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Broward Integrative Medicine logoBrowardIntegrative MedicineDr. Johanna Nazzar
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The journal

Notes from the practice.

Functional medicine, Chinese medicine, the labs we run, and what 16 years of seeing patients no one else could figure out has taught us.

48 articlesUpdated monthlyWritten by Dr. Johanna Nazzar

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A row of clear glass cupping cups on a pale stone slab beside an unlit roll of moxa and a small bowl of dried mugwort leaves.

Beyond the needle — cupping, electroacupuncture, and moxa

Cupping, electroacupuncture, and moxa are the other tools in an acupuncture treatment room, each chosen for a specific pattern. Here is what each one does, what cupping marks are and are not, when we reach for which, and who should avoid what.

A clear glass jar of fermenting vegetables, a small bowl of pumpkin seeds, and a sprig of fresh mint on a sage-green ceramic board against a soft cream wall.

The gut–thyroid connection — why we test both

Thyroid hormone sets the pace of digestion, and the gut shapes how much active thyroid hormone you have. Here is how conversion, nutrient absorption, stomach acid, and intestinal permeability link the two, and why we often test the gut in thyroid cases.

A small cup of ginger tea on a saucer beside a sliced lemon and a few pieces of fresh ginger root on a cream stone countertop.

Reflux and the acid question — when the problem may be too little, not too much

Some reflux and indigestion patterns involve too little stomach acid rather than too much. Here is how that can happen, what low acid does to protein digestion and B12, iron, and mineral absorption, where H. pylori and stress fit, and which symptoms need prompt medical care.

A hot water bottle in a knitted sage-green cover beside a cup of ginger tea with fresh ginger slices and a few dried rose buds on a cream wool throw.

Period pain is common — that does not make it normal

Painful periods and PMS are common, but pain that disrupts your life deserves a proper look. Here is how we tell primary from secondary period pain, what prostaglandins do, how Chinese medicine reads cramps and premenstrual mood shifts, and what we test alongside acupuncture and herbs.

An overhead view of a dark cast-iron skillet holding fresh spinach leaves and green lentils beside a wooden spoon and a folded cream linen napkin on pale stone.

Low ferritin, normal hemoglobin — the iron gap behind the fatigue

Low ferritin can cause fatigue, hair shedding, and restless legs before hemoglobin ever drops. Here is how iron stores differ from circulating iron, why ferritin can look falsely reassuring, what drains iron, and why guessing with supplements backfires.

A close view of a finely woven cream linen cloth draped over a smooth stone, with a small bowl of broth and a few leaves of sage beside it.

Leaky gut, without the hype — what intestinal permeability really is

Intestinal permeability is real physiology, but “leaky gut” is not a diagnosis. Here is how the gut barrier works, what loosens it, what testing can and cannot show, and why repair starts with removing the drivers rather than adding supplements.