The Turd Nerds

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! Reb...

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, an...

In this episode, the Turd Nerds discuss the complications that can arise after gallbladder removal. They explain the normal physiology of the gallbladder and how it functions to break down fat. They also discuss the common issues that can occur after gallbladder removal, such as bile acid malabsorption and bile acid diarrhea. The Turd Nerds provide treatment options, including the use of bile acid...

Don't miss this one! Join the IBD expert, Dr. Gurevich, as we cover: How to diagnose MC vs other types of colitis The main conventional approach Other treatments you should know The microbiome impact 👋 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_pd...

As promised, the Turds are back to now discuss some key elements to liver support. They cover: Key diet shifts Top shelf nutrients and herbs Reducing toxin exposure "The solution to pollution is dilution" Other lifestyle add-ins that can make a big difference! Plus: Dr. Sand's love for chocolate Dr. Gurevich's existential parenting crisis Dr. Kapadia's gross "healthy&quo...

In this episode we cover: Which Turd has the most recognizable voice? Elevated bilirubin Abnormal workups and algorithms  When to order GGT and alk phos isoenzymes? Jaundice Metabolic liver disease Liver toxicants  Gilbert's... pronounced 3 ways! Connect with the Turds! Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasand Ilana Gurevich ND, FABNG, LAc, MSOM https://www.open...

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.ope...

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/⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠htt...

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...

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 a...

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/⁠⁠

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

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.amik...

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....

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/⁠⁠

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/⁠⁠

Prokinetic drug classes discussed in this episode: Explaining the Acetyl choline medications and how they act Discussion about antibiotics that show efficacy for motility PEMORA drug classes Medications that act on the mu receptors that are useful for constipation Naltrexone for constipation Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM” - ⁠⁠https://w...

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. Ami Kapadia -  Ami Kapadia, MD, ABFM, ABIHM Dr. Ilana Gurevich -  ⁠Open W...

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 importan...

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...

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 K...

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://ww...

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 supplemen...

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 suppl...

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 prescriptio...