Acid reflux and heartburn are usually blamed on food choices, stress, or digestive issues—but what if your thyroid is playing a role? 

In this episode, we explore the surprising connection between hypothyroidism and acid reflux, and why an underactive thyroid can affect everything from stomach emptying to the muscles that keep stomach acid where it belongs.

You'll learn how low thyroid hormone levels may contribute to heartburn, indigestion, difficulty swallowing, and other digestive symptoms that are often overlooked or treated separately from thyroid disease. We also discuss the link between Hashimoto's thyroiditis, gut health, and reflux symptoms, along with the research behind this often-missed connection.

Whether you're struggling with persistent reflux despite medication or wondering why digestive symptoms continue even after a thyroid diagnosis, this episode offers practical insights and solutions. 

🎧 Tune in to learn about thyroid optimization, lifestyle strategies, medication considerations, and the steps you can take to address the root causes of reflux instead of simply masking the symptoms.

LEARN MORE
Can Hypothyroidism Cause Acid Reflux?

https://www.palomahealth.com/learn/hypothyroidism-acid-reflux 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

Can hypothyroidism actually be prevented, or is it simply a matter of genetics and bad luck? 

In this episode, Paloma dives into one of the most common questions people ask about thyroid health and separate myth from reality. 

You'll learn why there isn't a guaranteed way to prevent every case of hypothyroidism, but also why your lifestyle, nutrition, environmental exposures, and early detection efforts may play a bigger role than you think.

We explore the different causes of hypothyroidism—from autoimmune Hashimoto's disease to iodine imbalances, certain medications, and thyroid damage—and discuss which risk factors you can influence and which are beyond your control.

You'll discover the warning signs that often appear long before a diagnosis, as well as the practical steps that may help support healthy thyroid function and reduce your risk of developing thyroid-related problems.

Whether you have a family history of thyroid disease, are concerned about your own thyroid health, or simply want to take a proactive approach to wellness, this episode offers evidence-based guidance you can put into action today. 

🎧 Tune in to learn what prevention really means when it comes to hypothyroidism, the habits that matter most, and how early awareness could make all the difference for your long-term health.

LEARN MORE
Can Hypothyroidism Be Prevented?

https://www.palomahealth.com/learn/can-hypothyroidism-be-prevented 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

What if the symptoms you blame on your thyroid—fatigue, weight gain, brain fog, anxiety, poor sleep, and even hormone imbalances—are being amplified by something hiding in plain sight?

In this episode, we explore the powerful and often overlooked relationship between stress and thyroid health, and why managing stress may be one of the most important steps you can take to feel better.

|You'll learn how chronic stress affects the nervous system, immune function, hormones, and thyroid health, and why even everyday stressors—poor sleep, financial worries, relationship challenges, infections, injuries, and overwork—can worsen hypothyroid and Hashimoto's symptoms.

We also discuss the surprising ways stress can contribute to fatigue, weight struggles, mood changes, inflammation, and autoimmune flare-ups, often creating a cycle that leaves many thyroid patients feeling stuck.

Most importantly, you'll discover practical, research-backed strategies to break that cycle. From mindfulness and breathwork to gentle movement and creative activities that calm the nervous system, this episode shares simple tools that can help reduce stress, support thyroid function, and improve overall well-being. 

🎧 If you've ever been told "it's just stress," tune in and discover why stress matters—and what you can do about it.

LEARN MORE

Thyroid Health: What's Stress Got to Do With It?

https://www.palomahealth.com/learn/thyroid-health-stress 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

Living with hypothyroidism can be expensive in ways you never expect. Beyond the cost of doctor visits, lab tests, and medication, untreated or undertreated thyroid dysfunction can quietly impact your career, relationships, productivity, mental health, and overall quality of life.

In this episode, we uncover the hidden financial, physical, and emotional costs that often go unrecognized by both patients and healthcare providers.

You'll learn how common hypothyroidism symptoms—including fatigue, brain fog, weight challenges, depression, and reduced work performance—can create a ripple effect throughout every aspect of life. We explore why so many people continue to struggle despite treatment and discuss the long-term consequences of settling for "normal" lab results when you still don't feel your best.

Whether you've recently been diagnosed or have been managing hypothyroidism for years, this conversation offers valuable insights into the true cost of thyroid disease—and what you can do to reclaim your health, energy, and vitality – AND bank account! 

🎧 Tune in to discover why investing in proper thyroid care may be one of the most important investments you can make in your future.

LEARN MORE

The Hidden Cost of Hypothyroidism

https://www.palomahealth.com/learn/hidden-cost-of-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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

Your nails may be telling you more about your health than you realize!!

Those tiny ridges, grooves, and changes in texture that many people dismiss as cosmetic issues can sometimes offer important clues about what's happening inside your body.

In this episode, we explore the surprising connection between nail health and thyroid function, and why changes in your nails may deserve a closer look.

You'll learn the difference between common vertical nail ridges that often appear with age and horizontal ridges, known as Beau's lines, which can sometimes signal underlying health concerns. We break down how thyroid hormones influence the growth of your skin, hair, and nails, and why an underactive thyroid can lead to brittle nails, slower nail growth, splitting, and visible ridges.

Whether you've noticed changes in your nails or are simply curious about the hidden signs of thyroid dysfunction, this episode offers practical insights and actionable tips. 

🎧 Tune in to learn when nail changes are normal, when they may warrant medical attention, and how optimizing thyroid health, nutrition, and overall wellness can help support stronger, healthier nails. 

LEARN MORE
Are Ridges in Nails a Sign of Hypothyroidism?

https://www.palomahealth.com/learn/nails-ridges-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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

What if the exhaustion, brain fog, weight gain, constipation, and low mood you’ve been blaming on “getting older” aren’t aging at all?

In this eye-opening episode, we unpack the surprising ways thyroid problems—especially hypothyroidism—can quietly disguise themselves as everyday signs of aging. From feeling cold all the time to struggling with memory lapses, discover why so many people overlook the subtle symptoms of an underactive thyroid and what your body may really be trying to tell you.

You’ll learn about the seven most common “normal aging” symptoms that may actually point to thyroid dysfunction, why these issues are so often missed in older adults, and the key warning signs that deserve a closer look. We also explore the powerful connection between thyroid health, metabolism, mood, cognition, digestion, and energy—and why getting the right thyroid testing can be life-changing.

If you’ve ever wondered whether your fatigue, slower thinking, unexplained weight changes, or lack of motivation are truly inevitable, this episode could change the way you think about aging and your health. 

🎧 Tune in for a practical, empowering conversation that helps you recognize when “just getting older” may actually be a treatable thyroid issue hiding in plain sight.

LEARN MORE

7 “Normal” Symptoms of Aging That Could Actually Be Thyroid Problems

https://www.palomahealth.com/learn/7-normal-symptoms-of-aging-that-could-be-thyroid-problems 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

What if one of the most widely diagnosed hormonal conditions in women—PCOS—has been understood too narrowly for too long?

In this episode of Paloma’s podcast, we explore the emerging concept of polyendocrine metabolic ovarian syndrome (PMOS), the name for polycystic ovary syndrome (PCOS) thatt expands it into a broader, whole-body metabolic and endocrine condition.

The goal: better capture the full scope of symptoms and risks that often extend well beyond the ovaries.

We break down how PMOS relates to PCOS, and why some researchers and clinicians are calling for a shift in language and diagnostic thinking. While PCOS has traditionally been defined by irregular cycles, androgen excess, and ovarian cysts, this newer framework highlights the interconnected roles of insulin resistance, inflammation, metabolic dysfunction, and long-term cardiometabolic health. It’s a reframe that could change how earlier signs are recognized and how treatment plans are built.

Finally, we look at what this evolving understanding means for patients living with PCOS today. From persistent symptoms that don’t always fit the textbook definition to the frustration of fragmented care, many people are already experiencing the “metabolic” and “endocrine” dimensions that PMOS tries to name more explicitly. 

🎧 Whether you’re newly diagnosed or have been managing PCOS for years, this conversation connects the dots—and offers a more integrated way to think about hormonal health going forward.

LEARN MORE

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

PCOS Has a New Name — PMOS – and a Better Future

https://www.palomahealth.com/learn/polyendocrine-metabolic-ovarian-syndrome-pmos-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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

Women’s sexual health is finally getting the attention it deserves—and one of the hottest topics right now is prescription “arousal cream,” often nicknamed “Scream Cream.”

But do these creams actually work, or is social media hype outrunning the science? In this episode of Paloma's podcast, we break down what arousal creams are, how they’re designed to increase blood flow and sensitivity, and why they may help some women while doing very little for others.

You’ll learn the critical difference between libido (mental desire) and arousal (the body’s physical response), and why so many women in perimenopause, menopause, or with hypothyroidism experience changes in sensation, lubrication, orgasm, and sexual satisfaction. We explore the ingredients commonly found in compounded creams—including sildenafil, testosterone, and L-arginine—plus what current research says about their effectiveness, safety, and limitations.

We also unpack the real-world experiences women are sharing online: for some, arousal creams feel life-changing; for others, they’re disappointing or ineffective because the root cause wasn’t addressed first. 

🎧 Takes a nuanced, science-backed look at why hormones, thyroid function, vaginal health, stress, medications, and relationships all play a role in sexual wellness—and why true sexual health requires a whole-body approach.

LEARN MORE

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

Would You Benefit from Arousal Cream?

https://www.palomahealth.com/learn/arousal-cream-women-scream-cream 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

If you’re taking levothyroxine for hypothyroidism but still struggling with fatigue, brain fog, weight changes, or unstable thyroid labs, this episode could change the way you think about thyroid treatment. We’re diving into one of the biggest medication debates in thyroid care today: liquid levothyroxine versus traditional tablets.

Why do some patients feel dramatically better after switching formulations, even when their dosage stays the same?

In this episode, we break down how levothyroxine is absorbed, why coffee, supplements, gut issues, and acid reflux medications may interfere with thyroid medication effectiveness, and why liquid formulations like Tirosint-SOL and Thyquidity are gaining attention among thyroid experts. We’ll also explore who may benefit most from liquid levothyroxine, including people with Hashimoto’s, digestive disorders, fluctuating TSH levels, or persistent symptoms despite “normal” labs.

You’ll also learn the real-world pros and cons of both options — including convenience, dosing precision, side effects, insurance coverage, and cost — so you can have a more informed conversation with your healthcare provider. 

🎧 Whether you’re newly diagnosed or have been on thyroid medication for years, this episode offers practical insights that could help you optimize your treatment and finally feel more like yourself again.

LEARN MORE

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

Pros and Cons of Liquid Levothyroxine for Hypothyroidismhttps://www.palomahealth.com/learn/liquid-levothyroxine-versus-tablets-hypothyroidism-treatment 

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/

Low testosterone isn’t just a “male aging” issue — and your thyroid may be playing a much bigger role than you realize. In this episode of Your Thyroid Health, we explore the surprising connection between hypothyroidism and testosterone levels in both men and women.

Learn how low thyroid hormone can disrupt key hormones like testosterone, LH, FSH, and SHBG, leading to symptoms like fatigue, weight gain, low libido, depression, brain fog, muscle loss, and sexual dysfunction. We also break down why many symptoms of low testosterone overlap with hypothyroidism — and why so many people are misdiagnosed or overlooked.

You’ll discover:

• How hypothyroidism affects testosterone production

• Why thyroid dysfunction can disrupt hormone balance

• The warning signs of low testosterone

• Whether treating hypothyroidism can restore testosterone naturally

• When testosterone replacement therapy may — or may not — help

🎧 Listen now! If you’ve been struggling with unexplained fatigue, stubborn weight gain, low motivation, or changes in sexual health, this episode could connect the dots between your thyroid and hormones in a way you’ve never considered before.

LEARN MORE

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

Does Hypothyroidism Reduce Testosterone Levels?

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

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

JustLabs - Direct to Consumer Lab Testing

https://justlabs.health/