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The Turd Nerds
The Turd Nerds
Author: the integrative gastroenterology podcast
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The Turd Nerds is an integrative gastroenterology podcast. Drs. Rebecca Sand, Ami Kapadia and Ilana Gurevich tackle complex digestive topics, spanning IBS, Celiac, parasites, SIBO, biofilms, the gut-brain connection and more. Tune in to hear clinical pearls, research updates and think with us through some tough cases.
85 Episodes
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Tune in with the doctors to tear apart a constipation case. In this episode we cover:
- How to define constipation
- Breaking down the Bristol chart
- The many uses of psyllium
- Gut directed hypnotherapy
- When peppermint can help
- How breathing affects pooping
- Squatty Potties
Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/
Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.openwellnesspdx.com
Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/
GERD, Heartburn and Acid Reflux. What can be done for these ailments from a more natural perspective? Tune in to this episode to hear your favorite Turds discuss their favorite options. We will cover pills, teas, tinctures and get into a deep discussion on what each of our top products do in the gut!
Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.openwellnesspdx.com
Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/
Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/
In this recap episode, the docs dive into the often-overlooked topic of travel constipation. Join her as she explores the challenges of maintaining regularity while on the go, shares personal anecdotes, and offers practical tips to keep your digestive system in check during your travels. From the importance of hydration and electrolytes to the benefits of peppermint oil and magnesium, Dr. Sand provides a comprehensive guide to managing travel-related digestive issues. Tune in for an engaging and informative discussion that promises to make your next trip a little more comfortable.Music provided by Blue Dot.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this recap episode about travelers diarrhea, the docs discover a comprehensive protocol designed to prevent and treat this common travel ailment, featuring insights on enzymes, probiotics, and immunoglobulins. Learn how to protect your gut health while exploring new destinations, and hear real-life stories from patients who have benefited from these strategies. Whether you're planning a trip or just curious about gut health, this episode is packed with valuable information to keep you healthy on the go. Music provided by Blue Dot.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this conversation, the docs discusse the therapeutic use of rectal ozone therapy, particularly for inflammatory bowel disease (IBD). She explains the mechanism of action of ozone, its benefits, and shares clinical experiences and case studies that highlight its effectiveness. The discussion also touches on the safety profile of ozone therapy, its applications in various medical conditions, and the future potential of this treatment in naturopathic medicine.Music provided by Blue Dot.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this episode, the doc discusse the herb Qing Dai, known for its transformative effects on treating ulcerative colitis. The conversation covers its historical uses, mechanisms of action, clinical studies demonstrating its efficacy, safety considerations, and broader applications in treating conditions like psoriasis and fistulas. The discussion emphasizes the importance of individualized care in Chinese medicine and the potential of Qing Dai as a valuable tool in integrative health.Music provided by Blue Dot.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this episode, the hosts, Dr. Rebecca Sand, Dr. Ami Kapadia, and Dr. Ilana Gurevich, delve into the complexities of gastrointestinal health, focusing on conditions like SIBO and protozoa. They discuss their personal experiences, treatment approaches, and the importance of proper testing and diagnosis. The conversation highlights the interplay between diet, lifestyle, and gut health, as well as the challenges faced in treating chronic infections. The hosts share insights from their practices and patient experiences, emphasizing the need for individualized care and the exploration of alternative treatment methods.Music provided by Blue Dot. 👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this episode, the docs discusses the importance of colonoscopies, especially as colorectal cancer rates rise among younger populations. They shares personal experiences and insights on the screening process, preparation, and post-procedure care. The conversation covers various screening options, the significance of early detection, and practical tips for managing the colonoscopy experience, including dietary recommendations for after the procedure.takeawaysColorectal cancer screening is now recommended starting at age 45.Colonoscopy is a highly sensitive method for detecting colorectal cancer.Alternative screening options include FIT tests and Cologuard.Proper preparation for a colonoscopy is crucial for a successful procedure.Post-colonoscopy care includes dietary adjustments to aid recovery.The microbiome can be affected by colonoscopy procedures.Patients should be aware of the risks associated with delayed screenings.Using anti-nausea medication can improve the prep experience.Vaseline can help alleviate discomfort during the prep phase.Screening for colorectal cancer can save lives by detecting issues early.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this conversation, The doctors discusses the implications of long-term use of Proton Pump Inhibitors (PPIs), their efficacy, risks, and the importance of tapering off these medications. The discussion covers the physiological effects of PPIs, the necessity of addressing underlying causes of reflux, and the potential for natural and herbal alternatives to support patients in tapering off PPIs. The conversation emphasizes the importance of patient education and the need for a gradual approach to discontinuing PPIs to avoid rebound symptoms.TakeawaysPPIs are effective for short-term use but not for long-term.Tapering off PPIs should take three to six months.Natural alternatives can help manage reflux symptoms.Melatonin can improve lower esophageal sphincter function.Nutrient deficiencies are a risk with long-term PPI use.DGL has been shown to improve quality of life in patients.Patient education is crucial in managing PPI use.Underlying causes of reflux should be addressed.Herbal remedies can provide additional support during tapering.A gradual tapering process is essential to avoid rebound symptoms.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this conversation, Dr. Ilana Gurevich discusses a complex case involving a patient with scleroderma who experienced chronic diarrhea. The discussion covers the patient's journey, the challenges of treatment, and the surprising outcomes related to fertility and pregnancy. Dr. Sand emphasizes the role of nitazoxanide in managing the patient's symptoms and the considerations for treatment during pregnancy.The patient had chronic diarrhea due to scleroderma.Nitazoxanide was used as a treatment for Giardia.Standard treatments like metronidazole had failed for the patient.The patient unexpectedly became pregnant after treatment.Managing diarrhea during pregnancy poses unique challenges.Functional medicine approaches can provide alternative solutions.Probiotics and dietary changes were attempted but were ineffective.Nitazoxanide is considered safe during pregnancy.The patient's symptoms improved significantly with treatment.The case highlights the importance of individualized patient care.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
This conversation delves into the gastrointestinal issues that arise during pregnancy, focusing on common problems such as morning sickness, reflux, constipation, and hemorrhoids. The speakers share personal experiences and professional insights on effective remedies, including acupuncture, dietary adjustments, and the importance of hydration. They emphasize the need for pregnant individuals to be proactive about their digestive health and provide practical tips for managing symptoms throughout pregnancy.GI issues are common in pregnancy and can be severe.Morning sickness often lasts beyond the morning hours.Acupuncture can provide significant relief for nausea.Dietary changes, including ginger and protein intake, are crucial.Reflux is exacerbated by hormonal changes and physical space constraints.Constipation can worsen nausea and should be addressed promptly.Hydration is essential due to increased blood volume during pregnancy.Pelvic floor health is important to prevent complications during childbirth.Papaya enzymes are effective for digestive issues in pregnant women.The first bowel movement postpartum can be particularly challenging.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this conversation, Dr. Ami Kapadia discusses the complex relationship between Candida and allergies, emphasizing that many patients may not just have a fungal overgrowth but could also be experiencing an allergic reaction to Candida. The discussion covers the importance of understanding Candida as a commensal organism, the connection between allergies and Candida, testing methods for diagnosis, and treatment options including sublingual immunotherapy. The conversation also touches on the role of the immune system, the impact of diet, and the connection between heavy metals and Candida.TakeawaysCandida can be an allergen, not just an infection.Terminology in medicine is crucial for patient understanding.Allergic predisposition can lead to Candida allergies.Testing for Candida allergies often requires allergist involvement.Sublingual immunotherapy can be effective for Candida allergies.The immune system's response to Candida is complex.Chronic conditions may complicate Candida treatment.Diet plays a significant role in managing Candida.Heavy metals may influence Candida overgrowth.A thorough patient history is essential for effective treatment.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
Treatment strategies for different varieties of SIBO. A continuation of our burning SIBO questions. Topics for part two: Most effective treatment strategies for methane and hydrogen SIBOMaking sense of hydrogen sulfide SIBO,Dr. Gurevich's favorite herbal treatment optionsHow and why to support patients through the dreaded elemental diet. 👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
Pathology and testing for SIBO.Dr. Gurevich leads us in a discussion about small intestinal bacterial overgrowth (SIBO). We discuss pathology and underlying causes of SIBO as well as SIBO testing options. In this episode we also discuss SIBO and the microbiome, parasites and protozoa effecting the microbiome, endometriosis, gastroparesis, adhesions and SIBO. There is also discussion about testing including breath testing and the IBS smart test. We also look at a variety of treatment options including visceral massage and others.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
Botanical and medications for management of fungal overgrowth.Dr's Sand, Kapadia and Gurevich continue their discussion on SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us through more details in a discussion of fungal overgrowth in the GI tract. Topics covered in this episode: Botanical and medication treatment options for SIFOGluten sensitivity and candidaSugar and candidaThe mold yeast elimination dietMCASLinks to Dr. Kapadia's courses on SIFO:Practitioner course on SIFO and Mold: https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifoPatient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
How fungal overgrowth changes the intestinal tract.Dr's Sand, Kapadia and Gurevich continue their discussion on SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us through more details in a discussion of fungal overgrowth in the GI tract. Topics covered in this episode: SIFO treatment, foundations of GI health, stress the gut and limbic system retraining, dietary changes and SIFO, nutrient deficiencies in SIFO, acid suppression and SIFO, medications and botanicals in treatment of SIFOLinks to Dr. Kapadia's courses on SIFO:Practitioner course on SIFO and Mold: https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifoPatient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
Testing and Treatment Dr's Sand, Kapadia and Gurevich do a deep dive into SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us in a discussion of fungal overgrowth in the GI tract. Topics covered: Symptoms Testing and Treatment of SIFO, Organic Acid Testing, Stool Testing, Protozoa, tongue coating, association with allergies, MCAS, skin, Vulvovaginitis and candidiasis, IBS, IBD and SIFO, Biofilm and SIFOLinks to Dr. Kapadia's courses on SIFO:Practitioner course on SIFO and Mold: https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifo👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
In this conversation, Dr. Rebecca Sand discusses a complex case of a 34-year-old female patient suffering from bloating, constipation, and other gastrointestinal issues. The discussion covers the patient's medical history, diagnostic tests, treatment strategies, and the exploration of potential underlying conditions such as SIBO and endometriosis. The conversation emphasizes the importance of a comprehensive approach to diagnosing and treating digestive health issues, particularly in women.takeawaysThe patient had a long history of gastrointestinal issues starting from childhood.Initial treatments included dietary changes and medications, which were not effective.Lab results indicated significant nutritional deficiencies, particularly low ferritin and B12 levels.SIBO was diagnosed and treated with herbal remedies, leading to some improvement.Endometriosis was identified as a potential underlying condition contributing to symptoms.Management strategies included dietary adjustments, nutritional supplementation, and lifestyle changes.The importance of addressing inflammation in the treatment of digestive issues was highlighted.Regular monitoring of symptoms and lab results is crucial for effective treatment.Walking and physical activity were emphasized as beneficial for digestive health.Understanding gynecologic conditions is essential in managing women's health issues.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/
The Turd Nerds interview fellow naturopathic physician, friend, and scientist, Dr. Andrea McBeth, the CEO of Thaena, makers of the one-and-only ThaenaBiotic®. Here, the Turds dive into the data behind this human-derived postbiotic supplement crafted from healthy donors' microbiomes. Unlike typical probiotics, ThaenaBiotic® delivers a rich array of microbial signals without live bacteria, aiming to support gut balance and resilience. Join us as we pick Dr. McBeth's brain to uncover more about the clinical utility of this product and how the Turds have used it in their practices. Curious about the science? Two study links are nestled below for the nerdy and the nosey. 🤩 THAENABIOTIC DISCOUNT LINK ➡️ https://thaena.com/turdnerdsOtt et al 2017 - Sterile Fecal FiltrateThaena blog about Enteric Endocrine Cells w/ citationsSponsored episode by our friends at Thaena, makers of ThaenaBiotic. 👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdx Ami Kapadia, MD, ABFM, ABIHM
In this conversation, Dr. Gurevich discusses the innovative field of neural therapy, focusing on its applications, mechanisms, and emotional aspects. The discussion covers the use of procaine as a tool for resetting nerves, the concept of interference fields, and the emotional implications of scarring. Dr. Gurevich shares insights on how neural therapy can be beneficial for various conditions, including GI issues and women's health, while also addressing chronic pain and inflammation. The conversation highlights the importance of understanding the emotional connections to physical pain and the effectiveness of neural therapy in holistic treatment approaches.takeawaysNeural therapy is beneficial for scarring and inflammation.Procaine is used to reset nerve function.Emotional aspects play a significant role in physical pain.Neural therapy can be applied to GI conditions effectively.The concept of interference fields is crucial in understanding nerve pain.Neural therapy can help with women's health issues, including fertility.Chronic pain can be alleviated through targeted neural therapy injections.Procaine IVs can reset the nervous system for various conditions.Neural therapy is a cost-effective treatment option.Injections should not be the first line of treatment.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHMhttps://www.amikapadia.com/




