Your TSH levels aren’t as fixed as you might think—and those subtle shifts in your lab results could explain why you feel great one month and exhausted the next. In this episode, we unpack why thyroid-stimulating hormone (TSH) levels naturally fluctuate and what those changes really mean for your energy, metabolism, mood, and weight.

You’ll learn how timing, stress, medications, illness, and even sleep patterns can influence TSH levels, and why a single “abnormal” result doesn’t always tell the full story. We also explore why tracking trends over time—and testing consistently—can be far more meaningful than focusing on one number alone.

Do you ever worry about changing lab results or whether your thyroid treatment is truly optimized? 

🎧 Tune in now, and learn more about your body’s signals so you can advocate for smarter, more personalized care!

LEARN MORE

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

Why Did Your TSH Level Change?

https://www.palomahealth.com/learn/tsh-level-change 

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’ve ever stood at the pharmacy counter shocked by the price of your medication, this episode is for you. From daily thyroid prescriptions to high-demand weight-loss drugs like GLP-1s, drug costs can feel unpredictable—and unfair.

In this episode, we break down the new wave of “cheaper prescription” options promising to change the game.

We take a closer look at Mark Cuban’s Cost Plus Drugs, Amazon Pharmacy and RxPass, and the new Trump Rx pricing initiative—what they offer, how they work, and whether they actually save money on common thyroid medications and weight-loss drugs, as well as other prescription medications.

We’ll explain which prescriptions are most likely to benefit, where the fine print matters, and why some meds are still frustratingly expensive despite all the headlines.

Whether you’re managing hypothyroidism, exploring medical weight loss, or paying cash for prescriptions, this episode helps you cut through the noise. 

🎧 Tune in for clear, practical guidance on comparing pharmacy options, lowering out-of-pocket costs, and making smarter choices for your long-term health—without the sticker shock!

LEARN MORE

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

Cheaper Prescriptions: A Guide to Cost Plus Drugs, Amazon Pharmacy, and Trump Rx

https://www.palomahealth.com/learn/cheaper-prescriptions-cost-plus-drugs-amazon-pharmacy-trump-rx 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 hit menopause and suddenly feel like your metabolism has slammedon the brakes, you’re not alone—and you’re not failing! In this episode, we unpack why weight gain after menopause is so stubborn and why “eat less, move more” often stops working altogether!

We dive into the emerging science behind hormone replacement therapy (HRT) and tirzepatide, a next-generation GLP-1/GIP medication, and how they may work together to address the hormonal and metabolic shifts driving midlife weight gain. We also explore where thyroid health fits into the picture—and why ignoring it can sabotage your results.

This is a must-listen for anyone curious about smarter, more personalized approaches to weight loss after menopause. Expect evidence-based insights, clear explanations, and empowering takeaways to help you decide what options actually make sense for your body—now and moving forward.

🎧 Tune in now, and find out how to crack the challenge of weight gain in menopause!

LEARN MORE

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

HRT and Tirzepatide: The Key to Weight Loss After Menopause?

https://www.palomahealth.com/learn/hrt-and-tirzepatide-weight-loss-after-menopause 

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 eating for your thyroid could actually feel indulgent—not restrictive?!

In this in-depth conversation, Mary Shomon sits down with Ginny Mahar, Cordon Bleu–trained chef, thyroid advocate, and creator of the newly released Thyroid30 Cookbook—a game-changing approach to cooking for hypothyroidism and Hashimoto’s without sacrificing flavor, joy, or real life. Ginny shows us that healing meals don’t have to be bland, boring, OR complicated and time-consuming.

Ginny shares:

• Her personal thyroid journey and how it shaped her approach to food

• The philosophy behind the Thyroid30 plan

• How to cook anti-inflammatory, thyroid-supportive meals when you’re exhausted

• How pleasure, nourishment, and healing can coexist on the same plate

This conversation goes beyond recipes—it’s about reclaiming confidence in the kitchen, reducing food stress, and creating meals that truly support your body.

Whether you’re newly diagnosed, deep into your thyroid journey, or simply looking for smarter, more supportive ways to eat, this episode delivers practical wisdom you can actually use.

🎧 Tune in for real talk. Real food. AND...real thyroid support!

LEARN MORE

You can learn more about the topic at the Paloma blog 

Get the Thyroid30 Cookbook on Amazon

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 preparing for IVF or struggling with fertility, your thyroid health may be a crucial — and often overlooked — part of the picture.

In this episode, we take a deep dive into the connection between thyroid function and IVF outcomes. Thyroid hormones play a key role in reproductive health, influencing everything from ovulation and egg development to embryo implantation and early pregnancy. Even mild or “subclinical” thyroid imbalances can affect fertility — especially for people with hypothyroidism or autoimmune thyroid conditions like Hashimoto’s.

We explore why thyroid issues are more common among people pursuing IVF, how thyroid antibodies may impact implantation and miscarriage risk, and why standard fertility testing doesn’t always tell the whole story. You’ll learn which thyroid labs matter most before starting IVF, how thyroid hormone needs can change during stimulation and pregnancy, and why close monitoring is so important throughout the process.

Most importantly, this episode is about empowerment. Whether you’re just beginning fertility treatment or already in the middle of IVF, understanding your thyroid health can help you ask better questions, advocate for appropriate testing, and work with your care team to optimize your chances of success. 

🎧 Tune in and get practical, evidence-based insight to help you feel more informed, supported, and confident as you navigate your fertility journey.

LEARN MORE

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

Thyroid Health and IVF: What You Need to Know

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

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/ 

It's 2026, and an estimated 4 million people will LOSE health insurance coverage in the coming months! Meanwhile, for those who do have insurance, premium costs and deductibles are skyrocketing! 

Living with hypothyroidism -- or hormonal issues like menopause, or hormonal weight gain -- is challenging enough! But what if you're trying to do it without health insurance? It can feel totally overwhelming. 

In this eye-opening episode of Paloma's podcast, we explore practical solutions, real-world strategies, and lesser-known pathways to manage your thyroid health affordably when traditional insurance isn’t part of the picture. 

You’ll hear compassionate discussion about why coverage gaps matter, how they impact everyday thyroid care, and ways to get the care you need without breaking the bank — or your spirit. Whether you’re currently uninsured, between plans, or just curious about your options, this episode puts empowerment front and center. 

Here’s what we break down in this episode: 

🔹 Navigating the insurance maze

• How ACA open enrollment and special life events may qualify you for affordable plans

• What Medicaid and professional association plans can offer

• When short-term coverage might help — and when it might not 

🔹 Affordable care options beyond insurance

• Community health centers and walk-in clinics that see uninsured patients

• Cash-pay discounts, hospital financial assistance, and debt forgiveness programs

• Smart ways to access essential lab testing without a referral

🔹 Making sense of your thyroid testing and treatment

• Direct-to-consumer labs and home blood tests that can save you time and money

• What thyroid labs you really need (and what they tell you)

• How telehealth care can make expert treatment accessible when cost is a concern 

Whether you’ve delayed care because of costs or you’re actively seeking affordable pathways, this episode will help you think differently about access and options — with practical tips you can act on now. 

🎧 Tune in and discover how to take control of your hypothyroid journey — with or without insurance.

LEARN MORE

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

Hypothyroidism Without Health Insurance

https://www.palomahealth.com/learn/hypothyroidism-no-health-insurance 

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/ 

More people than ever are ordering their own lab tests—no doctor’s visit, no waiting room, no referral required. But when your results arrive, are you truly empowered… or left with more questions than answers?

In this episode of Paloma's podcast, we take a closer look at direct-to-consumer (DTC) lab testing and why it has become such a powerful—and sometimes confusing—tool for people managing thyroid and other chronic health conditions. We explore what’s driving this trend, how DTC testing fits into today’s healthcare system, and where it can fall short without proper guidance.

We break down what you need to know, including:

• Why patients turn to DTC testing after feeling dismissed, rushed, or unheard

• What kinds of lab tests are commonly available without a prescription

• The risks of interpreting numbers without clinical context

• How “normal” ranges can still miss what’s going on in your body

• Ways to bring DTC results into productive, collaborative conversations with your provider

This episode isn’t about replacing medical care—it’s about using your health data wisely. If you’ve ever considered ordering your own labs, already have results you don’t fully understand, or want to be a more informed participant in your care, this conversation will help you navigate DTC testing with clarity and confidence.

🎧 Tune in and learn how to make your lab results work for you—not against you.

LEARN MORE

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

Direct-to-Consumer Lab Testing: What to Know Before You Order Your Own Tests

https://www.palomahealth.com/learn/direct-to-consumer-lab-testing-dtc-order-your-own-tests 

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/

"It felt like a bird was trapped in my chest, trying to get out!!" ~Quote from a thyroid patient

Ever felt your heart flutter, pound, or skip out of nowhere — and wondered why? 🤔 What if the cause wasn’t anxiety… or your heart… but your thyroid all along?

In this eye-opening episode, we uncover the surprising connection between thyroid hormones and heart rhythm — from harmless flutters to rhythm patterns that shouldn’t be ignored. Learn how both an overactive thyroid and thyroid medication imbalances can rev up your heartbeat, why gut health and diet can make everything feel worse, and when it’s time to take those palpitations seriously. 💓💊

Whether it’s unexplained palpitations, caffeine triggers, medication tweaks, or little known "vagal palpitations," we break it down in clear, empowering terms so you can feel confident — not confused — about your heart and your hormones.

🎧 Tune in and let’s get your rhythm back on track. 🔊✨

(Your heartbeat will thank you.)

LEARN MORE

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

Can Thyroid Problems Cause Heart Palpitations? What You Need to Know

https://www.palomahealth.com/learn/thyroid-problems-heart-palpitations 

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 wondered if the way we’ve been taught to eat actually supports your thyroid?

In this episode, we reimagine what a thyroid-friendly diet looks like in 2026. With the USDA’s newly released Real Food Pyramid shaking up decades of nutrition advice and Dr. Andrew Weil’s Anti-Inflammatory Pyramid gaining traction, where do people with hypothyroidism or Hashimoto’s fit in?

Join us as we break down:

🍽️ What these new food pyramids actually recommend (and why they matter)

🥦 How protein, veggies, healthy fats, and whole foods can impact inflammation, energy, and metabolic health

🧠 Why a one-size-fits-all chart might not work — and how personalization could make all the difference

🥑 Practical tips to tailor big nutrition trends to YOUR thyroid goals

Whether you’re curious about balancing blood sugar, calming inflammation, a healthy weight, or simply eating in a way that feels good, this episode gives you a fresh, science-based map for your plate.

🎧 Tune in and start eating smarter — not harder — for your thyroid health. 

LEARN MORE

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

Should Thyroid Patients Follow The New Food Pyramids?

https://www.palomahealth.com/learn/thyroid-patients-new-food-pyramids 

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

Brain fog that won’t lift. Crushing fatigue. Mood changes, anxiety, headaches, or memory slips that make you feel like you’re not quite yourself anymore.

What if these symptoms aren’t random — and aren’t “all in your head” — but are signals from your thyroid to your brain?

In this eye-opening episode of the Paloma podcast, we dive deep into the powerful and often overlooked connection between hypothyroidism and the central nervous system.

Learn how thyroid hormones act like chemical messengers for your brain, why low levels can slow nerve signaling, and how untreated or under-treated hypothyroidism may affect cognition, emotions, and neurological function.

We also unpack the science behind symptoms many patients struggle to get validated — from brain fog and depression to migraines and coordination issues — and explain why standard thyroid labs don’t always tell the whole story.

If you’ve ever felt dismissed, confused, or frustrated by lingering neurological symptoms, this episode brings clarity, validation, and a path forward. 

🎧 Tune in now for a deeper understanding of what’s happening in your brain — and how personalized, thyroid-focused care can help you feel sharp, steady, and fully yourself again.

LEARN MORE

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

Hypothyroidism and the Central Nervous System

https://www.palomahealth.com/learn/hypothyroidism-central-nervous-system

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