Caring for Your Health
with Expertise and Compassion
Dr. Nisha Jayani, a board-certified endocrinologist and lifestyle medicine expert, is dedicated to transforming lives through patient-centered direct care and medical practice.
Caring for Your Health
with Expertise and Compassion
Dr. Nisha Jayani, a board-certified endocrinologist and lifestyle medicine expert, is dedicated to transforming lives through patient-centered care and cutting-edge medical practice.
Meet our
founder, Dr. Nisha
Dr. Nisha Jayani, MD, is a dedicated physician specializing in endocrinology with a passion for patient-centered care, preventive health, and overall well-being. With over 15 years of experience, she combines clinical expertise with compassion to improve the health and wellness of her patients.
Fluent in Spanish and Gujarati, Dr. Jayani ensures that language is never a barrier to quality care. She is known for her meticulous approach to diagnosis and treatment, always striving for the highest standards of medical practice. She is committed to ongoing medical education and research to stay at the forefront of her field. She carries board certification in Lifestyle Medicine in addition to Endocrinology, Diabetes, and Metabolism and Internal Medicine.
In her free time, Dr. Jayani enjoys dancing, reading novels, and spending time with her family.
Comparing Direct Care
vs.
Insurance-Based Care
| Feature | Direct Care | Insurance-Based Care |
|---|---|---|
| Cost Structure | Flat monthly membership or per visit fee | Unpredictable costs, premiums, deductibles, copays |
| Access to Physician | Unlimited access via phone, text, video, or in-person | Limited to scheduled office visits |
| Appointments | Same-day or next-day availability | Wait times often 3 to 6 months |
| Time With Doctor | 30–60 minute appointments | 7–15 minute average appointments |
| Copays & Deductibles | None | Common and often increasing |
| Administrative Hassles | No insurance paperwork | Extensive paperwork and prior authorizations |
| Patient Load Per Doctor | Low (typically 100–200 patients per doctor) | High (2,000–3,000 patients per doctor) |
| Transparency | Clear, upfront pricing for all services | Often opaque, variable costs |
| Preventative & Holistic Care | Emphasized and accessible | Often deprioritized due to billing limitations |
| Labs & Procedures | Discounted rates, often at-cost | Billed through insurance, often inflated |
| Peace of Mind | Direct relationship with your doctor | Often feel like “just another patient” |
Expert Endocrine and Wellness Care FAQ
Direct care is a simple, patient-focused approach to healthcare that enables personalized, unhurried access to your physician.
This often includes visits, messaging your doctor directly, or getting same-day appointments in return for a fee paid directly to the doctor. You are billed annually, monthly, or per visit—your choice.
Unlike traditional insurance-based models, direct care cuts out the middleman (insurance companies), so there’s less paperwork and fewer hassles. It’s not insurance itself—it’s about covering your needs, like managing chronic conditions or handling minor emergencies.
The goal? A stronger, more direct relationship between you and your doctor, with transparent pricing and care that’s tailored to you.
During your first visit, Dr. Jayani will conduct a thorough evaluation, including a detailed medical history, a physical exam, and necessary diagnostic tests.
She will discuss your symptoms, lifestyle, and health goals to develop a personalized treatment plan.
Dr. Jayani specializes in treating a variety of endocrine disorders, including diabetes, thyroid diseases, adrenal and pituitary disorders, osteoporosis, and metabolic syndrome.
Preventive health is a cornerstone of Dr. Jayani's approach.
She emphasizes early detection and lifestyle modifications to prevent or manage chronic conditions, aiming to improve long-term health outcomes for her patients.
Dr. Jayani tailors treatment plans based on each patient’s unique health profile, including their medical history, current symptoms, lifestyle, and test results.
She combines evidence-based medical treatments with lifestyle modifications to address both the symptoms and underlying causes of endocrine disorders.
What
Our Patients
Are Saying
Dr. Jayani is excellent. Very holistic. She takes the time to listen, is empathetic, and asks great questions to get a more complete picture of what is going on.
MJ
Listened and understood my concerns. Very caring. Helped me evaluate different medication options and how I can improve my diet.
RC
It was so simple and easy! I usually have to drive 2 hours to see my endocrinologists. With Paloma, I was able to see a better doctor and faster!
CO
For the first time I have the feeling that I have a doctor who can own my care for hypothyroidism. My PCP and OBGYN were not always aligned on the best treatment for me.
JL
Dr. Jayani is excellent. She takes the time to listen, is empathetic, and asks great questions to get a more complete picture of what is going on.
ES
Very smart and professional. Clearly she cared about her patient and wanted to get things right. On of the most through Dr. visits I’ve ever had in my life.
KH
I was very appreciative on how the Dr really took her time and ask me questions. I didn’t feel like the appointment was rushed. Thank you
AB
Fantastic Doctor who really knows so much about this condition and genuinely cares and listens and looks for the best solution, best Doctor I’ve seen and highly recommend.
LA
Spent time to truly understand what was going on.
AK
Great Thyroid specialist who really cares about your symptoms
KH
Amazing, she listened well and cared. Answered all questions.
MP
Dr. Jayani was so attentive and thoroughly explained everything!
LB
A caring, compassionate and knowledgeable physician. Clearly a hypothyroidism expert.
TS
Wonderful experience. Dr. Jayani listened to my concerns and addressed them. Very impressed!
SB
Such a relief to talk to Dr. Jayani and get in depth answers and help. Dr. Jayani is amazing!
RH
Dr. Jayani was thorough and answered my questions very well. She was responsive and very generous with her time.
AJ
Start Your Wellness Journey
Choose your path to better health:
Select either the Diet or Lifestyle Assessment below to get started.
Complete Your Diet Assessment in 3 Simple Steps
Understanding your dietary habits is the first step toward a healthier lifestyle.
Follow the simple steps below to download, complete, and submit your ACLM Diet Screener.
This will help us assess your nutrition and provide valuable insights.
📥Download the Assessment
To get started, download the ACLM Diet Screener. This brief questionnaire will help assess your dietary habits over the past four weeks. Please try to answer as accurately as possible—there are no right or wrong answers.
✍️Complete the Assessment
After downloading the form, fill it out with your responses. Be as honest as possible, as this will help provide an accurate analysis of your diet. If you’re unsure about an answer, a best guess is better than leaving it blank.
💡 Tip: The form includes different food categories. You may need to check multiple boxes if a food item fits into more than one category.
📤 Upload Your Assessment
Once you have completed the assessment, submit it using the form below. Upload the filled-out document and click “Submit.”
Complete Your Lifestyle Assessment in 3 Simple Steps
Your lifestyle plays a vital role in your overall health. The Lifestyle Assessment Short Form, helps evaluate key areas such as nutrition, sleep, exercise, mental well-being, and substance use.
Follow the steps below to complete and submit your assessment for a personalized review.
📥Download the Lifestyle Assessment
Start by downloading the Lifestyle Assessment Short Form. This questionnaire will help identify areas of strength and improvement in your daily habits. Answer each question honestly—this is a self-reflection tool, not a test.
✍️Fill Out the Assessment
Once downloaded, take a few minutes to complete the form. You’ll be asked about your health habits, including:
Overall health – Your current well-being
Sleep – Your sleep patterns and energy levels
Nutrition – Your diet and food choices
Exercise – Your physical activity levels
Mental health – Your emotional well-being and sense of purpose
Substance use – Your nicotine, alcohol, or drug consumption
💡 Tip: Be as honest as possible—this assessment is for your personal benefit.
📤Submit Your Completed Assessment
Once you have filled out the form, submit it using the upload form below. Our team will review your. responses and provide feedback on potential lifestyle improvements.