In this eye-opening episode of Paloma Health's podcast, we dive into the powerful — and often overlooked — role of gut dysbiosis and how an imbalanced microbiome can disrupt your thyroid, hormones, and weight. If you’re living with hypothyroidism or Hashimoto’s and struggling with bloating, fatigue, inflammation, stubborn weight gain, or worsening hormone symptoms, dysbiosis may be a hidden driver behind how you feel.

We unpack the science of the thyroid-gut axis, explaining how gut dysbiosis can interfere with thyroid hormone absorption and conversion, increase intestinal permeability, and fuel chronic inflammation — all of which may worsen autoimmune thyroid conditions. You’ll learn why gastrointestinal symptoms are so common in thyroid patients, yet often overlooked in conventional treatment plans.

This episode also explores the estrobolome, the collection of gut bacteria responsible for regulating estrogen metabolism. When dysbiosis is present, estrogen clearance can be impaired — a problem that becomes especially impactful during perimenopause and menopause, when hormonal balance is already shifting. The result? Increased symptoms, metabolic slowdown, and added resistance to weight loss.

We connect the dots between dysbiosis, gut microbiota diversity, Hashimoto’s, hypothyroidism, menopause, and weight regulation, showing how gut imbalances can ripple through multiple systems at once. Most importantly, we share clinician-informed, practical strategies to begin restoring gut balance in ways that support your thyroid — without extreme elimination diets or generic supplement advice.

🎧If you’ve ever felt like you’re doing everything “right” for your thyroid but still don’t feel well, listen in now! This episode will help you understand why gut dysbiosis matters — and how healing the gut may be the key to real, lasting progress.

LEARN MORE

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

Gut Dysbiosis and Your Thyroid, Hormones, and Weight

https://www.palomahealth.com/learn/gut-dysbiosis-thyroid-hormones-menopause-weight 

The Estrobolome: How Your Gut Influences Menopause and Your Thyroid

https://www.palomahealth.com/learn/estrobolome-gut-influences-menopause-thyroid 

Gut Microbiota, Hashimoto’s, and Hypothyroidism

https://www.palomahealth.com/learn/gut-microbiota-hashimotos-hypothyroidism 

What Is The Thyroid-Gut Axis?

https://www.palomahealth.com/learn/thyroid-gut-axis 

The Gastrointestinal Effects of Hashimoto’s Thyroiditis and Hypothyroidism

https://www.palomahealth.com/learn/gastrointestinal-effects-hashimotos-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

Every January, we’re told to try harder, push more, and fix what’s “wrong” with our bodies. But what if the problem isn’t you—or your willpower? What if that approach is exactly why resolutions fail — especially for women navigating thyroid disease, perimenopause, menopause, fatigue, or stubborn weight changes? 

In this episode, we’re rethinking New Year’s resolutions! If fatigue, brain fog, weight changes, or unpredictable energy have made traditional resolutions feel impossible, this conversation is for you.

We explore 10 gentler, smarter resolutions that honor your hormones, support real healing, and help you stop fighting your body—and start working with it. From releasing guilt around fatigue to redefining success beyond the scale, this episode offers a compassionate reset for the new year.

This year isn’t about punishment, extremes, or becoming someone else. It’s about listening to your body, honoring where you are right now, and creating habits that actually support long-term health and energy. If you’re tired of resolutions that leave you feeling defeated by February, this Paloma episode is your permission slip to do things differently. ✨

🎧 This year, forget rigid resolutions — especially when your hormones are running the show. Press play and make this a different kind of New Year—with Paloma Health.

LEARN MORE

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

Rethinking Your New Year’s Resolutions

https://www.palomahealth.com/learn/rethinking-your-new-years-resolutions 

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

Christmas is the season of gifts — but what about the unexpected ones that come from living with a health challenge like Hashimoto’s, hypothyroidism, or menopause? In this special holiday episode, we unwrap the hidden gifts of slowing down, resilience, compassion, advocacy, and authentic connection.

With warmth and heart, we explore how our hormonal health challenges can teach us to pause, prioritize, and even create new holiday traditions — all while surviving the chaos of the season.

From all of us at Paloma Health — may your season be full of presence, peace, and unexpected gifts.

🎧 So, grab a cozy blanket, a cup of peppermint tea (or bone broth), and join us for this special episode!

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

Gallbladder pain is often blamed on diet, gallstones, or digestive issues… but for many people with thyroid conditions, the link runs deeper. In this episode, we explore how Hashimoto’s and hypothyroidism may contribute to gallbladder dysfunction, why symptoms are often misattributed, and what you can do to get answers.

In this episode you’ll learn:

• How low thyroid function can impact bile production, digestion, and gallbladder health — and why so many patients are caught in a cycle of pain and frustration.

• The overlapping symptoms that get overlooked, including bloating, upper abdominal discomfort, nausea, and fatigue — and why they may be mistaken for “just digestive issues.”

• The role of inflammation, autoimmune triggers, and hormonal changes in gallbladder function for people with Hashimoto’s.

• How thyroid medication, diet, and gut support can influence gallbladder health and improve treatment outcomes.

• Practical strategies to support digestion, reduce inflammation, and work with your healthcare provider to identify hidden contributors.

• What research tells us — and what remains unknown — about the thyroid-gallbladder connection.

If you’ve experienced persistent digestive pain, bloating, or fatigue despite managing your thyroid, or if you’ve ever wondered why gallbladder issues seem harder to resolve with Hashimoto’s, this episode sheds light on a connection few people talk about.

🎧 Hit “Play” and discover how understanding your thyroid could hold the key to better gallbladder and digestive health.

LEARN MORE

Explore the topic on the Paloma blog:

Hashimoto’s, Hypothyroidism & Gallbladder Pain

https://www.palomahealth.com/learn/hashimotos-hypothyroidism-gallbladder-pain 

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

Tick bites can leave more than a rash — for some, they may set off long-term immune changes, inflammation, and even autoimmune thyroid disease. In this episode, we unpack the debated but increasingly researched connection between Lyme disease, chronic infection, and thyroid dysfunction.

In this episode you’ll learn:

• How Lyme disease affects your immune system long after treatment in some individuals.

• Theories on why Lyme may contribute to Hashimoto’s — and what science is still uncovering.

• Why symptoms of chronic Lyme and hypothyroidism overlap, from fatigue to brain fog to muscle pain.

• Why thyroid labs may fluctuate during infection or post-infection recovery.

• How inflammation, stress responses, and autoimmunity collide in persistent Lyme cases.

• Practical steps if you suspect Lyme is impacting your thyroid — including testing and timing of treatment.

If you’ve dealt with Lyme, struggle with unexplained thyroid symptoms, or feel like your health changed after “one bite,” this episode offers clarity, nuance, and hope.

🎧Hit PLAY — and explore the tick-thyroid connection.

LEARN MORE

Explore the topic on the Paloma blog:

Can Lyme Disease Cause Thyroid Problems?

https://www.palomahealth.com/learn/lyme-disease-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

Hypothyroidism in seniors is common — but frequently underdiagnosed, undertreated, or misunderstood. Aging bodies metabolize medications differently, symptoms can mimic other conditions, and “normal ranges” aren’t always normal for older adults.

In this episode, we dive into how thyroid care evolves in life’s later chapters, and you'll learn:

• Why hypothyroidism rates increase with age — and which symptoms aren’t “just getting older.”

• The difference between normal aging and thyroid-driven cognitive decline, depression, or fatigue.

• Why seniors may need different testing, dosing, and follow-up — especially with heart conditions or bone health in the picture.

• How untreated hypothyroidism impacts memory, falls, cholesterol, and independence.

• Medication tips for seniors, including absorption issues, polypharmacy, and brands vs generics.

• How to advocate — respectfully and effectively — for care beyond a TSH test.

Whether you’re managing your thyroid after 60, caring for a parent, or wondering if symptoms are being overlooked — this episode helps you navigate thyroid health with confidence.

🎧Hit PLAY — and get empowered to age with energy and clarity!

LEARN MORE

Hypothyroidism in Seniors

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

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 feel like you just can’t get enough air, even when your oxygen levels are normal? For many people with hypothyroidism or Hashimoto’s, shortness of breath and “air hunger” are confusing — often dismissed as anxiety, asthma, or “nothing to worry about.”

In this episode, we unpack the lesser-known thyroid connection behind breathing difficulties.

You’ll learn:

• What air hunger actually is — and why it can feel like breathlessness without a measurable lung problem.

• How hypothyroidism slows respiratory muscle function — including the diaphragm.

• The surprising link between low thyroid levels and anxiety-like symptoms such as chest pressure, panic sensations, and air hunger.

• When shortness of breath means “thyroid,” not just “stress.”

• Red flags to discuss with your clinician, especially if symptoms worsen around medication timing, dosage shifts, or flare-ups.

• Simple strategies that can help — from improving breathing mechanics to ruling out other causes.

If you’ve ever wondered, “Why does breathing feel harder when everything looks normal on paper?” — this episode gives you clarity, validation, and actionable steps.

🎧Hit Play — and breathe easier with more practical information to help you feel and live well! 

LEARN MORE

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

Air Hunger and Hypothyroidism

https://www.palomahealth.com/learn/hypothyroidism-air-hunger

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

Sjögren’s syndrome is often dismissed as “just dry eyes and dry mouth”… but the truth runs deeper. For many, it’s part of a much larger autoimmune picture — especially when thyroid disease joins the story. In this episode, we uncover how Sjögren’s and Hashimoto’s share roots, risks, misunderstood symptoms, and why so many people are caught in the middle without answers.

In this episode you’ll learn:

• Why Sjögren’s and Hashimoto’s frequently show up together — and what that means for diagnosis, treatment, and long-term health.

• The overlapping symptoms that get missed, including fatigue, brain fog, joint pain, and digestive issues — and how many are mistakenly labeled as “just thyroid.”

• How autoimmune conditions evolve — and what current theories suggest about triggers, immune dysfunction, viral links, and genetics.

• Sjogren’s, thyroid medication, and your eyes, mouth, and gut — surprising ways oral dryness, inflammation, and malabsorption may affect treatment success.

• Practical strategies to support your immune system, protect moisture, reduce flares, and advocate for complete testing (not just TSH).

• What the science knows — and what researchers are still trying to understand about autoimmunity, progression, and hope for targeted therapies.

If you’ve been told your symptoms are “in your head,” if you’re managing thyroid treatment but still don’t feel well, or if you’ve wondered whether something bigger is going on — this episode shines a light on the autoimmune overlap almost no one talks about.

🎧 Hit “Play” and get clarity on an autoimmune journey that’s anything but simple — and far more common than most people realize.

LEARN MORE

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

Sjögren’s Syndrome and Hashimoto’s Hypothyroidism: What’s the Connection?

https://www.palomahealth.com/learn/sjogrens-syndrome-hashimotos-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

Fascia might be the most important system you’ve never heard of. This episode unpacks how this stretchy, sensory, hormone-responsive web inside your body shapes everything from flexibility and pain to thyroid symptoms, menopause changes, gut function, and weight loss.

We dive into why stiff, dehydrated, or inflamed fascia can mimic hypothyroidism, intensify perimenopause and menopause symptoms, stall your metabolism, and magnify gut issues like bloating, constipation, and systemic inflammation.

In this episode, you’ll learn:

• What fascia actually is and why it’s far more than “connective tissue”

• How thyroid conditions like Hashimoto’s and hypothyroidism change fascia, leading to stiffness, pain, and slow healing

• How estrogen loss in perimenopause and menopause affects fascia hydration and elasticity, and why that matters for mobility and weight gain

• The surprising link between fascia and gut health, including lymphatic flow, inflammation, and IBS-like symptoms

• How fascia influences metabolic function and why tight fascia can make weight loss harder

• The most effective ways to support and heal fascia—from movement and manual therapies to nutrition, hydration, supplements, and stress reduction

🎧Tune in if you’ve felt “tight everywhere,” struggle with unexplained symptoms, or sense your body is talking to you—but no one’s connecting the dots, because this episode will change the way you understand your health from the inside out.

LEARN MORE

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

Fascia: The Connection to Hashimoto's, Hypothyroidism, Menopause, and Weight Loss

https://www.palomahealth.com/learn/fascia-hashimotos-hypothyroidism-menopause-weight-loss

ABOUT PALOMA HEALTH 

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, gut health, 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

Think the microbes in your gut are just about digestion? Think again. In this episode, we dive into the under-the-radar role of probiotics and your gut microbiome — and how they may influence not just digestion, but hormones, immune function, metabolic health, and weight.

In this episode you’ll learn:

• What exactly probiotics are (and how they differ from general gut bacteria) — and why strain, dose, and context matter. 

• How your gut health intersects with thyroid conditions, menopause or perimenopause, and hormonal changes.

• How a healthy gut — supported by the right probiotic foods or supplements — might help ease gut-related issues and support better nutrient absorption, immune balance, and overall well-being.

• What the current science says (and doesn’t say) about probiotics and weight management. 

• Practical tips: how to choose probiotic foods and supplements wisely, what to look for on a label , and how to combine them with fiber, nutrition, and lifestyle habits for the best results.

If you’re navigating thyroid health, hormone shifts, mid-life metabolism, or gut issues — or simply curious about whether probiotics deserve a place in your wellness toolkit — this episode will walk you through what works, what’s speculative, and how to approach probiotics with clarity rather than hype. 

🎧Hit “Play” and explore the gut-hormone-metabolism connection!

LEARN MORE

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

Probiotics 101: What You Need to Know About Your Hormones, Gut Health, and Weight Loss

https://www.palomahealth.com/learn/probiotics-101-hormones-gut-health-weight-loss 

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