Precision Endocrinology for the Bay Area — Lafayette, CA

Advanced care for complex hormone, metabolic, thyroid, and diabetes conditions — by Dr. Chhaya Makhija, a triple board-certified endocrinologist with 20 years of clinical and academic expertise. Now seeing new patients in-person at our Lafayette office, serving Walnut Creek and the East Bay.

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Complex Hormone Conditions Require a Specialist — Not a Generalist

Conditions We Treat:

Insulin Resistance & Prediabetes

Diabetes management icon with glucose monitor representing blood sugar care and endocrinology treatment

Polycystic ovary syndrome PCOS icon representing women’s hormone and reproductive health treatment

Fatigue symptom icon representing low energy and hormone imbalance

Type 2 Diabetes Management

Perimenopause and menopause hormone changes icon representing women’s midlife endocrine care

Obesity and weight management icon with scale representing metabolic health and medical weight loss care

$Osteoporosis bone health icon representing low bone density and fracture prevention treatment$

Weight Management & Obesity

Thyroid disease icon representing thyroid gland disorders and hormone imbalance care

Adrenal gland disorder icon representing adrenal fatigue cortisol imbalance and endocrine treatment

PCOS and Hormonal Imbalance

Osteoporosis & Bone Loss

Perimenopause & Menopause

Adrenal and Pituitary Disorders

Thyroid disorders and autoimmune thyroid disease

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. Lafayette and Walnut Creek patients can be seen in person at our office, or via telehealth anywhere in California.

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A Direct Specialty Care Model — by Design.

Dr. Chhaya Makhija performing a body composition test on a patient in her lafayette

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:

Extended 60–75 minute visits
In-depth lab review
Proactive prevention planning
Direct physician access
Coordination with your other specialists

No referral barriers. No insurance restrictions. No rushed care. This model was built for our Lafayette, Walnut Creek, and other East Bay patients who are tired of waiting months for a specialist appointment, only to get 10 minutes of face time.

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 in lafayette

Unified Endocrine & Diabetes Care is among the first direct-care endocrinology and lifestyle medicine practices in California. Dr. Chhaya Makhija is a triple board-certified endocrinologist and lifestyle medicine specialist with nearly two decades of clinical and academic experience.

She opened the Lafayette office to bring specialist-level endocrine care to the East Bay — without the insurance barriers, referral delays, and abbreviated appointments that define traditional endocrinology. For patients throughout the greater Bay Area, this is precision hormone and metabolic care delivered the way it should be: unhurried, evidence-based, and built around your full picture of health.

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Invest in Yourself with Specialized Care

Dr Makhija in her lafayette office consulting a patient

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

doctor makhija in her office performing a thyroid ultrasound on a patient

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.