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January is Thyroid Awareness Month

Help us raise awareness for thyroid conditions

Your online Hashimoto's doctor

Hashimoto's is the most common cause of hypothyroidism. The condition causes white blood cells and antibodies to mistakenly attack the cells of the thyroid.

$99 for an initial 30 minute consultation

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Hashimoto's and autoimmunity

Hashimoto's thyroiditis is an autoimmune disorder, which means it occurs when immune cells attack healthy tissue instead of protecting it.

In the case of Hashimoto's thyroiditis, immune cells mistakenly attack healthy thyroid tissue, causing inflammation of the thyroid.

If Hashimoto's thyroiditis attacks your thyroid to the point that the gland can no longer produce enough thyroid hormones for your body to function properly, then you will develop hypothyroidism.

causes hashimotos

Causes of Hashimoto’s Thyroiditis

Doctors aren't entirely sure why the immune system, which is supposed to defend the body from harmful viruses and bacteria, sometimes turns against the body's healthy tissues.

Some scientists think a virus or bacterium might trigger the response, while others believe a genetic flaw may be involved. A combination of factors — including heredity, sex and age — may determine your likelihood of developing the disorder.

What Paloma Health can do for you?

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Thyroid blood test for hashimoto's

Get tested from the comfort of your home and check how well your treatment is working and monitor your antibodies levels

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The best thyroid doctors just for you

With a focus on hashimoto's  and ongoing doctor support, discover the best hypothyroidism care

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Prescription and nutritional guidance

Get a hashimoto's health plan with a prescription + nutritional guidance from nutritionists & thyroid physicians

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Video consultations with the best thyroid doctors

$99 per visit

Our approach to care is all about breaking down the walls of an office and supporting your thyroid health wherever you are with live video consultations. No more being limited by your geography. Telemedicine allows us to connect you with the best Hashimoto's doctors in the entire country.

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

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Your symptoms matter as much as your labs

We reimagined care for hashimoto's with a smart and holistic approach. Discover how a good thyroid doctor can change your life.

Weight Management

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Sleep Quality

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Meet Our Team Of Thyroid Specialists

Annemieke Austin

Annemieke Austin

Doctor • California, Texas


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.

Saadia Alvi

Saadia Alvi

Doctor • Illinois


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.

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.

Omayra Quijano thyroid

Omayra Quijano

Doctor • Texas


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.

Nicole German

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 and how she could naturally improve her health.

Nisha Jayani

Nisha Jayani

Doctor • California


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.

Andrew Cunningham

Andrew Cunningham

Doctor • California, Arizona, Colorado, Illinois


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.

AnnMarie Busick

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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Facts and Tips about Hashimoto's

Hashimoto's thyroiditis affects 14 million people in the United States alone, making it not only the most common form of thyroiditis but also the most common disorder in America

The main risk factor for developing Hashimoto's thyroiditis is having a pre-existing autoimmune condition, such as type 1 diabetes.

Women are 7 times more likely to have Hashimoto's thyroiditis than men.

Selenium can help reduce thyroid peroxidase (TPO) antibodies, which when elevated, cause damage to the thyroid

Thyroid hormone replacement therapy is the only treatment available for Hashimoto's thyroiditis. Fortunately, it's highly effective at managing the condition.

Diet changes can help with Hashimoto's. There is no specific diet proven to treat everyone with Hashimoto's. An individualized approach to nutrition is necessary

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hypothyroidism medication prescription

Your Medication will wait for you at your local retail pharmacy

We each react differently to the different treatment options. Thus, we work closely with our patients to find the right medication and optimal dosage.
If your Paloma's provider decides to write a prescription, simply pick up and pay for your thyroid medication like you normally would at your local pharmacy.

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Learn More About Paloma

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.


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 health and your history with hypothyroidism. If you have recent lab results you will be able to upload them so that our doctors can review them.

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 his notes and recommendations


Are the consultations covered by insurance

Consultations with Paloma Health doctors are covered by insurance. We accept most major insurers.  Your form of payment will not be charged until the amount of your co-pay is confirmed with you by a Paloma representative.

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


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.


How will I interact with my Paloma 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.


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.

And because of this, we have created the most complete test kit that you can take at home, we've hired the best doctors to help treat and stay on top of your hypothyroidism in addition to health coaches to help you with holistic approaches to your health - from the best diet, to managing stress, to the right exercise to help maintain your best thyroid health.


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.+


Where is the Paloma Health Treatment available?

Our doctors are available in 5 states: California, Texas, Arizona, Illinois and Colorado.


Read our FAQ
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