Dr. Angeliki Makri – Endocrinologist | Montréal, QC

Dr. Angeliki Makri is a specialized Pediatric Endocrinologist, dedicated to diagnosing and treating hormonal and metabolic disorders in infants, children, and adolescents. Practicing at the Hôpital de Montréal pour enfants, Pediatric Endocrinology in Montréal, QC, she is a key member of the local medical community. She adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring quality and safety in her practice. Dr. Makri focuses on the unique endocrine health needs of children, addressing issues such as growth disorders, puberty timing, pediatric diabetes, and thyroid conditions in young patients. Her clinic provides a supportive, child-centered environment for managing endocrine disorders in young patients, with a focus on growth, development, and family well-being.

She holds a Medical Degree from a recognized institution and has accumulated over 4 years of experience practicing as a Pediatric Endocrinologist since 2020. Dr. Makri has completed extensive post-graduate training in her subspecialty and holds the necessary certifications to practice Pediatric Endocrinology in Québec. Her professional credentials reflect her commitment to maintaining the highest standards of medical care and ongoing education in her field.

Dr. Makri’s clinical philosophy centers on providing compassionate and specialized care for children with endocrine disorders. She emphasizes a comprehensive approach that considers growth, development, and family support, creating a child-friendly environment to foster trust and open communication. Fluent in French, she is dedicated to serving patients in Montréal with personalized, evidence-based care that respects each child's unique needs and circumstances.

Dr. Angeliki Makri diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Pediatric Endocrinology & Diabetes (Children & Adolescents)

• Childhood Obesity & Associated Endocrine Complications: Evaluation for potential underlying endocrine causes of severe childhood obesity and management of associated hormonal or metabolic complications like insulin resistance or dyslipidemia.
• Congenital Adrenal Hyperplasia (CAH) & Other Pediatric Adrenal Disorders: A group of inherited genetic disorders affecting the adrenal glands' ability to produce certain hormones, requiring lifelong hormone replacement and monitoring. Other adrenal issues include adrenal insufficiency or tumors.
• Pediatric Calcium, Phosphorus & Vitamin D Disorders (e.g., Rickets, Hypocalcemia): Conditions affecting bone health and mineral balance in children, such as rickets (defective bone mineralization due to vitamin D deficiency), or abnormal blood calcium levels.

Bone Health & Mineral Metabolism Disorders

• Vitamin D Deficiency and Insufficiency: Inadequate levels of vitamin D, which is essential for calcium absorption and bone mineralization, leading to potential bone pain, muscle weakness, and increased fracture risk.
• Osteoporosis (Postmenopausal, Senile, Glucocorticoid-Induced): A progressive bone disease characterized by decreased bone mass and density, leading to an increased risk of fractures, particularly of the hip, spine, and wrist.
• Paget's Disease of Bone: A chronic skeletal disorder that disrupts the normal bone remodeling process, resulting in bones that are enlarged, misshapen, and structurally unsound, leading to pain, deformities, and fractures.

Thyroid & Parathyroid Gland Disorders

• Hypoparathyroidism: A rare condition in which the parathyroid glands produce too little PTH, resulting in low blood calcium levels (hypocalcemia) and high phosphorus levels.
• Hypothyroidism (Underactive Thyroid - e.g., Hashimoto's Thyroiditis, Post-Ablation): A common condition where the thyroid gland doesn't produce enough thyroid hormone, leading to symptoms like fatigue, weight gain, cold intolerance, constipation, and dry skin.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Angeliki Makri.

• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Makri for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôpital de Montréal pour enfants, Pediatric Endocrinology is situated in the heart of Montréal's Notre-Dame-de-Grâce (NDG) Central neighborhood. The facility is easily accessible via public transit, including the Société de transport de Montréal (STM) (Métro, Bus). It is a key specialized unit within the hospital, providing comprehensive endocrine care for infants, children, and adolescents. The hospital campus is wheelchair accessible, and paid parking options are conveniently located nearby, ensuring ease of access for patients and families seeking expert hormonal and metabolic care in a supportive environment.

Are consultations, hormone tests, and treatments with Dr. Makri, an Pediatric Endocrinologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Pediatric Endocrinologist like Dr. Makri, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Makri's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Makri, an Pediatric Endocrinologist?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Pediatric Endocrinologist such as Dr. Makri. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

How does Dr. Makri typically approach managing diabetes (Type 1 or Type 2)?

Dr. Makri's approach to diabetes management is comprehensive and individualized. For Type 1 diabetes, the focus is on intensive insulin therapy (using multiple daily injections or an insulin pump), continuous glucose monitoring (CGM), carbohydrate counting, and education on managing blood sugar fluctuations and preventing hypoglycemia. For Type 2 diabetes, management often starts with lifestyle modifications (diet, exercise, weight loss), followed by oral medications if needed. Newer injectable medications (like GLP-1 receptor agonists or SGLT2 inhibitors) or insulin may be added as the disease progresses or if blood sugar targets aren't met. In both types, a key goal is to achieve optimal glycemic control (measured by HbA1c and glucose monitoring) while minimizing side effects and preventing long-term complications affecting the eyes, kidneys, nerves, and cardiovascular system. This often involves a multidisciplinary team approach.

What conditions does an Pediatric Endocrinologist like Dr. Makri typically treat?

An Pediatric Endocrinologist is a medical doctor who specializes in diagnosing and treating diseases related to the endocrine system, which is the network of glands that produce and release hormones. These hormones control many important body functions, including metabolism (how your body gets energy from foods), growth and development, sexual function and reproduction, sleep, and mood. She is a Pediatric Endocrinologist, specifically focused on hormonal and metabolic disorders in infants, children, and adolescents. Dr. Makri manages conditions such as diabetes, thyroid diseases (hyperthyroidism, hypothyroidism, nodules), osteoporosis, adrenal gland disorders (like Cushing's or Addison's disease), pituitary gland disorders, parathyroid and calcium imbalances, polycystic ovary syndrome (PCOS), and some forms of hypertension or lipid disorders related to hormonal imbalances.

What is Hormone Replacement Therapy (HRT) and when might Dr. Makri recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Makri might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Makri will discuss thoroughly.

What treatment options for osteoporosis might Dr. Makri discuss?

If you are diagnosed with osteoporosis, Dr. Makri will discuss a management plan aimed at reducing your risk of fractures. This starts with lifestyle modifications, including ensuring adequate intake of calcium and vitamin D (through diet and/or supplements), engaging in regular weight-bearing and muscle-strengthening exercises, smoking cessation, and limiting alcohol intake. Fall prevention strategies are also important. If medication is indicated based on your bone density (DXA scan) and fracture risk assessment (e.g., using FRAX or CAROC tools), options include antiresorptive medications that slow bone loss (like bisphosphonates or denosumab) or anabolic agents that stimulate new bone formation (like teriparatide or romosozumab). She will help choose the most appropriate therapy based on your individual circumstances, potential side effects, and treatment goals.

Hôpital de Montréal pour enfants, Pediatric Endocrinology
A04.6314-1001 boul Décarie
Montréal, QC H4A 3J1

Phone: (514) 412-4400

The facility is wheelchair accessible.

Dr. Makri is a licensed Pediatric Endocrinologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or pediatrician is typically required for consultations with Dr. Makri for pediatric endocrinology services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20255