Explore every episode of the podcast The Turd Nerds
| Title | Pub. Date | Duration | |
|---|---|---|---|
| #49 - Diet - Part 1 - Foundations | 01 Oct 2024 | 00:32:48 | |
In this episode of the Turd Nerds podcast, the hosts delve into the complexities of diet and nutrition, emphasizing the importance of individualized dietary approaches. They discuss the significance of meal spacing, the role of healthy fats in mitochondrial function, and the benefits of adequate protein intake. The conversation also touches on the relationship individuals have with food and how it impacts their dietary choices. Throughout the episode, the hosts share personal anecdotes and clinical experiences, providing listeners with practical insights into improving their dietary habits for better health outcomes. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| Bile Acid Malabsorption - summer break replay | 17 Sep 2024 | 00:25:09 | |
Dr's Sand, Kapadia and Gurevich discuss Bile Acid Malabsorption, also known as BAM. In this episode Dr. Gurevich leads us in a discussion of BAM. Topics covered: symptoms and testing for BAM, utilization of testing for fecal fat and steatocrit, treatment of BAM, use of cholestyramine and other prescription/natural agents, treatment of underlying triggers of BAM, association with crohns, IBD, IBS, SIBO 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #42 Liver Support | 14 May 2024 | 00:28:41 | |
As promised, the Turds are back to now discuss some key elements to liver support. They cover:
Plus:
Connect with the Turds! Rebecca Sand ND, LAc, MSOM Ilana Gurevich ND, FABNG, LAc, MSOM Ami Kapadia, MD, ABFM, ABIHM | |||
| #41 Elevated Liver Enzymes | 30 Apr 2024 | 00:31:06 | |
In this episode we cover:
Connect with the Turds! Rebecca Sand ND, LAc, MSOM Ilana Gurevich ND, FABNG, LAc, MSOM Ami Kapadia, MD, ABFM, ABIHM | |||
| #40 Constipation Case Discussion! | 16 Apr 2024 | 00:23:10 | |
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/ | |||
| #39 Antidepressants and the Gut | 02 Apr 2024 | 00:27:59 | |
In this episode Dr. Sand leads us on a conversation about how three popular classes of antidepressant medications affect our gastrointestinal tract! SSRIs, TCAs, and SNRIs. This has definitely changed how we view the guts of these patients and may change your mind on how we're using them! Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/ | |||
| #38 - GERD Natural Remedies | 19 Mar 2024 | 00:42:30 | |
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/ | |||
| #37 - Chronic Vulvovaginal Disorders | 05 Mar 2024 | 00:36:30 | |
Dive in to a chronic vulvovaginal GI case with Dr. Gurevich to peak under the lens of how a doctor thinks. In this episode we will discuss: - Vaginal and gut microbiome overlap -MCAS and bloating - Understanding candida blood testing - Comparing sinus, vaginal and GI microbiome - Diet and dysbiosis -Dietary guidelines and the natural medicine community - Fermented food and dysbiosis - Mycoplasma and ureaplasma as a diagnosis of vulvovaginal disorders | |||
| #36 - Reflux? Gerd? Heartburn? Dyspepsia? Which one is it? | 20 Feb 2024 | 00:31:15 | |
Join us as we discuss the multiple ways we think about reflux, the prescriptions we use to treat it, and lifestyle changes that will help your patients suffering from these symptoms. 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/ | |||
| #35 - Navigating Nausea: A Diagnostic Journey | 06 Feb 2024 | 00:29:31 | |
Tune in to listen to how the doctors think through a complicated nausea patient. We will discuss: - Marijuana and vomiting syndrome - Cannabinoid hyperemesis - SIBO and nausea - Gastroparesis and nausea - Neural therapy as a potential treatment - Hiatal hernia syndrome - Visceral massage as a treatment option - Blood sugar and nausea - Microbiome and chronic nausea | |||
| #34 - How to do a GI Intake | 26 Jan 2024 | 00:41:00 | |
Join us for a lively discussion on best approaches to take a GI focused intake as part of your new patient encounters. Tune in for key questions, pearls, and more to include in your next new patient visit. Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/ Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/ | |||
| #33 - Constipation Subtypes - Part 2 | 23 Jan 2024 | 00:30:03 | |
Did you know there are even MORE subtypes of constipation that the Turd Nerds had yet to cover?! Here they explore atonic constipation presentation and causes as well as go through all the medications and supplements that can cause constipation. We have cases, treatment ideas, and, of course, that Turd Nerd witty banter. Dr. Rebecca Sand - Naturopathic Medicine | Dr. Rebecca Sand | Portland Dr. Ilana Gurevich - Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR | |||
| Exocrine Pancreas Insufficency - Summer break replay | 03 Sep 2024 | 00:31:40 | |
Dr's Sand, Kapadia and Gurevich discuss Exocrine Pancreatic Insufficiency or EPI. Dr. Gurevich leads the discussion on this often overlooked condition: Topics covered in this episode: Exocrine Pancreatic Insufficiency (EPI) definitions, testing, elastase marker, associations with other conditions such as celiac disease and inflammatory bowel disease, treatment with pancreatic enzymes. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #32 - Constipation Subtypes - Part 1 | 15 Jan 2024 | 00:34:05 | |
Join us for this episode as Dr. Sand walks us through an overview of constipation sub-types and then explores two of the four main categories: IBS related constipation and chronic idiopathic constipation. 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/ | |||
| #31 - Prokinetics and Herbal Options- Part 3 | 13 Jan 2024 | 00:28:44 | |
Join us as Dr. Gurevich leads us in a discussion about herbal options for prokinetics. Ilana Gurevich ND, FABNG, LAc, MSOM - Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/ | |||
| #30 - Prokinetics and the Gut - Part 2 | 12 Jan 2024 | 00:30:34 | |
Prokinetic drug classes discussed in this episode:
Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM” - https://www.amikapadia.com/ Ilana Gurevich ND, FABNG, MSOM - https://openwellnesspdx.com/ | |||
| #29 - Prokinetics and the Brain - Part 1 | 11 Jan 2024 | 00:35:04 | |
This is Part 1 of a three part series on prokinetics. Dr. Sand leads a discussion on what prokinetics are and walks us through serotonin agonists and dopamine antagonists. If you haven't heard, there is a connection between the gut and the brain! Dr. Rebecca Sand - Naturopathic Medicine | Dr. Rebecca Sand | Portland Dr. Ilana Gurevich - Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR | |||
| #28 - Preventing Travelers Diarrhea | 10 Jan 2024 | 00:31:03 | |
In this episode, the Turd Nerds discuss a protocol for preventing traveler's diarrhea and foodborne illness while traveling. The protocol includes the use of enzymes, probiotics (specifically Saccharomyces boulardii and spore-based probiotics), and immunoglobulins. They also provide advice on food choices to avoid while traveling. The Turd Nerds share patient stories and emphasize the importance of protecting the gut and preventing illness while traveling. Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/ Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM” - https://www.amikapadia.com/ | |||
| #27 - Secretory IgA | 31 Oct 2023 | 00:33:53 | |
Join Dr. Gurevich in a break down of when and how to use stool SIgA in clinical practice. The doctors discuss: - What is SIgA? - What does it tell us about your immune system? - How to analyze SIgA in clinical practice? - How lab values and set - How to interpret labs with an informed but skeptical view - What dietary and lifestyle modifications and change this marker - What supplements can impact the SIgA results Learn more about us at: 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/ | |||
| #26 - Food Poisoning | 17 Oct 2023 | 00:29:07 | |
In this pearl packed episode, Dr. Ilana Gurevich leads us through treatment options for traveler's diarrhea and food poisoning. We discuss supplements/medications to keep on hand, when to add what, and dietary tips to get our patients feeling better. Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/ Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM - https://www.amikapadia.com/ | |||
| #25 - Fatigue - Part 2 | 19 Sep 2023 | 00:31:12 | |
In this second episode on fatigue, Dr's Kapadia, Sand and Gurevich discuss more details on the workup and treatment of fatigue. Topics covered include: - underlying medical conditions to consider/work-up - lab testing - nutrient deficiencies - sleep disorders - adaptogens - mitochondrial support - the clinical picture of different types of fatigue Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ | |||
| #24 - Fatigue - Part 1 | 05 Sep 2023 | 00:22:11 | |
The Turds dive into the mystery of GI-related fatigue with Dr. Ami Kapadia, breaking down how everything from sleep habits to blood sugar can zap your energy. They dish out practical tips on improving sleep hygiene, balancing lifestyle habits, and how even caffeine, alcohol, and antihistamines could be dragging you down. Curious about the impact of intermittent fasting or wondering which supplements actually help? The Turds cover it all. Ami Kapadia, MD, ABFM, ABIHM” - https://www.amikapadia.com/ Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/ | |||
| #23 - Enzymes - Part 2 - Plant Based | 22 Aug 2023 | 00:28:55 | |
Vegetarian/vegan enzyme supplements Dr. Ilana Gurevich continues the discussion about enzyme options for our patients. Here, the doctors cover plant-based enzymes. Did you know that different enzymes work at different pH levels? Did you know that it matters when you dose the enzyme depending on what kind if enzyme it is? Dr. Gurevich goes through what all those long ingredients are on enzyme supplement bottles and tells us when to use each of them! Don't forget to go back and listen to the Animal-based Enzymes episode released 8/8/23! Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Rebecca Sand - https://www.drrebeccasand.com Dr. Ami Kapadia - https://www.amikapadia.com | |||
| Constipation - Summer break replay | 20 Aug 2024 | 00:49:04 | |
Dr. Sand leads us into an information deep dive into the world of constipation and especially constipation drugs. Covered in this episode is diet and lifestyle changes to improve constipation as well as fiber, prebiotics and probiotics. Drugs for IBS-C and for chronic idiopathic constipation. Prokinetic drugs, antidepressant medications for constipation, secretagogues, opioid receptor agonist and macrolide antibiotic. We also discuss serotonin and dopamine antagonist drugs. Laxatives are discussed and differentiated as well. This includes over the counter laxatives, stimulant laxatives, osmotic laxatives, and bulk forming laxatives. We looking at constipation lubricants, Finally there is a discussion on herbal interventions for constipation. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #22 - Enzymes - Part 1 - Animal Based | 08 Aug 2023 | 00:29:11 | |
In this episode we make sense of enzyme supplements, specifically the enzymes derived from animal sources. Dr. Ilana Gurevich schools us on dozing, use and monitoring for animal-based enzymes. You'll learn how to select animal vs plan based products, when to consider this for your patients, and what conditions should be on your radar. You'll also finally get some clarity on the prescription vs supplement versions! Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Ami Kapadia - https://www.amikapadia.com Dr. Rebecca Sand - https://www.drrebeccasand.com | |||
| #21 - Endometriosis - Part 2 | 25 Jul 2023 | 00:40:40 | |
Dr's Sand, Kapadia and Gurevich continue their discussion of Endometriosis. In this episode, Dr. Sand leads us in a discussion of Endometriosis and how it relates to the microbiome as well as botanical/nutraceutical support that can help symptoms of Endo. Listen for a comprehensive discussion and approach to endometriosis management. Topics covered: #endometriosis #endometriosistreatment #endo #microbiome #probiotics #sporeformingprobiotics #lactobacilli #bacteroides #botanicals #angelica #vitex #redrasberry #SIBO #antibiotics #estrogendominance #ginger #gingerol #crampbark Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ | |||
| #20 - Endometriosis - Part 1 | 11 Jul 2023 | 00:30:04 | |
This episode is part 1 of our endometriosis deep dive. Dr. Sand leads us in a dynamic discussion about presentation, underlying causes and diagnosis of endometriosis. Other topics covered in this episode include: diagnosis, pathophysiology and underlying cause Endometriosis symptom pictures The overlap of endometriosis and digestive health Blood and imaging workup to for endometriosis patients Endometriosis underlying causes The association with toxin exposure and an endometriosis diagnosis Genetics and endometriosis Lifestyle tips for prevention of endometriosis onset Pharmaceuticals to treat endometriosis Radiologic findings on ultrasound Rebecca Sand ND, LAc, MSOM - https://www.drrebeccasand.com/ Ami Kapadia, MD, ABFM, ABIHM” - https://www.amikapadia.com/ Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/ | |||
| #19 - Cortisol and the Mucus Membrane | 27 Jun 2023 | 00:29:04 | |
Dr. Sand takes a deep dive into how cortisol effects intestinal permeability and the GI lining. Topics covered include: - Cortisol and the gut lining and the brain - Parkinson's disease and intestinal permeability - Inflammatory bowel disease and intestinal permeability - Stress and the mucus membrane lining - Albumin is a marker for intestinal permeability and IBD - Meditation techniques for treatment of intestinal permeability - FOS and GOS as a way of address intestinal permeability - Fiber and the mucus membrane - GOS prebiotics and GI and brain health - Hypnotherapy for IBS - FODMAP as a treatment for IBS - Supplements for cortisol and the GI track - Adaptogenic plants for cortisol Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Don't forget to write a review and subscribe! | |||
| #18 - Healing Intestinal Permeability | 13 Jun 2023 | 00:32:10 | |
Dr's Sand, Kapadia and Gurevich discuss intestinal permeability. They discuss testing and treatment options for this complicated condition. Topics covered include: - What causes intestinal permeability - How does diet effect intestinal permeability - How does lifestyle effect intestinal permeability - What is intestinal permeability - The difficulty of defining the intestinal layer - Testing for intestinal permeability - Lactulose - mannitol testing, Zonulin and LPS testing for intestinal permeability -Anti-vinculin and Anti-CDTB testing - Using glutamine, resveratrol, quercetin and zinc carnosine as potential options to treat intestinal permeability. - Should we use probiotics to heal the intestinal lining - Zinc and copper blood values Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ | |||
| #17 - Biofilms - Testing and Treatment | 30 May 2023 | 00:34:51 | |
Biofilm testing and treatments overview Dr. Ilana Gurevich continues her discussion about Biofilm with a deep dive on testing and treatment. The doctors dive in to PCR testing and what we are expecting to find. They discuss provocation prior to testing and the pros and cons of this option. A deep dive into using different biofilm agents including bismuth, enzymes, nattokinas and lumbrokinase are mentioned. They also discuss different herbal, phage and pharmaceutical options as well. Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Rebecca Sand - https://www.drrebeccasand.com/ Dr. Ami Kapadia - https://www.amikapadia.com/ | |||
| #16 - Biofilms - Part 1 | 16 May 2023 | 00:39:57 | |
Dr. Gurevich leads us in a thought provoking discussion about biofilms. We discuss what biofilms are, where they form, how they create communities of microbes, and why they can make our GI treatments (and other treatments) more challenging. We discuss clues to help determine if your patient has biofilms, and what to do about it. #biofilm #bacteria #microbiome #biofilmtreatment Learn more about us at: Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Rebecca Sand - https://www.drrebeccasand.com Dr. Ami Kapadia - https://www.amikapadia.com | |||
| #15 - IBS and Atopy; Treatments | 03 May 2023 | 00:53:58 | |
Don't be rash! Tune in to this discussion on how to TREAT gut conditions caused by food and environmental sensitivities or allergens. Dr. Kapadia recaps testing and dives into her favorite pharmaceutical and natural interventions to curb these pesky symptoms. Topics covered: - Blood testing for food and airborne allergies - Debate on food sensitivities vs intestinal permeability - Home/lifestyle changes to reduce the effects of environmental allergens - Drug options for improving symptoms and lessening reactivity - Do plant-based products work? - ...And a brief tinea tangent #allergies #sensitivities #foodsensitivities #inhalants #IgGFoodtesting #IgEbloodtesting #cromolyn #ketotifen #H1blockers #H2blockers #quercitin #toenailfungus #eliminationdiet Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ | |||
| #14 - IBS and Atopic; Disease | 18 Apr 2023 | 00:29:42 | |
Are allergies getting worse? And does this affect the gut? In this episode, Dr. K walks us through how to spot an atopic cause of gut symptoms and how to test for this. We also dive in to the histamine connection with food sensitivities. And who doesn't love a good debate on food sensitivities?! This is a 2-part series so stay tuned for the next episode on treatment strategies! Topics covered in this episode: - Recognizing an atopy/gut correlation in our patients - Common symptoms - both digestive and systemic - Blood testing for food and environmental allergens - When to refer to an allergist - Histamine diet? Yea or Nay. - ... and a little detour into allergic vaginitis | |||
| #13 - Constipation in Kids- the Histamine Connection | 04 Apr 2023 | 00:35:33 | |
Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ - Kids, nutrition and constipation - Celiac and constipation - Food sensitivity and kids with constipation - Constipation, dairy, and food allergies - Constipation and comprehensive elimination diet - Comprehensive elimination diet options - Lactase deficiency as an underlying cause of constipation in children - Casein intolerance as an underlying cause of constipation - Concomitant conditions that present with constipation in children - Food allergy testing vs food elimination testing - Testing for food allergies in constipation with kids - Discussion on drugs for allergies in children - Supplement discussion for allergies in children | |||
| #48 - Diverticulitis | 06 Aug 2024 | 00:33:05 | |
Diverticulitis is the main topic of discussion in this conversation. The doctors discuss the conventional treatment options for diverticulitis, including antibiotics and a liquid diet. They also explore naturopathic and functional medicine approaches to prevention and treatment, such as herbal remedies, probiotics, and lifestyle changes. The importance of preventing constipation, staying hydrated, and getting regular exercise is emphasized. Other factors, such as stress and microbiome imbalances, are also discussed as potential contributors to diverticulitis. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #12 - Bile Acid Malabsorption (BAM) | 21 Mar 2023 | 00:24:50 | |
Dr's Sand, Kapadia and Gurevich discuss Bile Acid Malabsorption, also known as BAM. In this episode Dr. Gurevich leads us in a discussion of BAM. Topics covered: symptoms and testing for BAM, utilization of testing for fecal fat and steatocrit, treatment of BAM, use of cholestyramine and other prescription/natural agents, treatment of underlying triggers of BAM, association with crohns, IBD, IBS, SIBO #diarrheadisorders #BAM #bileacidmalabsorption #steatocrit #steatorrhea #fecalfat #celiac #IBD #IBS #SIBO #diarrhea #quantitativefecalfat #qualitativefecalfat #cholestyramine #bileaciddiarrhea #lecithin #choline #bitters #cholecystectomy #gallbladder #bile #microbiome #greasystools #urgency #fatmalabsorption #bileacid Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Ami Kapadia, MD, ABFM, AIHM: https://www.amikapadia.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ | |||
| #11 - Celiac Disease - Part 2 | 11 Mar 2023 | 00:31:37 | |
Miscellaneous information about celiac disease that we frequently miss in clinical practice. Dr. Sand leads us in a discussion about clinical and research updates from DDW 2022 (digestive disease week). This is a discussion about all things miscellaneous about diagnosis of Celiac disease. - Optimizing testing and how to increase diagnosis of Celiac disease - Testing and treatment disparities in medicine - Celiac, non-celiac gluten sensitivity and food intolerances - Food insecurity and Celiac disease - Celiac disease and the gluten free diet - Celiac disease and mast cells activation syndrome (MCAS) - Celiac disease and Postural Orthostatic Tachycardia Syndrome (POTS) - Celiac disease and cancer risk - The future of drug treatments for Celiac disease - How to fix the intestinal lining for Celiac disease - Celiac disease and low dose naltrexone (LDN) | |||
| #10 - Celiac Disease - Part 1 | 21 Feb 2023 | 00:43:36 | |
Epidemiology, comorbidities, risk factors and testing.. oh my! Celiac disease. We all know about it yet we're all confused. And that confusion is leaving a LOT of our patients misdiagnosed (the stats will alarm you!!). In this episode, we talk through the epidemiology, comorbidities, risk factors and testing for celiac disease. Dr. Kapadia also teaches us more about testing for Non-Celiac Gluten Sensitivity- a very real, diagnosable, and treatable condition for our patients. Dr. Sand and Dr. Gurevich come prepared with a million questions, hoping to get to the bottom of this surprisingly common autoimmune condition. #CeliacDisease #NonCeliacGlutenSensitivity Learn more about your hosts: Dr. Rebecca Sand - https://www.drrebeccasand.com/ Dr. Ami Kapadia - https://www.amikapadia.com/ Dr. Ilana Gurevich - https://www.naturopathicgastro.com/ | |||
| #9 - Exocrine Pancreatic Insufficiency - Part 2 | 07 Feb 2023 | 00:23:06 | |
Treatment strategies Here we take an even deeper plunge into the mysteries of exocrine pancreatic insufficiency. Topics included in EPI Part 2: When do we treat? How do we pick an appropriate treatment? How can we spot EPI in a crowd of other digestive issues? Dr. Kapadia and Dr. Gurevich answers your (and our) high yield questions to help you more effectively treat your EPI patients. Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Ami Kapadia - https://www.amikapadia.com Dr. Rebecca Sand - https://www.drrebeccasand.com | |||
| #8 - Exocrine Pancreatic Insufficiency - Part 1 | 24 Jan 2023 | 00:31:22 | |
Dr's Sand, Kapadia and Gurevich discuss Exocrine Pancreatic Insufficiency or EPI. Dr. Gurevich leads the discussion on this often overlooked condition: Topics covered in this episode: Exocrine Pancreatic Insufficiency (EPI) definitions, testing, elastase marker, associations with other conditions such as celiac disease and inflammatory bowel disease, treatment with pancreatic enzymes. #EPI #exocrinepancreaticinsufficiency #diarrhea #testingforEPI #elastase #fatmalabsorption #celiac #IBD #enzymes #lipase #amylase #protease #vegetarian enzymes Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ami Kapadia, MD: https://www.amikapadia.com/ | |||
| #7 - Sleep and the Gut | 10 Jan 2023 | 00:30:25 | |
Sleep and digestive health are totally separate things, right? No! In this episode we dive into to the links between poor sleep aka insomnia and digestive disorders. We touch on correlations with IBS, Crohn's, Ulcerative Colitis, and more. Next, we walk through some of our favorite ways to support sleep in these patients including light therapy, neurotransmitter modulation, and herbs. Links mentioned: https://www.amikapadia.com/sleep-disorders https://www.amikapadia.com/stress-and-the-mental-health Speaker Websites Dr. Ami Kapadia - https://www.amikapadia.com Dr. Rebecca Sand - https://www.drrebeccasand.com Dr. Ilana Gurevich - www.NaturopathicGastro.com | |||
| #6 - SIBO - Part 2 | 27 Dec 2022 | 00:30:40 | |
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 SIBO, making sense of hydrogen sulfide SIBO, Dr. Gurevich's favorite herbal options, and how and why to support patients through the dreaded elemental diet. Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Ami Kapadia - https://www.amikapadia.com/ | |||
| #5 - SIBO - Part 1 | 13 Dec 2022 | 00:30:48 | |
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. #SIBO #SIFO #microbiome #parasites #protozoa #endometriosis #gastroparesis #adhesions #breathtest #IBSsmart #visceralmassage Learn more about us at: Dr. Ilana Gurevich - www.NaturopathicGastro.com Dr. Rebecca Sand - https://www.drrebeccasand.com Dr. Ami Kapadia - https://www.amikapadia.com | |||
| #4 - Constipation | 29 Nov 2022 | 00:48:45 | |
Dr. Sand leads us into an information deep dive into the world of constipation and especially constipation drugs. Covered in this episode is diet and lifestyle changes to improve constipation as well as fiber, prebiotics and probiotics. Drugs for IBS-C and for chronic idiopathic constipation. Prokinetic drugs, antidepressant medications for constipation, secretagogues, opioid receptor agonist and macrolide antibiotic. We also discuss serotonin and dopamine antagonist drugs. Laxatives are discussed and differentiated as well. This includes over the counter laxatives, stimulant laxatives, osmotic laxatives, and bulk forming laxatives. We looking at constipation lubricants, Finally there is a discussion on herbal interventions for constipation. #IBS-C, #constipation, #Prokinetic #Antidepressant #Secretagogues #Opioid #Macrolide #Dopamineantagonists #Probiotics #laxatives #Fiber #Prebiotics #microbiome #Magnesium #Stoolsofteners #SIBO #Herbs #Gastroparesis #Probiotics Dr. Rebecca Sand - https://www.drrebeccasand.com/ Dr. Ami Kapadia - https://www.amikapadia.com/ Dr. Ilana Gurevich - https://www.naturopathicgastro.com/ | |||
| #3 - SIFO - Part 3 | 15 Nov 2022 | 00:29:38 | |
Botanicals 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: Botanicals and medications for SIFO, gluten sensitivity and candida, sugar and candida, the mold yeast elimination diet, MCAS, cromolyn, nettles, quercitin #mcas #nettles #cromolyn #sugarandcandida #glutensensitivity #gymnema #antifungals #botanicalmedicine #eliminationdiet Links 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 Patient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education Dr. Ami Kapadia, MD, ABFM, AIHM: https://www.amikapadia.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ | |||
| #47 - H. pylori | 23 Jul 2024 | 00:34:31 | |
In this episode, Dr. Gurevich leads a discusses about basics of H. pylori and the controversy surrounding its treatment. They discuss that H. pylori is a common finding in functional stool tests and discusses the different ways to test for it, including stool and breath tests. Dr. Gurevich also explores the different treatment options, including conventional triple and quadruple therapy, as well as naturopathic approaches using biofilm disruptors, herbal interventions, and probiotics. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #2 - SIFO - Part 2 | 15 Nov 2022 | 00:26:07 | |
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 SIFO #stressandguthealth #limbicsystemretraining #acidsuppression #nutrientdeficiencies #H2blockers #PPIs #botanicalmedicine #antifungals Links 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 Patient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education Dr. Ami Kapadia, MD, ABFM, AIHM: https://www.amikapadia.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ | |||
| #1 - SIFO - Part 1 | 23 Oct 2022 | 00:28:29 | |
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 SIFO #IBS #biofilm #MCAS #IBD #tonguecoating #protozoa #organicacidtesting Links to Dr. Kapadia's courses on SIFO: Practitioner course on SIFO and Mold: Patient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education Dr. Ami Kapadia, MD, ABFM, AIHM: https://www.amikapadia.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ | |||
| #46 - Halitosis | 09 Jul 2024 | 00:26:49 | |
In this episode, the Turd Nerds discuss halitosis (bad breath) and its various causes. The doctors cover topics such as gum disease, sinus issues, tonsil stones, reflux, and gut dysbiosis. They provide tips and strategies for improving oral hygiene, including the use of a water pick, oil pulling, and oral probiotics and many more. Tune in to keep your learning going. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||
| #45: The Patient with ALL the Imbalances | 25 Jun 2024 | 00:28:18 | |
Clinical Case Perspective In this conversation, the Turd Nerds discuss a complex case of a patient with microscopic colitis and multiple gastrointestinal issues. The patient had a history of diarrhea and had been on long-term pharmaceutical management, which was not providing relief. The Turd Nerds explored various treatment options, including anti-parasitic medications, bile acid sequestrants, and biofilm treatment. They also discussed the challenges of diagnosing and treating microscopic colitis. The case highlighted the importance of considering multiple factors, such as dysbiosis, inflammation, and malabsorption, in complex gastrointestinal cases. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM
Ilana Gurevich ND, FABNG, LAc, MSOM
Ami Kapadia, MD, ABFM, ABIHM
| |||