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/

For decades, women were told that weight loss was simple: eat less, exercise more, and the pounds would come off. But in perimenopause and menopause, the rules change dramatically — and many women are left frustrated, exhausted, and wondering why nothing works anymore.

In this special 3-part podcast episode, The New Rules of Midlife Weight Loss, Paloma physician Dr. Linda Goggin unpacks the science behind hormonal weight gain, metabolic slowdowns, thyroid dysfunction, gut health, and the new generation of treatment options transforming women’s health in midlife. The episode is hosted by patient advocate, author, and Paloma advisor Mary Shomon. 

In these powerful episodes, you’ll learn why the strategies that worked in your 20s and 30s often fail after 40, how estrogen, progesterone, testosterone, cortisol, and thyroid hormones reshape metabolism, and why chronic dieting and overexercising can actually make weight loss harder. Dr. Goggin explains the “perfect storm” of hormonal shifts that drive stubborn belly fat, fatigue, inflammation, muscle loss, insulin resistance, and cravings — even when women feel like they’re doing everything “right.”

Part Three focuses on sustainable, long-term strategies that support metabolism from the inside out. Dr. Goggin explores the powerful connection between gut health, inflammation, hormones, and weight regulation, including the emerging science behind the gut-estrogen axis and microbiome health during menopause.

The series also covers practical nutritional strategies including anti-inflammatory eating, autoimmune-friendly approaches, nutrient-dense foods, intermittent fasting, circadian eating, and key supplements such as magnesium and omega-3s. Most importantly, the series emphasizes that there is no one-size-fits-all solution for midlife women — and that personalized, compassionate care is the foundation of lasting results.

Whether you’re struggling with unexplained weight gain, fatigue, hormone imbalance, thyroid issues, or simply feeling like your body no longer responds the way it once did, this series offers a fresh, evidence-informed roadmap for navigating midlife health. 

🎧 Listen now, and you'll come away with practical insights, renewed hope, and a deeper understanding of what truly works for women in perimenopause and menopause today!

You can also watch the full event on YouTube at 

https://www.youtube.com/live/bPe-UDjpGyA 

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/

For decades, women were told that weight loss was simple: eat less, exercise more, and the pounds would come off. But in perimenopause and menopause, the rules change dramatically — and many women are left frustrated, exhausted, and wondering why nothing works anymore. 

In this special 3-part podcast episode, The New Rules of Midlife Weight Loss, Paloma physician Dr. Linda Goggin unpacks the science behind hormonal weight gain, metabolic slowdowns, thyroid dysfunction, gut health, and the new generation of treatment options transforming women’s health in midlife. The episode is hosted by patient advocate, author, and Paloma advisor Mary Shomon. 

In these powerful episodes, you’ll learn why the strategies that worked in your 20s and 30s often fail after 40, how estrogen, progesterone, testosterone, cortisol, and thyroid hormones reshape metabolism, and why chronic dieting and overexercising can actually make weight loss harder. Dr. Goggin explains the “perfect storm” of hormonal shifts that drive stubborn belly fat, fatigue, inflammation, muscle loss, insulin resistance, and cravings — even when women feel like they’re doing everything “right.”

Part Two dives into the medical and metabolic tools reshaping midlife care, including personalized hormone replacement therapy (P-HRT), thyroid optimization, and GLP-1 medications such as semaglutide and tirzepatide. Dr. Goggin explains how customized hormone support can improve fat distribution, preserve muscle, enhance insulin sensitivity, and restore vitality when properly integrated into a broader treatment plan. The conversation also tackles one of the most overlooked contributors to stubborn weight gain: suboptimal thyroid function — including why “normal” thyroid labs may not always mean optimal health. You’ll also hear an honest discussion about the benefits, limitations, and cautions surrounding GLP-1 medications for women navigating hormonal transitions.

Whether you’re struggling with unexplained weight gain, fatigue, hormone imbalance, thyroid issues, or simply feeling like your body no longer responds the way it once did, this series offers a fresh, evidence-informed roadmap for navigating midlife health. 

🎧 Listen now, and you'll come away with practical insights, renewed hope, and a deeper understanding of what truly works for women in perimenopause and menopause today!

You can also watch the full event on YouTube at 

https://www.youtube.com/live/bPe-UDjpGyA 

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/

For decades, women were told that weight loss was simple: eat less, exercise more, and the pounds would come off. But in perimenopause and menopause, the rules change dramatically — and many women are left frustrated, exhausted, and wondering why nothing works anymore.

In this special 3-part podcast episode, The New Rules of Midlife Weight Loss, Paloma physician Dr. Linda Goggin unpacks the science behind hormonal weight gain, metabolic slowdowns, thyroid dysfunction, gut health, and the new generation of treatment options transforming women’s health in midlife. The episode is hosted by patient advocate, author, and Paloma advisor Mary Shomon. 

In these powerful episodes, you’ll learn why the strategies that worked in your 20s and 30s often fail after 40, how estrogen, progesterone, testosterone, cortisol, and thyroid hormones reshape metabolism, and why chronic dieting and overexercising can actually make weight loss harder. Dr. Goggin explains the “perfect storm” of hormonal shifts that drive stubborn belly fat, fatigue, inflammation, muscle loss, insulin resistance, and cravings — even when women feel like they’re doing everything “right.”

Part One explores why traditional diet culture collapses during midlife and reveals the hidden hormonal and metabolic changes behind weight resistance. Dr. Goggin explains why calorie restriction, excessive cardio, and stress-based fitness approaches often backfire during perimenopause and menopause. The episode also examines the emotional toll of midlife body changes and offers a more compassionate, science-based framework for understanding metabolism after 40.

Whether you’re struggling with unexplained weight gain, fatigue, hormone imbalance, thyroid issues, or simply feeling like your body no longer responds the way it once did, this 3-part series offers a fresh, evidence-informed roadmap for navigating midlife health. 

🎧 Listen now, and you'll come away with practical insights, renewed hope, and a deeper understanding of what truly works for women in perimenopause and menopause today!

You can also watch the full webinar event on YouTube at 

https://www.youtube.com/live/bPe-UDjpGyA 

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/

You were told exhaustion, brain fog, and emotional overwhelm are just part of new motherhood—but what if that’s not the full story?

In this eye-opening episode, we unpack the hidden biological trap affecting thousands of new moms: the powerful and often overlooked link between postpartum mood changes and thyroid dysfunction. If you’ve ever wondered why you don’t feel like yourself after having a baby, this conversation could change everything you think you know about “baby blues.”

We dive into the science behind why postpartum depression and thyroid issues look nearly identical—and why so many women are misdiagnosed or dismissed.

From the immune system “snapback” after pregnancy to the two-phase rollercoaster of postpartum thyroiditis, you’ll learn how hormonal imbalances can hijack your mood, energy, and mental clarity. Plus, we break down why standard lab tests often miss the problem—and what crucial markers you need to check instead.

This episode is your roadmap to breaking out of the postpartum fog. We’ll walk you through the red flags, the right questions to ask your doctor, and the simple tests that could uncover the real root cause of your symptoms. 

🎧 Listen now! Because feeling depleted, disconnected, and dismissed shouldn’t be the price of motherhood—and the right diagnosis could be the difference between surviving and truly healing.

LEARN MORE

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

Postpartum Thyroiditis: Causes, Symptoms, and Treatments

https://www.palomahealth.com/learn/postpartum-thyroiditis-causes-symptoms-treatments 

Postpartum Depression and Your Thyroid: The Hidden Connection

https://www.palomahealth.com/learn/postpartum-depression-thyroid-hidden-connection 

Thyroid Challenges After Pregnancy

https://www.palomahealth.com/learn/thyroid-challenges-pregnancy 

Sheehan’s Syndrome and Hypothyroidism

https://www.palomahealth.com/learn/sheehans-syndrome-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/