Ep. 234: Do You Really Have to Take Thyroid Medication on an Empty Stomach?

Hemorrhoids may not be the most glamorous health topic—but they’re far more common than you think. And here’s the surprising part: conditions like hypothyroidism and menopause can actually raise your risk of developing them.In this episode, we break down:The different types of hemorrhoids and their telltale symptomsHow slowed digestion, hormonal shifts, and weakened tissues from hypothyroidism and menopause play a roleOther key risk factors, from lifestyle habits to medical historyPractical strategies for prevention and relief—from simple home remedies and everyday changes to effective medical treatmentsWhy addressing underlying hormonal imbalances is essential for lasting improvementWhether you’re struggling with hemorrhoids yourself or want to understand how thyroid and menopausal health impact your digestion and tissues, this episode offers a comprehensive, compassionate, and empowering guide.🎧 Tune in and learn how to take control of your health—and finally find relief.LEARN MOREYou can learn more about the topic from Paloma: Hemorrhoids: The Link With Hypothyroidism and Menopausehttps://www.palomahealth.com/learn/hemorrhoids-link-with-hypothyroidism-and-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

26 Elo 202519min

Menopause doesn’t just bring hot flashes—it can reshape your sex life in surprising ways! Low estrogen often means vaginal dryness, discomfort, and a dip in desire. Add thyroid issues into the mix—like fatigue, weight changes, and mood swings—and intimacy can feel even more complicated. In this episode, we break down how menopause and thyroid health intersect to impact libido, pleasure, and connection. We’ll talk about what’s really happening in your body, why your hormones matter, and practical steps to keep passion alive—from lubricants and pelvic floor health to emotional intimacy and medical treatments. Because thriving in midlife isn’t just about surviving menopause—it’s about reclaiming joy, energy, and intimacy!LEARN MOREYou can learn more about the topic from Paloma: How Menopause Can Affect Your Sex Life https://www.palomahealth.com/learn/menopause-sex-life ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

21 Elo 20255min

Natural Desiccated Thyroid (NDT) medications—like Armour Thyroid and NP Thyroid—are derived from pig thyroid glands and are preferred by many hypothyroid patients who haven’t found relief with synthetic options like levothyroxine. But as of August 6, 2025, the FDA shocked patients, providers and manufacturers, moving a crucial deadline up from 2029 to August 2026, requiring NDT manufacturers to submit costly Biologics License Applications (BLAs) or potentially face a forced market withdrawal. This shift also restricts compounded NDT and likely bars imports—adding new layers of access and affordability concerns for many, especially those on Medicare or paying cash. Though the FDA’s head Dr. Marty Makary has since pledged on X to “ensure access for all Americans,” the window is narrow, and no manufacturer has yet filed a BLA. Join us as we unpack what this means, who’s behind these regulatory moves, what patients and advocates are doing about it—and how those of you who rely on NDT can prepare now to protect your treatment options.LEARN MOREYou can learn more about the topic from Paloma: Paloma NDT Article (regularly updated): https://www.palomahealth.com/learn/natural-desiccated-thyroid-drugs Paloma Video Overview: https://www.youtube.com/watch?v=IWAhxiU-Ehw ➡️➡️Sign the NDT Petition: https://www.change.org/p/save-ndt-protect-women-s-health-and-patient-choice ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

18 Elo 202520min

What do hot flashes, mood swings, and TikTok have in common? Welcome to “cougar puberty”—the hilarious and honest new way women are talking about perimenopause. In this episode, we explore how comedian Kristina Kuzmic and a wave of creators are reframing this major hormonal transition with wit, wisdom, and viral power.We break down why this rebrand resonates, how it’s helping women feel seen and supported, and what it means for future conversations around hormonal health. From brain fog to belly fat, we cover the real symptoms—and the cultural shift that's finally making it okay to talk about them.It’s part comedy, part community, and all about reclaiming midlife with pride.LEARN MOREYou can learn more about the topic from Paloma: Cougar Puberty: A Viral Rebrand of Perimenopause—and Why It Mattershttps://www.palomahealth.com/learn/cougar-puberty-perimenopauseABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

14 Elo 20257min

Tired of chasing 10,000 steps? Discover the truth: that number was just a marketing slogan, not science! New research shows you only need 5,000-7,000 steps for major health benefits like reducing disease risk and improving longevity. But what if you could get more health benefits in less time? Tune in to learn about Japanese Interval Walking, a science-backed method that delivers superior cardiovascular fitness, blood sugar control, and muscle strength. Plus, discover how this walking "hack" can naturally boost your hormonal health, supporting metabolism, energy, and mood, especially if you're navigating hypothyroidism, perimenopause, menopause, or andropause. Stop overthinking your steps and start walking smarter for real health wins!LEARN MOREYou can learn more about the topic from Paloma: Japanese Interval Walking and Your Hormonal Healthhttps://www.palomahealth.com/learn/japanese-walking-interval-walking-help-hormones Rethinking 10,000 Steps a Dayhttps://www.palomahealth.com/learn/10000-steps-a-day-not-needed-for-most-adults ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

12 Elo 20256min

You’re exhausted—but your mind won’t shut off. Sound familiar? In this episode, we dive into the frustrating experience of feeling “tired but wired”—and how it might be more than just burnout.We unpack the science behind this sensation, looking closely at adrenal fatigue, cortisol imbalances, and dysfunction in the HPA (hypothalamic-pituitary-adrenal) axis. You’ll learn how chronic stress and disrupted sleep patterns may be silently sabotaging your energy—and how this state of overstimulation often overlaps with Hashimoto’s thyroiditis and hypothyroidism.We discuss:What "tired but wired" really means and why it happensHow cortisol rhythms affect thyroid health and hormone balanceWhether adrenal fatigue is real—and what the research saysPractical tips to calm your nervous system and reclaim energyIf you're caught in a cycle of exhaustion and overstimulation, this episode is your guide to understanding what’s happening inside your body—and how to start feeling better.LEARN MOREYou can learn more about the topic from Paloma: Adrenal Fatiguehttps://www.palomahealth.com/learn/adrenal-fatigue Hypothyroidism and Fatiguehttps://www.palomahealth.com/learn/hypothyroidism-and-fatigue The HPA Axis and Your Thyroidhttps://www.palomahealth.com/learn/hpa-axis-hashimotos-hypothyroidism ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

7 Elo 202521min

In this episode, we explore the fascinating—and often overlooked—connection between Type D personality and thyroid health. Type D (short for "distressed") is a personality type characterized by high levels of negative emotions and social inhibition. But did you know it could also have real implications for your immune system, inflammation, and thyroid function?Join us as we break down what it means to have a Type D personality and how it may increase your risk of developing or worsening Hashimoto’s thyroiditis and hypothyroidism. We discuss:Key traits of the Type D personalityHow chronic stress and negative emotional patterns may impact thyroid autoimmunityScientific research linking Type D traits to poorer health outcomesWhy managing your mental and emotional health is vital for thyroid wellnessWhether you're living with thyroid disease or just want to better understand the mind-body connection, this episode offers new insight into how your personality might be playing a role in your health journey.LEARN MOREYou can learn more about the topic from Paloma: https://www.palomahealth.com/learn/type-d-personality-hypothyroidism ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

5 Elo 202531min

Unlock the secrets of fibermaxxing, the trending health approach captivating social media with promises of enhanced digestion and weight management. But when you're navigating hypothyroidism, this popular trend requires a unique balancing act. Join us as we explore the exciting benefits, crucial caveats, and strategic insights needed to safely integrate more fiber into your life. You can optimize your fiber intake without compromising your health journey, but you need these guidelines to help you succeed!LEARN MOREYou can learn more about the topic from Paloma: Fibermaxxing When You’re Hypothyroid: Pros and Conshttps://www.palomahealth.com/learn/fibermaxxing-when-hypothyroid-pros-and-cons ABOUT PALOMA HEALTH ⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. 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

31 Heinä 202519min