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Broward Integrative Medicine logoBrowardIntegrative MedicineDr. Johanna Nazzar
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.

13 articlesUpdated monthlyWritten by Dr. Johanna Nazzar

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A practitioner in a white coat beside a patient receiving acupuncture along the upper back in a bright, calm treatment room.

Acupuncture for pain — what it helps, and how fast

The single most common reason patients call us is pain that has not resolved with rest, medication, or time. Here is what acupuncture actually helps — low back and sciatica, neck and shoulders, arthritic knees and hips, migraines — what the evidence shows, and how quickly most people feel a change.

A person resting peacefully under a soft cream blanket on a treatment table in warm, dim light.

Acupuncture for stress, anxiety, and the sleep you’re not getting

If you are wired at midnight and exhausted at noon, your nervous system is stuck in the wrong gear. Acupuncture is one of the most direct tools we have for shifting it back — calming anxiety, easing the physical grip of stress, and restoring sleep. Here is what it helps, what to expect, and when to call us.

Two amber peptide vials and rolled cotton gauze on a clean clinic tray in soft window light.

The Glo Blend — the recovery stack I reach for after surgery and injury

The Glo Blend pairs the two repair peptides patients know as the 'Wolverine blend' — BPC-157 and TB-500 — with GHK-Cu, the copper peptide studied in tissue remodeling. When the goal is to recover from surgery or an injury faster, calm inflammation, and rebuild tissue, this is the stack I reach for — on top of a fixed foundation, never instead of one.

A glass of water, fresh ginger and mint, and a closed notebook on a clinic desk by a window.

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.

A ceramic cup of tea and an open journal on a wooden desk in soft dawn 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 amber apothecary jars of botanical detox powders on a pale stone surface.

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.

A blank chart printout, a sterile collection vial, and a pen on a clean clinic desk by a window.

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.

An overhead flat-lay of colorful nutrient-dense whole foods beside a blank notecard on cream linen.

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 ceramic tea bowls and a sprig of fresh herbs on a windowsill in warm afternoon light.

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 tranquil, empty acupuncture treatment room with cream linens and a plant beside a large window.

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 leafy houseplant on a windowsill casting soft shadows in gentle morning light.

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.

A neat row of clear glass pharmaceutical vials on a pale surface in cool, focused light.

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