The Turd Nerds

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, MSOM ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://⁠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, MSOM ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠ Ami 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 ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠Ami Kapadia, MD, ABFM, ABIHM

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 ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠Ami Kapadia, MD, ABFM, ABIHM

In this episode of the Turd Nerds podcast, the hosts delve into the intricate relationship between the microbiome and metabolism. Dr. Sand leads a discussion on how gut health influences weight management, the role of hormones, and the impact of inflammation. The conversation also touches on bile acids, testing for gut health, and the potential benefits of probiotics and prebiotics. Dr. Sand emphasizes the importance of understanding these connections to improve overall health and well-being. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM

In this episode, the Turd Nerds discuss Eosinophilic Esophagitis (EOE), exploring symptoms, diagnostic testing, and treatment approaches. The conversation delves into dietary interventions, the role of histamine in gastrointestinal health, and the importance of comprehensive diagnosis in managing EOE. The episode highlights the evolving understanding of EOE and the potential for integrative treatment options. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM

In this episode, the hosts discuss Eosinophilic Esophagitis (EOE), a condition that has gained recognition in recent years. They explore its symptoms, including dysphagia and food impaction, and the importance of accurate diagnosis through endoscopy and biopsies. The conversation delves into risk factors, potential triggers such as food allergies, and the role of diet in managing EOE. Treatment options are discussed, including pharmaceutical interventions like Budesonide and PPIs, as well as dietary management strategies such as elimination diets. The hosts also touch on herbal remedies and the importance of monitoring for fungal overgrowth during treatment. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM

Join the Turds for part 2 of the parasite and protozoa series. In this segment, they cover natural, herbal, and pharmaceutical options often used in their practices to address all variety of of these intestinal critters. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM

Join the Turds for Part I of the exploration of intestinal parasites and protozoa. In this episode, they cover testing, a thorough recap of the wide variety of protozoa and parasites that can exist in humans, and a discussion on the controversial "gray areas" with this topic. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM

In this episode, the Turd Nerds discuss hemorrhoids and fissures, common issues related to constipation. They cover the causes of hemorrhoids, including pregnancy, constipation, and prolonged sitting or standing. They also explain the different types of hemorrhoids and treatment options, including conventional treatments like topical analgesics and surgical procedures, as well as naturopathic treatments like the Keezy technique and herbal suppositories. For fissures, they recommend high-dose vitamin E oil and sodium butyrate. They also emphasize the importance of prevention, including increasing fiber and water intake, exercising, and proper bowel movements. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

This case discussion the doctors focuses on a 74-year-old female patient with a 50-year history of constipation and uncontrollable gas. Despite trying various treatments, including medications and dietary changes, the gas issue persisted. Dr. Gurevich discusses how she treated the patient and the many attempts at resolving her chronic issue. The case highlights the complexity of such a simple symptom. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

In this episode of Turd Nerds, the hosts delve into various dietary frameworks, focusing on the importance of fiber types, therapeutic diets like Low FODMAP and Whole30, and the implications of the Keto diet. They discuss the roles of soluble and insoluble fiber in gastrointestinal health, the effectiveness and challenges of different diets, and the significance of understanding individual dietary needs for optimal health. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠