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Abstract: Peptide therapy has rapidly expanded within longevity and biohacking spaces, yet its application to complex chronic illness requires fundamentally different clinical reasoning and practice. Dr. Nafysa Parpia has been treating patients with the following diagnoses for the past decade and a half, with a focus on using peptide therapies over the past eight years: Lyme and co-infections, mold/mycotoxin related illness, environmentally acquired illnesses, mast cell activation syndrome (MCAS), and Long COVID. These patients tend to be highly sensitive with multi-systemic and multi-diagnostic illnesses taking place simultaneously. Through her extensive experience treating this patient population with Peptide Therapies and Bioregulators, Dr. Parpia has created a framework by which to modulate immune dysregulation, reduce metaflammation, prepare for detoxification, and treat chronic infections using these substances. This presentation outlines a structured sequencing model—developed through extensive clinical experience—for introducing peptides in a manner that prevents mast-cell activation syndrome, excessive immune activation, or paradoxical reactions common in this population.

Presenter Bio: Dr. Nafysa Parpia is a naturopathic doctor and the Director of Naturopathic Medicine at Gordon Medical. Throughout her career in holistic medicine, she has focused on treating patients with complex chronic illnesses. She specializes in tick-borne illness/Lyme disease, environmentally acquired illness, mold/mycotoxin illness, autoimmunity, fibromyalgia, long haul COVID, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and mast cell activation syndrome (MCAS).

Dr. Parpia is the foremost expert in peptides for complex chronic illness and her extensive knowledge has helped people worldwide overcome difficult-to-treat medical conditions. She uses cutting-edge laboratory tests and deep intuition applied to the full range of scientific data to create comprehensive treatment plans that are highly personalized.
Her targeted system of care includes a synergistic blend of naturopathic and allopathic medicine diagnoses paired with treatment that includes regenerative medicine, micronutrient therapies, peptide therapies, bioidentical hormone therapy, botanical medicine, pharmaceuticals, and psychoemotional support.
This presentation is worth 0.75 Category 1 CE credit, including 0.75 Pharmacology credit, for Washington-licensed NDs.
(Originally presented May 1-3, 2026 at WANP's 2026 annual conference.)