Questions,Answers

I need to message my doctor,"If you are a Paloma Health member who has established care with our practice, you can message your provider directly from your Paloma portal. All members are also assigned a dedicated Care Manager, who is a great resource for any questions or concerns related to your care plan."

how do you find the underlying cause,"We find the underlying cause of hypothyroidism through a comprehensive thyroid panel, including TSH, Free T3, Free T4, and antibodies to check for Hashimoto’s (the most common cause). We also assess lifestyle, nutrition, and medications. Want help ordering a test?"

di you have appointments with someone in Australia?,Paloma Health is only available to patients in the US at this time

How much does Paloma Health cost and how does it work with my insurance?,"As a Centivo member, you get access to Paloma Health, where you can connect with providers, nutritionists, and coaches for specialized thyroid care and support. Any virtual services you receive from Paloma Health providers are considered specialist visits and are subject to the standard member cost share under your Centivo plan. Note: A referral from your primary care doctor may be required, based on your health plan rules. If you have any specific questions about the cost or coverage, it's best to contact Centivo directly or refer to your plan documents."

Do you offer support for menopause symptoms?,"Yes! Paloma Health offers expert support for menopause and perimenopause symptoms.
Menopause can bring a range of symptoms like fatigue, brain fog, weight changes, and hormone imbalances—especially for those with thyroid conditions. Our providers specialize in personalized, evidence-based care to help you feel your best.
With a Paloma Health membership, you’ll get:
✅ Expert guidance on managing menopause and perimenopause symptoms
✅ Hormone therapy options, including Estrogen and Progesterone when appropriate
✅ Thyroid and hormone testing for a full picture of your health
✅ Personalized treatment plans tailored to your needs
✅ Ongoing support with unlimited messaging and follow-up visits
Want to learn more? Click here to explore our menopause and thyroid care, or reach out with any questions—we’re happy to help! 😊"

Representative,Our live agents are not available through this chat but please email contact@palomahealth.com and someone from our team will be able to help you.

does paloma provide schedule a letters,"If you’re referring to a doctor’s note or a letter for work/school accommodations, Paloma Health providers may be able to provide one, depending on the situation. It’s best to discuss this directly with your provider during your appointment to see if a schedule-a letter or other documentation can be issued.
Let us know if you’d like help booking a visit! 😊"

Can i see a Paloma Helath doctor as a Centivo patient?,"Yes but please note A referral from your doctor may be required, based on your health plan rules"

do you treat hyperthyroid,"No, we do not treat hyperthyroidism. We are currently only able to treat patients who have been formally diagnosed with hypothyroidism, as our physicians are not primary care providers and are not able to offer medication management for other conditions at this time.
Hyperthyroidism, we believe, is best treated through continuous monitoring of a patient's blood pressure and heart rate, which our remote care model cannot currently support."

is TPO normal in secondary hypothyroidism,"In secondary hypothyroidism, TPO antibodies (TPOAb) are usually normal because the condition is not caused by an autoimmune attack on the thyroid (like Hashimoto’s). Instead, secondary hypothyroidism results from issues with the pituitary gland or hypothalamus, which affect TSH production.
However, if TPO antibodies are elevated, it could indicate an autoimmune component coexisting with secondary hypothyroidism. If you’re unsure about your results, a thyroid specialist can help interpret them! 😊"

"I have read Rethinking Hypothyroidism. I got my primary care dr to try a t4 and t3 approach. it helped a lot, but only taking those 2 meds in the AM leaves me tired in PM. So can your docs help me go further?","It’s great to hear that you’ve explored a T4 + T3 approach and have seen improvements! Many people find that the timing and form of T3 can impact their energy levels throughout the day.
Paloma Health providers specialize in personalized thyroid care and can help fine-tune your treatment. They can assess your current regimen and explore options such as split dosing of T3, slow-release compounded T3, or other adjustments based on your symptoms and lab results."

Do you ship to japan?,Paloma Health is only serving patients in the US at this time

are you an AI?,Yes I am an AI assistant here to help you to the best of my abilities. I am a member of the Paloma Health team here to assist you with any questions or concerns you may have. How can I help you today?

Cost,"At Paloma Health, we offer flexible options for thyroid care. Here’s a breakdown of our pricing:
Testing & Appointments
•At-Home Thyroid Test Kit: $75 for members, $119 for non-members
•Provider Visits: $60 for members (can be billed to insurance if applicable)
•Medication Costs: Determined by your insurance and pharmacy
•Lab Orders: Sent to your preferred lab; pricing depends on your insurance coverage
•Consultation with a Thyroid Nutritionist: $75 per session
Membership & Supplements
•Paloma Membership: $240 per year ($20/month)
•Includes access to provider visits at $60 each, discounted test kits, and additional benefits
•Daily Thyroid Care Supplements: Starting at $27 per month
To see if your insurance is accepted or to learn more about membership, visit our [Join Page](https://app.palomahealth.com/book-appointment). Let us know if you have any other questions—we’re happy to help!"

I use your site to help with my hashimoto's. Do you have online providers that prescribe munjaro?,"Thank you for using Paloma Health to manage your Hashimoto's! Our online thyroid doctors can prescribe medications, including levothyroxine (the generic form of Synthroid), and we also prescribe NDT medications like Armour Thyroid or Nature-Throid. If you have any questions about your treatment plan or medication options, please feel free to schedule a consultation with one of our doctors."

Are you an endocrinologist?,"No, I am not an endocrinologist. However, we have two board-certified endocrinologists on our team, Dr. Omayra Quijano-Vega and Dr. Sapna Shah, who have a combined 29 years of experience caring for thyroid patients. You can learn more about them on our website: https://www.palomahealth.com/about-us-thyroid-doctors"

How do I get started with Paloma Health?,"To get started with Paloma Health, you can follow these steps: - **Create an Account**: First, you'll need to create an account on the Paloma Health platform. You can do this by visiting [this link](app.palomahealth.com/prequalification). - **Sign Up for Membership**: Once your account is created, you can sign up for the Paloma Health membership. This will give you access to schedule a live video visit with one of our providers. - **Schedule a Visit**: After signing up, you can schedule a visit with a provider.
If you have any questions or need further assistance, feel free to reach out to us at contact@palomahealth.com. We're here to help!"

do you see patients in new york,"Live video visits with our providers are now available to New Jersey and New York residents. Our At-Home Test Kits are not available in NJ or NY, but our providers are happy to send lab orders to your local lab as needed. If you have any questions or need any help scheduling your first visit, please feel free to email us at contact@palomahealth.com. We'll be happy to help!"

"I have been losing handfuls & brushfuls of hair. Told my doctor, she ordered a complete thyroid blood work up with a very notable lab-Quest. I have been o. T","It sounds like you’ve been experiencing significant hair loss, and your doctor ordered a comprehensive thyroid panel through Quest. If you’re on thyroid medication (T4, T3, or both), hair loss can still occur due to:
🔹 Thyroid levels not being optimal – Even if labs are “normal,” imbalances in Free T3, Free T4, Reverse T3, or TSH can contribute to hair thinning.
🔹 Nutrient deficiencies – Low iron (ferritin), vitamin D, zinc, or biotin can lead to excessive shedding.
🔹 Medication adjustments – Recent dosage changes can cause temporary hair loss as your body adapts.
🔹 Autoimmune activity – If you have Hashimoto’s, ongoing inflammation may contribute to hair thinning.
Next Steps
✔️ Review your full thyroid panel (not just TSH)
✔️ Check ferritin, iron, vitamin D, and zinc levels
✔️ Support hair health with protein, collagen, and key nutrients
✔️ Discuss with your doctor if adjusting your thyroid medication is needed"

what are the blue things included in the kit? I didnt se them on the video,Great question! The blue items are other types of lancets to help you collect more blood in case you cannot get enough with the yellow lancets

please send thyroid guide,"Of course! I'd be happy to provide you with our Thyroid Guide. You can download it directly from our website by visiting this link: [Thyroid Guide](https://www.palomahealth.com/guides). It's a comprehensive resource that covers various aspects of thyroid health, including symptoms, testing, treatment options, and lifestyle tips. I hope you find it helpful! Let me know if there's anything else I can assist you with."

The insurance costs of NP thyroid,"The cost of NP Thyroid with insurance depends on your specific plan, coverage, and pharmacy. Some insurance plans cover it, while others may require prior authorization or offer only partial coverage. If your insurance doesn’t cover it or the copay is high, using a cash price, discount card (like GoodRx), or a compounding pharmacy may be more affordable options.
Would you like help checking coverage or finding lower-cost options? 😊"

I would like to schedule an appointment,That's great to hear! We would be happy to help you schedule an appointment. Please visit the following URL to start the process: https://app.palomahealth.com/book-appointment

remove from my screen,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

what does it cost to get a Synthroid script?,"Great question! The cost of getting a Synthroid prescription through Paloma Health is $60 per visit. This fee covers the consultation with our provider and does not include the cost of the medication itself. You can schedule a consultation and get started by visiting our online scheduler [https://app.palomahealth.com/book-appointment]. If you have any further questions, feel free to ask!"

Do you prescribe medication?,"Yes, at Paloma Health, we prescribe a variety of medications tailored to your specific needs. This includes:
•Thyroid Medications: We prescribe T4 (Levothyroxine), and T3/T4 combination therapies and NDT medications like Armour Thyroid or other compounded options like LDN.
•Hormone Replacement Therapy (HRT): We also offer HRT options for managing menopause symptoms, including bioidentical hormones.
•Weight Loss Medications: For weight loss, we prescribe GLP-1 receptor agonists such as semaglutide and tirzepatide, which help regulate appetite and support metabolic health, especially for patients with hypothyroidism. We also prescribe Metformin and other weight loss medications
A consultation with one of our providers will help determine the best treatment plan for you. Would you like to schedule a visit?"

CLOSE THIS WINDOW,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

cancel bot,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

Hey i was just wondering if your thyroid vitamin would replace a multivitamin. I'm looking for something specifically for thyroid. But I noticed it doesn't have everything a multivitamin would have like vitmain E and other things. Thanks?,"Great question! Our Thyroid Daily Care vitamin is specifically formulated to support thyroid health with key nutrients like selenium, iodine, zinc, and vitamin D. However, it’s not designed to fully replace a multivitamin since it doesn’t include everything a standard multivitamin would, like vitamin E and some other general nutrients.
If you’re looking for comprehensive support, you might consider pairing it with a general multivitamin or ensuring you get any missing nutrients through your diet."

can I get the test sent to Canada?,Paloma Health can only serve patients in the US at this time

Home test kit,"Absolutely! Our At-Home Test Kit is a convenient and reliable way to test your thyroid levels from the comfort of your own home. Here's what you need to know about our home test kit: 1. Pain-Free Home Testing: Our test kit uses a finger-prick method, so there are no needles involved. It's a quick and painless process that only takes a few minutes to collect a sample. 2. Comprehensive Results: Once you collect your sample and send it back to our CLIA-certified labs, you can expect comprehensive results. Your results will include your levels of each marker tested, providing you with insight into how they compare to the appropriate standards. 3. Personal Guidance: With Paloma Health, it's not just about getting test results. We even provide free results review calls after your results have been published to your account 4. Easy Ordering Process: You can easily order our at-home thyroid test kit by visiting our website [https://app.palomahealth.com/order-kit]. Just follow the steps to place your order, and we'll deliver the kit to your doorstep. If you're interested in learning more about our home test kit or if you have any specific questions, please feel free to ask!"

"Hello, are you required to sign up for one of the membership plans?","Yes! Paloma Health also offers a $20/month membership (billed annually at $240) for comprehensive thyroid care.
Here’s a breakdown of our membership options:
•$20/month (billed annually at $240) – Full thyroid care, including specialist visits, lab discounts, unlimited messaging, and more.
•$50/month – Weight loss program.
•$70/month – Thyroid, menopause, and weight loss care.
You can also book a one-time doctor visit for $110 without a membership.
Let us know if you have any questions! 😊"

How do i access my telehealth visit? what is the link for my appointment?,"Sorry about that! If you didn’t receive the link for your telehealth appointment, you can access it directly here: https://app.palomahealth.com/visit-visio. Let us know if you need any further help!"

Price changes for doctor visits from $42 to $60,"Starting November 15th, 2023, the price for a visit at Paloma Health will be increased from $42 to $60. Our commitment to your health and well-being remains our top priority. The price change is a step to ensure we can continue delivering the amazing services you’ve come to expect from Paloma Health. We deeply value our relationship with you, and we always strive to provide you with the best care possible.
To show our appreciation for your continued trust and loyalty, we have an arrangement in place for our existing members. Any visits that you book before November 15th, even if the actual visit date is after this date, will still be charged at the current rate of $42. This gives you the flexibility to schedule future visits at the current price if you wish to do so."

live agent,"Our ""human"" agents are not available through this chat but please email contact@palomahealth.com and someone from our team will be able to help you."

Thyroid disorder diet plan,"We offer a thyroid meal plan that can provide inspiration for a healthy way to support your thyroid. While specific foods and supplements can't treat or reverse thyroid disease, eating a healthy, thyroid-friendly diet can support your treatment, maintain or lose weight, and reduce some of your symptoms. You can download our thyroid meal plan on our website. However, it's important to note that every person's dietary needs are unique, so we recommend consulting with one of our certified nutritionists to create a personalized plan that works best for you. You can schedule a consultation here: https://www.palomahealth.com/nutritionist-scheduling"

"So it is not an additional $75 upfront?
If I pay today, I am able to receive my first test kit as one of my two included in the membership?",Test Kits for members are $75. We do not offer free at-home testing as part of the Paloma Health membership.

I take medication for thyroid and HRT for hormone balancing. I'm a healthy weight and seem stable so looking just for testing and medication management. Which plan would be best to meet those needs?,"If you’re looking for testing and medication management for your thyroid and hormone balance, our Hormone Rebalance membership is the best fit!
For $20/month (billed annually), you get:
✅ Expert support for thyroid and menopause health
✅ Online visits with hormonal specialists
✅ A dedicated care manager to assist you
✅ Unlimited messaging with your doctor
✅ Discounts on test kits and supplements tailored to your needs
This plan ensures you receive the right care while staying on top of your thyroid and hormone health. Let me know if you have any questions—I’m happy to help! 😊"

I'm having symptoms but have never been diagnosed with hypothyroidism. Can Paloma Health help me?,"We're here to help. We specialize in treating patients who have already been diagnosed with hypothyroidism, but if you're experiencing symptoms and suspect that you might have a thyroid condition, we recommend trying our convenient At-Home Test Kit, which tests your full thyroid function with just a prick of your finger. See more here: https://www.palomahealth.com/home-thyroid-blood-test-kit"

can i get a refund if i have a doctor's visit,"If you cancel your annual membership before your first visit, you will receive a refund less a $15 service fee. However, if you have already had a live video visit and then decide to cancel your membership, the membership fee for the period in which you cancel will not be refunded. Please note that any services used during your membership, such as visits with your provider, At-Home test kits, nutritionist visits, or vitamin supplements, will be charged at non-member rates. If you have any further questions or need assistance with membership cancellation, please reach out to your Care Manager in your Paloma portal."

Do you also treat hyperthyroidism,"No, we do not treat hyperthyroidism. We are currently only able to treat patients who have been formally diagnosed with hypothyroidism, as our physicians are not primary care providers and are not able to offer medication management for other conditions at this time.
Hyperthyroidism, we believe, is best treated through continuous monitoring of a patient's blood pressure and heart rate, which our remote care model cannot currently support."

"please remove the ""help bot"", so that I can read what you have written!","If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

Can you try the membership for a month?,"Yes! Paloma Health now offers a month-to-month membership option.
•$50/month for the weight loss program
•$70/month for thyroid, menopause, and weight loss care
These memberships give you access to specialist care, prescription management, unlimited messaging with your provider, and more—without the annual commitment.
Let us know if you’d like to get started! 😊"

do you treat low tsh,"If you are experiencing symptoms or want to learn more about your TSH, we offer at-home thyroid testing kits that can help you understand your thyroid levels and determine if you have hypothyroidism. You can use the code GETBETTER at checkout to receive 20% off your first thyroid test. If your results show that your thyroid is under-active, it is typically treatable with thyroid hormone replacement medication. Our website has more information on thyroid medication and how it can help you. Remember, when choosing thyroid medication with your doctor, there is no one-size-fits-all treatment. You can still live well with hypothyroidism. Beyond taking thyroid hormones, you can support your thyroid with nutrition and self-care. Consider your diet, sleep, stress management, and how you connect with loved ones. Work with a trustworthy health care team who can assess your symptoms, history, and lab results to determine the best treatment plan for you."

Do you know of integrative doctor you can recommend,"Absolutely! At Paloma Health, we have a team of experienced providers who take an integrative approach to thyroid care. Here are a few providers you might consider:
1. Dr. Lloyd Runser: Dr. Runser is a thyroid doctor who practices in multiple states. He takes a holistic approach and focuses on lifestyle changes. You can learn more about him [here](https://www.palomahealth.com/provider/dr-lloyd-runser).
2. Dr. Heather Krantz: Dr. Krantz is board-certified in both Obstetrics/Gynecology and Integrative Medicine. With nearly 30 years of experience, she provides holistic and personalized care to her patients. You can find more information about her [here](https://www.palomahealth.com/provider/dr-heather-krantz).
3. Dr. Linda Goggin: Dr. Goggin is a board-certified family physician with extensive training in functional medicine. She takes a holistic approach and focuses on identifying the root cause of hormonal imbalances. You can find more information about her [here](https://www.palomahealth.com/provider/dr-linda-goggin).
5. Dr. Omayra Quijano-Vega: Dr. Quijano-Vega is board-certified in Endocrinology, Diabetes, and Metabolism. With over 16 years of experience, she specializes in caring for thyroid patients. You can learn more about her [here](https://www.palomahealth.com/provider/dr-omayra-quijano-vega).
Please keep in mind that it's important to consult with a healthcare provider to determine the best fit for your specific needs."

thank you! It seems then there is no cure and I have to live with hypothyroidism and continue to take natural thyroid hormones.,"While there is no cure for hypothyroidism, it can be managed with medication and lifestyle changes. It's important to work with a healthcare provider to determine the best course of treatment for your individual needs. At Paloma Health, we offer online consultations with thyroid doctors who can help you manage your hypothyroidism and optimize your thyroid health. If you have any further questions, please feel free to reach out to us at contact@palomahealth.com."

Thyroid,I can definitely help you with any questions you have about thyroid health. What would you like to know?

Is there a way to talk with someone over the phone I am at a mixed place in yalls timeline,"yes, you can schedule a 10 minutes info call to learn more about Paloma Health here: https://www.palomahealth.com/intake-call"

What does the $50 membership include for the weight loss program?,"The $50 membership for the weight loss program includes access to a dedicated provider, personalized treatment plans, unlimited messaging with your care team, and prescription management. Let us know if you have any questions!"

I live in Connecticut can I still book appointment for hypo thyroid,"Unfortunately, Paloma Health is not available in Connecticut at the moment. You can buy a thyroid test kit in Connecticut but we don't have any physicians licensed in Connecticut."

Human,"Our ""human"" agents are not available through this chat but please email contact@palomahealth.com and someone from our team will be able to help you."

"Hi, I'm vegan and my thyrotropin is at 8,244mU7L","Hi there! I'm happy to help. It's important to note that a TSH level of 8.244 mU/L is considered high and may indicate hypothyroidism. We recommend that you speak with a healthcare professional to discuss your results and determine the best course of action.
In terms of being vegan, we offer a thyroid supplement called Thyroid Daily Care that is vegetarian, gluten-free, non-GMO, and dairy-free. It's an iodine-free combination of vitamins, minerals, and herbs that provides essential nutrients required for optimal thyroid gland function. You can learn more about it on our website: https://www.palomahealth.com/supplements/thyroid-daily-care.
Please let me know if you have any other questions!"

Can I submit a bill to my insurance company?,"Because our self-pay visits are already heavily reduced to $60 per visit, we are not able to provide superbills to submit to your insurance company for possible reimbursement. If you have any other questions, feel free to ask!"

i need a copy of my order,You can access your lab orders from your Patient portal. https://app.palomahealth.com/labs

does Paloma ever prescribe Naltrexone,"Yes, Paloma Health providers consider a range of medication options based on individual patient needs and treatment plans. This can include options such as Levothyroxine, NDT, LDN and T4-T3 combination therapy. However, it's important to note that I am unable to provide specific medical advice or confirm whether Naltrexone would be prescribed in your case without a thorough evaluation by one of our providers. If you have any questions or concerns about specific medications, I recommend scheduling a telemedicine appointment with one of our Paloma Health providers. They will be able to assess your unique situation and determine the most appropriate treatment plan for you. You can book an appointment through our website [here](https://www.palomahealth.com/)."

do you accept centivo as my insurance?,yes we accept Centivo and Centivo members can get started with Paloma Health through this webpage: https://www.palomahealth.com/join/centivo

hi I just received my thyroid results qq.07,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Paloma Health, feel free to reach out anytime!"

Link for lab results,"Of course! You can access the Paloma Health Portal and upload your lab results by clicking on this link: https://app.palomahealth.com/labs. Should you need to upload previous lab results to your charts, you can do so from this link :
https://app.palomahealth.com/uploadLabResults. Let me know if there's anything else I can assist you with!"

Do you take TriCare insurance?,"Great question! To find out if we are in-network with TriCare insurance, you can visit our website and use our insurance checker tool. Just go to this link: [https://www.palomahealth.com/pricing-hypothyroidism](https://www.palomahealth.com/pricing-hypothyroidism) and enter your insurance information. It will let you know if we are in-network with TriCare. Let me know if there's anything else I can help with!"

Could a doctor help me to read my results?,"Yes absolutely, please reach out to contact@palomahealth.com and a real human will take it from there!"

do you have like an a program a pay per month program or a pay annually program,"Yes, we offer an annual membership options at Paloma Health. Our membership program provides access to our team of providers, care managers, and other resources to support your thyroid health journey. The annual membership fee is $192. This fee covers access to our providers, personalized treatment plans, ongoing support, educational materials, and other member benefits.. With the annual membership, you pay upfront for the entire year and enjoy uninterrupted access to our services throughout that period. The annual membership include access to our providers, care managers, personalized care plans, educational content, and the convenience of prescription medications and diagnostic tests if deemed necessary by your care team. If you have any further questions about our membership options or would like assistance in choosing the right plan for you, please feel free to reach out to us at contact@palomahealth.com. We're here to help! Is there anything else I can assist you with?"

"The ad says seventy five dollars for the thyroid test kit, is that correct","Yes, that's correct! For members, the At-Home Thyroid Test Kit is priced at $75. If you're not a member, the price is $119. You can learn more about the test kit [here](https://www.palomahealth.com/home-thyroid-blood-test-kit). Let me know if you have any other questions!"

Link for lab imput,"Certainly! If you have recent thyroid lab results that are from within the last 4 months, you can upload them directly to your chart through the Paloma Health Portal. Here's the link to upload you lab results in the Paloma Health Portal: https://app.palomahealth.com/uploadLabResults. Let me know if you have any other questions!"

I'm having symptoms but have never been diagnosed with hypothyroidism. Can Paloma Health help me?,"We specialize in treating patients who have already been diagnosed with hypothyroidism. If you're experiencing symptoms or suspect that you might have a thyroid condition, we recommend trying our convenient At-Home Test Kit, which tests your full thyroid function with just a prick of your finger. See more here: https://www.palomahealth.com/home-thyroid-blood-test-kit"

red light therapy for thyroid,"Red light therapy (also called low-level laser therapy or photobiomodulation) has gained interest for its potential benefits in thyroid health. Some studies suggest that it may help improve thyroid function, reduce inflammation, and even support tissue repair in people with conditions like Hashimoto’s thyroiditis.
However, while early research is promising, red light therapy is not a replacement for standard thyroid treatments like medication and lifestyle changes. If you’re considering it, we recommend discussing it with your healthcare provider to ensure it aligns with your specific needs."

I wanted to know if you took UPMC insurance,"Thank you for your question! At Paloma Health, we work with a variety of insurance plans to help keep costs down for our patients. To check if we are in-network with your specific UPMC insurance plan, you can visit our website and fill out the insurance eligibility form [here](https://www.palomahealth.com/pricing-hypothyroidism). This will allow us to verify your coverage and provide you with more accurate information. Let me know if there's anything else I can assist you with!"

Do you have a number I can call to talk to someone? Thank you.,"You can reach out to us by emailing contact@palomahealth.com.
Alternatively, you can schedule a 10' info call with a care manager who can answer all your questions about Paloma Health here: https://www.palomahealth.com/intake-call.
Our team will be more than happy to assist you and provide the support you need. Just send us an email with your questions or concerns, and we'll get back to you as soon as possible. Thank you for understanding!"

with thyroidectomy its it better to have a high or low TSH ?,"After a thyroidectomy, the ideal TSH level depends on the reason for the surgery:
🔹 For thyroid cancer patients, a lower TSH (suppressed but not too low) is often preferred to reduce the risk of cancer recurrence.
🔹 For non-cancer patients (e.g., goiter, nodules, or Graves’ disease), a TSH within the normal range (around 0.5–2.5 mIU/L) is typically best to prevent hypothyroid symptoms.
Too high a TSH could indicate under-treatment (leading to fatigue, weight gain, and brain fog), while too low a TSH might mean over-treatment (causing anxiety, heart palpitations, and bone loss).
Regular monitoring helps find the optimal balance based on how you feel and your health history."

Do you deliver to the UK?,"Unfortunately, we do not deliver or offer services in the U.K. at this time."

Do Paloma doctors prescribe medication?,"Yes, Paloma Health providers consider all medication options and prescribe what is most medically appropriate based on your agreed-upon treatment plan. This can include options ranging from Levothyroxine, to NDT, LDN, and more. Please note that our practice does not offer T3-only treatment."

i have low thyroid and the doctor has blood drawn every 90 days is that too much,"For most people with low thyroid (hypothyroidism), checking levels every 90 days is common, especially if your medication dosage is being adjusted or your doctor is monitoring changes. Once stabilized, testing every 6-12 months may be enough. If you’re feeling well and your levels are steady, you can ask your doctor if less frequent testing is an option. Let us know if you need help understanding your results! 😊"

What insurances do you accept in my state?,"Here are the insurances accepted by Paloma Health in each state.
Arizona: Aetna, Blue Cross Blue Shield, Blue Shield of CA, Blue Cross of CA, UnitedHealthcare, Cigna
California: UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, Blue Shield of CA, Multiplan
Colorado: Aetna, UnitedHealthcare, Cigna, Blue Cross Blue Shield
Florida: Blue Cross Blue Shield, Cigna, Aetna
Georgia: Aetna, UnitedHealthcare
Illinois: Aetna, UnitedHealthcare, Multiplan
Indiana: Aetna
Maryland: UnitedHealthcare, Aetna
Massachusetts: Aetna
Michigan: UnitedHealthcare, Aetna
Minnesota: UnitedHealthcare, Aetna
Missouri: Cigna, Aetna, Blue Cross Blue Shield
New York: Aetna, Blue Cross Blue Shield
Ohio: Aetna, Blue Cross Blue Shield
Oregon: Aetna, Cigna, Humana, UnitedHealthcare
Pennsylvania: Aetna, Blue Cross Blue Shield
Tennessee: UnitedHealthcare, Aetna
Texas: Blue Cross Blue Shield, UnitedHealthcare, Cigna, Humana
Virginia: Blue Cross Blue Shield, Aetna
Washington: Humana, Aetna
Wisconsin: Cigna"

Hello! Is there any hope for Paloma to become available in NY state?,Hello! Thank you for your interest in Paloma Health. We have providers available in NY. We cannot offer test kits in NY but we can send lab orders to the lab of your choice or you can upload recent labs (less than 4months old). We also accept multiple insurance companies in NY state.

Hi! I am looking to get care for my Hashimoto’s and was wondering what the approval process looks like,"Hi! Getting care for Hashimoto’s with Paloma Health is simple. Just sign up for a membership, book a telehealth visit with a thyroid specialist, and get a personalized treatment plan based on lab results and symptoms. No lengthy approval process—just expert care when you need it! Let us know if you have any questions. 😊"

Do Paloma doctors prescribe medication?,"Yes, Paloma Health providers consider all medication options and prescribe what is most medically appropriate based on your agreed-upon treatment plan. This can include options ranging from Levothyroxine to NDT, LDN, or combination treatment. Please note that our practice does not offer T3-only treatment."

Why did your website say my appointment would cost $110,"I apologize if our website is not fully updated, but we currently do not offer visits without a Paloma membership. Let me know if you have any questions!"

do you see patients in new jersey,"Live video visits with our providers are now available to New Jersey and New York residents. Our At-Home Test Kits are not available in NJ or NY, but our providers are happy to send lab orders to your local lab as needed. If you have any questions or need any help scheduling your first visit, please feel free to email us at contact@palomahealth.com. We'll be happy to help!"

can I submit a superbill,"Because our self-pay visits are already heavily reduced to $42 per visit, we are not able to provide superbills to submit to your insurance company for possible reimbursement."

is annual the only plan option?,"Yes, we offer an annual membership option at Paloma Health. The annual membership fee is $240 per year, which breaks down to $20 per month. The membership covers access to our providers, personalized treatment plans, ongoing support, educational materials, and other member benefits. For more details or to sign up, you can visit this link: [Sign Up for Annual Membership](https://app.palomahealth.com/registration). If you have any further questions about our membership options or would like assistance in choosing the right plan for you, please reach out to us at contact@palomahealth.com so that we can help you."

could keto be impacting my thyroid function,"Yes, the keto diet can impact thyroid function, especially if followed long-term. Here’s how:
🔹 Lower T3 Levels: Keto can reduce active thyroid hormone (Free T3) since the body conserves energy when carbs are restricted. This doesn’t always mean hypothyroidism, but it can affect metabolism.
🔹 Increased Reverse T3 (RT3): Some people see a rise in RT3, which can block active thyroid hormone, leading to fatigue and slower metabolism.
🔹 Impact on Cortisol & Stress Hormones: A very low-carb diet may increase stress hormones (cortisol), which can suppress thyroid function in some people.
🔹 Iodine & Nutrient Deficiencies: Keto often limits iodine-rich foods (like dairy & certain grains) and may reduce selenium or zinc intake, all of which are crucial for thyroid health.
If you’re experiencing fatigue, weight gain, or worsening thyroid symptoms on keto, it may be worth adjusting your carb intake or checking your thyroid levels. Would you like help reviewing your labs? 😊"

I have heard you won't treat people with supressed tsh that are on meds. Is that true,"Long-term suppression of TSH can result in adverse effects such as irregular heart rhythm or low bone density and osteoporosis. Therefore, the current American Thyroid Association (ATA) guidelines recommend keeping TSH suppressed only in patients with persistent cancer or high risk of recurrence. At Paloma Health, we are happy to help all hypothyroid patients but it is unlikely that our providers will agree to keep a suppressed TSH."

"Oh, that is just lovely! Thank you for explaining that!
Is the $75 just a discounted price if you were to need more than that you original kits included?",$75 is the member price of the At-Home Test Kit. No free kits are included with the Paloma Health membership.

where are you located?,"Paloma Health is a virtual clinic offering telehealth visits to patients in 40 states across the U.S. Let me know your state of residence, and I’d be happy to confirm if we’re available in your area!"

Does the thyroid daily care supplement contain ashwagandha?,"No, Thyroid Daily Care does not contain ashwagandha. While ashwagandha is sometimes used for thyroid support, it can stimulate thyroid hormone production, which may not be suitable for everyone, especially those with Hashimoto’s.
If you’re looking for specific ingredients or have concerns about interactions, let us know—we’re happy to help! 😊"

I have hypotroidi syndrom,"At Paloma Health, we specialize in helping people with hypothyroidism. We offer at-home thyroid blood test kits, online consultations with thyroid doctors, and personalized treatment plans. Our goal is to help you feel better, faster. Have you been diagnosed with hypothyroidism by a doctor?"

"hi if i was being over medicated and my provider decided to stop medication , when will my symptoms go away","Symptoms should improve as your body adjusts, but timing varies. It can take a few weeks for hormone levels to stabilize. If symptoms persist, follow up with your provider to reassess. Let us know if you need support!"

Red light therapy,"Red light therapy (also called low-level laser therapy or photobiomodulation) has gained interest for its potential benefits in thyroid health. Some studies suggest that it may help improve thyroid function, reduce inflammation, and even support tissue repair in people with conditions like Hashimoto’s thyroiditis.
However, while early research is promising, red light therapy is not a replacement for standard thyroid treatments like medication and lifestyle changes. If you’re considering it, we recommend discussing it with your healthcare provider to ensure it aligns with your specific needs."

Can I go to the lab instead of using thyroid test kit,"Yes! If the at-home thyroid test kit isn’t a good fit for you, we can help you order lab testing at a local lab instead. We partner with Labcorp and Quest Diagnostics, so you can visit a nearby location for your blood draw.
Let us know if you’d like assistance setting that up! 😊"

"I am trying to read your article and of this ""help bought"" is taking up almost half of my screen","If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

is there a follow up call to review my results,"Yes. With the purchase of an At-Home Test Kit, we offer an optional Results Review call with a member of our Clinical Operations team. Please note that Results Review calls do not provide a diagnosis and are not meant to replace treatment from a thyroid physician."

my daughter has Hashimoto's and is experiencing a flare up with swollen feet and ankles. where is Paloma located,"Paloma Health is a virtual clinic, so we don’t have a physical location—you can access our thyroid specialists online from 40 states across the U.S.
Swollen feet and ankles during a Hashimoto’s flare-up could be due to inflammation, fluid retention, or hypothyroid-related circulation issues. It’s important to monitor symptoms and check thyroid levels to ensure medication is optimized.
Would you like help scheduling a telehealth visit with one of our thyroid specialists? 😊"

Ultrasound shows nodule,"I see. If you have been diagnosed with a thyroid nodule, it's important to work with a healthcare provider to determine the best course of action. At Paloma Health, we offer at-home thyroid testing and telemedicine appointments with expert doctors who specialize in thyroid health. Our doctors can help you determine the best next steps for your specific situation. You can learn more about our services and get started with a test kit here: https://www.palomahealth.com/thyroid-quiz"

I want to know how to stimulate the thyorid for a healthy thyroid,"Supporting a healthy thyroid involves a combination of nutrition, lifestyle, and medical care. Here are some key ways to help stimulate and maintain thyroid function:
✅ Eat nutrient-rich foods – Selenium (Brazil nuts), iodine (seaweed), and zinc (pumpkin seeds) support thyroid hormone production.
✅ Manage stress – Chronic stress can impact thyroid function. Try mindfulness, deep breathing, or yoga.
✅ Prioritize sleep – Poor sleep affects hormone balance, including thyroid function.
✅ Exercise regularly – Moderate movement supports metabolism and overall endocrine health.
✅ Limit toxins – Reduce exposure to endocrine disruptors found in plastics, processed foods, and non-natural beauty products.
✅ Check your thyroid levels – Regular testing helps catch imbalances early.
Want to check your thyroid health? We can help! 😊"

can i meet with a physicial online and get diagnosed,"Yes, you can meet with a provider online through Paloma Health. We offer online consultations with board-certified providers who specialize in thyroid care. They can help diagnose and manage hypothyroidism based on your symptoms, medical history, and thyroid blood test results. You can learn more about our online consultation services [here](https://www.palomahealth.com/thyroid-doctors)."

hi. do you have a thyroid doctor who is able to treat patients who live in New York?,"We do not currently have thyroid doctors who are licensed to treat patients in New York, but we are hoping to have our services available in NY soon. If you'd like, please send an email to contact@palomahealth.com and we will be happy to add your email address to our New York waitlist. That way, once we go live we can notify you!"

is the annual fee separate from the visit fee?,"Yes, the annual fee for our membership is separate from the visit fee. The annual fee covers access to our providers, care managers, and other resources, including personalized treatment plans, ongoing support, and educational materials. The visit fee is charged for each live video visit with one of our doctors. For Self-Pay members, visits are $60. For members with the Insurance Membership, we bill your insurance directly and the final amount is determined by your insurance plan. If you have any questions about visit fees, please don't hesitate to reach out to us at contact@palomahealth.com and we'll be happy to help."

I’m looking for a new ndt drug,"If you're considering switching to a new Natural Desiccated Thyroid (NDT) medication, here are some options you might explore:
Armour Thyroid
NP Thyroid
Additionally, compounded medications are available from specialized compounding pharmacies. These can provide specific strengths and T4:T3 ratios tailored to your needs, especially if you're sensitive to non-active ingredients in other thyroid medications.
For more information on navigating shortages of NDT medications, you can visit this link.
It's important to discuss any changes in your medication with your healthcare provider to ensure the safest and most effective treatment plan for you. If you need further assistance, feel free to reach out to us at Paloma Health!"

Are you licensed in North Carolina,"yes we have doctors licensed in North Carolina, do you need help scheduling a visit?"

do you accept UHC insurance?,"Yes, we do accept UnitedHealthcare (UHC) insurance in some states. You can review your insurance eligibility with Paloma Health on the following page: https://palomahealth.typeform.com/to/rDunfmsS"

"Good morning! I just ordered the thyroid supplement and I am curious about signing up for the yearly subscription for $240.
I am curious if the first test kit is included in that price?","Good morning! 🌞 The annual membership for $240 does not include the first test kit. The membership covers: - discounts on the At-Home Test Kit and supplement - access to live video visits with a thyroid clinician - Unlimited chat with your provider - Access to a dedicated care manager - Members-only resources and community For more details, you can check out our membership page [here](https://www.palomahealth.com/subscriptions-checkouts/complete-thyroid-care). If you have any other questions, feel free to ask!"

Can get labs done outside of of you guys and then send you the results? I can't afford the At-Home Test Kit.,"I understand that cost can be a concern when it comes to healthcare. You can definitely use a lab outside of Paloma Health and upload your results on your Paloma portal. You don't have to use the Paloma test kit.
If you already have lab results from another lab, you can upload these as well but you will need recent labs (less than 4-month old) to be able to meet with a doctor"

Do you prescribe T3 only?,"No we don't prescribe T3 only (without T4). Liothyronine (L-T3) alone is not a good replacement option in hypothyroidism even though it is the active hormone because of a shorter half-life requiring twice a day dosing and causing peaks of high levels of T3 that can lead to additional problems including osteoporosis and atrial fibrillation.
There are 3 treatment options for hypothyroid patients through Paloma Health
- Levothyroxine (T4-only), which includes generic and brand-name levothyroxine preparations.
- Levothyroxine plus liothyronine (T4+T3)
- Natural desiccated thyroid (NDT).
If you have specific questions about T3-only treatment or would like to discuss it further, I recommend reaching out to our team at contact@palomahealth.com. They will be happy to assist you."

leave me alone,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

do i have to pay the membership fee as a Centivo patient?,"No you don't have to pay the membership fee to get started with Paloma Health if you have a Centivo plan. With your Centivo plan, you gain complimentary access to a Paloma Health membership. This membership allows you to connect with providers, nutritionists, and coaches for specialized thyroid care and support. Please note, while the membership itself is at no cost, any in-person or virtual services you receive from Paloma Health providers are considered specialist visits. As such, these services are subject to the standard member cost share under your plan. For in-person care, Paloma Health can also help you find high-performing providers in your area"

Can I order only FT4 instead of the full kit?,"Currently, Paloma Health only offers the full thyroid test kit, which includes TSH, Free T3, Free T4, TPO antibodies, and optional Reverse T3. We don’t offer single-marker testing like FT4 alone, but if you need just one test, you may be able to order it through a local lab like Labcorp or Quest instead.
Let us know if we can help! 😊"

Can membership be paid by check,"Unfortunately, we do not accept any payments by check. Payments can be made using a credit or debit card, and eligible purchases can be made using an HSA or FSA card."

I want to know are you practicing in New Mexico,yes we have doctors licensed and seeing Patients in New Mexico

Do you treat patients with no thyroid and history of thyroid cancer?,"At this time, we do not treat patients with a history of thyroid cancer. We recommend working with an endocrinologist who specializes in thyroid cancer follow-up care to ensure you get the best support for your needs."

Which doctors are available in califonia,"Great question! In California, we have licensed providers who are available to see patients and provide consultations. Our providers in California can assist you with your thyroid health needs. If you're interested in scheduling a consultation with one of our California providers, you can do so by visiting our website and booking an appointment. Just click here: [Book an Appointment](https://app.palomahealth.com/book-appointment/). Remember, our providers are available in various states across the United States, so if you're located outside of California, we may still have providers who can assist you. Let me know if there's anything else I can help you with!"

I am unable to create account and have tried many times. Please help me register,"I'm sorry to hear that you're having trouble creating an account. Please make sure that you are using a valid email address and that your password meets our requirements (at least 8 characters, including one uppercase letter, one lowercase letter, and one number). Another reason is that you maybe already have an account with Paloma Health.
If you continue to have trouble, please try clearing your browser's cache and cookies and then attempting to create an account again. If you still have trouble, please reach out to us at contact@palomahealth.com and we'll be happy to assist you further."

Is it okay to complete while on my period?,"Yes, it is okay to complete our at-home thyroid test kit while on your period. Our blood tests only require a prick of the finger in order to collect your sample. However, if you have more specific concerns or questions about completing the test while on your period, we recommend reaching out to your physician for guidance."

would u need to be fasting when taking a thryoid test,"No fasting is required for a thyroid test! You can take it anytime, but morning testing before taking thyroid medication is often recommended for the most accurate results. Let us know if you need help ordering a test!"

Didn’t get phone call as scheduled,"I'm sorry to hear that you didn't receive your scheduled phone call. I know it can be difficult to find time in a busy schedule so I want to apologize for any inconvenience this may have caused. To address this issue, please reach out to our support team at contact@palomahealth.com. They will be able to assist you further and ensure that you receive the necessary support. Thank you for your understanding. We're looking forward to getting to know you."

do you treat people in nj,Unfortunately we don't have doctors licensed in New Jersey at this time but we are working on launching in New Jersey within the next 2 months! Please email contact@palomahealth.com to be added to our waitlist to make sure we save you a spot

where do i provide insurance information for consultation,Thank you for your message. Feel free to email contact@palomahealth.com with your insurance details and our team will be able to confirm if we are in network with your insurance company!

I have hypothyroid issues. Which supplements should be avoided,We have a great article about supplements to avoid with hypothyroidism here: https://www.palomahealth.com/learn/supplements-avoid-hashimotos-hypothyroidism

"Hello, looking to find members of the Paloma Health team",Hello! Paloma Health here. How can I assist you today?

can your doctors see patients in North Carolina?,"Unfortunately, live video visits with providers are not available in the following states: Arkansas, Delaware, Kansas, Kentucky, Mississippi, North Carolina, Rhode Island, Washington DC, or West Virginia."

Test kit price,"As of September 26th, 2024 the base thyroid test kit costs $119. The add-ons price sdoes not change. Vitamin D for $53 and Reverse T3 for $64."

I have Hashimotos and within the last 1yr I have been putting on weight and not eating any different than normal. I am taking mounjaburn daily to lose weight but I have only gained. Therefore while checking on this online today brought me to this sight concerning losing eight with Hashimotos and using myo-inositol. And I have never heard of this before. Can you further comment on this?,"Yes! Weight gain with Hashimoto’s can be frustrating, especially when lifestyle habits haven’t changed. Since Hashimoto’s affects metabolism, even well-managed thyroid levels may not fully prevent weight gain.
Myo-Inositol and Hashimoto’s
Myo-inositol is a naturally occurring compound that plays a role in insulin sensitivity, hormone regulation, and thyroid function. Some studies suggest that myo-inositol, when combined with selenium, may help:
✅ Reduce TSH levels and improve thyroid function
✅ Lower inflammation and TPO antibodies in Hashimoto’s
✅ Support metabolic health and insulin sensitivity, which can aid weight loss
Why Mounjaro Might Not Be Working for You
Mounjaro (tirzepatide) is designed to regulate appetite and blood sugar, but Hashimoto’s-related metabolic resistance can sometimes slow progress. If you’re still gaining weight, possible reasons include:
•Thyroid levels need adjustment (even “normal” levels might not be optimal)
•Insulin resistance is impacting weight regulation
•Underlying inflammation or gut health issues affecting metabolism
Next Steps
🔹 Consider testing Free T3, Free T4, Reverse T3, and insulin levels
🔹 Talk to your provider about adding myo-inositol + selenium
🔹 Adjusting thyroid meds (if needed) for optimal—not just normal—levels
Would you like to explore supplements or schedule a consult with a thyroid specialist? 😊"

Purchase multivitamins,"You can purchase our Daily Thyroid Care multivitamins, which are iodine-free and gluten-free, directly from our website. Here are the links to proceed with your purchase: - [Checkout](https://buy.stripe.com/4gwcOH3opdB62LSbIN). Please note that if our supplement is back-ordered, you will not be able to place an order until we are restocked. Restocking typically takes 6-8 weeks."

close window,"If you'd like to close this chat, simply navigate away from the chat window or minimize it. If you have any more questions about Chatbase, feel free to reach out anytime!"

can I get a consultation from canada,"I'm sorry, but Paloma Health is currently only available to patients located within the United States. We are not licensed to provide medical services or consultations to patients located in Canada or any other country outside of the United States."

i had tyroid cancer can i join,"I'm sorry to hear that you had thyroid cancer. Our team at Paloma Health is dedicated to helping individuals with thyroid conditions, but we cannot see patients with a history of thyroid cancer. We recommend that you consult with your healthcare provider. If you have any further questions, please feel free to ask."

link didnt work,I apologize for the inconvenience. Here is the correct link to download our Thyroid Guide: [Thyroid Guide](https://www.palomahealth.com/guides). Please let me know if you have any further issues accessing it.

I have low TSH (<0.01) and I have read where you do not take patients with low TSH. My TSH has always been low,"We do see patients with low TSH, but our focus is on ensuring safe and effective treatment. Since TSH <0.01 can sometimes indicate overmedication or another thyroid condition, our providers carefully review full thyroid labs (Free T3, Free T4, symptoms, and medical history) to determine the best course of care.
If your TSH has always been low and you’re feeling well, we can discuss your case and make sure your treatment is optimized. Let us know if you’d like to schedule a visit! 😊"

"Why does Eltroxin cause dry intestines, dry mouth, dry skin, dry nose inspite of drinking alot of water?","Great question! Eltroxin, which is a brand name for levothyroxine, is a medication commonly used to treat hypothyroidism. While dryness of the intestines, mouth, skin, and nose are not commonly reported side effects of levothyroxine, it's important to note that everyone's body can react differently to medications.
Dryness in these areas can be caused by a variety of factors, including dehydration, environmental factors, or other underlying conditions. It's possible that the symptoms you're experiencing may be unrelated to the medication itself.
If you're experiencing persistent dryness or any other concerning symptoms, I recommend reaching out to your healthcare provider. They can evaluate your specific situation and provide guidance on how to manage these symptoms effectively.
If you have any further questions or concerns, please don't hesitate to reach out to our team at contact@palomahealth.com. We're here to support you!"

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