The Turd Nerds

Most people think gallbladder problems start and end with gallstones. The reality is much more complicated. In this episode of The Turd Nerds, we discuss the hidden connections between the gallbladder, hormones, bile acids, estrogen metabolism, and the gut microbiome—and why these systems become especially important during perimenopause and menopause. We cover: ✔ Why women develop more gallbladder...

Could Lyme disease or co-infections be contributing to gut symptoms that aren’t improving? In this episode, Dr. Crane Holmes and the turd nerds break down Lyme disease and common co-infections - including Bartonella and Babesia - and how they can impact not just the gut, but the entire body. We explore how these infections can present as chronic digestive issues, brain fog, inflammation, and multi...

What if your gut symptoms aren’t SIBO—and aren’t improving despite treatment? In this episode, we explore a common clinical scenario: patients with bloating, gas, and digestive issues that look like SIBO but don’t respond to standard therapies. We take a deeper look at mold exposure, mast cell activation, and histamine as overlooked drivers of chronic gut symptoms. Dr. Crane Holmes joins us to bre...

What does the vagus nerve actually do—and why does it matter for gut health, IBS, and anxiety? In this episode, we break down the vagus nerve in a clear, practical way, focusing on how it connects the gut and brain and why low vagal tone is linked to conditions like IBS, IBD, anxiety, depression, and chronic inflammation. We also explore why common advice like humming, gargling, or cold exposure w...

Why does chronic diarrhea continue even when testing is normal? In this episode, we walk through a case of microscopic colitis and how to approach persistent gut symptoms that don’t respond to standard treatment. We break down what microscopic colitis is, why it’s often missed on routine colonoscopy, and how it can present as long-standing, non-bloody diarrhea. We also explore how medications like...

In this episode, we revisit bloating through a Chinese medicine lens with Ellen Goldsmith , focusing on digestion as a process of movement, not just intake. We explore how patterns like stagnation, dysregulation, and impaired “downward flow” contribute to symptoms like distension, brain fog, and discomfort. The conversation highlights common contributors such as stress, irregular eating, cold food...

In this episode, we’re joined by Chinese dietetics expert Ellen Goldsmith to explore how traditional food systems approach digestion, health, and prevention. We discuss the framework of the five flavors, seasonal eating, and how these principles influence digestive function, satiety, and overall physiology. The conversation also highlights how modern dietary patterns can disrupt these regulatory s...

In this conversation, the Turd Nerds are joined by Dr. Mark Davis and the hosts discuss the significance of fiber and prebiotics in gut health, emphasizing personalized approaches to treatment. They explore the challenges of microbiome testing, the management of conditions like C. diff and chronic candida, and the role of prebiotics in treating constipation. The discussion also touches on SIBO tes...

In this episode of The Turd Nerds , the Turds are joined by Dr. Mark Davis, ND and we take a deep dive into the strange but powerful world of fecal microbiota transplantation (FMT) —what happens when you transplant an entire microbial ecosystem into the human gut and why it can be so effective for certain diseases. We explore why FMT is nearly curative for C. difficile , how dosing and delivery af...

In this conversation, the docs discuss the treatment of menopause, focusing on hormone therapy, diet, herbal remedies, and the importance of movement. She emphasizes the role of estrogen and progesterone in managing symptoms, the significance of a balanced diet rich in fiber and polyphenols, and the benefits of herbal supplements. Additionally, she highlights the necessity of regular exercise and...

This conversation delves into the intricate relationship between perimenopause, insulin resistance, and the microbiome. Dr. Rebecca Sand discusses how hormonal changes during perimenopause affect insulin sensitivity, fat distribution, and overall health. The importance of dietary adjustments, particularly increasing protein intake and maintaining gut health, is emphasized as a means to manage symp...

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 pro...

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 tri...

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...

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...

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 t...

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, inc...

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. T...

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 p...

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...

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,...

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 treatment options How and why to support patients through the dreaded elemental diet.  👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠...

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 test...

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 SIFO Gluten sensitivity and candida Su...

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 c...