When you have hypothyroidism symptoms but your levels are "normal," what could be going on? In this episode, learn more about cellular hypothyroidism -- also known as tissue hypothyroidism -- and whether it's tthe possible cause of thyroid symptoms despite normal thyroid lab values.

What you will learn: 

• What is cellular hypothyroidism?

• What causes cellular hypothyroidism?

• How to test for cellular hypothyroidism

• Treatment options for cellular hypothyroidism

Check out our blog and read the full article here: 

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

About Paloma Health:

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

Tariffs are making headlines — and they could soon be hitting closer to home than you think. (We're talking about your medications!)

In 2025, proposed tariffs from the Trump administration could drive up the cost and shrink the supply of some of the most commonly used prescription drugs — especially thyroid meds like levothyroxine, liothyronine, and natural desiccated thyroid, hormone replacement therapy for perimenopause and menopause, and even GLP-1 drugs like semaglutide and tirzepatide — and yes, that includes Wegovy and Zepbound and compounded GLPs.

What’s going on? It all comes down to potential tariffs on imported pharmaceuticals and their ingredients — most of which come from China and India. And generic drugs? They’re especially at risk, since they depend heavily on international manufacturing and already run on razor-thin margins.

The goal is to boost U.S. drug production, but here’s the catch: that shift won’t happen overnight. Experts say we could see higher prices and even more shortages before things get better.

So… if you rely on thyroid medications, HRT, or GLP-1s, what does this mean for you? And more importantly — what can you do about it?

Paloma Health has got you covered! In today’s episode, we break it all down — what’s happening, what’s at stake, and how to stay one step ahead.

Need More Information? 

Check out the Paloma blog and read a full detailed article about the impact of tariffs here, at:

Tariffs and Your Medications: What You Need to Know

https://www.palomahealth.com/learn/tariffs-medications-thyroid-hrt-glp-1 

Video: You can also watch a 5-minute video from Paloma that provides an overview of the issue of how tariffs may affect the Paloma patient community. 

Paloma Video on Tariffs, YouTube: https://youtu.be/DPzZj5OwkBg

About Paloma Health

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

“Chemically speaking, chocolate really is the world's perfect food,” said nutritionist Michael Levine—and for chocolate lovers with hypothyroidism, that’s great news. In this episode, we’re diving into the surprising health benefits of dark chocolate, with a special focus on how it can support thyroid function. You’ll learn how this delicious superfood fits into a thyroid-friendly diet and get practical tips for enjoying it without guilt. If you’ve been looking for a reason to indulge, this one’s for you!

In this episode: 

• A brief look at the history of chocolate

• Difference between milk chocolate and dark chocolate

• Nutrients in dark chocolate

• Health benefits of dark chocolate

• Effects of chocolate on thyroid function

• Which type of dark chocolate is the healthiest?

• How to incorporate dark chocolate into a healthy diet

About Paloma Health:

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

In this episode, we’re doing a deep dive into a topic that doesn’t get nearly enough attention: the connection between your thyroid and your sex life. Specifically, we’re talking about how hypothyroidism and other thyroid imbalances can affect sexual health in both women and men. From low libido to erectile dysfunction, these issues are more common than you think — and they’re often tied to hormonal disruptions, fatigue, and other thyroid-related symptoms.

We’ll also explore the role of estrogen dominance, especially during perimenopause and menopause, and the safety of using hormone replacement therapy alongside thyroid medication. Plus, we’re sharing expert insights and practical strategies from Paloma Health, including natural ways to support sexual health — from supplements like maca, to dietary changes, to tips for better communication with your partner. Whether you're navigating mid-life hormonal changes, or you're just looking for answers, this episode is packed with information you won't want to miss.

Learn more about the topic from these in-depth resources from Paloma Health:

• Does Hypothyroidism Reduce Testosterone Levels?

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

• Estrogen Dominance and Hashimoto's Disease

  https://www.palomahealth.com/learn/estrogen-dominance-hashimotos 

• How To Maintain a Healthy Sex Life With Hypothyroidism

  https://www.palomahealth.com/learn/healthy-sex-life-hypothyroidism 

• How To Naturally Increase Your Libido With Hypothyroidism

  https://www.palomahealth.com/learn/naturally-increase-libido-hypothyroidism 

• Hypothyroidism and Erectile Dysfunction

  https://www.palomahealth.com/learn/hypothyroidism-erectile-dysfunction 

• Is it Safe to Take HRT and Thyroid Medication Together? 

  https://www.palomahealth.com/learn/hrt-thyroid-medication 

• Paloma Health Speaker Series: How To Revive Your Libido With Hypothyroidism

  https://www.palomahealth.com/videos/low-libido-hypothyroidism 

About Paloma Health:

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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 

While it's not as well-known as the GLP-1 drugs for weight loss, there's a medication option we want to discuss in this episode. Specifically, we're taking a deep dive into the topic of low-dose naltrexone -- known as LDN -- for weight management and autoimmune conditions, especially Hashimoto's thyroiditis, the leading cause of hypothyroidism in the United States. We'll look at how this medication works, the potential benefits for thyroid patients, such as reducing inflammation and antibodies, dosages, side effects, and patient experiences. 

You’ll also hear expert insights from Paloma Health on the history and practical use of LDN for thyroid and autoimmune disease and weight loss. We'll also explore remission in Hashimoto's and hypothyroidism, outlining various strategies to get there, including medication optimization, dietary changes like the gluten-free or AIP diets, supplements, and the use of LDN. 

So, don’t miss a chance to dive into this important topic with expert insights and practical advice from Paloma Health!

Learn more with these in-depth resources from Paloma Health:

• Could Contrave Help Hypothyroid Patients Lose Weight?

  https://www.palomahealth.com/learn/contrave-hypothyroid-lose-weight 

• Guidelines on Taking Low Dose Naltrexone for Hashimoto's

  https://www.palomahealth.com/learn/important-guidelines-taking-low-dose-naltrexone-ldn-hashimotos 

• Hashimoto's Disease and TPO Antibodies

  https://www.palomahealth.com/learn/hashimotos-disease-tpo-antibodies 

• LDN: Treatment for Hypothyroidism and Hashimoto's

  https://www.palomahealth.com/guides/ldn-treatment 

• Low Dose Naltrexone (LDN), Hashimoto’s, and Hypothyroidism

  https://www.palomahealth.com/learn/low-dose-naltrexone-hashimotos-hypothyroidism 

• Low Dose Naltrexone for Hypothyroidism Weight Loss

  https://www.palomahealth.com/learn/low-dose-naltrexone-hypothyroidism-weight-loss 

• Low-Dose Naltrexone for Hashimoto's

  https://www.palomahealth.com/learn/naltrexone-hashimotos 

• Remission in Hashimoto’s Disease and Hypothyroidism

  https://www.palomahealth.com/learn/remission-hashimotos-disease-hypothyroidism 

• Speaker Series: Low Dose Naltrexone (LDN) for Hashimoto's and Hypothyroidism

  https://www.youtube.com/watch?v=VBysQrZ3bKc 

About Paloma Health:

⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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 

Why does your face look puffy today? You're not alone in wondering—and it might be more than just a bad night's sleep. A swollen or puffy face isn’t just a cosmetic thing—it can actually be your body trying to tell you something. From what you eat and how you sleep, to deeper issues like inflammation, hormones, or even thyroid dysfunction—there are a lot of reasons your face might be looking fuller than usual.

We're breaking down 8 common reasons behind facial puffiness. From food and sleep habits to inflammation, hormones, and thyroid issues, your body could be sending you important signals. 

What’s covered in the podcast: 

• Allergic reaction

• A side effect of certain medications

• Cushing's Syndrome

• A sinus infection

• Dental infections

• A thyroid problem

• An eye infection

• Skin problems

About Paloma Health:

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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 

If you're managing hypothyroidism or Hashimoto’s disease, you’ve probably heard about the gut-thyroid connection—but how deep does it really go? In this deep dive episode, we’re diving headfirst into the gut-thyroid axis and uncovering why your digestive health plays a massive role in your thyroid function.

Spoiler alert: It’s not just about digestion! 

Your gut microbiome influences everything from nutrient absorption (think iodine, selenium, and zinc—key players in thyroid hormone production) to inflammation and autoimmunity. An imbalance in your gut, known as dysbiosis -- or "leaky gut" -- can trigger immune responses that disrupt your thyroid hormone levels. And if you’ve ever wondered about leaky gut, probiotics, or whether fermented foods like kimchi and sauerkraut actually help, we’re covering all of it.

In this episode, we’ll break down:

✅ How your gut and thyroid work together (and sometimes against each other!)

✅ The best gut-friendly foods and probiotics for thyroid health

✅ How common meds like antibiotics may be sabotaging your gut (and what to do about it)

✅ Testing options to decode your gut microbiome and restore balance

By the end, you’ll have actionable strategies to support both your gut and thyroid—because when these two systems are in harmony, you feel energized, balanced, and thriving. 

Learn more with these in-depth resources from Paloma Health:

Can Antibiotics Affect Your Thyroid Health - https://www.palomahealth.com/learn/antibiotics-and-thyroid-health 

Gut Microbiota, Hashimoto’s, and Hypothyroidism - https://www.palomahealth.com/learn/gut-microbiota-hashimotos-hypothyroidism 

How To Starve Bad Gut Bacteria For Better Thyroid Health - https://www.palomahealth.com/learn/how-to-starve-bad-gut-bacteria-for-better-thyroid-health 

Leaky Gut and Hypothyroidism - https://www.palomahealth.com/learn/leaky-gut-and-hypothyroidism 

Paloma Health Speaker Series: Gut Health - https://www.youtube.com/watch?v=Lm1P-rXAz9U 

Paloma Health Speaker Series: How & Why To Keep Your Gut Microbiome Healthy - https://www.youtube.com/watch?v=ktqKWo8_QyI 

Saccharomyces Boulardii and Hashimoto's Disease - https://www.palomahealth.com/learn/saccharomyces-boulardii-hashimotos-disease 

The Gastrointestinal Effects of Hashimoto’s Thyroiditis and Hypothyroidism - https://www.palomahealth.com/learn/gastrointestinal-effects-of-hashimotos-and-hypothyroidism 

What Is The Gut Microbiome? - https://www.palomahealth.com/learn/what-is-the-gut-microbiome 

What Is The Thyroid-Gut Axis? - https://www.palomahealth.com/learn/what-is-the-thyroid-gut-axis 

Why Are Fermented Foods Good for Hypothyroidism? - https://www.palomahealth.com/learn/fermented-foods-hypothyroidism 

About Paloma Health:

⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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 

Many of us dye our hair regularly, and usually, it’s not something we worry about. But if you have an autoimmune disease like Hashimoto’s thyroiditis, should you be concerned about the chemicals in your favorite shade of blonde, brunette, red, or purple? Could hair dye trigger flare-ups or even contribute to autoimmunity in the first place? In this episode, we’ll explore what we know about hair dye and autoimmune disease, what we don’t, and how to make informed choices about hair dye while managing an autoimmune condition. 

What you will learn: 

• What is autoimmunity?

• What factors contribute to autoimmunity?

• Will dying my hair cause autoimmune disease?

• How to limit exposure to toxins

Check out our blog and read the full article here: 

https://www.palomahealth.com/learn/autoimmune-disease-hair-dye 

About Paloma Health:

⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

Are you tired of feeling tired? Battling persistent fatigue despite managing your thyroid condition? In this episode, we take a deep dive into reclaiming your energy when you're hypothyroid. We'll look at how low thyroid hormone levels disrupt energy production, leading to various types of tiredness, including physical and mental exhaustion, and even feeling tired after sleep! We'll also explore the relationship between hypothyroidism and chronic fatigue syndrome, including the overlapping symptoms and potential interconnections.

We'll also look at the importance of optimal thyroid treatment, lifestyle adjustments, and stress management in getting your energy back. You'll also get expert insights on thyroid hormone replacement, beneficial supplements, dietary considerations, and the crucial role of sleep. So, stay tuned as we dive into this important topic with expert insights and practical advice from Paloma Health!

Learn more at these in-depth articles on the Paloma Health blog:

• Chronic Fatigue Syndrome & The Thyroid https://www.palomahealth.com/learn/chronic-fatigue-syndrome-the-thyroid 

• How Hypothyroidism Affects Your Energy https://www.palomahealth.com/learn/how-hypothyroidism-affects-your-energy 

• How the Thyroid Affects Circadian Rhythm https://www.palomahealth.com/learn/thyroid-circadian-rhythm 

• Hypothyroidism and Fatigue https://www.palomahealth.com/learn/hypothyroidism-and-fatigue 

• Paloma Health Speaker Series: Reclaim Your Energy With Hypothyroidism https://www.youtube.com/watch?v=riR6kUcQ4R0&list=TLGGRxjZD6tmZfMyMTAzMjAyNQ 

• Sleep and Hypothyroidism https://www.palomahealth.com/learn/sleep-and-hypothyroidism 

About Paloma Health:

⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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’re in your thirties, and for some reason, your periods have become irregular. Maybe your PMS has gotten significantly worse. Or you frequently wake up in the middle of the night, feeling overheated. You’re feeling more tired and moody than usual. What is going on? You may say, “I’m too young for ‘menopause,’ right?” Or, “Menopause is at least ten years away, isn’t it?”

In this episode, learn about the signs and symptoms of early perimenopause, and something that many women don't know: perimenopause can start as early as a woman’s thirties!!!

What you will learn: 

• Understanding perimenopause

• Early perimenopause prevalence and risk factors

• Signs and symptoms of early perimenopause

• Impact of early perimenopause

• Treatments for early perimenopause

• Supplements

• Lifestyle changes

Check out our blog and read the full article here: 

https://www.palomahealth.com/learn/perimenopause-start-thirties 

About Paloma Health:

⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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