Have you ever slashed your calories, skipped meals, or jumped on the latest crash diet—only to feel more exhausted, gain weight, or see your thyroid numbers worsen? You’re not alone. In this eye-opening episode, we dive deep into the long-term effects of crash dieting, undereating, and yo-yo dieting on your thyroid and metabolism.

We’ll unpack how extreme calorie restriction can trigger hormonal imbalances, slow down your metabolism, and even contribute to hypothyroidism -- making it worse! You’ll learn how the body adapts to chronic undernourishment, why water fasting and “metabolic confusion” might do more harm than good, and what strategies actually help restore metabolic health after years of dieting.

In this episode, you’ll learn:

• How crash dieting can suppress thyroid function and lower your metabolic rate

• Why undereating—even "clean eating"—can trigger weight gain and fatigue

• The hidden risks of water fasting and extreme carb cycling for people with hypothyroidism

• What metabolic adaptation is, and how to repair it

• How to safely rebuild your metabolism and support thyroid recovery

• Sustainable strategies for long-term weight and energy balance

If you’re struggling with weight management, energy crashes, or thyroid symptoms that won’t improve—despite eating “healthy”—this conversation is a must-listen. Tune in to discover practical, sustainable steps to rebuild your metabolism, support your thyroid, and ditch the diet cycle for good.

LEARN MORE

You can learn more about the topic from Paloma: 

Can Crash Dieting Cause Hypothyroidism?

https://www.palomahealth.com/learn/crash-dieting-hypothyroidism 

The Effect of Dieting on Your Thyroid Health

https://www.youtube.com/live/wfP0IUZX2D8 

How to Repair Your Metabolism After Crash and Yo-Yo Dieting

https://www.palomahealth.com/learn/repair-metabolism-crash-yo-yo-dieting-hypothyroidism 

How Undereating Can Affect Your Thyroid

https://www.palomahealth.com/learn/undereating-thyroid 

How To Fix Metabolic Adaptation

https://www.palomahealth.com/learn/metabolic-adaptation 

Is Water Fasting Safe For Hypothyroidism?

https://www.palomahealth.com/learn/water-fasting-safe-hypothyroidism 

Metabolic Confusion, Carb Cycling, and Hypothyroidism Weight Loss

https://www.palomahealth.com/learn/metabolic-confusion-carb-cycling-hypothyroidism-weight-loss 

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

Are you experiencing persistent ringing in your ears or struggling to understand conversations?

You might be surprised to learn that your thyroid could be the culprit! Join us for a deep dive into the often-overlooked connection between thyroid conditions and your hearing health.

In this insightful episode, we uncover why hearing loss and tinnitus are more common than you think for those with hypothyroidism and Hashimoto's. You'll hear from leading experts as they share their invaluable knowledge and practical advice.

What you'll discover in this episode:

• The Surprising Link: Both hypothyroidism and hyperthyroidism are tied to a higher risk of Sudden Sensorineural Hearing Loss (SSNHL). 

• Types of Hearing Loss: Explore the differences between sensorineural, conductive, and mixed hearing loss—and why some are more common in thyroid patients. 

• Common Symptoms: From tinnitus (ringing, buzzing, hissing) to trouble hearing in noisy settings or understanding high-pitched voices—know the signs.

• Autoimmune Ties: Hashimoto’s increases the risk of autoimmune ear disorders like AIED and Meniere’s disease, which cause tinnitus, vertigo, and hearing loss.

• Getting Evaluated: What to expect during hearing tests

• Practical Tips: What's the story on earwax?!! And how about Q-Tips? 

This episode is a must-listen for anyone living with a thyroid condition, experiencing hearing issues, or simply curious about the intricate connections in our bodies. Don't let hearing problems go unaddressed! Tune in to understand the link and empower yourself with the knowledge to seek timely diagnosis and intervention!

LEARN MORE

You can learn more about the topic from Paloma: 

Hashimoto’s, Hypothyroidism and Hearing Loss – The Connection

https://www.palomahealth.com/learn/connection-hashimotos-hypothyroidism-hearing-loss 

Tinnitus (Ringing in the Ears) and Tinnitus

https://www.palomahealth.com/learn/hypothyroidism-ringing-ears 

Paloma Expert Speaker Series: Hearing Loss & Hypothyroidism, with Audiologist Dr. Katie Keese

https://youtu.be/vMd20mu6AeQ 

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

Are you worried about the rising cost and availability of your essential prescription drugs? Are you taking thyroid hormone medication, hormone replacement therapy (HRT) drugs like estrogen and progesterone, or GLP-1 drugs for weight loss? Get ready, because the U.S. pharmaceutical landscape is undergoing a massive shift, and your medications could be directly impacted!

Back in April, our podcast covered the first announcements of a new wave of tariffs targeting imports critical to the pharmaceutical and healthcare industries. These new tariffs, which began with a baseline 10% tariff, are now rising to 25% as of August 1, and have the potential for to increase up to 200% within 12 to 18 months. Experts warn of significant ripple effects across the entire healthcare industry.

These policies aim to bring prices for American patients in line with other developed nations and reduce reliance on foreign sources. But what are the hidden costs and potential consequences of this monumental shift for you? 

In this crucial episode of My Thyroid Health, we dive deep into:

• The imminent financial implications for your prescriptions, as increased production and import costs are likely to be passed on.

• How these changes could exacerbate an already critical situation, potentially worsening existing supply chain vulnerabilities for crucial medications.

• Which specific medications, including many common thyroid treatments, hormone replacement therapies, and popular weight management drugs, are most exposed to these unprecedented policy changes.

• The daunting challenges and extensive timelines involved in any shift to U.S.-based pharmaceutical production, suggesting a period of significant uncertainty before any long-term relief.

Don't wait for your next prescription refill to discover the impact! This episode will not only reveal the full implications of these policy changes but also equip you with critical, proactive strategies to help protect yourself against rising costs and potential shortages. 

Listen in to learn what you can do right now to review your coverage, explore alternatives, and ensure uninterrupted access to the essential care and medications you need!

LEARN MORE

You can learn more about the topic in this in-depth article, updated July 18, 2025, at the Paloma Health blog:

Tariffs and Your Medications: What You Need to Know

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

And check out this 3-minute video summary at Paloma’s YouTube channel:

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

Are you in your 40s, 50s, or beyond, and noticing unwanted weight gain, low energy, or slower recovery—even though nothing else has changed? You’re not imagining it: changes in muscle mass, hormones, sleep, and stress can quietly drag your metabolism—and your mood—down in midlife . But there’s a way forward.

Join Paloma Health in this empowering deep dive conversation as we look at the real science behind metabolic wellness. 

You’ll learn:

• Why basal metabolic rate gradually declines—and what that really means 

• The role of age-related muscle loss

• The power of strength training, protein-rich whole foods, hydration, and daily movement as your metabolic allies 

• How targeted lifestyle shifts add up over time 

• When and why to explore comprehensive thyroid and hormone testing 

This episode isn’t about quick fixes—it’s about reclaiming your metabolic mojo with consistency, science, and support. Tune in to fire up your engine, feel energized again, and thrive in midlife!

NEED MORE INFORMATION? 

Read our guide at the Paloma blog: How to Fire Up A Slow Metabolism in Midlife

https://www.palomahealth.com/learn/how-to-fire-up-slow-metabolism-in-midlife

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

Thinking about hormone replacement therapy but unsure what’s right for you? In this episode of the Paloma Health podcast, we’re diving deep into bioidentical hormone replacement therapy (BHRT)—a treatment option that’s gaining attention for being more aligned with your body’s natural chemistry.

You’ll learn what bioidentical hormones actually are, how they differ from traditional synthetic hormones, and why many experts consider them a gentler and potentially safer alternative.

We’ll break down the science behind BHRT, focusing on commonly used hormones like estradiol and progesterone that are chemically identical to those your body naturally produces. We also explore why the delivery method—especially transdermal options like patches or gels—matters for both effectiveness and safety, potentially reducing the risk of blood clots, heart disease, and breast cancer compared to oral synthetic hormone therapies.

But not all BHRT is created equal. This episode also tackles the controversy around compounded bioidentical hormones, which are custom-made by specialty pharmacies but not FDA-approved. We explain the concerns around quality control, dosing consistency, and regulation—while also acknowledging that for some people, compounded formulations may be necessary.

If you're navigating perimenopause or menopause, this episode will help you better understand your options. 

LEARN MORE

You can learn more about how bioidentical hormone replacement therapy in an in-depth article at the Paloma Health blog. https://www.palomahealth.com/learn/is-bioidentical-hrt-safer-more-effective 

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

Seaweed and kelp are praised as superfoods packed with iodine and minerals—but are they actually helping or hurting your thyroid?

In this episode, we dive into the science behind these ocean plants and their impact on thyroid function, especially for those with hypothyroidism or Hashimoto’s disease.

We’ll explore how iodine affects your thyroid, why too much can be just as harmful as too little, and whether seaweed snacks or kelp supplements belong in your diet. Learn what the research says, who should be cautious, and how to make smart choices when it comes to iodine-rich foods.

If you’ve ever wondered whether your favorite sushi roll could be messing with your hormones, this is the episode for you.

NEED MORE INFORMATION? 

Seaweed, Kelp & Your Thyroid

https://www.palomahealth.com/learn/seaweed-kelp-affect-thyroid 

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

Struggling with low libido while navigating hypothyroidism or menopause? You're not alone—and you're not out of options! 

In this episode, we take a deep dive into the complex relationship between thyroid health, hormonal changes, and your sex life. You'll learn why fatigue, low T3 levels, and poor liver function could be sabotaging your libido, how menopause compounds the challenge, and—most importantly—what you can do about it. 

From natural strategies and lifestyle changes to targeted supplements and hormone therapy, we break down practical, expert-backed solutions to help you revive your desire and enjoy a healthy, satisfying sex life again.

Whether you’re dealing with dryness, disinterest, or hormonal imbalances, this episode is your guide to getting your groove back—with science, not shame!

NEED MORE INFORMATION? 

How To Maintain a Healthy Sex Life With Hypothyroidism

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

3 Ways to Boost Libido with Hypothyroidism

https://www.palomahealth.com/learn/boost-libido-hypothyroidism 

How To Naturally Increase Your Libido With Hypothyroidism

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

How To Revive Low Libido With Hypothyroidism

https://www.youtube.com/watch?v=Ui71IeAn868 

How Menopause Can Affect Your Sex Life

https://www.palomahealth.com/learn/menopause-sex-life 

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

When the temperature rises, so does the strain on your thyroid. In this episode, we explore how extreme heat impacts people with hypothyroidism—and what you can do to stay cool and balanced. Learn why your TSH levels might actually improve in summer, how heat intolerance can still affect those with an underactive thyroid, and the surprising role cortisol and vitamin D play in your thyroid function. 

We’ll also share practical tips to help you manage hypothyroidism during the hottest months—from hydration and clothing to medication tweaks and testing. 

Don’t sweat your thyroid health—tune in and thrive this summer!

LEARN MORE

You can learn more about how how to manage hypothyroidism during hot weather in an in-depth article at the Paloma Health blog. 

https://www.palomahealth.com/learn/hot-cold-weather-thyroid 

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 explore the exposome—the sum of all the environmental exposures you face throughout your life—and how it directly impacts your thyroid, hormonal balance, weight, and overall health.

You’ll learn how everyday exposures like air pollution, BPA, mold, EMFs, and even chronic stress can disrupt your endocrine system. We dive into how these factors contribute to thyroid dysfunction, intensify perimenopausal and menopausal symptoms, and make weight loss more difficult by interfering with your metabolism, appetite, and insulin regulation.

Along the way, we feature expert insights from environmental health leader Dr. Lisa Nagy, who shares some simple, science-backed strategies to reduce your toxic load—from choosing organic foods and filtering your air and water, to limiting EMF exposure, addressing mold in your home, and supporting natural detox through better sleep, stress management, and nutrition.

If you’ve been struggling with hypothyroidism, navigating hormonal changes in midlife, or hitting frustrating roadblocks with weight loss, this episode will help connect the dots between your environment and your hormones. We also introduce helpful tools like the BREESI and QEESI to help you identify your own sensitivities and take action.

Tune in and learn how to take control of the hidden environmental factors affecting your health—because understanding the exposome can help you get control over your hormones. 

LEARN MORE

You can learn more about how various exposome factors affect your hormones in an in-depth article at the Paloma Health blog.

https://www.palomahealth.com/learn/how-the-exposome-affects-your-hormones  

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

Still feeling off despite taking your thyroid meds? It might be time to look beyond Synthroid. In this episode, we explore Tirosint and Tirosint-SOL—two unique forms of levothyroxine designed without common fillers, dyes, or allergens.

For people with Hashimoto’s, gut issues, or sensitivities, these medications could offer better absorption and more consistent symptom relief.

Tune in to learn:

• How Tirosint and Tirosint-SOL differ from traditional thyroid medications

• Why they’re ideal for people with sensitivities or absorption issues

• The difference between the gel cap (Tirosint) and liquid (Tirosint-SOL)

• Cost, insurance tips, and how to ask your doctor if it's right for you

If you're struggling with symptoms despite “normal” TSH levels, this episode could change your treatment path.

LEARN MORE

You can learn more about Tirosint and Tirosint-SOL, and get links to Tirosint/Tirosint-SOL Savings Cards and the Tirosint Direct Program here: https://www.palomahealth.com/learn/tirosint-thyroid-medication 

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