Precision Endocrinology for Complex Hormone & Metabolic Health

Advanced, personalized endocrinology, diabetes, thyroid, and hormone care by Dr. Chhaya Makhija — a triple board-certified endocrinologist with 20 years of clinical and academic expertise.

Seeing new patients in-person in Bay Area and Fresno, and telehealth across California.

Professional headshot of endocrinologist Dr. Chhaya Makhija smiling in white coat with stethoscope for hormone and diabetes specialist profile

As Seen In:

Complex Hormones Require Specialist-Level Care

Conditions We Treat:

Early intervention can prevent or delay these complex conditions. This requires careful lab interpretation, specialist-level endocrine expertise, and long-term strategy – not rushed, one-size-fits-all medicine. 

A Direct Specialty Care Model — by Design.

Endocrine system illustration showing hormone glands including thyroid brain pancreas kidneys and metabolic organs

We do not take insurance. This is intentional and allows us to offer our patients:

  1. Extended 60–75 minute visits

  2. In-depth lab review

  3. Proactive prevention planning

  4. Direct physician access

  5. Coordination with your other specialists

No referral barriers. No insurance restrictions. No rushed care.

Experience the difference of expert endocrine care and achieve real results

“Dr. Makhija is great! She worries about the patient. She’s not only making sure that my diabetes numbers are within healthy range, but is also coordinating with my other doctors. I love all the food recipes she has sent me and I really enjoy my visits with her both in-person and online.”

-Matt B.


“When one is the best - they simply are! If you want real medical care and not the typical thoughtless sheep care - care from regular providers - come here! You’ll be glad you did.”

- Ryan L.

Meet Dr. Makhija

Endocrinologist reviewing medical information with patient during in-office consultation and personalized hormone care visit

Unified Endocrine & Diabetes Care is among the first direct-care endocrinology and lifestyle medicine practices in California, created from nearly two decades of experience treating complex hormone and metabolic conditions. After years in traditional systems, I saw the need for care that restores time, depth, and true physician–patient partnership.

As a triple board-certified endocrinologist and lifestyle medicine specialist, I provide high-touch, personalized care for diabetes, thyroid disease, hormonal health, bone density, and metabolic prevention—integrating evidence-based endocrinology with precise lab interpretation and long-term prevention strategies.

Invest in Yourself with Specialized Care

Initial Comprehensive Consultation

This appointment gives us time to truly listen, connect the dots, and uncover the “why” behind your symptoms — not just treat the surface.

  • Communication to collaborate care with your other physicians.

  • Pre-review of records and prior labs, if any

  • Blood tests, referrals, and imaging orders if clinically necessary

  • Thyroid ultrasound included in the visit fee (as clinically necessary)

  • Prescriptions are case by case if clinically indicated.

  • Comprehensive, personalized plan and resources at the end of the visit

  • Total 2-3 hours of care

$850 one-time cost

Illustration of a hand gripping a blue semicolon symbol.

Ongoing Care Membership

Your ongoing care is built on clarity, access, and prevention. We focus on the full picture of your health — hormones, metabolism, thyroid, and lifestyle — to guide lasting transformation.

  • Unlimited medical communication

  • Lifestyle counseling and coaching

  • Periodic Physician Visits

  • Free body composition & thyroid ultrasound

  • Personalized meal plans

  • Collaboration with your other providers

  • Access to discounted labs & supplements

6-Month Membership: $2,700

12-Month Membership: $5,000 (8% savings)

Insurance can still be used for labs, imaging, and prescriptions.

Now seeing new patients in-person in Bay Area and Fresno, and telehealth across CA

What Our Patients Say…

Measurable Results of Specialized Endocrine Care

Under structured endocrine care, patients commonly achieve:

  • Stabilized and optimized glucose levels

  • Prevention or delay of type 2 diabetes progression

  • Improved insulin sensitivity and metabolic control

  • Thoughtful, evidence-based reduction of medications when appropriate

  • Improved weight regulation, sustained energy, and stronger metabolic health

  • Preservation and improvement of bone density with proactive fracture prevention

  • Reclaim clarity, energy, and long-term health and confidence.