroid dysfunction can cast a long shadow across your reproductive health. We explore how:

• Low thyroid levels can lead to irregular or heavy periods, or even amenorrhea (the absence of menstruation)

• Hashimoto’s flare-ups may spike around certain phases of your menstrual cycle, intensifying fatigue, mood shifts, and symptom burden 

• The immune system, hormones, and inflammation conspire to shift your cycle in ways you might not expect

• Premature ovarian insufficiency and perimenopause signals may intersect with Hashimoto’s, influencing fertility and hormonal balance

• There is hope and strategy: how targeted thyroid care, cycle tracking, and lifestyle interventions can help steady the tides
  

If your menstrual rhythm feels off—or if thyroid treatment hasn’t given you the harmony you expected—this is the conversation you don’t want to miss.

🎧 Tune in and let your menstrual cycle become a guide, not a mystery.

LEARN MORE

You can learn more about the topic at the Paloma blog: 

Hypothyroidism and your Period

https://www.palomahealth.com/learn/hypothyroidism-period 

Autoimmune Hashimoto’s Flare-Ups and Your Menstrual Cycle

https://www.palomahealth.com/learn/autoimmune-hashimotos-flare-ups-menstrual-cycle 

Amenorrhea and Thyroid Dysfunction

https://www.palomahealth.com/learn/amenorrhea-thyroid-dysfunction 

Signs That Perimenopause Is Ending

https://www.palomahealth.com/learn/signs-perimenopause-ending 

Premature Ovarian Insufficiency and Hashimoto’s Thyroiditis

https://www.palomahealth.com/learn/premature-ovarian-insufficiency-hashimotos 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

What if your unexplained fatigue, weight changes, or mood swings weren’t just “part of getting older” or “stress”? 

There’s a hidden epidemic quietly affecting millions: Hashimoto’s, an autoimmune disease that attacks the thyroid, often without obvious warning signs! 

In this episode, we break down why it’s so often missed, how it can affect your energy, metabolism, and even your heart over time, and what steps you can take to uncover it before it causes long-term damage. 

Whether you’ve been struggling with mysterious symptoms or just want to understand your thyroid better, this conversation will give you a fresh perspective on a condition that’s more common than most people realize.

🎧 Listen now!

LEARN MORE

You can learn more about the topic at the Paloma blog:

The Silent Epidemic of Hashimoto’s Thyroiditis

https://www.palomahealth.com/learn/silent-epidemic-hashimotos 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

Ever wonder why your thyroid symptoms don’t always match your lab results? Or why fatigue, brain fog, or strange flare-ups seem to come out of nowhere? There might be a hidden trigger at play: your own immune system!

In this episode, we dive into a condition called Mast Cell Activation Syndrome (MCAS) — where the body’s “first responder” cells overreact, causing inflammation and symptom chaos. 

We’ll explore what this means for thyroid health, what signs to watch for, and why some people feel like they’re fighting an uphill battle no matter what their labs say. 

If you’ve been searching for answers, this episode could open your eyes to a connection most people have never heard of.

🎧Learn more about MCAS now!

LEARN MORE

You can learn more about the topic at the Paloma blog: 

What Does Mast Cell Activation Syndrome Have to Do with Your Thyroid?

https://www.palomahealth.com/learn/mast-cell-activation-syndrome-thyroid   

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

Fluoride is in our water, toothpaste, and even tea—but could it be affecting your thyroid? 

In this episode, we explore the emerging science behind fluoride’s potential impact on thyroid health, especially for those with iodine deficiencies. 

Could everyday exposure be influencing hormone balance, energy levels, and metabolism? 

We dive into recent studies, discuss practical steps to minimize exposure, and examine the ongoing debate over water fluoridation policies. 

🎧 Tune in now to uncover what you need to know to protect your thyroid—and your health.

LEARN MORE

You can learn more about the topic at the Paloma blog: 

Impact Of Fluoridated Water On Thyroid Health

https://www.palomahealth.com/learn/impact-fluoride-thyroid-health 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

What if the key to understanding Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) in children lies not in vaccines or Tylenol, but in a mother's thyroid health? 

In this eye-opening episode, we delve into the often-overlooked connection between maternal hypothyroidism and neurodevelopmental disorders. 

Discover how untreated thyroid issues during pregnancy can increase the risk of autism by up to 60% and ADHD by 30%. 

Learn why early screening and treatment are crucial, and how simple at-home tests and virtual care are making it easier than ever for expecting parents to take control. 

🎧 Tune in to uncover the science, the risks, and the steps you can take to ensure a healthier future for your child.

LEARN MORE

You can learn more about the topic at the Paloma blog: 

Move Over Tylenol and Vaccines: Mom’s Thyroid May Be the Real Culprit!

https://www.palomahealth.com/learn/tylenol-vaccines-maternal-hypothyroidism-adhd-autism 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

You take your daily multivitamin to support your health—but what if it’s actually sabotaging your thyroid? For those with Hashimoto’s or hypothyroidism, certain common ingredients like iodine, iron, calcium, and soy can interfere with thyroid function and medication absorption, potentially worsening symptoms.

In this episode, we delve into:

LEARN MORE

You can learn more about the topic from Paloma: 

Is Your Multivitamin Making Your Hashimoto’s or Hypothyroidism Worse?

https://www.palomahealth.com/learn/multivitamin-making-hashimotos-hypothyroidism-worse 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit

Have you ever felt like your body is working against you—no matter how much you diet or exercise? You’re not imagining it. In this episode, we uncover what really happens when your thyroid slows down—and why shedding pounds becomes an uphill battle.

We’ll dig into the science behind:

• How hypothyroidism drags down your metabolism—even when you’re on treatment 

• Why insulin resistance and leptin resistance throw off your hunger cues and fat storage systems

• What role do things like appetite spikes, water retention, fatigue and joint pain play in stalling weight loss efforts 

And most importantly: we’ll map out a realistic path forward. Think beyond calories. We’ll talk about:

• What “optimal thyroid treatment” really means—and how getting your hormone levels dialed in can make a big difference 

• How nutrition, sleep, stress, and movement all become part of the equation

• When supplements or medications like GLP-1s may be helpful—and what to watch out for

🎧 If you’re tired of feeling like weight loss is impossible, tune in to this episode! It’s your launch pad to understanding why, and discovering how to finally get unstuck!

LEARN MORE

You can learn more about the topic from Paloma: 

Why Is It So Hard to Lose Weight When You’re Hypothyroid?

https://www.palomahealth.com/learn/hard-to-lose-weight-hypothyroidism 

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. 

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. 

Become a Paloma Member:

https://www.palomahealth.com/pricing-hypothyroidism 

Paloma Complete Thyroid Blood Test Kit:

https://www.palomahealth.com/home-thyroid-blood-test-kit