Professional portrait of Dr. Chhaya Makhija, board-certified endocrinologist based in Fresno and Lafayette (Bay Area), California — specialist in hormone health, thyroid and diabetes management, and founder of Unified Endocrine and Diabetes Care.

Transform Your Hormone Health with Science & Solutions

Access advanced endocrine, diabetes, and lifestyle care personalized by a triple board-certified endocrinologist.

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Your Health Deserves More Than 10 Minutes.

You wait months to see a specialist…And when the day finally comes, you get 5 rushed minutes. Your questions remain unanswered, your labs feel confusing, and you walk away still struggling with:

Professional illustration of the endocrine system showing glands such as the thyroid, pancreas, pituitary, and adrenal, representing hormone regulation and metabolic health at Unified Endocrine and Diabetes Care in California

You start to wonder:

Why isn’t anyone connecting the dots? Why does no one see me as a whole person — linking my hormones, metabolism, bones, and mind together?

What you really need is a specialist who will listen, connect the systems, and guide you through both science and lifestyle to help you truly transform.

Take the First Step Toward Balance

You Deserve Personalized & Preventive Care That Connects the Dots

↑ Real Patient Testimonials ↑

With nearly 20 years of endocrinology experience, Dr. Chhaya Makhija blends the science of hormones and metabolism with lifestyle medicine to help you:

  • Prevent chronic diseases before they start

  • Reduce your dependence on medications

  • Reclaim energy, confidence, and longevity

This is Direct Care Endocrinology — no referrals needed, no insurance barriers, no wasted time.

You work one-on-one with Dr. Makhija to uncover the root cause, design an evidence-based plan, and receive consistent coaching and follow-up for lasting results.

Let’s Decode Your Hormones Together

“Dr. Makhija coordinates with my other doctors.”

“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!”

“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

It’s Time to Take Charge of Your Health — with Solutions that Last

At Unified Endocrine & Diabetes Care, our goal is to give you clarity, confidence, and control over your health. We offer in-person appointments in the Bay Area and Central California (Fresno) and telemedicine across California — all designed for time, access, and truly personalized care.

Extended Visits

Every appointment is 60–75 minutes, giving us time to truly listen, connect the dots, and uncover the “why” behind your symptoms — not just treat the surface.

Direct Access

Skip the wait and referrals. You’ll have direct communication with Dr. Makhija and her team for questions, updates, and ongoing guidance between visits.

Flexible Care

Whether you’re in the Bay Area, Central California, or anywhere in the state, choose in-person or telemedicine care that fits your life and schedule.

Continuity & Support

We don’t stop at your diagnosis. You’ll receive ongoing care, lab coordination, and preventive strategies tailored to your long-term health goals.

Book Your Appointment

Accessible, Whole-Person Endocrine Care — Centered on You.

At Unified Endocrine, your 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.

Book an appointment with our team to start your health transformation journey.

1. Book Your First Appointment

Choose a time that fits your schedule.

2. Meet with Dr. Makhija

Spend 60–75 minutes uncovering your root causes.

3. Start Your Transformation Plan

Receive a personalized roadmap & ongoing support.

About Us — Your Partner in Hormone Health

Unified Endocrine & Diabetes Care is California’s first direct-care endocrinology and lifestyle medicine practice, founded in 2021 by Dr. Chhaya Makhija, a triple board-certified endocrinologist with nearly two decades of experience. The practice was created to restore what modern healthcare often lacks — time, trust, and genuine connection.

By removing insurance barriers, we provide high-touch, personalized care for complex diabetes, thyroid, hormonal, bone, and metabolic conditions. Our approach blends evidence-based medicine with lifestyle coaching and preventive care to deliver clarity, confidence, and lasting transformation.

Request an Appointment

Endocrinology Made Simple — Without the Wait or Confusion

Transparent and Clear Pricing

Choose the path that fits your needs today.

Same-week appointments often available.*

Insurance not accepted

Initial Consultation

60–75 minutes with Dr. Makhija

Includes:

✓ Personalized plan at the end of the visit

✓ Collaboration with your other physicians

✓ Prescriptions, lab tests, and imaging orders (as indicated)

✓ Thyroid ultrasound included when clinically necessary

$850 One-Time

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Option 1: Membership

Includes:

✓ Unlimited medical communication

✓ Lifestyle counseling & coaching

✓ Quarterly nutrition appointments

✓ Periodic physician visits (comprehensive visit each quarter)

✓ And More!

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Option 2: Pay-Per-Care

30–45 minutes, in-person or telemedicine

Includes:

✓ Thyroid ultrasound

✓ Medication Adjustments

✓ Lab review and/or body composition

✓ Personalized plan and coordinated care

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Get Started Today

Your Path to Better Health Starts Here


No referrals - You decide if you deserve endocrinology specialty care

No long wait period - Same or Next week Appointments

No hassle - In-person (Lafayette or Fresno) or Telemedicine

No surprise bills - Transparent pricing

Unrushed visits and Seamless coordination with your health care team.

What our Patients Say

I thoroughly checked out Dr. Makhija's website before choosing to make an appointment. Everything I read and the videos I watched impressed me. She is very good at communicating, and I knew I wanted to get her input on my health concerns. I was also very pleased with the staff member booking my appointment over the phone, and the staff members welcoming me when I got to my appointment. I felt listened to and not rushed. I left with all the notes she took during my appointment, and communication continued with a follow-up email containing high-protein food suggestions and recipes. I now have all the tools I need to be successful in my journey toward better health in this post-menopausal stage of life. I believe finding Dr. Makhija to be a great blessing. Thank you, Dr. Makhija and team!

- Lydia M.

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Frequently Asked Questions

We’re Here to Make it Simple

  • No. A referral is not required. Unified Endocrine & Diabetes Care is a direct-care practice, so you can schedule an appointment without insurance approvals or referral delays.

  • We do not contract with insurance plans. Our practice operates on a direct-pay, concierge model, allowing for longer visits, direct access, and personalized care without insurance restrictions. You may still use insurance for labs, imaging, and prescriptions, and we can provide a superbill for possible out-of-network reimbursement.

  • Membership provides ongoing access to comprehensive endocrine care, including extended follow-up visits, direct communication with Dr. Makhija, care coordination, medication management, and continued guidance for long-term health transformation. Membership details and pricing are reviewed after your initial consultation.

  • Yes. We offer telemedicine appointments for patients anywhere in California. In-person visits are available in the Bay Area and Fresno, with the same level of personalized care offered virtually.

  • Initial consultations are 60–75 minutes, allowing time to fully review your history, labs, symptoms, and goals. Follow-up visits are also intentionally longer than traditional appointments, so nothing feels rushed.

  • We specialize in endocrine and metabolic conditions, including diabetes, thyroid disorders, hormonal imbalances, metabolic syndrome, bone health and osteoporosis, adrenal and pituitary disorders, and weight and metabolic health. Care is rooted in evidence-based medicine and lifestyle medicine.

  • To get started, call or email our office to request an appointment. After scheduling, you’ll complete new patient forms and share relevant medical records. You’ll then meet one-on-one with Dr. Makhija to create a personalized care plan focused on clarity, prevention, and long-term health.

Let’s Decode Your Hormones Together

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