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Pediatric Endocrinology Care in Central Denver for Children and Adolescents
Where Your Child’s Health Meets Clarity, Compassion, and Evidence-Based Care Led by Lefke Karaviti, MD, PhD
From growth to puberty, thyroid to DSD—clear answers when your family needs them most
Caring for the milestones that shape your child’s future.
Answers without waiting. Expertise without limits.
On-demand access to world-class pediatric endocrine care.
Individualized care that grows with your child.
Partnering with you through every stage of childhood.
Together, we turn uncertainty into confidence, and questions into understanding
Supporting you every step of the way, with compassion and science.
Why Blue Sky?
Blue Sky is a place where you and your child are met with warmth, gentleness, and thoughtful care—along with the clarity and answers you deserve from one of the world’s most trusted pediatric endocrinologists, Dr. Lefke Karaviti.
We believe excellent care should be guided by clarity and compassion—not financial pressure—so families can focus on what matters most: their child.
The name Blue Sky reflects both where we practice and how we care. With nearly 300 days of sunshine, Denver is known for its clear skies and wide horizons. That same sense of clarity, steadiness, and calm guides our approach to medicine—especially when families are navigating complex questions and answers feel hard to find.
How we can help
At Blue Sky Pediatric Endocrinology, we care for the full spectrum of children’s hormone and growth concerns.
Growth
Concerns
Whether growth feels too slow, too fast, or out of step, we provide careful evaluation and support to help children grow strong and thrive.
Puberty - Early, Delayed, or Atypical
Helping you navigate the timing and changes of puberty with clarity and confidence.
Thyroid – Overactive, Underactive, or Complex
Providing answers and treatments that bring balance and peace of mind.
Disorders of Sexual Development (DSD)
Compassionate, expert care for children born different, supporting you with clarity, respect, and hope.
Meet Lefke Karaviti, M.D, PhD.
For more than 35 years, Lefke Karaviti has been guiding children and you through the challenges of growth, puberty, thyroid conditions, and differences in sexual development (DSD). Trained at Cornell/New York Hospital with a PhD in Neuroendocrinology from UCLA, she is internationally recognized as a leader in her field.
What sets Dr. Karaviti apart is not only her expertise but also her commitment to listening, supporting, and reassuring you during times of uncertainty and following children through their journeys with compassion and clarity. After a long career as Professor of Pediatrics at Baylor College of Medicine and Texas Children’s Hospital in Houston, she has recently moved to Denver to be closer to her own family and to continue what she values most: providing personalized, compassionate care for children.
Care Without Boundaries
Instead of traveling hundreds of miles and waiting months for an appointment with someone who might not specialize in your baby’s condition, connect virtually with the doctor who has dedicated her entire career to DSD, and get the same thorough evaluation through secure video and photo uploads that’s safer and less traumatic for your newborn.
Our Commitment
Your Baby Has DSD. What Happens Next?
Right now, you’re overwhelmed with questions: Is surgery necessary? What tests are essential? How do we explain this to grandparents? Dr. Karaviti has walked this exact path with over 1,000 families, and she knows which decisions are urgent and which can wait. In your first virtual consultation, you’ll get a personalized action plan that covers immediate medical needs, family communication strategies, and long-term care coordination.
How We Work
Trusted Healthcare With A Focus On Your Child's Well-Being
01
Book An Appointment
Schedule your visit through our easy-to-use online platform or by calling our friendly support team. Choose the time that works best for you.
02
Consult Our Experts
Meet with our highly skilled doctors and medical specialists who will listen to your concerns, provide an accurate diagnosis, and recommend the effective treatment options.
03
Receive Care
Once a treatment plan is established, our team ensures you receive the necessary medical services, whether it’s a prescription from our pharmacy, specialized care.
04
Follow-Up
After your treatment, we stay connected for follow-up consultations, ensuring your recovery is progressing smoothly and addressing any further questions you may have.
What Parents are Saying
She’s the best. My son has been seeing her since age 2, and she has helped him immensely.
Mary Ann W
Mother
She is so sweet and a smart and loving doctor. She knows what she is doing. Excellent doctor who really cares about her patients.
Tina L
Mother
She was extremely helpful and nice. She knew what to do and was on task. She is really good with kids and teenagers. I definitely recommend her to people seeking help with their thyroid or diabetes.
Emma R.
Mother
Dr. Karaviti, I cannot express and thank you for taking the greatest action the moment my son had an emergency. You and your team came in and said “we’re going to be your team and take care of your son” thanks to you, YOU have helped me figure out what my son has and what is best for him. You made me understand my son and his health. I cannot thank you enough, you have helped me , help my son. You are the greatest. I wish you the best in all that you do. Thank you so much for your hard work and dedication in Endocrinology!
Yvonne
Mother
“Please let her know how much we appreciate her help over the years. She has been amazing.!
Thanks,”
Heather
Dr. Karaviti, We want to tell you how much we have appreciated your help over the years. L, N and L have always appreciated all you have done for us.
Thank you,
L, L, N
Dr. Karaviti,
I also wanted to say thank you for being such an amazing doctor to H. and A all these years. H loved going to her appointments with you because she always knew how much you cared about her.
Kelley
I know my child, B, is a special/complex child.
Thank you for taking such good care of him over the years. You have made an immense difference in his life and ours.
Karen
She’s the best. My son has been seeing her since age 2, and she has helped him immensely.
Mary Ann W
Mother
She is so sweet and a smart and loving doctor. She knows what she is doing. Excellent doctor who really cares about her patients.
Tina L
Mother
She was extremely helpful and nice. She knew what to do and was on task. She is really good with kids and teenagers. I definitely recommend her to people seeking help with their thyroid or diabetes.
Emma R.
Mother
Stay Informed With The Latest
Our Blog & News section keeps you updated with the latest health tips, medical
breakthroughs, clinic news, and wellness advice.
Understanding Hormones, Growth, and Development in Children
By Lefke Karaviti, MD, PhD
Parents often sense when something about their child’s growth or development doesn’t feel quite right—whether growth seems off track, puberty feels early or delayed, or changes in energy, weight, or blood sugar raise questions.
These concerns are common—and they are exactly where pediatric endocrinology plays a vital role.
Pediatric endocrinology focuses on how hormones guide growth, development, metabolism, and maturation in children and adolescents. Hormones influence height, puberty, bone health, blood sugar, and reproductive development. Because children are actively growing, even small hormonal differences can meaningfully affect both physical development and emotional well-being.
Children Are Not Small Adults
Pediatric endocrinology is not simply adult endocrinology applied to children. Hormone levels shift rapidly across childhood and adolescence, and what is normal at one age may be concerning at another. Growth patterns and pubertal timing must be interpreted in the context of development—not just lab values.
This specialized training allows pediatric endocrinologists to distinguish between normal variation and true medical concerns, balancing careful observation with timely intervention. In many cases, reassurance and education are just as important as treatment.
Why Pediatric Endocrinology Matters
Early, thoughtful evaluation can support healthy growth, prevent long-term complications, and reduce stress for families. Common concerns include growth differences, early or delayed puberty, thyroid disorders, diabetes, adrenal or pituitary conditions, disorders of sex development (DSD), bone health, and metabolic concerns.
Some children need treatment. Others need monitoring over time. Many simply need clarity—an understanding of what is normal, what is not, and what to expect next.
Why I Chose Pediatric Endocrinology
I chose pediatric endocrinology because it allows me to care for children at moments when growth, development, and identity are actively unfolding—and when thoughtful guidance can have a lasting impact.
Hormones quietly shape how children grow, mature, and experience their bodies. In pediatrics, timing matters. Knowing when to intervene—and when reassurance is the best medicine—can change a child’s trajectory.
What continues to draw me to this field is the opportunity to walk alongside children and families over time. Pediatric endocrinology is rarely a single visit or a quick answer. It is about listening carefully, explaining clearly, and helping families navigate uncertainty with confidence and calm.
At its heart, my work is about bringing clarity when things feel confusing and supporting families through some of the most important years of a child’s life.
A Final Thought
Not every variation requires treatment—but every concern deserves careful attention. Pediatric endocrinology exists to provide perspective, evidence-based guidance, and support as children grow. If you have questions about your child’s development or hormonal health, asking those questions is the right place to start.8
By Lefkothea Karaviti, MD, PhD
Growth is one of the clearest windows into a child’s overall health. While children grow at different rates, the pattern of growth over time often tells us more than any single number on a chart.
Pediatric endocrinologists look not only at how tall a child is, but how they are growing—whether growth is steady, slowing, or accelerating compared with what we expect for that child’s age, family background, and stage of development. Growth charts help us follow these patterns over time and decide when reassurance is appropriate and when closer evaluation is needed.
Many growth concerns turn out to be normal variations. Others may reflect underlying hormonal, genetic, or medical conditions that benefit from early identification. The goal of evaluation is not always treatment—it is understanding what is normal for your child and what, if anything, needs attention.
If you are worried about your child’s growth, asking questions early can provide clarity and peace of mind. Sometimes the most important step is simply making sure a child is growing in a healthy, expected way—and knowing when to watch, when to wait, and when to act.
By Lefke Karaviti, MD, PhD
Puberty is a normal and important part of development, but its timing and progression can vary widely from child to child. What matters most is not only when puberty begins, but how it unfolds over time.
Pediatric endocrinologists evaluate puberty by looking at physical changes, growth patterns, and hormone signaling within the context of a child’s age, development, and overall health. Puberty that starts very early, occurs much later than expected, or progresses unusually quickly or slowly may benefit from closer evaluation.
Many variations in pubertal timing are normal and do not require treatment. In other cases, understanding the underlying hormonal signals can help guide next steps—whether that means reassurance, monitoring, or medical intervention.
Puberty can be a sensitive time for children and families. Questions are common, and concerns are valid. A thoughtful evaluation can help clarify what is happening, what is normal, and how best to support a child’s physical and emotional well-being through this transition.
