My Happy Thyroid

Could a parasite lurking in your body be affecting your thyroid? It sounds surprising—even bizarre—but researchers have been exploring whether certain parasitic infections could contribute to inflammation, autoimmune reactions, and thyroid dysfunction. In this episode, we dive into the intriguing—and still evolving—connection between parasites, Hashimoto's, and hypothyroidism, and why the idea of looking beyond genetics may be gaining attention. We explore evidence suggesting that certain parasites may potentially trigger immune responses that could play a role in autoimmune thyroid disease.We'll also discuss what parasites actually are, the different types that can infect humans, and what researchers have discovered about specific infections and thyroid health. We'll look at Schistosomiasis, a parasitic worm infection that has been associated with impaired thyroid hormone uptake, as well as research involving Blastocystis and Hashimoto's. We'll also explore fascinating questions about the relationship between gut health, the immune system, and the thyroid.But before you start worrying that every symptom is a parasite, there's an important reality check. Not every parasitic infection causes autoimmune disease, and the mechanisms connecting parasites and Hashimoto's are still being studied. We'll talk about:when testing for parasites might make sensewhat symptoms and risk factors doctors considerhow parasitic infections are diagnosed and treated, and practical ways to reduce your exposure. 

For years, we've have been given confusing—and sometimes frightening—messages about hormone replacement therapy and dementia. Could HRT actually increase your risk of cognitive decline? Or could it potentially protect your brain? Now, a major new UK Biobank study involving more than 183,000 postmenopausal women is adding an important new chapter to the conversation. Researchers found that HRT use was associated with about a 10% lower risk of dementia overall and a 16% lower risk of Alzheimer's disease.In this episode, we take a closer look at what this groundbreaking research actually found—and why the answer may be much more personal than simply “HRT is good” or “HRT is bad.” We'll explore the potential importance of when you start HRT, including the study's finding that women who began hormone therapy between ages 46 and 56 showed the greatest reduction in dementia risk. We'll also look at why women who experienced surgical menopause, had lower lifetime estrogen exposure, or carried the APOE4 genetic variant appeared to have stronger associations with lower dementia risk.But there's an important reality check: this study does not prove that HRT prevents dementia, and it doesn't mean HRT is right for every woman. We'll unpack why previous research—including the Women's Health Initiative Memory Study—produced very different concerns, what this latest research does and doesn't tell us, and how factors such as your age, menopause history, family history, genetics, thyroid health, sleep, cardiovascular health, and blood sugar all fit into the bigger picture. Most importantly, we'll discuss how to use this new research to have a more informed, individualized conversation with your healthcare provider about menopause treatment and long-term brain health.

Have you ever stood up and suddenly felt your heart racing, your head spinning, or your energy completely disappear? Maybe you've experienced crushing fatigue, brain fog, temperature swings, or unexplained palpitations—and been told it's anxiety, stress, aging, or “just menopause.” In this episode, we explore a frequently overlooked possibility: dysautonomia, including postural orthostatic tachycardia syndrome (POTS), and how it can overlap with hypothyroidism and Hashimoto's.We'll break down what POTS and dysautonomia actually are, the telltale symptoms to watch for, and how conditions involving the autonomic nervous system can look remarkably similar to thyroid dysfunction. We'll also explore why thyroid hormone can influence heart rate and autonomic balance—and why people with Hashimoto's may be particularly vulnerable to this complicated overlap. Most importantly, we'll discuss the tests that can help uncover what's really happening, including the active stand test, tilt table testing, and comprehensive thyroid testing.And then there's menopause. As estrogen levels fluctuate and decline during perimenopause and menopause, the nervous system and cardiovascular system can undergo significant changes, potentially adding another layer of palpitations, dizziness, sleep disruption, hot flashes, and anxiety-like symptoms. So how do you know what's causing what—and what happens when you have more than one of these conditions at the same time? 

Why do you suddenly feel like your brain isn't working the way it used to? Why are you forgetting words, struggling to focus, feeling more anxious or moody, or gaining weight despite doing everything “right”? In this 20-minute episode, we explore neurowellness—the powerful connection between your brain and your hormones—and why brain fog may be much more than a normal part of getting older. Thyroid hormone, estrogen, insulin, and leptin all send critical signals to the brain, and when those signals change, your memory, mood, energy, appetite, and ability to concentrate can change too.We'll take a closer look at Hashimoto's and hypothyroidism, perimenopause and menopause, and hormonal weight gain, and how these conditions can overlap in ways that make symptoms incredibly confusing. You'll learn why thyroid-related brain fog is a real and measurable symptom, why declining and fluctuating estrogen can affect memory and mood during the menopause transition, and how leptin resistance may make hunger and weight loss more difficult. Most importantly, we'll talk about why women shouldn't simply accept persistent brain fog, fatigue, mood changes, or memory lapses as something they have to live with.The good news? There are practical ways to support your brain and hormonal health. From getting the right thyroid treatment and addressing hormonal changes to eating for stable blood sugar, moving your body, prioritizing sleep, and managing chronic stress, small but meaningful changes can support neurowellness. 

Could smoking actually affect your thyroid—and what does cigarette smoking have to do with Hashimoto's and hypothyroidism? The answer is far more complicated than you might think! In this episode, we take a closer look at the surprising and sometimes contradictory research connecting cigarette smoking, the immune system, inflammation, and autoimmune thyroid disease.We'll explore what happens to your thyroid and immune system when you smoke, why environmental toxins may contribute to inflammation, and what researchers have—and haven't—proven about smoking and Hashimoto's. We'll also discuss why the relationship between tobacco, thyroid autoimmunity, and hormones is anything but simple.Most importantly, this episode moves beyond the research to focus on what you can do. If you have Hashimoto's or hypothyroidism and you smoke, quitting is one of the most important steps you can take for your overall health. Whether you currently smoke, have recently quit, or are wondering whether smoking may be affecting your thyroid health, this episode will give you the facts you need to make informed decisions about your health.

Feeling exhausted, foggy, gaining weight, or simply not feeling like yourself after 40? It may not be “just aging.” As women enter perimenopause and menopause, thyroid function, reproductive hormones, cholesterol, blood sugar, vitamin D, and cortisol can all shift — sometimes in ways that a standard blood test doesn't capture. In this episode, we break down six important blood test panels that every woman over 40 should know about and why looking at the bigger picture can be so important.We'll take a closer look at the complete thyroid panel, female hormone panel, lipid panel, blood sugar and insulin resistance testing, vitamin D, and cortisol — and explore how these systems can overlap. Why might your cholesterol rise even if your diet hasn't changed? How can insulin resistance develop while your glucose still looks “normal”? And why can thyroid symptoms look so much like perimenopause? You'll learn what these tests can reveal and why a single “normal” number doesn't necessarily tell the whole story.Most importantly, this episode is about becoming a better advocate for your own health. We'll discuss the questions you can bring to your healthcare provider and the additional preventive screenings that become increasingly important in midlife — from blood pressure and mammograms to bone density and colorectal cancer screening. 

You've cut calories. You've exercised. You've tried to “eat better.” So why is the scale still moving in the wrong direction? If weight loss suddenly feels harder than it used to, your biology may have changed. In this episode, we uncover five signs that your weight gain could be driven — at least in part — by hormonal changes involving your thyroid, perimenopause, insulin, cortisol, and the hormones that regulate hunger and fullness. The message is simple: struggling with your weight doesn't automatically mean you're lacking willpower.We'll explore the five patterns you shouldn't ignore: weight gain accompanied by fatigue and feeling cold, changes in your body shape and menstrual cycle, a diet that suddenly stops working, intense sugar cravings and energy crashes, and weight gain that appears alongside chronic stress or poor sleep. You'll hear how hypothyroidism can slow metabolism, why declining estrogen can shift fat toward the abdomen, how chronic calorie restriction can increase physical stress, and why insulin resistance can make it harder for the body to burn stored fat. And there's an important takeaway: the answer isn't necessarily another restrictive diet. Targeted testing — including thyroid, glucose and insulin testing, and reproductive hormone testing when appropriate — can help identify what's actually happening. We'll also talk about the often-overlooked impact of sleep and stress, including research showing that even short-term sleep restriction can alter leptin and ghrelin, increasing hunger and appetite.

What happens when the exhaustion, anxiety, insomnia, mood changes, and brain fog of new motherhood signal something far more serious? The Lindsay Clancy trial has brought this issue to the forefront, and in this important episode, we take a closer look at postpartum psychosis—a rare but potentially life-threatening psychiatric emergency—and the often-overlooked role thyroid health can play in the postpartum period. We'll break down the warning signs that distinguish postpartum psychosis from the baby blues and postpartum depression, including hallucinations, delusions, extreme confusion, mania, rapidly shifting moods, and an inability to sleep.We'll also explore why thyroid testing belongs in a comprehensive evaluation when a postpartum woman is experiencing dramatic changes in mood, thinking, sleep, or behavior. Postpartum thyroiditis, Hashimoto's, Graves' disease, and other thyroid disorders can cause symptoms that overlap with psychiatric conditions—and research has found an association between postpartum psychosis and autoimmune thyroid dysfunction. We'll discuss the thyroid tests clinicians may consider, including TSH, Free T4, and thyroid antibodies, while emphasizing a critical point: an abnormal thyroid result does not make a psychiatric emergency a thyroid problem.Most importantly, this episode is about recognizing danger signs and knowing what to do. If a postpartum person is hallucinating, expressing delusional beliefs, severely confused, unable to sleep for an extended period, or talking about suicide or harming a baby, emergency medical and psychiatric care is needed immediately. We'll discuss how partners and family members can respond, why sleep and safety planning matter, how psychiatric and thyroid care can work together, and what women with thyroid disease or a history of thyroid autoimmunity can do before and after pregnancy to be better prepared. 

Coffee. Breakfast. Thyroid medication. You probably have a morning routine you don't think twice about—but could the timing of these things be affecting how well your thyroid medication works? For people taking levothyroxine and other thyroid hormone medications, what happens in the first hour after taking your pill can matter more than you might realize.In this Paloma podcast, we'll take a closer look at the connection between thyroid medication and breakfast. You'll learn why thyroid medication is commonly recommended on an empty stomach, how coffee and certain foods and supplements—including calcium, iron, soy, and high-fiber foods—can affect absorption, and why taking your medication consistently can be so important.But do you really have to give up your morning coffee or wait an hour before eating? Not necessarily. We'll explore a new approach to thyroid medication timing and what you should know before changing your routine. 

What if the reason you're exhausted, gaining weight, waking up at 3 a.m., and struggling with brain fog isn't just your thyroid—or just menopause? Cortisol could be adding fuel to the fire! In this episode of Paloma Health's podcast, we take a closer look at the surprising connection between stress, cortisol, hypothyroidism, perimenopause, and menopause—and why these three hormonal systems can create a frustrating cycle of symptoms that can be difficult to untangle.Cortisol has become a four-letter word in the wellness world, blamed for everything from belly fat to insomnia. But the truth is much more interesting. Cortisol is an essential hormone that helps regulate your energy, blood sugar, stress response, and sleep-wake cycle. The problem can arise when chronic stress, poor sleep, illness, or hormonal changes keep your body's stress response switched on. We'll explore how cortisol may interact with thyroid hormone production and T4-to-T3 conversion—and why you can sometimes feel profoundly hypothyroid even when your standard thyroid labs look “normal.”And there's an important twist: the answer isn't to “fix your adrenals” with the latest supplement or chase a cortisol number from social media. We'll separate the science from the hype and talk about what actually deserves attention—from optimizing thyroid treatment and addressing menopause symptoms to improving sleep and reducing chronic stress.

Hashimoto's is usually discussed in terms of TSH, thyroid hormone levels, and medication—but what if there's another piece of the puzzle hiding in your diet? A fascinating 2026 study has put a little-known amino acid called histidine on the thyroid research radar. Researchers found significantly lower histidine levels in people with Hashimoto's compared with healthy controls, raising an intriguing question: could this everyday nutrient play a role in the inflammation and immune dysfunction behind autoimmune thyroid disease?In this episode, we'll unpack what scientists actually discovered—and why the findings are generating so much interest. You'll learn what histidine is, where you get it from, and how researchers found that adding histidine to immune cells reduced NETosis, an inflammatory process that can contribute to thyroid tissue damage. We'll also explore histidine's effects on NF-κB, a major inflammatory signaling pathway, and its potential connection to oxidative stress and the gut-thyroid relationship. And we'll clear up an important source of confusion: histidine is not the same thing as histamine, even though histidine is a precursor to histamine.But before you rush out to buy a histidine supplement, there's an important reality check. This is early-stage research conducted in cells—not a human clinical trial—and researchers have not established a safe or effective supplemental dose for people with Hashimoto's. So what should you actually do with this information? We'll look at how histidine compares with better-studied nutrients like selenium, why getting enough quality protein may be the most practical takeaway right now, and what researchers need to discover before histidine could become part of mainstream Hashimoto's treatment. 

If you're waking up at 3 a.m., drenched in sweat, staring at the ceiling with a racing mind, or feeling exhausted even after eight hours in bed, you're not imagining it—and you're definitely not alone. In this episode, we take a deep dive into why perimenopause and menopause can turn once-reliable sleep into a nightly battle. We'll explore how declining estrogen and progesterone affect your brain, body temperature, melatonin, stress response, and even your ability to stay asleep.But insomnia isn't the only sleep problem women need to watch for. We'll uncover some of the often-overlooked reasons you may be sleeping poorly during midlife—including hot flashes, sleep apnea, restless legs, and thyroid dysfunction. You'll learn why menopause can leave your brain feeling like it simply “won't shut off,” why sleep apnea risk rises after menopause, and which warning signs suggest it's time to look beyond typical menopausal fatigue.Most importantly, this episode is about solutions. From hormone therapy and non-hormonal medications to CBT-I, soy isoflavones, exercise, and practical sleep strategies, we'll explore the evidence-based options that can help you reclaim restorative sleep. Because sleepless nights don't have to become your new normal—menopausal sleep disruption has identifiable causes and is treatable. 

Many people with hypothyroidism assume their thyroid is solely responsible for fatigue, weight gain, and difficulty losing weight. But another common condition—insulin resistance—may be quietly making those symptoms even worse. In this episode, we uncover the growing evidence linking thyroid dysfunction with impaired insulin sensitivity and explain why addressing only one condition may leave you feeling stuck.We dive into the science behind how thyroid hormones influence metabolism, blood sugar regulation, inflammation, and energy production. You'll also learn why insulin resistance can develop even before diabetes, the warning signs that often go unnoticed, and how these two conditions can create a frustrating cycle that's difficult to break without a comprehensive approach.Most importantly, we discuss practical strategies for improving metabolic health, including nutrition, physical activity, sleep, stress management, and working with your healthcare provider to identify underlying hormonal imbalances. 

Millions of men assume declining energy, weight gain, reduced libido, mood changes, and brain fog are simply unavoidable parts of aging. But what if those symptoms point to something more? In this episode, we explore the surprising overlap between andropause—sometimes called male menopause—and hypothyroidism, revealing why these two conditions are so often confused and why many men go undiagnosed for years.You'll learn how testosterone and thyroid hormones work together to regulate metabolism, muscle strength, mood, sexual health, and overall vitality. We also discuss why symptoms frequently overlap, which laboratory tests provide a clearer picture than symptoms alone, and how identifying the right hormonal imbalance can lead to more effective treatment.Whether you're experiencing unexplained fatigue, struggling to maintain your health despite diet and exercise, or simply want to better understand how hormones change with age, this conversation offers practical insights backed by current research. 

Energy drinks promise instant energy, sharper focus, and better workouts—but what are they really doing to your thyroid, immune system, and metabolism? In this episode, we take a closer look at the surprising ingredients hiding inside many popular energy drinks, from massive doses of caffeine and sugar to artificial sweeteners and herbal stimulants, and explore how they may influence hormone balance and overall health.You'll learn why people with hypothyroidism or Hashimoto's may be especially sensitive to energy drinks, how excess caffeine can affect cortisol, stress, sleep, and thyroid medication, and why some ingredients may contribute to inflammation instead of boosting wellness. We also separate marketing hype from scientific evidence when it comes to claims about weight loss, metabolism, and athletic performance.Whether you reach for an energy drink every morning, before the gym, or during an afternoon slump, this episode will help you make smarter choices about fueling your body. 

If you've noticed bleeding gums, dry mouth, tooth sensitivity, or more dental problems during perimenopause or menopause, you're not imagining it! In this episode of the Paloma Health Podcast, we explore one of the most overlooked effects of hormonal change: how declining estrogen levels can impact your teeth, gums, jawbone, and overall oral health. You'll learn why your mouth can serve as an early warning system for hormone changes and what these symptoms may be telling you about your health. Based on growing evidence, hormonal shifts during midlife can increase the risk of gum disease, cavities, dry mouth, and other oral health concerns.Join us as we explain the fascinating connection between estrogen, inflammation, saliva production, and the oral microbiome. We discuss why women in midlife may experience new or worsening dental issues—even with excellent brushing and flossing habits—and how oral health is closely connected to thyroid health, heart health, bone health, and overall wellness. You'll also hear practical guidance on recognizing the symptoms that deserve attention before they become bigger problems.Whether you're in your 40s navigating perimenopause, already in menopause, or simply want to protect your long-term health, this episode offers actionable tips to keep your smile healthy through every stage of hormonal change. Discover the daily habits, nutrition strategies, and conversations to have with your dentist and healthcare provider to help prevent gum disease, preserve your teeth, and support your health from the inside out. 

Many of the symptoms we accept as "just getting older"—fatigue, brain fog, weight gain, constipation, depression, dry skin, and even memory problems—could actually be signs of an underactive thyroid. In this episode, we explore why hypothyroidism becomes increasingly common with age, why it's so often overlooked in older adults, and how age-related changes in thyroid function can make diagnosis more challenging than many people realize.You'll learn how thyroid hormone needs change over time, why standard thyroid testing doesn't always tell the full story for seniors, and what current research says about age-specific TSH ranges and treatment decisions. We'll also discuss when symptoms deserve a closer look, how hypothyroidism can sometimes mimic dementia or depression, and why careful, individualized treatment is especially important later in life.Whether you're over 60, caring for an aging parent, or simply planning for healthier aging, this episode provides practical, evidence-based insights that could make a meaningful difference. 

Wireless technology is woven into nearly every part of modern life—but could your smartphone or Bluetooth earbuds be affecting your thyroid health? In this episode of the Paloma Health podcast, we explore the latest research on radiofrequency (RF) radiation, separate fact from fear, and examine what scientists currently know about the potential connection between mobile devices, thyroid function, and thyroid nodules.You'll learn why the thyroid may be especially vulnerable because of its location in the neck, what recent studies have found about prolonged Bluetooth headset use, and why the evidence surrounding cell phones remains mixed. We also explain the difference between ionizing and non-ionizing radiation, discuss what major health organizations say about the safety of wireless devices, and highlight where more research is still needed.Whether you're living with hypothyroidism, Hashimoto's disease, thyroid nodules, or simply want to make informed decisions about your everyday technology use, this episode offers balanced, evidence-based guidance without unnecessary alarm. 

Eyebrow thinning isn't just a beauty concern—it can be one of the earliest, most overlooked signs of thyroid dysfunction. In this episode, we break down the science behind why hypothyroidism so often shows up first in the outer third of the eyebrows, and why changes in hair growth can reflect deeper shifts in hormone signaling, metabolism, and immune balance. If you've noticed your brows getting sparse, uneven, or unusually slow to grow back, this conversation connects the dots most people miss.We'll explore how thyroid hormones directly influence hair follicle cycling, what makes eyebrow hair uniquely sensitive to hormonal changes, and how conditions like Hashimoto's can quietly alter facial hair patterns long before other symptoms become obvious. You'll also learn how clinicians evaluate eyebrow loss in the broader context of fatigue, dry skin, weight changes, and other subtle but important thyroid clues.Finally, we cover what you can actually do about it—from the lab tests that matter most to treatment strategies that support regrowth and overall thyroid balance. Whether you're already diagnosed or just starting to question what your body is signaling, this episode helps you decode one of the most visible—and often dismissed—thyroid warning signs.

For years, hypothyroid patients who rely on natural desiccated thyroid (NDT) medications have worried about shortages, changing regulations, and whether their medication would remain available. Now, Amerithroid has entered the conversation as a new American-made NDT option, promising greater transparency in sourcing, manufacturing, and quality. But what makes it different—and could it reshape the future of thyroid treatment?In this episode, we take a deep dive into the story behind Amerithroid, explaining how it compares to the existing brand-name NDT medications, why "Made in America" matters to many patients, and what to know about its ingredients, formulation, and potential benefits. We'll also unpack the recent regulatory challenges surrounding natural desiccated thyroid medications and discuss why the arrival of a new manufacturer is generating so much interest within the thyroid community.Whether you've been successfully treated with NDT for years, are considering switching from levothyroxine, or simply want to understand the latest developments in thyroid care, this episode offers the balanced, evidence-based information you need. 

What if your painful gout attacks aren't just about uric acid—but could also be a sign that your thyroid isn't working properly? In this episode, we uncover the surprising scientific connection between hypothyroidism and gout, explaining why people with an underactive thyroid may be more likely to develop elevated uric acid levels and painful gout flare-ups. If you've ever wondered why you're dealing with both conditions, this conversation could provide the missing piece of the puzzle.We'll explore the latest research on how thyroid hormones influence metabolism, kidney function, and the body's ability to clear uric acid. You'll also learn the symptoms that overlap between gout and hypothyroidism, why the two conditions are frequently overlooked together, and how optimizing your thyroid treatment may support better overall health alongside standard gout care.Whether you've experienced a sudden attack of gout, live with Hashimoto's or hypothyroidism, or simply want to understand how seemingly unrelated conditions can be connected, this episode delivers practical, evidence-based insights you can use right away. 

Pregnancy changes everything—including how your thyroid should be managed. In this episode, we break down the landmark 2026 American Thyroid Association guidelines, the first major update in nearly a decade, and explain what they mean for anyone who is pregnant, trying to conceive, or planning for the future. You'll learn how these new recommendations could affect thyroid testing, medication management, iodine intake, and care before, during, and after pregnancy.We'll also separate fact from fiction around thyroid disease and pregnancy. From Hashimoto's and hypothyroidism to postpartum thyroiditis, we discuss why early diagnosis and careful monitoring are so important, how thyroid hormone needs can change throughout pregnancy, and what patients should know about working with their healthcare team to protect both maternal and baby health.Whether you've recently been diagnosed, are struggling to optimize your thyroid treatment before conception, or simply want to understand the latest evidence, this episode translates complex medical guidelines into practical, patient-friendly advice. 

What if that burning, tingling, or scalded sensation in your mouth isn't a dental problem at all? In this fascinating episode, we uncover the surprising connection between burning mouth syndrome, thyroid function, and hormone imbalances. If you've been told that everything looks "normal" despite persistent oral discomfort, you'll learn why the answers may lie beyond your mouth.Join us as we explore how thyroid disorders, nutritional deficiencies, and the hormonal shifts of perimenopause and menopause can affect the nerves and tissues of the mouth. You'll discover why women are disproportionately affected, the symptoms that often accompany burning mouth syndrome, and the emerging research connecting this condition to broader endocrine health.Most importantly, we'll discuss practical steps for getting answers and finding relief. From comprehensive thyroid testing and hormone evaluation to addressing nutrient deficiencies and working with knowledgeable healthcare providers, this episode offers a fresh perspective on a condition that too often goes undiagnosed or misunderstood.

Could your fatigue, brain fog, dizziness, dry skin, or headaches be caused by something as simple—and overlooked—as dehydration? In this episode of the Paloma Health Podcast, we explore the surprising connection between hydration and thyroid health, and why not drinking enough water may make hypothyroidism symptoms feel even worse.You'll learn how dehydration can affect thyroid hormone transport, alter blood flow to the thyroid gland, and even trigger symptoms that closely mimic an underactive thyroid. We also discuss why some thyroid lab results may temporarily shift when you're dehydrated, what the research shows about rehydration and thyroid biomarkers, and why proper hydration is a foundational part of feeling your best.Whether you're living with hypothyroidism, Hashimoto's, or simply trying to optimize your energy and well-being, this episode offers practical hydration tips, warning signs of dehydration, and simple strategies to help support your thyroid health every day. 

If you've heard the buzz about estrogen creams but aren't sure what they actually do—or whether they're safe—this Paloma podcast episode is for you! We break down the science behind estradiol and estriol creams, two topical hormone therapies that are helping many women navigate the changes of perimenopause and menopause. From vaginal dryness and painful intimacy to urinary symptoms and skin changes, you'll learn why estrogen plays such a critical role in women's health and comfort.We also explore one of the hottest topics in midlife wellness: can estrogen creams really improve aging skin? As estrogen levels decline, collagen production drops, leading to thinner, drier, less elastic skin. Discover what the latest research says about estrogen's potential to support skin hydration, elasticity, and wrinkle reduction—and where the evidence is promising.Finally, we tackle the important safety considerations every woman should know. Who is a good candidate for estrogen cream? What's the difference between FDA-approved and compounded formulations? And what should women with hypothyroidism know before starting estrogen therapy? 

Have you ever wondered if acupuncture could help with the frustrating symptoms that seem impossible to explain—fatigue, weight gain, hot flashes, brain fog, poor sleep, anxiety, and hormone-related mood swings? In this episode, we explore why more women with hypothyroidism, Hashimoto's, perimenopause, and menopause are turning to this ancient practice as part of their wellness toolkit.You'll learn how acupuncture may influence the body's stress response, nervous system, inflammation pathways, and hormone regulation. We discuss the science behind acupuncture's potential effects on symptoms like menopause-related hot flashes, thyroid-related fatigue, sleep disturbances, and the metabolic challenges that can make weight loss feel like an uphill battle after 40.Whether you're curious about alternative therapies or looking for additional support alongside conventional medical treatment, this episode offers a balanced look at what acupuncture can—and can't—do for hormonal health. 

Acid reflux and heartburn are usually blamed on food choices, stress, or digestive issues—but what if your thyroid is playing a role? In this episode, we explore the surprising connection between hypothyroidism and acid reflux, and why an underactive thyroid can affect everything from stomach emptying to the muscles that keep stomach acid where it belongs.You'll learn how low thyroid hormone levels may contribute to heartburn, indigestion, difficulty swallowing, and other digestive symptoms that are often overlooked or treated separately from thyroid disease. We also discuss the link between Hashimoto's thyroiditis, gut health, and reflux symptoms, along with the research behind this often-missed connection.Whether you're struggling with persistent reflux despite medication or wondering why digestive symptoms continue even after a thyroid diagnosis, this episode offers practical insights and solutions. 

Can hypothyroidism actually be prevented, or is it simply a matter of genetics and bad luck? In this episode, Paloma dives into one of the most common questions people ask about thyroid health and separate myth from reality. You'll learn why there isn't a guaranteed way to prevent every case of hypothyroidism, but also why your lifestyle, nutrition, environmental exposures, and early detection efforts may play a bigger role than you think.We explore the different causes of hypothyroidism—from autoimmune Hashimoto's disease to iodine imbalances, certain medications, and thyroid damage—and discuss which risk factors you can influence and which are beyond your control. You'll discover the warning signs that often appear long before a diagnosis, as well as the practical steps that may help support healthy thyroid function and reduce your risk of developing thyroid-related problems.Whether you have a family history of thyroid disease, are concerned about your own thyroid health, or simply want to take a proactive approach to wellness, this episode offers evidence-based guidance you can put into action today. 

What if the symptoms you blame on your thyroid—fatigue, weight gain, brain fog, anxiety, poor sleep, and even hormone imbalances—are being amplified by something hiding in plain sight? In this episode, we explore the powerful and often overlooked relationship between stress and thyroid health, and why managing stress may be one of the most important steps you can take to feel better. |You'll learn how chronic stress affects the nervous system, immune function, hormones, and thyroid health, and why even everyday stressors—poor sleep, financial worries, relationship challenges, infections, injuries, and overwork—can worsen hypothyroid and Hashimoto's symptoms. We also discuss the surprising ways stress can contribute to fatigue, weight struggles, mood changes, inflammation, and autoimmune flare-ups, often creating a cycle that leaves many thyroid patients feeling stuck.Most importantly, you'll discover practical, research-backed strategies to break that cycle. From mindfulness and breathwork to gentle movement and creative activities that calm the nervous system, this episode shares simple tools that can help reduce stress, support thyroid function, and improve overall well-being. 

Living with hypothyroidism can be expensive in ways you never expect. Beyond the cost of doctor visits, lab tests, and medication, untreated or undertreated thyroid dysfunction can quietly impact your career, relationships, productivity, mental health, and overall quality of life. In this episode, we uncover the hidden financial, physical, and emotional costs that often go unrecognized by both patients and healthcare providers.You'll learn how common hypothyroidism symptoms—including fatigue, brain fog, weight challenges, depression, and reduced work performance—can create a ripple effect throughout every aspect of life. We explore why so many people continue to struggle despite treatment and discuss the long-term consequences of settling for "normal" lab results when you still don't feel your best.Whether you've recently been diagnosed or have been managing hypothyroidism for years, this conversation offers valuable insights into the true cost of thyroid disease—and what you can do to reclaim your health, energy, and vitality – AND bank account! 

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. 

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. 

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. 

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. 

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. 

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 productionWhy thyroid dysfunction can disrupt hormone balanceThe warning signs of low testosteroneWhether treating hypothyroidism can restore testosterone naturallyWhen testosterone replacement therapy may — or may not — help

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. 

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. 

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. 

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. 

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. 

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. 

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! 

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. 

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. 

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.  

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. 

You've optimized your labs. Your TSH looks “normal.” And yet… you still feel exhausted, foggy, and off. So what's going on? In this episode, we unpack one of the most talked-about—and controversial—concepts in the thyroid world: thyroid pooling.The theory suggests that your active thyroid hormone, T3, may be “stuck” in your bloodstream instead of getting into your cells where it actually does its job. That could mean you have normal—or even high—T3 levels on paper, but still feel hypothyroid in real life. But here's the catch: thyroid pooling is controversial, and there's limited research on it.So how seriously should you take it? We break down what science does say about T3, cellular uptake, and persistent symptoms—and why a full thyroid evaluation (not just one lab marker) matters most. 

Obsessive thoughts. Compulsive behaviors. Anxiety that won't switch off. What if your thyroid could be playing a bigger role than you think? In this episode, we explore the surprising connection between OCD and conditions like Hashimoto's and hypothyroidism—and why mental health symptoms are sometimes rooted deeper in the body than most people realize.Emerging research shows that people with autoimmune thyroid disorders may have higher rates of OCD, with thyroid hormone imbalances potentially affecting key brain chemicals like serotonin, dopamine, and glutamate. When these systems are disrupted, it can fuel anxiety, intrusive thoughts, and compulsive patterns—making thyroid health an often-overlooked piece of the puzzle.If you've ever felt like your symptoms don't fully make sense—or aren't being taken seriously—this episode connects the dots. 

Perfume has suddenly become the latest villain on social media—especially for people with Hashimoto's and hypothyroidism. You may see influencers claiming that spraying fragrance on your neck goes straight to your thyroid. Can perfume actually harm your thyroid… or is this just another wellness myth gone viral? In this episode, we break down what's real, what's exaggerated, and what science actually says.You'll learn why your thyroid gland is not directly affected by where you spray perfume, and why that fear doesn't hold up medically. But the conversation doesn't end there. We dive into the bigger issue: the hidden chemicals inside “fragrance” and how some ingredients—like phthalates and other endocrine disruptors—may influence hormones in more complex, indirect ways.

Curious about supplements that promise to “fix” your hormones? In this episode, we take a closer look at DHEA—often called the “anti-aging hormone”—and whether it actually lives up to the hype for people with thyroid conditions. You'll learn what DHEA does in your body, why levels naturally decline with age, and how it connects to other key hormones like estrogen and testosterone.But here's where it gets interesting: while some people with hypothyroidism may have lower DHEA levels—and even share symptoms like fatigue and low libido—the science is still far from clear. We break down what the research really says (and doesn't say), who might benefit, and the surprising risks you need to know before trying it.