Ep. 220: T3 or Not T3: Should Your Hypothyroidism Treatment Include T3? 

"It felt like a bird was trapped in my chest, trying to get out!!" ~Quote from a thyroid patientEver felt your heart flutter, pound, or skip out of nowhere — and wondered why? 🤔 What if the cause wasn’t anxiety… or your heart… but your thyroid all along?In this eye-opening episode, we uncover the surprising connection between thyroid hormones and heart rhythm — from harmless flutters to rhythm patterns that shouldn’t be ignored. Learn how both an overactive thyroid and thyroid medication imbalances can rev up your heartbeat, why gut health and diet can make everything feel worse, and when it’s time to take those palpitations seriously. 💓💊Whether it’s unexplained palpitations, caffeine triggers, medication tweaks, or little known "vagal palpitations," we break it down in clear, empowering terms so you can feel confident — not confused — about your heart and your hormones.🎧 Tune in and let’s get your rhythm back on track. 🔊✨(Your heartbeat will thank you.)LEARN MOREYou can learn more about the topic at the Paloma blog: Can Thyroid Problems Cause Heart Palpitations? What You Need to Knowhttps://www.palomahealth.com/learn/thyroid-problems-heart-palpitations 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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

22 Jan 17min

Ever wondered if the way we’ve been taught to eat actually supports your thyroid? In this episode, we reimagine what a thyroid-friendly diet looks like in 2026. With the USDA’s newly released Real Food Pyramid shaking up decades of nutrition advice and Dr. Andrew Weil’s Anti-Inflammatory Pyramid gaining traction, where do people with hypothyroidism or Hashimoto’s fit in?Join us as we break down: 🍽️ What these new food pyramids actually recommend (and why they matter) 🥦 How protein, veggies, healthy fats, and whole foods can impact inflammation, energy, and metabolic health 🧠 Why a one-size-fits-all chart might not work — and how personalization could make all the difference 🥑 Practical tips to tailor big nutrition trends to YOUR thyroid goalsWhether you’re curious about balancing blood sugar, calming inflammation, a healthy weight, or simply eating in a way that feels good, this episode gives you a fresh, science-based map for your plate.🎧 Tune in and start eating smarter — not harder — for your thyroid health. LEARN MOREYou can learn more about the topic at the Paloma blog: Should Thyroid Patients Follow The New Food Pyramids?https://www.palomahealth.com/learn/thyroid-patients-new-food-pyramids 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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

20 Jan 19min

Brain fog that won’t lift. Crushing fatigue. Mood changes, anxiety, headaches, or memory slips that make you feel like you’re not quite yourself anymore. What if these symptoms aren’t random — and aren’t “all in your head” — but are signals from your thyroid to your brain?In this eye-opening episode of the Paloma podcast, we dive deep into the powerful and often overlooked connection between hypothyroidism and the central nervous system. Learn how thyroid hormones act like chemical messengers for your brain, why low levels can slow nerve signaling, and how untreated or under-treated hypothyroidism may affect cognition, emotions, and neurological function. We also unpack the science behind symptoms many patients struggle to get validated — from brain fog and depression to migraines and coordination issues — and explain why standard thyroid labs don’t always tell the whole story.If you’ve ever felt dismissed, confused, or frustrated by lingering neurological symptoms, this episode brings clarity, validation, and a path forward. 🎧 Tune in now for a deeper understanding of what’s happening in your brain — and how personalized, thyroid-focused care can help you feel sharp, steady, and fully yourself again.LEARN MOREYou can learn more about the topic at the Paloma blog: Hypothyroidism and the Central Nervous Systemhttps://www.palomahealth.com/learn/hypothyroidism-central-nervous-system 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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

13 Jan 15min

Ever feel like you’re doing everything “right”—clean eating, hitting your steps, taking your thyroid meds—yet the weight just won’t budge? You’re not alone. This week on The Paloma Podcast, we’re unpacking the hype around berberine—the plant compound social media calls “nature’s Ozempic”—and what it actually means for people with hypothyroidism and Hashimoto’s.We break down the science behind how berberine may support metabolism, improve insulin sensitivity, and even influence gut health—without replacing your thyroid treatment. Learn why weight loss feels harder when your thyroid is underactive, what the research actually shows about berberine’s effects, and the safety considerations every thyroid patient should know before trying it.Whether you’re curious about supplements, tired of the diet rollercoaster, or ready to make informed choices that work with your body—not against it—this episode gives you evidence-based insights and practical tips you can use today.🎧 Tune in now and discover whether berberine belongs in your thyroid wellness toolkit.LEARN MOREYou can learn more about the topic at the Paloma blog: Is Berberine Safe To Boost Weight Loss With Hypothyroidism?https://www.palomahealth.com/learn/berberine-weight-loss-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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

10 Jan 13min

In this eye-opening episode of Paloma Health's podcast, we dive into the powerful — and often overlooked — role of gut dysbiosis and how an imbalanced microbiome can disrupt your thyroid, hormones, and weight. If you’re living with hypothyroidism or Hashimoto’s and struggling with bloating, fatigue, inflammation, stubborn weight gain, or worsening hormone symptoms, dysbiosis may be a hidden driver behind how you feel.We unpack the science of the thyroid-gut axis, explaining how gut dysbiosis can interfere with thyroid hormone absorption and conversion, increase intestinal permeability, and fuel chronic inflammation — all of which may worsen autoimmune thyroid conditions. You’ll learn why gastrointestinal symptoms are so common in thyroid patients, yet often overlooked in conventional treatment plans.This episode also explores the estrobolome, the collection of gut bacteria responsible for regulating estrogen metabolism. When dysbiosis is present, estrogen clearance can be impaired — a problem that becomes especially impactful during perimenopause and menopause, when hormonal balance is already shifting. The result? Increased symptoms, metabolic slowdown, and added resistance to weight loss.We connect the dots between dysbiosis, gut microbiota diversity, Hashimoto’s, hypothyroidism, menopause, and weight regulation, showing how gut imbalances can ripple through multiple systems at once. Most importantly, we share clinician-informed, practical strategies to begin restoring gut balance in ways that support your thyroid — without extreme elimination diets or generic supplement advice.🎧If you’ve ever felt like you’re doing everything “right” for your thyroid but still don’t feel well, listen in now! This episode will help you understand why gut dysbiosis matters — and how healing the gut may be the key to real, lasting progress.LEARN MOREYou can learn more about the topic at the Paloma blog: Gut Dysbiosis and Your Thyroid, Hormones, and Weighthttps://www.palomahealth.com/learn/gut-dysbiosis-thyroid-hormones-menopause-weight The Estrobolome: How Your Gut Influences Menopause and Your Thyroidhttps://www.palomahealth.com/learn/estrobolome-gut-influences-menopause-thyroid Gut Microbiota, Hashimoto’s, and Hypothyroidismhttps://www.palomahealth.com/learn/gut-microbiota-hashimotos-hypothyroidism What Is The Thyroid-Gut Axis?https://www.palomahealth.com/learn/thyroid-gut-axis The Gastrointestinal Effects of Hashimoto’s Thyroiditis and Hypothyroidismhttps://www.palomahealth.com/learn/gastrointestinal-effects-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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

6 Jan 19min

Every January, we’re told to try harder, push more, and fix what’s “wrong” with our bodies. But what if the problem isn’t you—or your willpower? What if that approach is exactly why resolutions fail — especially for women navigating thyroid disease, perimenopause, menopause, fatigue, or stubborn weight changes? In this episode, we’re rethinking New Year’s resolutions! If fatigue, brain fog, weight changes, or unpredictable energy have made traditional resolutions feel impossible, this conversation is for you.We explore 10 gentler, smarter resolutions that honor your hormones, support real healing, and help you stop fighting your body—and start working with it. From releasing guilt around fatigue to redefining success beyond the scale, this episode offers a compassionate reset for the new year.This year isn’t about punishment, extremes, or becoming someone else. It’s about listening to your body, honoring where you are right now, and creating habits that actually support long-term health and energy. If you’re tired of resolutions that leave you feeling defeated by February, this Paloma episode is your permission slip to do things differently. ✨🎧 This year, forget rigid resolutions — especially when your hormones are running the show. Press play and make this a different kind of New Year—with Paloma Health.LEARN MOREYou can learn more about the topic at the Paloma blog: Rethinking Your New Year’s Resolutionshttps://www.palomahealth.com/learn/rethinking-your-new-years-resolutions 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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

29 Des 202511min

Christmas is the season of gifts — but what about the unexpected ones that come from living with a health challenge like Hashimoto’s, hypothyroidism, or menopause? In this special holiday episode, we unwrap the hidden gifts of slowing down, resilience, compassion, advocacy, and authentic connection. With warmth and heart, we explore how our hormonal health challenges can teach us to pause, prioritize, and even create new holiday traditions — all while surviving the chaos of the season.From all of us at Paloma Health — may your season be full of presence, peace, and unexpected gifts.🎧 So, grab a cozy blanket, a cup of peppermint tea (or bone broth), and join us for this special episode!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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

24 Des 20258min

Gallbladder pain is often blamed on diet, gallstones, or digestive issues… but for many people with thyroid conditions, the link runs deeper. In this episode, we explore how Hashimoto’s and hypothyroidism may contribute to gallbladder dysfunction, why symptoms are often misattributed, and what you can do to get answers.In this episode you’ll learn:How low thyroid function can impact bile production, digestion, and gallbladder health — and why so many patients are caught in a cycle of pain and frustration.The overlapping symptoms that get overlooked, including bloating, upper abdominal discomfort, nausea, and fatigue — and why they may be mistaken for “just digestive issues.”The role of inflammation, autoimmune triggers, and hormonal changes in gallbladder function for people with Hashimoto’s.How thyroid medication, diet, and gut support can influence gallbladder health and improve treatment outcomes.Practical strategies to support digestion, reduce inflammation, and work with your healthcare provider to identify hidden contributors.What research tells us — and what remains unknown — about the thyroid-gallbladder connection.If you’ve experienced persistent digestive pain, bloating, or fatigue despite managing your thyroid, or if you’ve ever wondered why gallbladder issues seem harder to resolve with Hashimoto’s, this episode sheds light on a connection few people talk about.🎧 Hit “Play” and discover how understanding your thyroid could hold the key to better gallbladder and digestive health.LEARN MOREExplore the topic on the Paloma blog:Hashimoto’s, Hypothyroidism & Gallbladder Painhttps://www.palomahealth.com/learn/hashimotos-hypothyroidism-gallbladder-pain 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 Memberhttps://www.palomahealth.com/pricing-hypothyroidism  Paloma Complete Thyroid Blood Test Kithttps://www.palomahealth.com/home-thyroid-blood-test-kit

23 Des 202514min