Welcome to
MIDLIFE THRIVE
with DoctorJNazz

ObGyn Empowering Your Decision-Making

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Wasn’t even gone that long.

Satirical post about a real problem in medicine:
Administrative burden 📝

If you had told me I’d be a doctor and look at seven different computer screens in a day, plus two cell phone screens and sometimes screens in the OR, I never would have believed you.

There are some surface level efforts to improve “wellness” among physicians, including residents, but it doesn’t actually address the root cause of healthcare burnout.

It’s not just physicians.

Many are fearful of AI in medicine but for things like this, it’s long overdue.

#obgyn #womenshealth #medicalhumor #doctor #surgeon #physicianburnout

Hard yes.

#obgyn #womenshealth #vacation #pga #pgachampionship #pgatour #doctor #lifestyle #wellness #travelwithkids #travel #golf #stepcount #crunchymom #toddlermomlife @pgatour @pgachampionship

When creatures of healthy habits go on the road. 👍

Also use this bag for groceries! 🔗 in stories

Will be diving more into ketosis. Update soon 😉

@thornehealth @piquelife @equipfoods @crazyrichardspb

#obgyn #womenshealth #midlife #midlifesupport #menopause #doctor #surgeon #crunchymom #nontoxiclifestyle #travel #travelwithtoddlers #travelwithkids #roadtrip #healthjourney #wellnessjourney

About damn time 😎

#obgyn #womenshealth #midlife #menopause #perimenopause #midlifecoach #midlifesupport #vitamind #vacation #vacationvibes #surgeon #femalephysician #doctor

We can’t say with certainty what effect this has on us, as women.

I can say with certainty that plastics are not biological to us.

Whether this can be reversed, I also don’t know.

I do know that I can make changes to affect as much as possible for the health of myself and my family.

🔗 in stories for some of our swaps

#obgyn #womenshealth #plastic #nontox #nontoxiclifestyle #nontoxickitchen #wellness #healthjourney #wellnessjourney

It’s closer than we think. As in, about a month away.

Happy to see change to the way we do things.

There’s a lot in medicine that’s done because it’s always been done that way.
There’s a lot of room to rethink that.

Not all that long ago women weren’t even able to use pregnancy tests themselves. They had to be done in an office.
Now here we are on the brink of at-home cervical cancer screening.

It’s incredible.

🏥 Who wants to do their screening at home now?

#obgyn #womenshealth #midlife #midlifehealth #cervicalcancer #cancerscreening #healthtech #perimenopause #menopause #hpv @teal.health #gynecologist #surgeon

🤍

#obgyn #womenshealth #midlife #perimenopause #menopause #millennialmom #mothersday #crunchymom #animalmom #dogmom #catmom #alpacas

Cheers (with water) to maturing 😉

Anyone else’s Saturday looking different these days?

#obgyn #womenshealth #midlife #midlifewoman #midlifesupport #midlifecoach #aging #perimenopause #menopause #selfcare #alcoholfree #healthandwellness #wellnessjourney #crunchymom

Here we go.

What will the next 24 hours bring? 🤔

#obgyn #womenshealth #oncall #doctorlife #oncalllife #surgeon #gynecology #midlife #midlifesupport #hobbyfarm #homestead #femalefitness #millennialmom #workingmom

It’s called the female athlete triad

The opposite end of the reproductive spectrum than what I usually discuss but it all comes together

🦴 Adolescents are still growing and need an appropriate cycle🩸
Which requires energy balance in the body.

#obgyn #womenshealth #midlifesupport #midlife #hormonehealth #gynecology #doctor #surgeon #perimenopause #femalehealth

Elevating my level of crunch (happily).

First time using @frownies
😊 are you a frownies expert or Botox die-hard?

#obgyn #womenshealth #midlife #midlifesupport #perimenopause #menopause #nontox #nontoxiclifestyle #botoxfree @frownies #selfcare #skincare #agingskin

The mid-size SUV $$ was medically necessary.

#obgyn #womenshealth #surgery #surgeon #surgerycost #healthcare #healthcarecosts #postop #doctor #patient #patientexperience #health #healthandfitness

I had the full workup.

💜 I was six weeks postpartum and started having heart palpitations.
🩸 labs
🥼 echo
It was all normal (thank God) 🙏

“Do you think it’s stress?” My doctor asked me.

I thought it was my usual.
I just couldn’t buffer it anymore.

I was put on a beta blocker, it helped.
I could tell a difference depending on what I was doing.

Modern life is bombarding us.

So,
I started fueling properly and thoughtfully.
Exercising intentionally (without guilt if I miss a day because of work demands)
I had already stopped drinking alcohol
Changed my routine
I swear matcha 🍵 and magnesium 💤 changed my life.

And I’m still making improvements 😉

#obgyn #womenshealth #midlife #midlifewoman #postpartum #heartpalpitations #health #wellness #wellnessjourney #natural #naturalhealth #stress #stressmanagement #doctor #doctorlife

I’ll just be over here doing my homework.

This used to be called MOC (maintenance of certification)
Now it’s called CC (continuing certification)

We choose articles from various obgyn topics and take quizzes on the material to keep our board-certified status.

#obgyn #womenshealth #boardcertified #boardcertification #doctorlife #cme #continuingmedicaleducation #hrt

Heated leather seats though.

Are you spotless 🧼 or messy 🫢?

#obgyn #womenshealth #midlife #menopause #menopauseexpert #millennialmom #momcar #doctor #doctorlife #momlife #dogmomlife #toddlermomlife

Think deeply before an elective procedure.

Hysterectomies are some of the most common procedures worldwide and in the U.S.

More recent data shows hysterectomy without ovary removal leads to increased all cause mortality when performed at a younger age.

Ovary removal at a younger age also leads to increased all cause mortality.

Why?
The hormones produced by the ovary are benefitting our overall health and particularly heart health.

Early menopause whether natural or surgical increases all cause mortality (dying from anything) with the decrease or loss of hormone production.

Surgeries can be necessary and life changing in a good way. In those cases, with fully informed consent, it could be the best path.

✨ just know all your risks, not just of the surgery itself, but long term.
✨ every decision is weighing the pros and cons, risks and benefits

This is not medical advice. Medical decisions including surgery should be discussed with your doctor.

#obgyn #womenshealth #menopause #perimenopause #earlymenopause #surgery #surgeon #midlifesupport #hysterectomy #longevity #hormonehealth #hormonereplacementtherapy #hrt #femalesurgeon #gynecology

I didn’t even show the sauna or cold plunge tub.

Team sport.

#obgyn #womenshealth #menshealth #midlifegoals #midlifehealth #healthandwellness #wellnessjourney #husbandgoals #wellness #healthandwellnessjourney @thornehealth @primalpastures #tallow #nontoxic #nontoxiclifestyle

I love a rainy night 🌧️
On the farm
Especially when it was recently sunny ☀️
My kind of wild.

#obgyn #womenshealth #midlife #slowliving #nontoxiclifestyle #homestead #homesteadlife #wellness #timeinnature #nature #hobbyfarm #rural #rurallife #ruralliving

Don’t break a leg (or a hip) 🦴

Menopausal symptoms may also be more than what you think.

🔥 hot flashes and night sweats may be symptoms

Symptoms may also be:
🌫️ brain fog
💪 body composition changes
💋 change in sex drive
💊 recurrent UTI or other vaginal symptoms

Over 70% of osteoporotic fractures happen in women

🤐No offense to my ortho colleagues fixing the hips but maybe we can prevent some of these fractures:
Muscle building
Balance work
HRT

#obgyn #womenshealth #hrt #hormonereplacementtherapy #midlife #menopause #menopausesupport #perimenopause #midlifesupport #osteoporosis

I love estrogen, now it’s on my skin.

Estriol is one type of estrogen we naturally make
Along with estrone and estradiol

👍Estriol has been studied for vaginal symptoms of menopause with good results
So women started using on their faces
😊 Topical estradiol and estriol have been used on the skin with improved collagen

I’ve been using @musely The Aging Repair Cream for months
I have really sensitive skin so most products irritate me more than help
This has been gentle

And part of my LESS IS MORE routine 🧡
I don’t use many products!

#obgyn #womenshealth #midlife #midlifesupport #perimenopause #menopause #musely #antiaging #agingskin #matureskin #wrinkles #skincare

The gym upgrade 👏 👏

💛 Zone 2 cardio
💪 Weight lifting
🙏 Yoga space

#obgyn #womenshealth #femalefitness #midlifecoach #midlifesupport #womeninthegym #homegym #homegymsetup #perimenopause #menopause
@ifit @nordictrack @marcyfitness

Happy Easter 🙏

Eggs are for eating.
Peeps are gross but make cute pajamas.

#obgyn #womenshealth #easter #doctorhomelife #eastersunday

Simple process, simple product.
I like it.

✨ Here’s what I do:
Soak 1 cup of almonds in each jar filled with water x 24 hours
Strain
Put almonds in blender, fill with water
Blend
Strain through cheesecloth

Each cup of almonds yields about 24 ounces of milk

😋 Almond milk that tastes so much better without the other stuff

@almondcow #obgyn #womenshealth #doctorhomelife #homestead #nontoxicliving #homemade #midlifesupport #midlifecoach

They’re not the same thing.

But there is some overlap for some women that could use either depending on their symptoms and needs.

#obgyn #womenshealth #birthcontrol #birthcontrolpills #hrt #hormonereplacementtherapy #perimenopause #menopause #midlife

Whoa.

You don’t just need one thing.
You’ve tried that, right?
Doesn’t work.

Here to put the pieces together.

🍋 and lemon and ginger water is so good

#obgyn #womenshealth #midlifesupport #midlifecoach #menopause #perimenopause #holistichealth #lowtoxliving #homemade #homestead #wellness

If you’re not gaining, you’re losing.

Especially after age 30
If you’re not actively building muscle,
It will be lost.

Wasting away is what happens if you do nothing.
💪 Not what happens if you choose to build.

#obgyn #womenshealth #femalefitness #muscle #musclebuilding #musclemass #midlife #midlifecoach #midlifesupport #perimenopause #menopause #longevity

This is a passionate space for me.

⏰ One hour of lecture in four years of training.

It’s not enough.

I studied in my own time (what is that?) after residency to be a certified menopause practitioner.

😀 With increasing patient awareness of midlife and menopause (a good thing),
🤔 How will women find someone who can take care of them?

💪 I’m actively working on this to fill the education gap.
Trying to get the support for a standardized curriculum for obgyns (and others)

@drmaryclaire @aliciarobbinsmd
#obgyn #womenshealth #menopause #menopauseeducation #obgynresidency #midlifesupport #menopausesupport #midlifecoach

Anyone else? 🥶

I’ll still take it 🔥
Weekend of peace over productivity ☺️

#obgyn #womenshealth #themasters #midlife #midlifecoach #midlifesupport #perimenopause #menopause #midlifereset #weekendreset #relaxing #homebody #homestead #doctorathome

Let’s go with some basics

🩸 periods happen if fertilization does not occur, hormone levels drop
⬆️ estrogen and FSH increase to recruit the chosen one to ovulate
🔥 in menopause, estrogen is low and the brain responds by putting out more FSH

😂 haven’t had a driving diary in a while
🤔 what other topics can we cover?

#obgyn #womenshealth #midlifesupport #midlifecoach #hormonesupport #menopause #menopausesupport #perimenopause

Changed by these humans inside and out🧡

It’s no longer acceptable to be sold convenience over health

🏠 House products
🧼 Cleaning products
💄 Cosmetic products
😊 Self care products

✨ if you want a list of some of the products I use comment NONTOX for your guide

#obgyn #womenshealth #nontoxiclifestyle #nontoxichome #midlifesupport #midlifecoach #menopausesupport #perimenopausesupport #lifewithtoddlers #homesteadlife

Foundation comes first.

💪 Love HRT for the right candidate
It can help lipid profiles,
insulin sensitivity,
Heart health,
Bone health
… But it won’t help drop weight overnight

☀️ Love some supplements
When they’re clean
Evidence based
… But it won’t change modern world stressors

I work with high functioning women
Who are doing everything for everyone
Working full time
Trying to figure out how to recognize themselves again

🧡 It’s a process. It starts with the foundation.
Then we layer on the other stuff (if needed)

#obgyn #womenshealth #midlifecoach #midlifesupport #perimenopause #menopause #hrt #hormonereplacementtherapy

It’s like I’m a doctor or something.

Not just bio hacking myself here, this is a team sport.

☀️ The list included Vitamin D.

🤔 Enough with the cbc bmp every six months.

#obgyn #womenshealth #midlifesupport #midlifecoach #marriedtomedicine #marriedtoadoctor #doctorlife #biohacking #wellness #healthjourney

Two (dryer) balls, one sack
🤦‍♀️ I couldn’t have made just one more to make that less weird?

🧠 Learning something new is good for our brain health

Ok, dryer balls aren’t complex
🧼 But they are non toxic with wool from my own animals

✨ is your Sunday for routine or something new?!

#obgyn #womenshealth #midlife #midlifecoach #brainhealth #menopause #perimenopause #nontoxiclifestyle #nontoxiclaundry #homesteadlife

The side of Instagram with no makeup 🫢

Slow mornings
Matcha always
Exercise when it feels right
Strength over hustle
Baking breakfast
Farm stuff

Ahh.

✨ what’s making you feel more YOU this weekend?

#obgyn #womenshealth #midlife #midlifewoman #midlifecoach #midlifereset #perimenopause #menopause #homestead #farmlife #homesteadlife #weekendathome #nomakeup

It’s not magic,
But it feels like it 🪄 🌟

There’s a reason you’re waking up
Progesterone declines
Stress is high
Modern stressors don’t align with our biology

Its not magic to be in the driver’s seat
Instead of riding along the roller coaster 🎢

💪 That’s why I built Midlife Thrive
Habit support
Hormone support
By a doctor doing it differently

⭐️ DM THRIVE to learn more

#obgyn #womenshealth #midlifesupport #midlifecoach #perimenopause #menopause #hormonesupport #sleep

I’ll continue to say this until we culturally change our view of hormone therapy (and some of their labels)

👍 VAGINAL estrogen is used in breast cancer survivors without evidence of their cancer recurring (coming back)

🤔 But the FDA keeps an outdated warning on the product which was erroneous to begin with.

☀️ Vaginal estrogen is one of the lowest risk, highest reward treatments for vaginal symptoms of menopause.

#obgyn #womenshealth #hrt #hormonereplacementtherapy #menopause #estrogen #vaginalestrogen #menopausesupport #hormones

So just actual math 🧮

#obgyn #womenshealth #midlife #midlifewoman #midlifecoach #femalefitness #musclebuilding #longevity #girlmath #perimenopause #menopause

Looking like Bill Belichick with these sleeves.

#obgyn #womenshealth #midlifecoach #homestead #farmlife #farmchores #greatpyrenees #alpacafarm #nontoxiclifestyle #homesteading

The (midlife) body isn’t built for modern life.

🚨 Constant notifications
📣 Always needed
😴 Never really resting

We aren’t weak.
Our biology is meeting the chronic stress of this world.

You’re not alone 🖐️
I love to slow down outside 🌳

And you don’t have to navigate it alone

Drop 🚨 if you feel this!

#obgyn #womenshealth #midlifewoman #midlifesupport #midlifecoach #chronicstress #perimenopause #menopause #hormonebalance #wellnessjourney #goodenergy #doctorhomelife #homestead #alpacafarm

Her name is Fluffy 🦙
Not kidding

#obgyn #womenshealth #midlifecoach #midlifehair #alpacasofinstagram #alpaca #alpacalife #nontoxicbeauty #nontoxiclifestyle #homestead #alpacafarm

Here’s why I take it now.
And!
I’ve noticed a difference.

💪 Essential for muscle building
💪 Especially as we age we lose our ability to build and maintain muscle
☀️ it also helps with cognition
😃 even mood

⭐️ Comment GUIDE ⭐️
for what to take, how much, and how it will benefit

#obgyn #womenshealth #femalefitness #perimenopause #menopause #musclebuilding #creatine #midlife #midlifewoman #midlifecoach @thorne #longevity #supplement #cleansupplements

Common, not normal.

This anxiety is new
Keyed up
Edgey
PMS
Waking up for no reason at 3 am

This can all be hormonal changes
Which are very common
Not normal
And not necessary

Progesterone can be prescription and still be bioidentical
Or it can be compounded which avoids fillers (including peanut oil)

🔗 in stories for 10% off @raenahealth

‼️ DM me for coaching

#obgyn #womenshealth #midlifesupport #hormonesupport #perimenopausesupport #perimenopause #midlifecoach #progesterone #nontoxiclifestyle

We move after dinner.

This goes for any meal or eating..
Afterwards, MOVE

It’s not a workout,
But it is helping!

Why?

Working muscle doesn’t use insulin to pull glucose in from the blood stream
Decreasing your blood glucose
Staying insulin sensitive

Plus, the fresh air 🩵

#obgyn #womenshealth #midlife #midlifewoman #midlifecoach #perimenopause #menopause #insulinresistance #metabolichealth #midlifehealth #wellness #homestead #alpacafarm

The parts of women’s health I didn’t learn as an obgyn.
Now I know.

Some of the chemicals in plastics like
❌BPA
‼️ phthalates
are hormone hijackers, activating or turning off our hormone receptors.

😱 This has been linked to diseases such as obesity, type 2 diabetes, infertility and even hormone sensitive cancers.

Part of the midlife journey is DETOXing

Swapping out plastic for glass or stainless steel is a small step that can have big impact

You don’t have to do this all at once! 😀 one step at a time

#obgyn #womenshealth #nontoxickitchen #nontoxiclifestyle #homestead #midlifesupport #midlifewoman #midlifecoach #endocrinedisruptors

OBGYN is actually not the same as women’s health, and I’m a board certified OBGYN.

I was trained in obstetrics and surgery.
Not menopause, not midlife, not hormone replacement therapy, not metabolism and lifestyle.

I’m still a practicing OBGYN (and we are needed in this capacity) but this is why I also started learning a lot more.

I became a Certified Menopause Practitioner so I could better take care of midlife women and use HRT.

I live the lifestyle that I recommend, that women struggle to change or understand how it’s affecting them and they haven’t been able to find help.

If this is you, work with me!
DM ‘MIDLIFE’ for details 💛

#obgyn #womenshealth #midlife #midlifecoach #nontoxiclifestyle #perimenopause #menopause #femalefitness #foodismedicine

Need room for activities.

Stay tuned to see what we’re adding! 🤫

#obgyn #womenshealth #midlifesupport #midlifewoman #midlifecoach #wellness #homegym #femalefitness #perimenopausesupport #menopausesupport

*not for blood sugar balancing*

I love chocolate and peanut butter so I choose higher quality ingredients and *rare* indulgence

1️⃣Dates
2️⃣Nut butter @crazyrichardspb
3️⃣Chocolate @hukitchen

Recipe from @gisele who used almond butter which I didn’t have at the time
Macadamia nut butter would be another good choice

#nontoxickitchen #nontoxicdessert #organic #organickitchen

No gate keeping here.

Even in our 30s and 40s, hormonal swings can be huge.

Maybe causing symptoms like
🩸 irregular bleeding
😢 mood swings
💤 trouble sleeping
🥵 hot flashes
💪 weight gain

DM me ‘BIOIDENTICAL’ to learn more about getting HELP!

Also this is the extent of my daily makeup routine 😊

#obgyn #womenshealth #midlifesupport #midlifehealth #midlifewoman #perimenopause #menopause #hormonesupport #hormonehealth #hormonebalance #midlifecoach #hrt #hormonereplacementtherapy #bioidenticalhormones

As long as it’s one that actually fuels your body. 💪

🥗 Leafy greens and colorful veggies support hormone balance and detox
🍗 Protein preserves and builds lean muscle mass
🫐 antioxidant-rich fruits like berries
🌰 omega-3-packed walnuts
⚫️ fiber-filled chia seeds

🌟 Use your plate as a powerhouse for energy, vitality, and graceful aging

#obgyn #womenshealth #midlifesupport #midlifehealth #midlifewoman #midlifecoach #perimenopause #menopause #hormonehealth #hormonebalance #foodismedicine #wellnessjourney #healthjourney #wholefood #lowtoxliving

But I’m totally completely independent. 🫢😂

#obgyn #womenshealth #midlife #midlifesupport #independentwoman #husbandgoals #homestead #farmlife #doctorlife

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@doctor_jnazz

My Mission

Doctor JNazz is dedicated to helping women navigate the choices of midlife as a Board-Certified ObGyn. We make thousands of choices every day and women make most healthcare decisions in the household.

With too much information and too little time spent with doctors, the decisions can be overwhelming. I am here to deliver accurate information and simplify the decision-making.

For anyone in training, let's walk through choices being made along the way.

Meet You Where You Are

Midlife

Wellness

Training

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About

Dr. Jessica Nazzaro

I'm an ObGyn, mother, wife, sister, daughter.

I'm here to help all of us make good, informed choices for our health and the health of our families.

I was once an aspiring medical student, a medical student, and a resident. Follow me for inspirational insights through the journey.

Empower yourself with knowledge, not just information, in your health decisions.

Search for Your Concern

Choosing Well

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MIDLIFE THRIVE
with DoctorJNazz

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Choosing Well

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Welcome to MIDLIFE THRIVE with DoctorJNazz

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Follow us on Instagram

My Mission

Meet You Where You Are

About

Choosing Well

Let's Connect

Get My Newsletter

Welcome to
MIDLIFE THRIVE
with DoctorJNazz