the integrative gastroenterology podcast
The Turd Nerds
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.
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the integrative gastroenterology podcast
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Podcast website
Latest episode
Jun 30, 2026
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Episodes
Summer Replay - SIFO - Testing and treatment 01.07.2025 28:44
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 candidiasi...
#67 - A Case of Bloating & Hormones 10.06.2025 31:14
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 co...
#66 - Thaena - Post-Biotics! (Sponsored) 27.05.2025 51:38
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, aimin...
#65 - Nerve Reset: How Neural Therapy Heals Pain, Gut, and Emotion 13.05.2025 39:48
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, inc...
#64 - More Bloating... and How to Help 29.04.2025 36:04
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, MSOM https://www.drrebeccasand.com/ @drrebeccasand Ila...
#63 - Bloating: Commonly Missed Underlying Causes 15.04.2025 30:32
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, MSOM ...
#62 - Elemental Diet: A Powerful Tool for Complex Cases 01.04.2025 19:28
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 highl...
#61 - NSAIDs and the Gut 18.03.2025 37:39
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 stapl...
#60 - Sleep Reboot & Personal Stories 04.03.2025 41:40
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 Gure...
#59 - Travel Constipation 18.02.2025 28:48
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/ @drrebeccasand Ilana Gurevich ND, FABN...
#58 - Building a Metabolism-Supporting Microbiome 04.02.2025 32:46
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...
#57 - Metabolism, Weight, and the Microbiome 21.01.2025 33:16
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 empha...
#56 - Eosinophilic Esophagitis - Part 2 07.01.2025 24:46
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 treatm...
#55 - Eosinophilic Esophagitis - Part 1 24.12.2024 36:53
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 op...
#54 - Unmasking the World of Parasites - Part 2 10.12.2024 32:12
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 https://www.openwe...
#53 - Unmasking the World of Parasites - Part 1 26.11.2024 35:07
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 G...
#52 - Hemorrhoids and Fissures 12.11.2024 26:50
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 trea...
#51 - Stinky Uncontrollable Gas 29.10.2024 17:51
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 symp...
#50 - Diet - Part 2 - Therapeutic Diets 15.10.2024 34:41
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...
#49 - Diet - Part 1 - Foundations 01.10.2024 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...
Bile Acid Malabsorption - summer break replay 17.09.2024 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, I...
Exocrine Pancreas Insufficency - Summer break replay 03.09.2024 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. 👋 Conn...
Constipation - Summer break replay 20.08.2024 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...
#48 - Diverticulitis 06.08.2024 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,...
#47 - H. pylori 23.07.2024 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 a...
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