The Turd Nerds

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...

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 End...

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...

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 f...

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 m...

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...

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/lifest...

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...

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...

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...

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...

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 Glut...

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 G...

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 #...

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 mentio...

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.co m Dr. Re...

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...

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, opi...

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 candi...

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...

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...