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/

What if the reason you feel exhausted, foggy, and “off” isn’t just stress or aging—but something millions of people have and don’t even know it?

In this episode, we unpack why Hashimoto’s thyroiditis is being called a silent epidemic, quietly affecting an increasing percentage of the population while often going undiagnosed for years!

You’ll learn how this autoimmune condition slowly attacks the thyroid—and why so many people are told they’re “fine” even when they’re not.

We also dig into the bigger question: why is this happening now? This episode explores the surprising mix of modern triggers—from stress and hormonal shifts to environmental toxins, infections, and nutrient imbalances—that may be driving the rise in autoimmune thyroid disease.

If you’ve ever wondered whether your lifestyle, diet, or environment could be impacting your thyroid, this conversation connects the dots in a clear, eye-opening way.

Most importantly, you’ll walk away with actionable insights. From understanding which tests actually matter to recognizing early symptoms and advocating for better care, this episode gives you practical steps to take control of your health. 

🎧 Listen now! Because when it comes to Hashimoto’s, awareness isn’t just power—it can be the difference between years of frustration and finally getting answers.

LEARN MORE

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

The Hashimoto’s Epidemic: Here’s Why—and What You Can Do

https://www.palomahealth.com/learn/hashimotos-epidemic-reasons-actions 

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 been struggling with stubborn hair loss, acne that won’t budge, or confusing midlife hormonal shifts, this episode dives into a treatment that’s getting a lot of attention—spironolactone. 

Originally developed as a diuretic, it’s now widely used as an anti-androgen, helping to block the effects of hormones like testosterone that can drive thinning hair, breakouts, and unwanted facial hair. In this conversation, we unpack what spironolactone actually does—and just as importantly, what it doesn’t do—so you can understand where it fits in your overall hormonal health strategy.

You’ll learn why symptoms like hair loss and acne are rarely standalone issues, especially if you’re dealing with thyroid dysfunction, perimenopause, or even weight loss treatments like GLP-1 medications. This episode connects the dots between your thyroid, your hormones, and how your body responds to androgens—revealing why you might still have lingering symptoms even when your labs look “normal.” 

We also break down who is most likely to benefit from spironolactone, what kind of hair loss it can actually help, and why patience is key when it comes to seeing results.

Finally, we get real about expectations, side effects, and smart strategies for getting the best results. From electrolyte monitoring to combining treatments for better outcomes, this episode gives you a clear, grounded perspective on using spironolactone safely and effectively. 

🎧 If you’ve been searching for answers about hormonal hair loss—or wondering whether this medication could be part of your solution—this is a must-listen guide to making informed, confident decisions about your health.

LEARN MORE

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

Spironolactone, Hair Loss, and Hormonal Symptoms: What You Need to Know

https://www.palomahealth.com/learn/spironolactone-hair-loss-hormonal-symptoms

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/

Is there actually a best time to work out for fat loss, energy, and hormone balance… or is it all hype?

In this episode, we dive into the science of exercise timing and how it impacts your metabolism, cortisol, insulin sensitivity, and even your sleep.

The truth? When you work out can influence everything from fat burning to how your body handles stress—but the “perfect” time isn’t the same for everyone.

We break down the real pros and cons of morning vs. evening workouts, how your hormones shift throughout the day, and what matters most if you’re dealing with thyroid issues, weight struggles, blood sugar challenges, or midlife hormonal changes like perimenopause and menopause!

 🎧 If you’re exercising but not seeing results, listen now. This might be the missing piece!

LEARN MORE

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

The Best Time To Exercise Might Not Be When You Think

https://www.palomahealth.com/learn/best-time-to-exercise-metabolism-hormones 

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 trust them. You follow them. You might even buy what they recommend!

But what if your favorite health influencer is quietly putting your health at risk?

In this eye-opening episode, we unpack the hidden dangers of social media health advice—from viral “wellness hacks” to expensive tests and supplements that may do more harm than good. Research shows that much of the health content shared by influencers is misleading, biased, or driven by financial incentives—not science.

We break down how influencer culture fuels self-diagnosis, unnecessary treatments, and wasted money—and why even well-meaning advice can backfire when it’s not personalized to your body.

We also look at what factors to look for to let you know that an influencer IS trustworthy. 

🎧 If you’ve ever wondered, “Should I try this?” after seeing a trending health post or video… this episode could change how you think forever.

LEARN MORE

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

Are Social Media Influencers Hazardous to Your Health?

https://www.palomahealth.com/learn/social-media-influencers-hazardous-health   

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 “lifelong” medications in medicine… isn’t always meant to be lifelong? 

In this eye-opening episode of the Paloma Health podcast, we unpack the provocative findings of the 2026 RELEASE trial—and the question millions of people over 60 are suddenly asking: Do I still need my thyroid medication? 

You’ll discover why researchers are challenging decades of conventional wisdom, and how a surprising subset of patients may be able to safely reduce—or even stop—treatment under the right conditions.

But here’s where it gets real: this isn’t a story about quitting your meds—it’s about personalization. While about 1 in 4 people in the study successfully stopped their medication, the majority still needed it, and many fell somewhere in between—benefiting from lower doses instead. 

This episode dives into the hidden risks of overtreatment (think heart rhythm issues and bone loss), the gray zone of “borderline” diagnoses, and why aging changes your thyroid needs more than you might expect. It’s nuanced, surprising, and deeply relevant if you’ve ever wondered whether your treatment is still right for you.

Most importantly, this conversation empowers you to rethink “autopilot” healthcare. Deprescribing isn’t about doing less—it’s about doing what’s right, right now. You’ll learn the critical questions to ask your doctor, the signs your body may still depend on thyroid hormone, and why any changes must be slow, strategic, and medically guided. 

🎧 Listen now! Because when it comes to your thyroid, the goal isn’t stopping treatment—it’s getting it exactly right.

LEARN MORE

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

Should Thyroid Medication Be Deprescribed After Age 60?

https://www.palomahealth.com/learn/thyroid-medication-deprescribed-after-age-60-release-trial 

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/

Your nails might be telling you something your lab tests haven’t caught yet! 

In this episode, we uncover the surprising connection between brittle, peeling, slow-growing nails and hypothyroidism—and why these subtle changes can be an early warning sign of deeper hormonal imbalance. Research shows that low thyroid hormone levels can slow nail growth, reduce blood flow, and weaken the keratin structure that keeps nails strong.

We break down the most common thyroid-related nail symptoms—from splitting and ridges to nail lifting (onycholysis)—and explain why they happen. You’ll learn how thyroid dysfunction disrupts metabolism at the cellular level, affecting everything from nail formation to moisture balance, and why up to a majority of hypothyroid patients experience increased nail fragility.

Most importantly, we talk solutions. From optimizing thyroid treatment to simple lifestyle and nail care strategies, discover what actually works to restore stronger, healthier nails over time. 

 🎧 Learn more about how, sometimes, the smallest clues—like your nails—can reveal the biggest insights about your thyroid health..

LEARN MORE

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

Why Your Nails Break and Peel with Hypothyroidism

https://www.palomahealth.com/learn/nails-break-peel-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 “normal labs” aren’t the same as feeling normal?

In this eye-opening episode, we break down thyroidmaxxing—a smarter, more personalized approach to optimizing hypothyroidism treatment that goes far beyond the standard one-size-fits-all model. Because while medications like levothyroxine are considered the gold standard, many patients still struggle with fatigue, weight gain, and brain fog—even when their labs look “fine.”

We explore what it really means to optimize your thyroid—from dialing in the right medication (T4, T3, or combination therapy) to identifying your optimal lab ranges, not just “in range.”

You’ll also learn how factors like stress, nutrition, metabolism, and even other hormones can make or break how you feel day to day—and why a truly effective treatment plan must be individualized to your body.

If you’ve ever been told “your labs are normal” but still don’t feel like yourself, this episode is your roadmap. 

🎧 Discover how to advocate for better care, uncover hidden barriers to healing, and take control of your thyroid health with a modern, data-driven approach designed to help you feel like you again.

LEARN MORE

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

Thyroidmaxxing: Optimizing Your Thyroid Treatment

https://www.palomahealth.com/learn/thyroidmaxxing-optimizing-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/