Welcome to
MIDLIFE THRIVE
with DoctorJNazz

ObGyn Empowering Your Decision-Making

Programs

Calm the Chaos

This course blends evidence-based strategies with compassionate coaching to help you build boundaries, improve your sleep, reduce overstimulation, and explore targeted support like supplements or routines that work with your hormones, not against them.

HRT: What Every Midlife Woman Needs to Know

This course delivers clear, evidence-based education to replace HRT fear with facts. You'll learn how to evaluate risks, understand the real science behind hormone therapy, and confidently explore whether bioidentical or conventional options are right for you—all without pressure or confusion.

Hormone Therapy & Breast Cancer: The truth about risks + Options for survivors

This course blends cutting-edge research with clinical clarity to help breast cancer survivors understand the real risks—and possibilities—of hormone therapy today. With evidence-based insights and compassionate guidance, you'll move beyond outdated fears and into empowered, informed conversations about your care.

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Things that aren’t discussed in medicine, including women’s health.
But should be.

💧 plastic pollution is in our bodies, not just oceans

Microplastics have been found in human
Placentas
Ovarian fluid
Amniotic fluid

And can be associated with
Poor oocyte maturation (fertility)
Poor ovarian function
Fetal growth restriction

There are human and animal experimental studies on this. PMID: 39821449

👍 Use glass
👍 Don’t heat food in plastic

✨ comment NONTOX for a list of items I actually use

#obgyn #womenshealth #fertility #menopause #midlife #perimenopause #microplastics #plastic #nontox #nontoxiclifestyle #womenswellness #wellness #plasticpollution

Gym memberships are at an all-time high.

So is chronic disease.

🤔

Either they’re not being used,
Or that isn’t the whole solution.

20 minute workouts are great 👍
Movement throughout the day is imperative 💪

Sedentary life, poor diet and environment with a workout routine injected into it won’t get us the health we deserve. 🪴

There’s always something to do around here.
A lot of it involves lifting.
Alpaca food bags are 50 lbs.. not easy for me but I do it

#obgyn #womenshealth #metabolism #metabolichealth #chronicdisease #exercise #longevity #longevitymedicine #movementismedicine #midlife #perimenopause #menopause #bonehealth #femalefitness #farm #farmlife #farmvibes #homestead #hobbyfarm

Let’s build some muscle 💪
And see how we do.

I do not step on the scale every day.

But this is all in the @garmin app which is also where my watch tracks my sleep and activity.

🔗 in stories and highlights

#obgyn #womenshealth #femalefitness #midlife #menopause #perimenopause #bonehealth #musclemass #muscle #longevity #smartscale #biometrics

Association does not mean causation. ❌

This is where the media will take a scientific article and state x causes y.

We don’t know that.

This shows an association, the cause still needs teased out.

Interesting finding though for an extremely common surgery in the U.S.

#obgyn #womenshealth #gynecology #gynecologist #hysterectomy #metabolicsyndrome #midlife #menopause #surgery #surgeon #hrt #hormonereplacementtherapy #boardcertified

Is the vacation from my vacation 😎

😅 Anyone else need a vaca from vaca?

This combination is my go-to for relaxation and muscle recovery. 💪

Vacation is a ton of work, a ton of steps, and pillows that suck.
My body needed this.

#obgyn #womenshealth #midlife #menopause #recovery #musclerecovery #femalefitness #therabody #magnesium #pliability

Paper towels included.

So many paper towels.

Happy Father’s Day ♥️

#obgyn #womenshealth #marriage #husband #fathersday #grill #grillandchill @blackstoneproducts #homestead #nontoxiclifestyle #nontoxiccooking #farmtruck

Is this where we fail?

@codiesanchez did the study include female doctors? 🤔

Look more beautiful. Perception is reality.
Be more like men.

No wonder female physicians are conflicted.

#obgyn #womenshealth #womeninmedicine #careerwoman #careerwomen #femalephysician #femalesurgeon #gynecologist #workingmom #scrublife

✨ Comment SURVIVORS for more up to date information on HRT and breast cancer ✨

Hormone Receptor negative history is not a contraindication to HRT!
• This is category 2, meaning benefits likely are higher than the risks

Hormone Receptor positive is trickier.
• This is category 3, where RISKS are likely higher than benefits
• Some studies showed No increased recurrence, but others did
• They did NOT show increased mortality

These conversations should be in discussion with a menopause specialist and oncology team.
This is not medical advice.

#obgyn #womenshealth #hrt #hormonereplacementtherapy #breastcancer #breastcancersurvivor #menopause #midlife

Ourselves included.

Two truths:
🧘‍♀️ square breathing helps
📆 rescheduling patients makes no one happy

Square breathing is inhaling, holding, and exhaling for equal counts

Rescheduling patients is difficult for everyone - most importantly patients, but the healthcare workers also feel it

Unfortunately we can’t be in two places at once 🤷🏼‍♀️ though the demand would suggest that we can.

#obgyn #womenshealth #gynecologist #menopause #healthcare #medicine #lifeinmedicine #oncall

Everyone’s a winner. 😋

#obgyn #womenshealth #marriage #midlife #nontoxiclifestyle #nontoxickitchen #blackstone #minimuffins #toddlermom #crunchymom #millennialmom #bakingwithtoddlers

Check for ticks later.

🎶 trying to make a living
🎶 isn’t supposed to feel like dying

#obgyn #womenshealth #femalesurgeon #femalephysician #midlife #menopause #careermom #medicine #medicinewoman

It’s an exciting time to be part of women’s health 🤩

The internet would have you believe that you have to choose: medicine or wellness.

In reality, they’re not mutually exclusive.
They are mutually inclusive, it benefits us all to use both.

At the Women’s Health Forum at @clevelandclinic the discussions were at the intersection of both, so we can live our best possible lives as women.

💤 sleep health
🦴 bone health
💜 heart health
🧠 brain health

🌺 beautiful event, good food.. had multiple pellegrinos 💧 🥂

#obgyn #womenshealth #menopause #midlife #femalesurgeon #wellness #healthandwellness #cleclinicwomenshealth @mariashriver

20 years ago when I left for college, I was given Maria’s book And One More Thing Before You Go.

Now I’m at a women’s health event as a board certified obgyn, meeting Maria and having her sign her latest book.

Happy to be part of the women’s health movement 💪

#obgyn #womenshealth #midlife #menopause #hrt #cleclinicwomenshealth @mariashriver

Ok, they were expired.

#obgyn #womenshealth #femalesurgeon #femalephysician #momcar

A generation of women has been confused and made scared of hormones.

Let’s change that.

It’s not just aging.
💪 There are ways to support your body through this process.
💛 for heart health
🧠 for brain health
🦴 for bone health
😊 for quality of life

The first step is undoing the damage done by the media in 2002 after the WHI.
Then we discuss updated evidence.

🤓 Your knowledge is your power.

My masterclass will get you UP to speed
maybe even more up to speed than many providers 🙃

✨ comment MYTHS to learn more about my myth-busting HRT masterclass

#obgyn #womenshealth #hrt #hormonereplacement therapy #menopause #whi #gynecology #hormones #midlife #midlifesupport

This. Happens. So. Much.

A patient takes her prescription home and reads the package insert.

The package insert for vaginal estrogen comes with a warning label for cancers including breast cancer.

Not only is the WHI outdated, poorly interpreted and disseminated, but it did NOT test vaginal estrogen.

It’s low risk, high reward.

Low dose vaginal estrogen preparations can even be used in some breast cancer survivors.

🎵 Also, I’d like to change Morgan Wallen’s lyrics to “SHOULDNT come with a warning” in this case. 😡

#obgyn #womenshealth #hrt #hormonereplacementtherapy #menopause #midlife #gynecology

Bound to happen.

#obgyn #womenshealth #frownies #nontoxiclifestyle #millennial #oncall #femalephysician #femalesurgeon @frownies

That shit cut me off. Part 2

#obgyn #womenshealth #healthcare #femalephysician #femalesurgeon #healthcare #burnout @repgregmurphy @dr_oz

This isn’t a challenge.

This isn’t because he’s a male and I’m not.

I have known a lot of good male physicians.
Some female physicians also propagate Bro Medicine (I used to be one of them)
It’s culturally taught to us.

I actually would love to have meaningful conversation rather than calling people complainers and saying they need to work harder or be more devoted.

This is a tricky subject.

More females than ever are in medical school and the “suck it up” culture will witness great healthcare professionals leaving the field or leaving the traditional system before it realizes what has happened.

People leaving the field at every level is not good for patients.

We want to heal and help.
We have the most unhappy, unhealthy population we’ve ever had.
It’s not a matter of individuals needing to work harder.

@repgregmurphy happy to talk about this.

#obgyn #womenshealth #femalephysicians #femalephysician #medicalstudent #healthcare #mentalhealth #femalesurgeon #medicaltraining

Yes!

H
P
V

Can have

H
R
T

#obgyn #womenshealth #hrt #hormonereplacementtherapy #menopause #midlife #hpv #gynecology #femalephysician

🇺🇸 🙏

#obgyn #womenshealth #america #memorialday #americansummer #corvette #freedom #freedomisntfree #summer

Made it. 🙏

Anyone else today? 😅

#obgyn #womenshealth #church #sunday #toddlermom #crunchymom #church

How is it even possible?
The peace ✌️
The suspense 😬
It’s perfect ⛳️

Finding stillness is something we’ve lost.

It’s possible.. even with all the excitement.

Find your moments of calm. ☺️

Still can’t believe we saw Scottie @scottie.scheffler here on 18 win the @pgachampionship 🙏

#obgyn #womenshealth #midlifehealth #wellness #golf #doctor #midlifesupport #stillness #golfcourse

Just what the actual fuck.

#obgyn #womenshealth #femalephysician #femalesurgeon #longevity #femalelongevity @time #menopause #midlife #femaledoctor

Nope.

#obgyn #womenshealth #fertility #medicaltraining #medicine #wellness #healthcare #hrt #hormonereplacementtherapy #vitamind #healthandwellness #menopause #propaganda #ultraprocessedfoods #nontoxiclifestyle

I will never give up yoga.

💪 Yes we need muscle
That doesn’t happen spontaneously
We have to build it.

🙏 We also need recovery.

Especially after a ton of walking (with the resistance of a double stroller) at the golf tournament
And car sitting
My body needed this more than sweat and build.

✨ Yoga is a non-negotiable for me.

🤍 What do you do to recover? Drop in the comments!

#obgyn #womenshealth #doctor #midlifestrength #midlifewoman #femalefitness #perimenopause #menopause #yoga #yogi #recoveryday

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

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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.