My Thyroid Health: Thyroid, Midlife Hormones + Weight Loss

Paloma Health

This podcast helps you take control of your health with the latest news on and practical strategies for hypothyroidism, Hashimoto’s, perimenopause, menopause, weight loss, and gut health. Learn about thyroid medications (like levothyroxine and natural desiccated thyroid), lab testing, root-cause approaches, gut health, GLP-1/GIP weight loss treatments. Presented by Paloma Health, the leading online medical practice for personalized thyroid care, midlife hormone changes, and weight challenges. Discover how to boost metabolism, balance hormones, improve energy, and advocate for better care.

  1. 1d ago

    Ep. 338: Bloating and Gas in Menopause: What Can Help

    Do your jeans fit comfortably in the morning, only to feel uncomfortably tight by afternoon? If your belly seems to balloon as the day goes on, you're not imagining it—and your lunch may not be the only culprit. New research involving more than 1,800 midlife women found that nearly two out of three experienced excessive bloating and gas, making these the most common digestive complaints before, during, and after menopause. In this episode of My Thyroid Health from Paloma Health, we explore why hormonal changes can turn your digestive system upside down, why bloating doesn't necessarily disappear after menopause, and how anxiety and gut symptoms can fuel each other in a frustrating cycle. But there's another important piece of the puzzle: your thyroid. Hypothyroidism and Hashimoto's can slow digestion, contribute to constipation and bloating, and increase the risk of small intestinal bacterial overgrowth (SIBO). We'll explore how to distinguish bloating from midlife weight gain, which foods and everyday habits may make gas worse, and why persistent digestive symptoms deserve more than a dismissive "it's just menopause." You'll also learn about practical strategies that may help, from tracking food and symptoms to trying a short-term low-FODMAP approach, walking after meals, and calming the gut-brain connection. You don't have to accept a constantly uncomfortable belly as your new normal!  🎤Tune in for a clearer understanding of the connections among menopause, thyroid health, digestion, and stress—and discover the questions worth asking your healthcare practitioner when bloating just won't quit. LEARN MORE  Bloating and Gas in Menopause https://www.palomahealth.com/learn/bloating-and-gas-in-menopause 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/

  2. 6d ago

    Ep. 337: Creatine – The Muscle-Saving Secret for Menopause & GLP-1 Weight Loss

    What if one of the biggest keys to healthy aging after 40 isn’t simply losing weight—but protecting the muscle underneath it? Creatine has long been associated with athletes and bodybuilders, but new research is putting this familiar supplement in a very different spotlight. In this episode, we explore what creatine may mean for women in midlife, especially during menopause, when hormonal changes can make maintaining muscle, strength, and body composition increasingly challenging. We’ll look at the emerging research on creatine and muscle, including intriguing findings showing increases in lean tissue even without structured exercise. We’ll also explore why muscle preservation matters so much during menopause—and why the conversation gets even more important for people using GLP-1 medications such as Ozempic, Wegovy, Mounjaro, and Zepbound for weight loss. Could creatine become a useful piece of the muscle-preservation puzzle alongside adequate protein and resistance training? And what about safety, dosing, water weight, kidney tests, thyroid health, and the question everyone seems to be asking: Should you take creatine with collagen? We break down what creatine can—and can’t—do, who might want to consider it, and why the goal shouldn’t simply be a lower number on the scale.  🎤Join us if you’re navigating menopause, midlife weight changes, or GLP-1 weight loss and want to preserve strength and muscle along the way!  LEARN MORE  Should You Supplement With Creatine? http://ww.palomahealth.com/learn/supplement-with-creatine  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/

  3. Oct 13

    Ep. 336: Microplastics Are in Your Thyroid?! The Shocking New Hashimoto’s Connection

    Microplastics are everywhere—in our food, water, household dust, clothing, and everyday products. But a new study has uncovered something that may be especially concerning if you have Hashimoto’s: researchers found microplastics inside human thyroid tissue, and people with autoimmune thyroiditis had more than 10 times the amount of plastic by weight and more than three times the number of particles compared with people without autoimmune thyroid disease. So…does plastic actually cause Hashimoto’s? Not so fast. This was a small, preliminary study, and it found an association—not proof that microplastics cause autoimmune thyroid disease. But the findings raise fascinating questions about how environmental exposures may interact with the immune system, thyroid hormones, gut health, and even weight. In this episode, we’ll break down what researchers actually discovered, why PVC stood out, what we know—and still don't know—about microplastics and autoimmunity, and why this emerging research deserves your attention. And here's the good news: you don't have to live in a plastic-free bubble! We'll walk through 7 realistic ways to reduce your everyday exposure, from one surprisingly important kitchen habit to rethinking bottled water, food storage, cookware, household dust, and personal-care products. No perfectionism, no panic—just simple swaps that can help you reduce exposure while continuing to focus on the things that are proven to matter for thyroid health. 🎤Join us to learn about the 7 ways to reduce your exposure to microplastics!  LEARN MORE  Microplastics Are Everywhere! What Does That Mean for Your Thyroid? https://www.palomahealth.com/learn/microplastics-and-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/

  4. Oct 8

    Ep. 335: Why Do You Keep Waking Up at 3 A.M.? The Hormones, Cortisol & Blood Sugar Connection

    You fall asleep exhausted. Then, suddenly, it’s 3:07 a.m.—and you’re wide awake. Your heart may be pounding, your thoughts are racing, and somehow your brain has decided this is the perfect time to replay every worry, problem, and unfinished task! If this sounds familiar, you’re not alone. “3 A.M. wake-up syndrome” is a common but often overlooked sleep complaint, particularly during perimenopause and menopause. In this deep dive episode, we explore why middle-of-the-night waking can become so common during the menopause transition—and why it’s not always about hot flashes or “bad sleep habits.” Shifting estrogen and progesterone, changes in the body’s cortisol rhythm, overnight blood sugar fluctuations, stress, and even thyroid dysfunction can all play a role. We’ll also look at why you can feel completely exhausted and yet strangely “tired but wired” when you wake up. Most importantly, we’ll talk about what you can actually do about those 3 a.m. wake-ups. From creating a more temperature-stable sleep environment and rethinking your evening meal to managing stress during the day, avoiding alcohol triggers, you’ll lean simple strategies when you’re wide awake in the middle of the night. 🎤Tune in and you’ll come away with practical ways to understand—and potentially improve—your sleep. If 3 a.m. has become your nightly alarm clock, this episode is for you! LEARN MORE Why Preserving Muscle is Essential On a GLP-1 or GIP https://www.palomahealth.com/learn/preserving-muscle-essential-glp-1-gip-weight-loss    ABOUT PALOMA HEALTH  ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you.  Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout. Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout.  Become a Paloma Member https://www.palomahealth.com/pricing-hypothyroidism   Paloma Complete Thyroid Blood Test Kit https://www.palomahealth.com/home-thyroid-blood-test-kit JustLabs - Direct to Consumer Lab Testing https://justlabs.health/

  5. Oct 6

    Ep. 334: Losing Weight on a GLP-1? You Could Be Losing Muscle Without Knowing It!

    You’re stepping on the scale. The numbers are dropping. Your clothes are getting looser. Success, right? Maybe—but there’s something your bathroom scale isn’t telling you. New research is shining a spotlight on muscle loss during GLP-1 and GIP treatment, including medications like Wegovy, Ozempic, Zepbound, and Mounjaro. In some studies, a significant percentage of the weight people lose is lean mass rather than fat. And that matters because muscle isn't just about looking toned—it supports metabolism, strength, balance, bones, and long-term independence. In this episode, we'll unpack what the latest research actually tells us about muscle loss on GLP-1 and GIP medications. How much muscle might you lose? Why might some people be more vulnerable than others? What does tirzepatide versus semaglutide mean for lean mass? And what happens when hypothyroidism or menopause is already working against your muscle health? We'll also look at the surprising signs that you may be losing muscle—including fatigue, weakness, difficulty climbing stairs or getting out of a chair, and changes in grip strength. Most importantly, this isn't an argument against GLP-1 medications. It's an argument for using them strategically. We'll talk about the two biggest tools for protecting muscle—adequate protein and resistance training—and why they should be part of your plan from the beginning, not something you think about after muscle loss has already occurred. We'll also cover why thyroid optimization matters, how much protein the research suggests, and what kinds of muscle monitoring you can discuss with your provider.  🎤Tune in to find out why preserving muscle may be just as important as watching the number on the scale. LEARN MORE Why Preserving Muscle is Essential On a GLP-1 or GIP https://www.palomahealth.com/learn/preserving-muscle-essential-glp-1-gip-weight-loss    ABOUT PALOMA HEALTH  ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you.  Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout. Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout.  Become a Paloma Member https://www.palomahealth.com/pricing-hypothyroidism   Paloma Complete Thyroid Blood Test Kit https://www.palomahealth.com/home-thyroid-blood-test-kit JustLabs - Direct to Consumer Lab Testing https://justlabs.health/

  6. Oct 1

    Ep. 333: Is Your Weight Loss Drug Messing With Your Thyroid Dose?

    Are you taking a GLP-1 or GIP medication like semaglutide or tirzepatide while managing hypothyroidism? In this episode, we unpack new 2026 research showing how these popular weight-loss/diabetes medications can quietly shift your thyroid hormone replacement requirements within just three months of starting treatment!  Whether you have been on a stable dose of thyroid medication for years or recently started weight loss therapy, discover why taking GLP-1s requires active attention to your thyroid care rather than staying on autopilot. You will learn how to spot early warning signs that your dose is falling out of alignment, including overtreatment symptoms like heart palpitations, anxiety, and tremors, as well as undertreatment signs like returning fatigue and brain fog.  Finally, we share actionable steps to protect your treatment, and how Paloma Health simplifies this process by managing both thyroid replacement and GLP-1 therapy under one coordinated care plan with convenient at-home thyroid testing.  🎤Tune in to ensure your weight loss and thyroid treatments work together seamlessly!  LEARN MORE Starting a GLP-1 Can Change Your Hypothyroid Treatment Dose https://www.palomahealth.com/learn/starting-glp-1-gip-can-change-hypothyroid-treatment-dose  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/

  7. Sep 29

    Ep. 332: Testosterone During Menopause? The Hormone Everyone’s Talking About!

    Testosterone has become one of the hottest—and most controversial—topics in menopause. Women are being told it could restore their libido, energy, motivation, muscle, mood, and even their mental clarity. Prescriptions are skyrocketing. Social media is buzzing. But before you decide that testosterone is the missing hormone you've been searching for, there's one important question: What does the science actually say? In this episode, we take a deep dive into what testosterone really does in the female body—and separate the evidence from the hype. You'll learn why testosterone therapy has one well-supported use in postmenopausal women, while many of its most popular promises—from fighting fatigue and brain fog to improving mood and muscle—are still surrounded by unanswered questions. But here's where the conversation gets even more interesting: your testosterone levels may not tell the whole story. Your thyroid could be involved. Hypothyroidism and Hashimoto's can affect testosterone, sex hormone-binding globulin (SHBG), libido, mood, fatigue, and brain fog—creating symptoms that can easily be mistaken for “low testosterone.” And surprisingly, research in postmenopausal women with Hashimoto's found something that challenges what many people assume about testosterone and an underactive thyroid. So, should you consider testosterone during menopause? And if you're struggling with low libido, exhaustion, diminished motivation, or brain fog, what should you investigate first?  🎤Join us for a fascinating look at the interconnected world of testosterone, menopause, Hashimoto's, and thyroid health—and discover why getting the full hormonal picture may be far more important than chasing a single number on a lab report.  LEARN MOREShould You Use Testosterone During Menopause? https://www.palomahealth.com/learn/should-you-use-testosterone-during-menopause  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/

  8. Sep 24

    Ep. 331: Is Retatrutide the Next Ozempic? The New Weight-Loss Shot That Could Change EVERYTHING

    Ozempic and Wegovy (semaglutide) changed the weight-loss conversation. Then Mounjaro and Zepbound (tirzepatide) raised the bar even higher! But now, there's a new drug generating enormous excitement—and the results are so dramatic that some researchers are comparing its potential weight loss to bariatric surgery! It's called retatrutide, and unlike Ozempic or tirzepatide, it works on not one or two—but three different hormone pathways at once. Could this be the next major breakthrough in weight-loss medicine? In this episode, we're taking a deep dive into the science behind retatrutide—and the numbers that have everyone talking. Clinical trials have produced striking results, including average weight loss approaching 30 percent in some participants. But the story goes far beyond the number on the scale. Retatrutide may also have important effects on blood sugar, liver fat, joint pain, metabolism, and the way the body uses energy. So, how does this triple-hormone drug actually work—and could it outperform the medications millions of people are already taking? But if you have Hashimoto's or hypothyroidism, there are important questions you need to ask before getting swept up in the excitement. GLP-1–based medications can affect gastric emptying, potentially influencing how oral medications such as levothyroxine are absorbed. And significant weight loss itself can change your body's thyroid hormone needs. We'll explore the thyroid cancer warning, who it actually applies to, why ongoing thyroid testing matters, and why your thyroid medication dose may not stay the same as your body changes. And for women in perimenopause and menopause, there's another critical piece of the puzzle: muscle. Powerful weight-loss medications don't necessarily cause you to lose only fat—and midlife women are already facing natural declines in estrogen, muscle mass, and bone health. Could the next generation of weight-loss drugs be revolutionary? Possibly. But the smartest approach isn't simply chasing the newest injection.  🎤Join us as we explore what retatrutide could mean for the future of weight loss—and why protecting your thyroid, metabolism, muscle, and long-term health may matter just as much as losing the weight. LEARN MOREIs Retatrutide The Next Ozempic? https://www.palomahealth.com/learn/retatrutide-weight-glp-ozempic-semaglutide-tirzepatide  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/

4.4
out of 5
10 Ratings

About

This podcast helps you take control of your health with the latest news on and practical strategies for hypothyroidism, Hashimoto’s, perimenopause, menopause, weight loss, and gut health. Learn about thyroid medications (like levothyroxine and natural desiccated thyroid), lab testing, root-cause approaches, gut health, GLP-1/GIP weight loss treatments. Presented by Paloma Health, the leading online medical practice for personalized thyroid care, midlife hormone changes, and weight challenges. Discover how to boost metabolism, balance hormones, improve energy, and advocate for better care.

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