Dr. Chhaya Makhija Featured in Parade Magazine: Expert Insights on Hypothyroidism and Fatigue
Dr. Chhaya Makhija, founder of Unified Endocrine & Diabetes Care and a triple board-certified endocrinologist specializing in thyroid, diabetes, and metabolic health, was recently featured in a prominent health article published by Parade Magazine. The article, titled “Fatigue Could Be a Sign of This Health Condition, According to Experts,” shares her expert perspective on the link between hypothyroidism and persistent fatigue.
What is Hypothyroidism and Why Does it Cause Fatigue?
Hypothyroidism, or an underactive thyroid, occurs when the thyroid gland produces insufficient thyroid hormones essential for regulating metabolism in every cell. When these hormones are low, bodily functions slow down, resulting in symptoms like profound fatigue, weight gain, hair thinning, and a slowed heart rate.
“Fatigue is often the most common symptom patients report when newly diagnosed with hypothyroidism. It happens because the body lacks the metabolism-boosting thyroid hormones necessary for everyday energy,” explains Dr. Makhija.
Why Might Fatigue Persist Even After Treatment?
Dr. Makhija notes that some patients continue to experience fatigue despite appropriate thyroid replacement therapy and optimal lab values.
“If thyroid labs are well-controlled but fatigue remains, we look beyond the thyroid. Causes such as anemia, vitamin deficiencies, sleep disorders like apnea, inflammation, or other endocrine conditions may also contribute and need evaluation.”
She encourages ongoing communication with healthcare providers and systematic assessments to uncover all possible fatigue triggers.
What Are the Common Symptoms of Hypothyroidism?
Key signs of low thyroid function highlighted include:
Fatigue or excessive sleepiness
Constipation and weight gain
Dry skin, brittle nails, and hair thinning
More severe symptoms like swelling or puffiness of face/limbs, slowed heart rate, and rare emergencies such as myxedema coma
Dr. Makhija stresses hypothyroidism should especially be considered in women, who are disproportionately affected during hormonal transition phases such as postpartum, perimenopause, and menopause.
What Causes Hypothyroidism and How Is It Treated?
The most common cause is autoimmune Hashimoto’s thyroiditis, though others include surgery, radiation, medications, or pituitary disorders. Treatment typically involves daily thyroid hormone replacement (levothyroxine), tailored by factors like weight, age, and lab results.
Dr. Makhija emphasizes:
Proper medication timing (taken on an empty stomach and away from calcium and iron supplements)
Considering combination therapies including T3 in select cases under expert supervision
Regular monitoring to optimize therapy and improve symptoms
How Does Dr. Makhija Recommend Managing Fatigue?
To manage fatigue, Dr. Makhija advises patients to:
Track symptoms and daily energy using a fatigue journal
Assess nutritional status, particularly iron, B12, and vitamin D levels
Evaluate sleep quality and rule out disorders such as sleep apnea
Address hormonal fluctuations and menstrual cycle irregularities in women
Follow a balanced, anti-inflammatory diet rich in fiber and whole foods
Seek specialty care if symptoms persist despite treatment
“Fatigue can have many underlying causes. With a comprehensive approach, patients can reclaim their energy and quality of life,” she says.
Who Is Dr. Chhaya Makhija and What Is Unified Endocrine & Diabetes Care?
Dr. Makhija is a pioneer of direct specialty endocrine and lifestyle medicine care in California, with offices in Lafayette (East Bay) and Fresno. She combines deep clinical expertise with personalized lifestyle coaching for managing diabetes, thyroid disorders, metabolic syndrome, and women’s health. Her patient-centered concierge practice prioritizes education, timely access, and comprehensive, individualized care.
How Can Patients Connect With Dr. Makhija?
For ongoing guidance and support:
What Should Patients Do If They Feel Tired Despite Thyroid Treatment?
Those experiencing persistent fatigue despite treatment, or suspecting thyroid dysfunction, should seek a thorough evaluation by an endocrinologist fluent in metabolic and hormonal health. Dr. Makhija’s Parade Magazine feature illuminates this critical topic to guide patients and providers toward renewed energy and improved wellness.
