Hormones & Hope with Dr. Chhaya

In this episode of the thyroid series, Dr. Makhija answers more thyroid questions she hears from patients. 

She breaks down the differences between Synthroid, generic levothyroxine, Armour Thyroid, and desiccated thyroid, explains what elevated TPO antibodies mean when your TSH is normal, and discusses whether thyroid medication is always needed for life.

You’ll also learn how often TSH should be checked, when thyroid medication doses may need to change, and what can affect thyroid hormone absorption.

Dr. Makhija also answers some of the biggest questions surrounding the so-called “thyroid diet,” including whether you need to avoid gluten, soy, or cruciferous vegetables such as broccoli and cauliflower if you have hypothyroidism or Hashimoto’s. She explains what we know about selenium and iodine supplements and why taking too much iodine can sometimes be harmful.

Whether you have hypothyroidism, Hashimoto’s thyroiditis, elevated TPO antibodies, or simply want to better understand your thyroid labs and treatment options, this episode offers a practical, evidence-based overview of these commonly asked questions.

Subscribe to the podcast for more conversations about thyroid health, hormones, osteoporosis, GLP-1 medications, hormone replacement therapy, and metabolic health.

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Email: [email protected]

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Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What does it mean if your TSH is normal but you still feel tired, gain weight, lose hair, or experience brain fog? Can thyroid medication help with weight loss? And if you’re taking levothyroxine, should you take it in the morning or at night?

In this episode, Dr. Makhija, a triple board-certified endocrinologist, answers some of the most common thyroid questions she hears from patients.

From understanding TSH and hypothyroidism to taking thyroid medication correctly, this episode covers some of the everyday questions that can make thyroid health feel confusing.

Dr. Makhija explains why symptoms like fatigue, weight gain, hair loss, and brain fog aren't always caused by the thyroid, what other factors may need to be considered, and how your individual symptoms, medical history, labs, and stage of life can all influence thyroid treatment.

This is Part 1 of the thyroid series, with more conversations coming up on T3 vs. T4, animal thyroid hormone, Hashimoto's, TPO antibodies, iodine, and diet.

Follow Dr. Chhaya Makhija here:
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https://unifiedendocrinecare.com/
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https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Download Free Guides/Resources here:

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Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

In this episode of Hormones & Hope, Dr. Makhija sits down with Alicia Giana, founder of AGF Gym, to talk about strength training, sustainable fitness, motherhood, thyroid health, and the mindset behind long-term health.

Alicia shares her own experience of having half of her thyroid removed as a young adult and later developing hypothyroidism, while also building a career in fitness and eventually opening her own gym. Her story is a reminder that a health condition doesn't have to determine what you're capable of doing.

Dr. Makhija and Alicia discuss why strength training becomes increasingly important as we age, how women can support muscle and bone health through perimenopause and menopause, and why it's never too late to start building strength. They also talk about protein, sleep, hydration, recovery, realistic expectations for muscle gain, and how to make exercise work when life gets busy. Alicia opens up about adjusting her fitness routine after becoming a mother, finding time for herself, and letting go of the pressure to bounce back immediately.

Whether you're new to strength training or already active, this episode offers realistic advice for building strength and making fitness a sustainable part of your life.

Follow Dr. Chhaya Makhija here:
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https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Download Free Guides/Resources here:

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Follow Alicia here:

https://aliciagianafitness.com/

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Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

Is it really possible to get 100 grams of protein a day without eating meat?

In this episode of Hormones & Hope, Dr. Makhija sits down with Registered Dietitian and Nutrition Coach Leonila Campos to unpack the truth about protein, fiber, and plant-forward eating. 

Leonila shares practical examples of how foods like tofu, tempeh, lentils, chickpeas, edamame, quinoa, nuts, and seeds can fit into a high-protein eating pattern. She also explains why protein alone isn't enough to build muscle and why pairing adequate protein with resistance training is so important.

They also talk about a question many people struggle with: Can you enjoy traditional foods like rice, beans, and tortillas while managing blood sugar? Leonila explains how small changes to a familiar meal can add more fiber, vegetables, and balance without asking you to completely give up the foods you love.

Whether you're vegan, vegetarian, plant-forward, or simply trying to eat more intentionally, this episode offers a realistic approach to building healthier meals — without making nutrition unnecessarily complicated.

Follow Dr. Chhaya Makhija here:
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Email: [email protected]

Download Free Guides/Resources here:

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https://www.fueledbyleo.com

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Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

Can you have a successful career, a loving marriage, and still feel completely disconnected from your partner?

In this episode of Hormones and Hope, Dr. Chhaya Makhija sits down with Dr. Alexandra Stockwell, intimacy expert and author of Uncompromising Intimacy to have a conversation about long-term relationships, emotional intimacy, sexual desire, and maintaining connection as life changes.

For many couples, especially during mid-adulthood, conversations can slowly become about work, children, schedules, finances, and responsibilities while emotional and physical intimacy gets pushed to the bottom of the list. 

But does losing sexual desire have to be inevitable in a long-term relationship? Absolutely not.

If you've ever wondered how to reconnect with your partner, improve intimacy in a long-term relationship, understand low libido, or bring emotional and physical connection back into your relationship, this episode is for you.

Follow Dr. Chhaya Makhija here:
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Email: [email protected]

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Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

In this episode, Dr. Makhija shares the inspiring journey of a 69-year-old woman who transformed her health by taking a personalized approach to type 2 diabetes, weight management, and metabolic health.

When she first came for care, she was dealing with fatigue, chronic pain, reduced mobility, and difficulty losing weight. She was also unaware that her blood sugar levels had progressed into the diabetes range, with an A1C of 7.2%.

Instead of focusing only on weight loss, the approach focused on the whole person — nutrition, hydration, gut health, movement, pain management, muscle preservation, and eventually GLP-1 therapy with Mounjaro (tirzepatide).

But the greatest success was not the number on the scale. It was becoming stronger, more active, and able to enjoy life again.

If you are considering GLP-1 medications or are already on your weight loss journey, this episode will help you understand why the full picture matters.

Download the Free Guide 'Your Health on GLP-1' Here:

https://dr-chhaya.myflodesk.com/glp1

Follow Dr. Chhaya Makhija here:
https://www.instagram.com/chhayamakhijamd/
https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What happens when you start a GLP-1 medication? 

In this episode, Dr. Makhija walks you through what she discusses with her patients when starting a GLP-1 receptor agonist. She explains what to expect during the first 24–48 hours, how appetite and cravings may change, common gastrointestinal side effects, injection basics, hydration and nutrition, and why gradual dose titration matters.

You’ll also learn why maintaining adequate protein, fiber, fluids, and overall nutrition is important during GLP-1 treatment, how to support muscle while losing weight, and why the number on the scale isn’t the only measure of progress. 

Dr. Makhija also discusses the role of body composition assessments in tracking fat loss and muscle mass during a weight-loss journey.

If you’re considering starting a GLP-1 medication or have recently started one, this episode can help you understand what the early stages of treatment may look like from an endocrinologist’s perspective.

Download the Free Guide 'Your Health on GLP-1' Here:

https://dr-chhaya.myflodesk.com/glp1

Follow Dr. Chhaya Makhija here:
https://www.instagram.com/chhayamakhijamd/
https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

What exactly is menopause hormone replacement therapy (HRT), and how do estradiol patches and progesterone work together?

In this episode, Dr. Makhija takes you inside the clinical approach she uses when helping women start menopause hormone therapy during perimenopause and menopause.

Dr. Makhija explains estradiol patches, including what they are, how transdermal estrogen works, the different doses available, how often patches are changed, and where they are typically applied. She also discusses why some women may notice differences when switching between brands or manufacturers of estradiol patches, particularly during the 2026 national estradiol patch shortages.

You'll also learn about progesterone and menopause HRT, including why progesterone is generally needed for women with an intact uterus who are using systemic estrogen, how micronized progesterone may be incorporated, and why Dr. Chhaya often introduces estrogen and progesterone separately rather than starting both at the same time.

If you're experiencing hot flashes, night sweats, brain fog, fatigue, sleep changes, or menstrual changes and are wondering whether menopause hormone therapy may be right for you, this episode provides an inside look at how treatment can be individualized.

Download the Free Guide 'Your Health on GLP-1' Here:

https://dr-chhaya.myflodesk.com/glp1

Follow Dr. Chhaya Makhija here:
https://www.instagram.com/chhayamakhijamd/
https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

Getting prescribed a GLP-1 medication is often the easy part. Getting it covered by your insurance is where many people run into roadblocks.

In this episode, endocrinologist Dr. Chhaya Makhija answers five of the most common questions she hears about GLP-1 insurance coverage, including prior authorizations, prescription denials, appeals, and what your options are if your medication isn't approved. 

She also shares what happens behind the scenes in a physician's office and why the insurance process can be so frustrating for both patients and doctors.

Whether you're considering Ozempic, Wegovy, Mounjaro, Zepbound, or another FDA-approved GLP-1 medication for obesity, type 2 diabetes, fatty liver disease (MASLD), or other metabolic conditions, this episode will help you better understand your coverage, know what questions to ask, and feel more prepared for your next appointment.

Download the Free Guide 'Your Health on GLP-1' Here:

https://dr-chhaya.myflodesk.com/glp1

Follow Dr. Chhaya Makhija here:
https://www.instagram.com/chhayamakhijamd/
https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

Continuous Glucose Monitors (CGMs) have become one of the biggest trends in health and wellness—but are they actually useful if you don't have diabetes?

In this episode of Hormones and Hope, board-certified endocrinologist Dr. Makhija breaks down the science behind CGMs, answers the 10 most common questions she hears from patients, and explains what these devices can—and can't—tell you about your health.

From understanding the difference between blood glucose and sensor glucose to making sense of glucose spikes, you'll learn how factors like meals, exercise, stress, sleep, and hormones influence your glucose patterns. 

Dr. Makhija also discusses when a CGM may be a helpful learning tool, who is most likely to benefit, and how to use the data to support healthier lifestyle habits instead of creating unnecessary anxiety.

Whether you're managing diabetes, prediabetes, insulin resistance, or simply curious about optimizing your metabolic health, this episode will help you make informed decisions.

Follow Dr. Chhaya Makhija here:
https://www.instagram.com/chhayamakhijamd/
https://www.facebook.com/unifiedendocrine
https://unifiedendocrinecare.com/
https://www.youtube.com/@chhayamakhijamd
https://www.linkedin.com/in/chhayamakhijamd/

Email: [email protected]

Download Free Guides/ Resources here:
https://linktr.ee/chhayamakhijamd

Disclaimer: This podcast is for educational, informational, and entertainment purposes only. It’s not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized guidance.

If you enjoyed this episode, don’t forget to subscribe to the Hormones & Hope Podcast for more expert insights, real conversations, and science-backed strategies to help you feel your best—inside and out.