My Thyroid Health

Paloma Health

Learn strategies to optimize and advocate for your thyroid health, hear stories of other patients in your shoes, and advice from the experts on best practices, thyroid medications, new research, and more. Presented by Paloma Health–the first-ever online medical practice focused exclusively on treating hypothyroidism and Hashimoto's.

  1. 4D AGO

    Ep. 273: Thyroid Medication: Rethinking the Science of Timing

    Can you get your morning back? Thyroid patients are familiar with the "morning starvation hour" -- that hour after you take your morning thyroid pill when you're not supposed to eat, or grab that life-sustaining first cup of coffee.  But how critical is that window — and what happens if real life gets in the way?  In this episode, we unpack the science behind thyroid medication absorption and why food, coffee, calcium, and even fiber can interfere with how well your medication works. Taking levothyroxine on an empty stomach can improve absorption, while certain foods and drinks may reduce its effectiveness if consumed too soon. We also explore the growing recognition that rigid fasting rules don’t work for everyone. Research shows that taking thyroid medication with breakfast — when done consistently and sometimes with dose adjustments — can still maintain stable thyroid levels for many patients. The key isn’t perfection; it’s consistency. When timing varies day to day, hormone levels can fluctuate, but a predictable routine helps your provider fine-tune your dose and keep symptoms under control. Most importantly, this episode helps you design a morning routine that supports your thyroid and your lifestyle. Learn when you can safely drink coffee, how long to wait before supplements, and whether bedtime dosing might be a better option for you.  🎧 If you’ve ever felt confused, guilty, or overwhelmed by the “rules” of thyroid medication timing, this conversation will give you clarity. Tune in, and to find a routine you can actually sustain. LEARN MORE You can learn more about the topic at the Paloma blog:  How Soon Can You Eat After Thyroid Medication? https://www.palomahealth.com/learn/how-soon-can-eat-after-thyroid-medication-hypothyroidism  Morning Thyroid Medication: Fasting or With Breakfast? https://www.palomahealth.com/learn/morning-thyroid-medication-fasting-breakfast  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/

    22 min
  2. 6D AGO

    Ep. 272: When Exercise Backfires: The Hidden Thyroid Stress of High-Intensity Training

    High-intensity interval training (HIIT) and workouts promise fast results — weight loss, better endurance, and a stronger body. But if you have hypothyroidism or Hashimoto’s, pushing harder may actually backfire. In this episode, we unpack the surprising connection between intense exercise, cortisol spikes, and thyroid hormone balance, and why more sweat doesn’t always mean better health. Research shows excessive training stress can disrupt thyroid hormone conversion and increase inflammation, leaving you more fatigued instead of energized. You’ll learn how to recognize the warning signs that your workout routine is stressing your thyroid — from post-exercise crashes and stubborn weight gain to poor recovery and sleep disruption. We also explore why high-intensity training can elevate cortisol and strain the adrenal-thyroid connection, potentially worsening symptoms for some people. Most importantly, this episode offers a smarter path forward. Discover thyroid-friendly fitness strategies that support metabolism, reduce inflammation, and build strength without burnout — including how to balance intensity, prioritize recovery, and choose workouts that energize rather than exhaust you.  🎧 If you’ve ever wondered whether your workouts are helping or hurting your thyroid, tune in to this conversation…it will change the way you move! LEARN MORE You can learn more about the topic at the Paloma blog:  Are High-Intensity Workouts Damaging Your Thyroid? https://www.palomahealth.com/learn/are-high-intensity-workouts-damaging-your-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/

    22 min
  3. MAR 5

    Ep. 271: 🍊🥝Best — and Worst — Fruits for People with Hypothyroidism

    What if the secret to supporting your thyroid health was hiding in your fruit bowl? In this episode, we dive into the science and stories behind the fruits that can nourish your body when living with hypothyroidism. From antioxidant-rich berries to hydration-boosting citrus, we explore why some fruits are more thyroid-friendly than others — and what the buzz about “fruit sugar” really means for your metabolism. What You’ll Learn: We break down how fiber, antioxidants, selenium, and vitamin C work together to support your thyroid — and help your digestion, energy levels, and inflammation. Whether you’re navigating weight changes, blood sugar swings, or simply curious about nutrient powerhouses, this episode gives you the nutritional roadmap you’ve been looking for. Why It Matters: Hypothyroidism is more than a diagnosis — it’s a daily balancing act. Join us as we cut through mixed messaging about sugar and wellness foods, and equip you with practical tips on choosing fruit that helps optimize your thyroid health and overall wellbeing. 🎧 If you’re wondering how to make fruit work for you, this episode is a must-listen!  LEARN MORE You can learn more about the topic at the Paloma blog:  The Best Fruits To Eat For Hypothyroidism https://www.palomahealth.com/learn/best-fruits-eat-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/

    22 min
  4. MAR 3

    Ep. 270: The Perimenopause Survival Guide No One Gave You

    Perimenopause can feel like your body suddenly stopped following the rules — sleep disappears, weight creeps up, moods swing, and symptoms seem to arrive out of nowhere. But what if this transition didn’t have to feel like a losing battle? In this episode, we unpack the science behind perimenopause and why hormonal shifts — especially when thyroid health is involved — can intensify everything from fatigue to hot flashes. You’ll discover powerful, research-backed habits that can dramatically improve how you experience perimenopause. From optimizing thyroid function and reducing autoimmune activity to stress-lowering practices, daily movement, and minimizing endocrine disruptors, we explore practical steps that support hormonal balance and resilience during this transition. Whether you’re in your late 30s, deep in perimenopause, or planning ahead, this episode offers a hopeful, actionable roadmap.  🎧 Tune in and learn how small, consistent changes today can reduce symptoms, protect bone and metabolic health, and help you move through perimenopause feeling stronger, clearer, and more in control than you thought possible! LEARN MORE You can learn more about the topic at the Paloma blog:  8 Healthy Habits for an Easier Perimenopause https://www.palomahealth.com/learn/healthy-habits-easier-perimenopause  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/

    23 min
  5. FEB 26

    Ep. 269: Thyroid Dose Titration Explained-How to Find Your PERFECT Dose!

    Finding the right thyroid medication dose isn’t a one-and-done process — it’s a careful, personalized journey. In this episode, we unpack the science and strategy behind dose titration, the step-by-step method clinicians use to fine-tune thyroid hormone therapy for optimal symptom relief and long-term health. If you’ve ever wondered why your dose changes or why patience is part of the process, this conversation will give you clarity and confidence. We explore how factors like lab results, symptoms, absorption, weight changes, and life stages all influence dosing decisions — and why small adjustments can make a big difference in how you feel. You’ll learn why rushing dose changes can backfire, how providers monitor progress, and what “optimal” really means beyond a normal TSH range. Whether you’re newly diagnosed or still searching for your ideal dose, this episode empowers you to partner more effectively with your healthcare provider.  🎧 Tune in to understand the art and science of dose titration — and take a more informed, proactive role in your thyroid care journey. LEARN MORE You can learn more about the topic at the Paloma blog:  What is Dose Titration? https://www.palomahealth.com/learn/dose-titration  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/

    14 min
  6. FEB 24

    Ep. 268: Why Thyroid Patients Feel Ignored and Unwell — and the Care Revolution Underway!

    Millions of people with hypothyroidism and Hashimoto’s are told their labs look “normal” — yet they still feel exhausted, foggy, and far from well. In this episode, we uncover the hidden gap between thyroid numbers and real-life health, and why so many patients feel dismissed when their symptoms persist. We explore the science behind lingering symptoms, from autoimmune activity and hormone conversion challenges to overlooked issues like nutrient deficiencies, perimenopause, and metabolic health. You’ll learn why a TSH in range doesn’t always mean your cells are getting what they need — and why your experience is valid. Just as importantly, we dive into a powerful shift happening in thyroid care: a move toward patient-centered medicine that prioritizes HOW you feel, not just what your labs show. From longer visits to whole-person evaluations, new care models are helping patients finally feel heard, supported, and better. 🎧 If you’ve ever been told “your labs are fine” but you know something isn’t right, this episode is a must-listen! It will validate your experience — and show you what REAL thyroid care should look like! LEARN MORE You can learn more about the topic at the Paloma blog:  Why Hypothyroid Patients Feel Ignored — and the New Care Models Offering Hope www.palomahealth.com/learn/hypothyroid-patients-ignored-new-care-models-offer-hope  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/

    18 min
  7. FEB 19

    Ep. 267: The Silent Fire–How Metainflammation Wrecks Your Thyroid Health

    What if the inflammation driving your fatigue, weight gain, and brain fog isn’t just “in your head”—but a hidden process called metainflammation?  In this episode, we uncover how chronic, low-grade inflammation can fuel Hashimoto’s and hypothyroidism, quietly disrupting your metabolism, immune system, and thyroid function. You’ll learn why factors like stress, poor sleep, ultra-processed foods, blood sugar swings, and environmental toxins can keep your immune system stuck in overdrive—and how that persistent inflammatory state may worsen autoimmune thyroid damage and symptoms. If you’ve been told your labs look “normal” but you still feel exhausted and inflamed, this conversation connects the dots.  🎧 Tune in and get practical insight into calming inflammation, supporting your thyroid, and reclaiming your energy from the inside out. LEARN MORE You can learn more about the topic at the Paloma blog:  Metainflammation, Hashimoto’s, and Hypothyroidism https://www.palomahealth.com/learn/metainflammation-hashimotos-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/

    18 min
  8. FEB 17

    Ep. 266: Why Did Your TSH Level Change?

    Your TSH levels aren’t as fixed as you might think—and those subtle shifts in your lab results could explain why you feel great one month and exhausted the next. In this episode, we unpack why thyroid-stimulating hormone (TSH) levels naturally fluctuate and what those changes really mean for your energy, metabolism, mood, and weight. You’ll learn how timing, stress, medications, illness, and even sleep patterns can influence TSH levels, and why a single “abnormal” result doesn’t always tell the full story. We also explore why tracking trends over time—and testing consistently—can be far more meaningful than focusing on one number alone. Do you ever worry about changing lab results or whether your thyroid treatment is truly optimized?  🎧 Tune in now, and learn more about your body’s signals so you can advocate for smarter, more personalized care! LEARN MORE You can learn more about the topic at the Paloma blog:  Why Did Your TSH Level Change? https://www.palomahealth.com/learn/tsh-level-change  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/

    21 min

Ratings & Reviews

5
out of 5
5 Ratings

About

Learn strategies to optimize and advocate for your thyroid health, hear stories of other patients in your shoes, and advice from the experts on best practices, thyroid medications, new research, and more. Presented by Paloma Health–the first-ever online medical practice focused exclusively on treating hypothyroidism and Hashimoto's.

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