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NP Thyroid® (thyroid tablets, USP) for hypothyroidism1

Paloma Health has partnered with NP Thyroid®, a naturally-derived* dessicated thyroid extract (DTE) therapy containing T4 & T3 in one tablet.1

  • Only 3 inactive ingredients1
  • Contains no ingredient made from a gluten-containing grain1
  • Dye-free, uncoated tablet1,2

Paloma Health will connect you with an independent, licensed provider who specializes in the treatment of hypothyroidism and may prescribe NP Thyroid® if appropriate for you.^

Get Started

Please click here for full Prescribing Information, including Boxed Warning.
Please see bottom of this page for full Important Risk Information & Uses.

IMPORTANT RISK INFORMATION
Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

TSH is produced by your brain

TSH is produced by your brain

Note that DTE products, including NP Thyroid®, have not been reviewed by the FDA for safety or efficacy.

NP THYROID® IMPORTANT RISK INFORMATION, INCLUDING BOXED WARNING & USES

IMPORTANT RISK INFORMATION

Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

When should I not take NP Thyroid®?

What warnings should I know about NP Thyroid®?

Large doses of NP Thyroid® may cause serious or life-threatening side effects, including chest pain, increased pulse rate, rapid, strong, irregular heartbeat, and excessive sweating.

NP Thyroid® should be used with caution in people with heart disease, on diabetes medication, or on blood-thinning medication.

Partial loss of hair may be experienced by children in the first few months of thyroid therapy, but this will usually go away on its own.

What should I tell my healthcare provider?

Tell your doctor immediately if you experience chest pain, increased pulse rate, rapid, strong, irregular heartbeat, excessive sweating, or any other unusual event.

Tell your doctor about any other medical conditions you may have, especially heart disease, diabetes, blood clotting problems, and adrenal or pituitary gland problems. The dose of other drugs you may be taking to control these conditions may have to be changed while you are taking NP Thyroid®.

If you have diabetes, check your blood sugar levels and/or the glucose in your urine, as ordered by your doctor and immediately tell your doctor if there are any changes.

Tell your doctor if you are allergic to any foods or drugs, are pregnant or plan to become pregnant, are breastfeeding or are taking any other drugs, as well as prescription and over-the-counter products.

What are the side effects of NP Thyroid®?

Side effects may include chest pain, increased pulse rate, rapid, strong, irregular heartbeat, or excessive sweating. If you experience these side effects, immediately contact your doctor.

What other medications might interact with NP Thyroid®?

NP Thyroid® can interact with some medications, such as oral anticoagulants, which are medicines used to thin the blood, insulin or oral medications used to treat diabetes, certain medications used to treat high cholesterol levels, and estrogen containing birth control pills.

Revised 10/2023

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thyroid hormone for hypothyroidism

Why NP Thyroid®?

Available in 5 dose strengths for easy titration to achieve the necessary therapeutic range1

Uncoated tablet for oral administration1,2

Only 3 inactive ingredients1

Dye-free and contains no ingredient made from a gluten-containing grain (wheat, barley, or rye)1

Naturally-derived* therapy containing T4 and T3 in one tablet1

Works quickly (2 to 3 weeks)1

Active Pharmaceutical Ingredient (API) and finished product manufactured in FDA-regulated and -inspected facilities.2

Get Started

*Naturally-derived refers to the biological nature of the porcine-derived dessicated thyroid ingredient found in the product.
T4, thyroxine; T3, triiodothyronine
^Paloma Health-affiliated medical practices are independently owned and operated by licensed physicians who provide services using the Paloma Health telehealth platform.
References:
1. NP Thyroid® Prescribing Information. Acella Pharmaceuticals, LLC; 2019. 2. Data on file. Acella Pharmaceuticals, LLC.
NP Thyroid® is a registered trademark of Acella Pharmaceuticals, LLC.

How Paloma Health Works

lab results thyroid

Upload your labs

You have recent thyroid lab results? Upload them and you will be able to see a thyroid specialist in no time.

1

lab results thyroid

See a Thyroid doctor

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

2

thyroid advice

Get treated

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

3

Get Started
lancet at home

1

Collect a sample

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.

lab results thyroid

See a Thyroid doctor

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

2

thyroid advice

Get treated

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

3

buy a kit
thyroid hormone for hypothyroidism

Dr. Andrew Cunningham is board-certified in both Family Medicine and Integrative and Holistic Medicine. He has over 12 years of experience caring for thyroid patients using an evidence-based approach. Dr. Cunningham graduated from the University of Louisville and completed his residency at UCSF Santa Rosa.

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Dr. Andrew Cunningham

IL, CO, AZ, TX, TN, NH, NV, ND, SD, PA, OH, IA, WA, SC, NM, OK, HI, AK, ID, MT, MO, UT, AL, NY, WY, NC

Holistic Approach

Integrative Medicine

Lifestyle Focus

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Dr. Lloyd Runser is a family medicine doctor who brings broad scope family medicine experience and personal compassion to the treatment of individuals with hypothyroidism.

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Dr. Lloyd Runser

FL, PA, GA, MI, SC, VA, OH, HI, MA, AL, IA, ID, NH, NM, UT, WA, AK, NJ

Holistic Approach

Integrative Medicine

Lifestyle changes

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From an early age and fueled by her own personal struggles with metabolic health, Dr Marrero began her lifelong quest to integrate holistic and conventional therapies in optimizing health. She is passionate about metabolic health with particular emphasis on thyroid health and weight management

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Dr. Ailis Marrero

Thyroid Doctor

CA, VA, OH, CO, LA, AZ, NY, NJ, TX, FL, IL

Weight Management

Symptom Alleviation

Medication Management

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Dr. Goggin is a Board Certified Family Physician with extensive training in Functional Medicine and Complex Medical Illness. She helps clients dive deep to the root cause to balance hormonal systems

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Dr Linda Goggin

WA, GA, NE, WI, VA, SC, CO, IN, OH, AL, PA, NJ, MI, NC, MO

Holistic Approach

Functional Medicine

Focus on Root Cause

Learn More

Dr. Omayra Quijano-Vega is board-certified in Endocrinology, Diabetes, and Metabolism. She has over 16 years of experience caring for thyroid patients. Dr. Quijano-Vega graduated from the University of Puerto Rico School of Medicine and completed her Endocrinology, Diabetes, and Metabolism fellowship at Baystate Medical Center in Springfield, MA.

Learn More

Dr. Omayra Quijano-Vega

TX, FL, IN, PA, OH

Endocrinologist

Medication Management

Meet Dr Quijano (00:59)Learn More

Nicole Shin, WHNP-BC, is a board-certified women’s health nurse practitioner with over a decade of experience specializing in thyroid health, menopause, and hormone management. A graduate of the University of Cincinnati, she is passionate about providing personalized, evidence-based care to help women navigate hormonal changes and thyroid disorders with confidence and clarity.

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Nicole Shin, WHNP-BC

IA, IL, MA, NE, NH, NY, FL, OR

Patient-centered care

Holistic Approach

Lifestyle Changes

Learn More

Rachel Botkin, NP is passionate about treating patients with hypothyroidism and Hashimoto's by looking at the patient as a whole, to figure out the best course of action for them to treat their symptoms and improve their overall health.

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Rachel Botkin, NP

OR, NV, WA, CA, AZ, IL, TX, NY, CO, FL, UT, NC

Holistic Approach

NDT medications

Lifestyle changes

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Nicole Morgan is a Registered Dietitian Nutritionist. Living with Hashimoto's herself, she specializes in thyroid conditions, weight management, and food sensitivities. Nicole earned her Bachelor's degree in Dietetics at the University of Georgia and completed her rotational internship at Life University.

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Nicole Morgan, RDN, LD, CLT

Thyroid Nutritionist

Weight Management

Food Sensitivities

Holistic Approach

Meet Nicole Morgan (00:32)

Dr. Sean Zager is a board-certified Family Medicine physician with 14 years of experience treating thyroid patients using conventional and alternative therapies. Dr. Zager completed his medical degree and Integrative Medicine fellowship at the University of Michigan Medical School and his Family Medicine residency at UCSF.

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Dr. Sean Zager

MI, WI, CA, IL, MD, MN, TN, FL

Personalized Approach

Integrative Medicine

Lifestyle Focus

Meet Dr Zager (01:04)

Dr. Peña has over 25 years of experience in primary care with a strong focus on functional medicine. Managing thyroid disease and other autoimmune issues has always been her personal passion

Learn More

Dr Teresa Peña

MN, TN, TX, NY, NJ, UT

Focus on Root Cause

Functional Medicine

Holistic Approach

Dr. Yasmin Akhunji is board-certified in Endocrinology, Metabolism, and Diabetes. She has 11 years of experience providing personalized care to thyroid patients. Dr. Akhunji completed her Internal Medicine Residency at the University of Arizona and a fellowship in Endocrinology, Metabolism, and Diabetes at Houston Methodist Hospital in Texas.

Learn More

Dr. Yasmin Akhunji

AZ, TN, GA, MD, IA, MI, UT, WA, AL, NE, CA, FL

Investigative Approach

Endocrinologist

Weight Management

Having Hashimoto's herself, Jesica is passionate about working with thyroid patients to help them achieve optimal health using using a holistic approach. Jessica Chrisman is a board-certified Family Nurse practitioner with 15 years of medical experience and 10 years of experience working with thyroid patients.

Learn More

Jessica Chrisman, NP

MA, CA, NY, NJ

Holistic Approach

Lifestyle Changes

Symptoms Alleviation

Kyra Kilmer, Nurse Practitioner, is a board-certified Family Nurse Practitioner with years of experience treating thyroid disorders.

Learn More

Kyra Kilmer, NP

CO, FL, AL, ID, MD, MA, NE, NH, NM, OH, WA, NY, AZ, UT, ND

Holistic approach

NDT Medications

Lifestyle changes

Paloma providers analyze over 100 data points and 20 thyroid medications to find the right one for you. Our care team includes board-certified doctors and licensed nurse practitioners who specialize in thyroid health.

Meet the Paloma Providers

thyroid hormone for hypothyroidism

Paloma online Visits are covered by insurance

We are working with major insurance plans to keep your costs down and quality of care high.

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thyroid hormone for hypothyroidism

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

Carolyn

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.

Juliette

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!

Liz

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.

Emily

Oakdale, CA

Our Reviews Say it all.

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Learn More About Paloma Health

What is Paloma Health?

Paloma is an online medical practice focusing solely on elevating the care and experience of patients with hypothyroidism.

We know how hard it is to be responsible for staying on top of your labs, scheduling regular visits, communicating with your doctor between visits, and making sure you feel your best with all aspects of your care.

We have built Paloma to provide exceptional care to our patients and relieve some of the burden of managing life with hypothyroidism.

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How does the process work?

Booking a consultation is very easy. Once you have created your account, you will be able to book a consultation in no time with one of our thyroid doctors. We'll ask you to answer a few questions about your medical history. If you have recent lab results you will be able to upload them so that our doctors can review them.

A few minutes before your appointment, you will receive an email with a link to connect with your thyroid doctor online! And that's it.

After your consultation, your doctor will share with you their notes and recommendations

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Are consultations covered by insurance?

Consultations with Paloma Health doctors are covered by most major insurers. We are happy to run an insurance eligibility check before your appointment and let you know the exact cost. You will not be charged until after your appointment.

In the case that we are not in-network, we can provide a super bill that you can submit for out of network reimbursements.

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If my medication dose changes, who prescribes the new or adjusted meds for me?

Your Paloma physician will communicate any dose changes to your pharmacy of choice.

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How will I interact with my Paloma Health physician?

Through a video call.

A video call is an amazing way to have a great interaction with your physician. The only thing you need is a smartphone or a computer with WIFI or a strong signal.

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What makes Paloma Health different?

We believe the way you feel is more important than your lab numbers.

We believe the thyroid gland is one of the most important contributors to your wellbeing and if not closely monitored can make you feel at best, "not your best" and at worst, worn out, depressed, struggling with weight, unable to function well at your work, and stressed about all of this.

We make it easy to get expert, personalized treatment for hypothyroidism––all from the comfort of home. Delivered via telemedicine by expert, caring doctors and nutritionists, we combine evidence-based treatment approaches with at-home lab testing to deliver the best care and experience available.

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Who can benefit from Paloma Health treatment?

Paloma health is a practice for anyone suffering with hypothyroidism or managing their care after the removal of their thyroid over the age of 18.

We offer at home test kits and the best thyroid physicians and life coaches to help you monitor your condition and feel at your best.+

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Where is the Paloma Health treatment available?

Our doctors are available in 10 states: California, Texas, Arizona, Illinois, Florida, Michigan, Virginia, Ohio, Pennsylvania and Colorado.

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Read our FAQ
thyroid hormone for hypothyroidism

Note that DTE products, including NP Thyroid®, have not been reviewed by the FDA for safety or efficacy.

NP THYROID® IMPORTANT RISK INFORMATION, INCLUDING BOXED WARNING & USES

IMPORTANT RISK INFORMATION

Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

When should I not take NP Thyroid®?

NP Thyroid® should not be used for weight loss. Do not use NP Thyroid® if you have hyperthyroidism, overactive thyroid, uncorrected adrenal problems, or are allergic to any of its ingredients.

What warnings should I know about NP Thyroid®?

Large doses of NP Thyroid® may cause serious or life-threatening side effects, including chest pain, increased pulse rate, rapid, strong, irregular heartbeat, and excessive sweating.

NP Thyroid® should be used with caution in people with heart disease, on diabetes medication, or on blood-thinning medication.

Partial loss of hair may be experienced by children in the first few months of thyroid therapy, but this will usually go away on its own.

What should I tell my healthcare provider?

Tell your doctor immediately if you experience chest pain, increased pulse rate, rapid, strong, irregular heartbeat, excessive sweating, or any other unusual event.

Tell your doctor about any other medical conditions you may have, especially heart disease, diabetes, blood clotting problems, and adrenal or pituitary gland problems. The dose of other drugs you may be taking to control these conditions may have to be changed while you are taking NP Thyroid®.

If you have diabetes, check your blood sugar levels and/or the glucose in your urine, as ordered by your doctor and immediately tell your doctor if there are any changes.

Tell your doctor if you are allergic to any foods or drugs, are pregnant or plan to become pregnant, are breastfeeding or are taking any other drugs, as well as prescription and over-the-counter products.

What are the side effects of NP Thyroid®?

Side effects may include chest pain, increased pulse rate, rapid, strong, irregular heartbeat, or excessive sweating. If you experience these side effects, immediately contact your doctor.

What other medications might interact with NP Thyroid®?

NP Thyroid® can interact with some medications, such as oral anticoagulants, which are medicines used to thin the blood, insulin or oral medications used to treat diabetes, certain medications used to treat high cholesterol levels, and estrogen containing birth control pills.

USES

What is NP Thyroid® (thyroid tablets, USP) used for?

NP Thyroid® is a prescription medicine that is used to treat a condition called hypothyroidism from any cause, except for cases of temporary hypothyroidism, which is usually associated with an inflammation of the thyroid (thyroiditis). It is meant to replace or supplement a hormone that is usually made by your thyroid gland.

NP Thyroid® is also used in the treatment and prevention of normal functioning thyroid goiters, such as thyroid nodules, Hashimoto’s thyroiditis, multinodular goiter, and in the management of thyroid cancer.

Revised 10/2023

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