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 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/
Dr. Sand continues the discussion on underlying cause of bloating. We do a deep dive on various histamine causes, how inflammation can cause bloating, and various ways we can support better movement. Did you know hypermobility can cause bloating?!www.turdnerdspod.com👋 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/
Dr. Sand leads us through part I of a two-part series on often missed underlying causes of bloating. Bloating can impact quality of life for many of our patients and sometimes it will persist even after treating common underlying causes, like SIBO. Tune in to learn what else can cause bloating - and what to do about it! www.turdnerdspod.com👋 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 of the Turd Nerds podcast, the hosts discuss a complex case of microscopic colitis, exploring various treatment options including the use of Budesonide and the elemental diet. They delve into the challenges faced by patients with gastrointestinal issues, the importance of a holistic approach to treatment, and the emotional toll on both patients and providers. The conversation highlights the significance of understanding the patient's experience and the need for innovative solutions in functional gastroenterology.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOMhttps://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOMhttps://www.openwellnesspdx.com Ami Kapadia, MD, ABFM, ABIHM
NSAIDs might be the go-to for pain relief, but they come with some gnarly gut side effects. The Turds unravel how these common meds can lead to gastritis, ulcers, and even long-term digestive issues—sometimes in as little as a week. From topical alternatives to protective strategies like H2 blockers and mucilaginous herbs, they weigh the pros, cons, and sneaky risks of these over-the-counter staples. If you've ever popped an ibuprofen without a second thought, this episode might just change your approach to pain management.
Welcome sleepless turds! In this episode we have decided to revisit the topic of sleep in all it's facets: the microbiome, digestive function, and a huge player... histamine! We talk through our personal struggles and triumphs on this topic. 👋 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
Join the Turd Nerds as we discuss one of the most uncomfortable aspects of traveling for a lot of us... the constipation! We will guide you through some of our personally tested strategies for combating this and ways you can prepare for your next trip.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM https://www.openwellnesspdx.com @openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM https://www.amikapadia.com/
In this episode, Dr. Sand covers the intricate relationship between diet, the microbiome, and overall health. The turds discuss the impact of dysbiosis and bile acid malabsorption on metabolic dysfunction, emphasizing the importance of probiotics and prebiotics in weight management. The conversation highlights practical strategies for incorporating gut health into daily life, including the role of fiber, exercise, and detoxification. The hosts share personal anecdotes and insights, making the discussion both informative and relatable.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM https://www.openwellnesspdx.com @openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM https://www.amikapadia.com/