Care For The Changes That Come With Thyroid And Hormone Conditions
Hashimoto’s, hypothyroidism, perimenopause and menopause can bring thinning hair, skin changes, low libido and lingering inflammation. Our clinicians look for the cause first, then treat what’s bothering you.
The Symptom Is Rarely The Whole Story
Treating thinning hair or skin changes on their own often falls short when an undertreated thyroid or shifting hormones are behind them. That’s why every treatment here sits inside thyroid and hormone care.
Thinning hair
Hair thinning is common with hypothyroidism and Hashimoto’s, and in perimenopause and menopause as estrogen falls. Low iron, low vitamin D and some medications can also play a part.
What we check: Your thyroid levels and treatment, iron (ferritin), and where you are in perimenopause or menopause.
Treatment optionsSkin changes
As estrogen falls in perimenopause and menopause, skin loses hydration and firmness. An underactive thyroid can also leave skin dry and dull.
What we check: Your thyroid levels and your menopause symptoms, so treatment fits the rest of your care.
Treatment optionsSexual health
Changes in desire and arousal can come from falling estrogen and testosterone, an underactive thyroid, or medications such as some antidepressants.
What we check: Your hormones, thyroid levels and current medications, which often explain more than the symptom alone.
Treatment optionsInflammation and Hashimoto’s
Hashimoto’s is an autoimmune condition. Some people keep having symptoms like fatigue and aches even when their thyroid levels are on target.
What we check: Your thyroid levels, antibodies and current treatment, to make sure the basics are right first.
Treatment options
Choose What Fits Where You Are
A live visit with a thyroid and hormone specialist
Best if your symptoms are new or getting worse, or your thyroid or hormones haven’t been checked recently.
- A 30-minute video visit with a clinician who specializes in thyroid and hormone health
- Labs reviewed or ordered, to find what’s driving your symptoms
- One plan for the underlying condition and the symptom, including these treatments when they fit
$60 per visit for members, or your insurance copay
Book A VisitAn online request, reviewed by a clinician
For people whose thyroid or hormone care is already on track and who want help with one specific concern.
- A short health questionnaire about your symptoms, history and medications
- A licensed clinician reviews it, usually within 24 to 48 hours
- They may prescribe, ask for labs, or recommend a visit if that’s safer for you
Self-pay medication, billed only if prescribed
Choose a treatmentTreatments Our Clinicians May Prescribe
Thinning hair
Oral Minoxidil
A once-daily capsule prescribed off-label to support hair regrowth in thinning or pattern hair loss — clinician-guided, delivered to your door.
Online request
From $24.35, medication billed only if prescribed
Topical Spironolactone
A compounded topical anti-androgen applied to the scalp, used off-label to target the hormonal driver of pattern hair thinning — clinician-guided, delivered to your door.
Online request
From $37.85, medication billed only if prescribed
Skin changes
Estriol Face Cream
A prescription topical estriol treatment designed to support smoother, more hydrated-looking skin and address visible changes in texture and fine lines associated with hormonal shifts.
Online request
From $37.85, medication billed only if prescribed
Estriol Eye Cream
A prescription topical estriol treatment for the delicate under-eye area, designed to support hydration, smoother-looking texture, and the appearance of fine lines associated with hormonal changes.
Online request
From $37.85, medication billed only if prescribed
Sexual health
Arousal Cream
A prescription topical designed to support genital blood flow, sensitivity, and physical arousal — applied in the moment, not taken daily. Compounded and prescribed off-label after clinician review.
Online request
Starting at $37.85, billed only if prescribed
Inflammation and Hashimoto’s
Low-Dose Naltrexone
A once-daily compounded medication used off-label to support immune balance and calm inflammation — for autoimmune conditions like Hashimoto's and lingering symptoms.
Online request or live visit
From $24.85, medication billed only if prescribed
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required. All prescriptions follow a review by a licensed clinician, who decides whether treatment is appropriate for you.
How An Online Request Works
Share your health history
A few minutes online about your symptoms, medications, thyroid and hormone history, and heart health.
A clinician reviews it
A licensed clinician checks your answers and decides whether the medication is right for you. If something needs a closer look, they’ll ask for labs or recommend a visit. You usually hear back within 24 to 48 hours.
If prescribed, it’s delivered
A licensed pharmacy prepares your medication and ships it to your door with its medication guide. Your clinician checks in before each refill to make sure it’s still right for you.
Frequently Asked Questions
Why does a thyroid and hormone clinic offer these treatments?
Thinning hair, skin changes, low libido and lingering inflammation are some of the most common reasons our patients feel unlike themselves, and they’re often tied to thyroid conditions, Hashimoto’s, perimenopause and menopause. We offer treatment for them as part of that care, guided by clinicians who understand the conditions behind them.
Is Paloma an online pharmacy?
No. Paloma Health is a specialty clinic for thyroid and women’s hormone health. Every prescription follows a clinician’s review of your health history. If prescribed, your medication is prepared and shipped by a licensed pharmacy.
Should I book a visit or request a medication online?
If your symptoms are new, getting worse, or you haven’t had your thyroid or hormones checked recently, book a visit: a specialist looks for the cause and treats the underlying condition. An online request suits people whose thyroid or hormone care is already on track and who want help with one specific concern. Visits are $60 for members, or your insurance copay.
What happens after I send an online request?
A licensed clinician reviews your answers, including your symptoms, medications and health history, usually within 24 to 48 hours. They may prescribe the medication, ask for more information or labs, or recommend a visit instead if that’s the safer path for you.
What are compounded medications?
Medications prepared by a licensed pharmacy for an individual patient, for example in a dose or form that isn’t available commercially. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA.
What does “off-label” mean?
A medication is prescribed for a use other than the one it was originally approved for. It’s common and legal when a clinician judges it appropriate, and your clinician will explain the expected benefits and risks.
Can I get low-dose naltrexone online?
Yes. Low-dose naltrexone is available through an online request or a live visit. If you have Hashimoto’s and haven’t had your thyroid treatment reviewed recently, a visit lets your clinician look at both together.
Do I need insurance?
No. These medications are self-pay, and you’re billed only if a clinician prescribes them. Live visits can use your insurance where we’re in network.
Talk With A Thyroid And Hormone Specialist
Not sure what’s behind your symptoms? A live visit looks at your thyroid, your hormones and your history together, and builds a plan with you.
Book A Visit
