Get $25 off your first thyroid test. Use code "HULU"
thyroid blood test kit

Complete Thyroid blood test kit

At-home collection. Meaningful insights. Personalized plan.

This at-home test can help you understand how your thyroid is working and if there may be a need for a further evaluation of your thyroid function. Expect your results in one week.


$79 with code "ROOTCAUSE"

Test takers must be 18+ and reside in the US

Biomarkers Included

free T4
free T3
The presence of TPO antibodies in your blood suggests that the cause of thyroid disease is an autoimmune disorder, such as Hashimoto's disease
Triiodothyronine, known as T3 is another hormone produce by your thyroid. Most of the T3 in your body binds to protein and regulates your body's temperature, metabolism, and heart rate.
Thyroxine (T4) is the main hormone secreted into the bloodstream by the thyroid gland.
TSH is a hormone produce by your brain that stimulates the thyroid gland
TSH is produced by your brain

TSH is produced by your brain

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Our customers say


paloma health reviews

4.8 out of 5 based on 235 reviews

thyroid reviews

Get $20 off with the coupon code: ROOTCAUSE

Hypothyroid Care under One roof

Order your testing kit

Our thyroid blood tests are easy to use and pain-free. The best part? Collect your sample from the comfort of your home at our own schedule.

See a Thyroid doctor Online

Your Paloma Physician is your new thyroid specialist, and will coordinate as needed with your primary care physician.
thyroid food hashimoto's

Get your Prescription

Your doctor will work with you, using your test results and symptoms, to identify the appropriate medication and treatment plan for your condition.

Your treatment doesn't end with your first appointment

Managing hypothyroidism takes time and attention. Your thyroid doctor and Paloma Care Team will work with you to schedule follow-up tests and appointments as necessary to get you — and keep you — feeling your best.

Your Paloma doctor uses a combination of your lab results and symptoms to recommend the best treatment for you and you alone.

Order your kit

Order a test

Our tests are the most comprehensive thyroid blood tests around, because we know that more data leads to better treatment

See a Doctor

Once a doctor has reviewed your test results, we'll let you know if you need to book a video appointment with a Paloma thyroid doctor.

See A Doctor

Your doctor will work with you, using your test results, to identify the appropriate medication and treatment plan for your condition.

Your treatment doesn't end with your first appointment

Managing hypothyroidism takes time and attention. Your thyroid doctor and Paloma Care Team will work with you to schedule follow-up tests and appointments as necessary to get you-- and keep you-- feeling your best.

Your Paloma doctor uses a combination of your lab results and symptoms to recommend the best treatment for you and you alone.

Order a kit

We see the big picture

While many labs only look at Thyroid Stimulating Hormone (TSH) to assess thyroid health, we believe it is critical  to also measure Free Triiodothyronine (fT3), Free Thyroxine (fT4) and TPO antibodies.

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hypothyroidism testing

Meet Our Team Of Thyroid Specialists

annemieke austin thyroid doctor


Doctor • California, Texas
5 - 13 reviews


Dr. Austin’s desire is to include all aspects of the patients’ story in addressing the cause of illness, utilizing a comprehensive approach to reach a diagnosis and improve health. She employs a blend of the best of conventional medicine with evidence based alternative therapies.
The challenge to discover the underlying cause of illness and the search for answers is a privilege that Dr. Austin approaches with great vigor

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Dr Sean zager thyroid doctor

Sean Zager

Doctor • Michigan
4.9 - 7 reviews


Dr. Zager is a graduate of the University of Michigan Medical School, where he also completed a fellowship in Integrative Medicine.  His residency training is in family medicine through UCSF/Sutter Health in Santa Rosa, California.  Dr. Zager is a board certified family physician with a passion for holistic approaches to patient care.  

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Dr Katherine Nori Janosz hashimoto's doctor

Katherine Nori Janosz

Doctor • Michigan, Virginia
4.9 - 6 reviews


Dr. Nori Janosz is an internist who specializes in nutrition, weight management, bariatric Medicine, digestive health, thyroid and adrenal health, immune health, autoimmune conditions, and health optimization.  

Dr. Nori is excited to work with patients on a personalized level to optimize their overall health using her knowledge of traditional and functional medicine.

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pouya shafipour thyroid doctor

Pouya Shafipour

Doctor • California
5 - 8 reviews


Pouya Shafipour, MD, is a board-certified family medicine specialist with subspecialty training in the field of obesity medicine. He incorporates safe & effective medications in conjunction with dietary, nutritional, behavioral, and exercise counseling to help patients, with a focus on managing excessive weight gain or loss. He is passionate about incorporating a sustainable, healthy lifestyle into his treatment for hypothyroidism.

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Sapna Shaha thyroid Endocrinologist

Sapna Shah

Doctor • Ohio, Illinois
5 - 3 reviews


Dr. Shah is board certified in internal medicine and endocrinology. Dr. Shah has developed a special passion for patients with hypothyroidism who are pregnant, trying to conceive or who struggle with infertility.  She herself has struggled with infertility and hypothyroidism.  She now has a success story of a beautiful boy who is her world. Outside of her endocrine practice, Dr. Shah loves to travel, experience new cultures, read, and try new foods.

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Saadia Alvi online endocrinologist

Saadia Alvi

Doctor • Illinois
4.6 - 7 reviews


Dr. Saadia Alvi is board certified Endocrinology Specialist and a member of the American Association of Clinical Endocrinology. As a plant-based endocrinologist, your long-term health will be focused by emphasizing prevention, nutrition and a healthy lifestyle.

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Marjorie Bates

Marjorie Bates



Marjorie has over 10 years of experience as a nutritionist, health coach, and wellness professional in a variety of clinical, corporate, and fitness settings. Marjorie's approach is both clinical and holistic, emphasizing the importance of physical, mental, and emotional wellbeing.

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omayra quijano thyroid endocrinologist online

Omayra Quijano

Doctor • Texas, Florida
5 - 18 reviews


Dr. Quijano-Vega has over 16 years of experience treating patients with thyroid disease and other endocrine conditions. She received her training in both internal medicine and endocrinology.

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Nicole German thyroid nutritionist

Nicole German



Nicole is a Registered Dietitian Nutritionist specializing in weight management, food sensitivities, thyroid conditions, and autoimmune conditions.

A few years ago, she was diagnosed with Hashimoto’s. This propelled her to learn more about the thyroid condition and how she could naturally improve her health.

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Nisha Jayani endocrinologist online

Nisha Jayani

Doctor • California
5 - 23 reviews


Dr. Nisha Jayani is board-certified in Diabetes, Metabolism, and Endocrinology. She graduated from the Medical University of Lublin and completed her Internal Medicine residency at Westchester Medical Center at New York Medical College.

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andrew cunningham thyroid hashimoto's

Andrew Cunningham

Doctor • California, Arizona, Colorado, Illinois, Florida
5 - 29 reviews


Dr. Cunningham is board certified in both Family Medicine and Integrative Medicine. He received his BS from the University of Virginia before returning to his hometown to receive an MD from the University of Louisville. His residency training was at UCSF Santa Rosa.

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Ann Marie Busick endocrinologist thyroid

Ann-Marie Busick

Doctor • Florida


Dr. Busick is an Internist and Endocrinologist who is passionate about telemedicine. Her medical training was completed at West Virginia School of Osteopathic Medicine followed by residency at Ohio Valley Medical Center and fellowship at McLaren Macomb.

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How to collect a sample

It's time to collect your sample and return it to the lab for processing.

Easy as 1, 2, 3

After years of asking for a full thyroid test from my doctor and getting denied, I came across Paloma. The clear insight has made me switch doctors. My results confirmed what I was feeling! Very easy to use


Tucson, AZ

I work at a family practice drs office and have very little time to go to my own doctor. This was a great way to monitor my Thyroid level without taking off time from work to see my provider and get blood work ordered.


Austin, TX

Awesome customer service as well as a great test! I've had hypothyroidism since I was 12 and have never had a full test like this done before. The information was easy to follow!


San Diego, CA

Paloma's Thyroid test was more comprehensive than the TSH only test my pcp would order when I had all the symptoms and family history of hypothyroidism.


Oakdale, CA

Our Reviews Say it all.

Don’t take our word for it. Read reviews from patients to see why they recommend Paloma Health

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Learn more about our test

Can I use my HSA or FSA or insurance to pay for Paloma Health?

In most cases, you can use your HSA/FSA account to pay for your at-home thyroid blood test. Your Paloma Health test is authorized by a physician, so it should fit the guidelines for most HSA/FSA coverage.

Your Paloma Health test kit purchase can be submitted for reimbursement through HSA/FSA benefits.

As always, be sure to check with your specific HSA/FSA benefits coordinator for clarification on the specific requirements for reimbursement including usage, protocol, and qualifications.


Do I need to stop taking my supplements or medications before the test?

We do not recommend discontinuing any medication without contacting your physician first. If you have questions about a specific medication, please email and we'll gladly answer any questions


Are the test kits covered by my insurance company

This is an at-home health test that doesn't require an office visit. Unfortunately, most health insurance companies do not cover the cost of these at-home blood tests. However, Paloma Health's tests are typically priced lower than out-of-pocket costs associated with such visits.

As always, this will depend on your own coverage but we encourage you to check with your insurance company to see whether they will cover all or some of the cost of our at-home thyroid test.

When discussing coverage, it is important that your carrier understands specifically what the test is and what it is testing for. Be sure to mention the following key points:
- The test is taken at home via a blood sample and analyzed by our partner laboratories
- The test measures: TSH, Free T3, Free T4, Anti-TPO Antibodies
- The report measures the above markers and reports on whether they are high, low, or within the normal healthy range.


How do I know if the Paloma Health test is right for me?

The Paloma Health at-home kit is for both patients who have been previously diagnosed with hypothyroidism but also for people who think they might have hypothyroidism.

In both cases knowing your hormones levels and making sure that they are within range is very important. The Paloma Health at


Are these the same laboratory tests that I would get from my doctor?

Yes. We worked with top thyroid doctors to select a panel of the most comprehensive set of biomarkers that can help patients understand their thyroid function.

For each hormone you test, we’ll provide plenty of context on what the hormone is and why it’s important. The thyroid gland is complex and hormones are one (important!) piece of the puzzle.


How accurate are the results from Paloma Health?

Very! Every Paloma Health test is ordered by a doctor. A physician will also review your results before they are returned as well and your sample will be processed in a CLIA and CAP accredited lab.


In which states can I purchase a kit?

Paloma Health tests are currently available to residents in 46 U.S. states. We currently do not offer tests to residents of the following states: New York, New Jersey, Maryland and Rhode Island.

This is due to each state having different medical regulations and we hope to expand in the future.


What type of info will I get in my results?

Your Paloma Health report comes with personalized explanations around each thyroid hormone and what your levels mean, all in human speak.


How often should I retest?

We recommend to retest every 6months if you did not get a new prescription. If you had a recent change in dose or medication, we recommend to test after 8 weeks.

You should also retest whenever you feel that the symptoms are coming back.


Is it safe to complete a blood test while pregnant?

Yes, our blood tests only require a prick of the finger. Our other tests may require saliva or urine samples. Paloma Health tests are considered safe to complete while pregnant. Normal ranges change for pregnant patients, please reach out to your physician to double check normal ranges for pregnat women.


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