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BrowardIntegrative MedicineDr. Johanna Nazzar
The journal

Notes from the practice.

Writing on functional medicine, Chinese medicine, the labs we run, and what we’ve learned from 16 years of seeing patients no one else could quite figure out.

10 articlesUpdated monthlyWritten by Dr. Johanna Nazzar
A clinical microscope and lab notebook on a quiet desk in soft window light.

What a stool test actually shows you

Bloating, reflux, IBS, the post-meal crash you can't quite explain — most of these patterns aren't questions a colonoscopy can answer. The GI-MAP comprehensive stool test reads the part of the gut that standard panels skip: the microbiome, the pathogens, the inflammation, and the leaky lining behind it all.

An open journal with a hand-drawn cycle and cortisol tracker beside a ceramic cup in soft morning light.

How to read a cortisol curve — what your morning crash is actually telling you

If you wake up wired, crash by mid-afternoon, and lie awake thinking at 2 a.m., the answer is rarely 'just stress.' The DUTCH adrenal panel maps cortisol across the day and the metabolites underneath it — and shows you the shape of the dysregulation, not just the number.

Three small dark-glass apothecary jars labeled with binder ingredients beside small mounds of herbal powder.

Mercury, lead, and the symptoms that don’t fit a textbook

Heavy metals are one of the most under-investigated drivers of chronic fatigue, brain fog, hormonal disruption, and pediatric developmental issues. A urine snapshot misses the long story. Hair, used carefully, reads the months and years of accumulated burden — and the minerals being depleted alongside.

Sample functional-medicine lab report showing nutrient and metabolic markers.

What an Organic Acids test reveals that bloodwork can’t

Mitochondrial fatigue, brain fog, slow recovery, ADHD-pattern attention, candida that won't quit — these are functional problems, not blood-chemistry problems. The OAT reads the byproducts of metabolism in real time and tells you whether the engine, the wiring, and the fuel are working together.

Printed supplement protocol sheet with handwritten dosing notes on a linen cloth, beside a small pill organizer.

The nutrient deficiencies hiding behind “normal” bloodwork

A serum vitamin level tells you what's in the bloodstream. It does not tell you what's reaching the cell, what's being used, or what your body's functional need actually is. The NutrEval panel reads 125+ biomarkers — vitamins, minerals, omegas, amino acids, antioxidants — and writes you a supplement plan from the data, not a guess.

Two tea bowls beside a softly lit window in a quiet clinic room.

Perimenopause is not a diagnosis — it’s a decade

The transition into menopause is not a single event. It is a ten-year shift in hormones, sleep, and metabolism — and most women are told they are fine while it is happening.

A row of acupuncture needles arranged on green felt in a clinic tray.

What acupuncture actually does, mechanistically

Beyond qi: the vagal, fascial, and neurotransmitter mechanisms that explain why a needle the width of a human hair can change how a body feels for hours afterward.

A houseplant casting long shadows in soft afternoon light by a window.

The mold conversation no one’s having with you

When the symptoms don't add up, the answer is sometimes in a wall, a vent, or a basement. Mold-driven illness is one of the most under-recognized patterns in chronic complaint medicine — and it lives quietly in South Florida homes.

Abstract DNA strand and molecular elements representing functional medicine.

Peptides aren’t a fad — but most protocols are

BPC-157, GHK-Cu, KPV, semaglutide. The molecules are real and the science is real. The protocols circulating online are mostly not. Here is how I think about prescribing peptides in a clinical setting.

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Topics covered

FunctionalLabs · cases · ranges
TCMAcupuncture · herbs
HormonesCycle · perimenopause
DetoxMold · environmental
PeptidesRepair · metabolic