The Turd Nerds

#70 - Gut Struggles in Scleroderma


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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 pregnancy.


  • The patient had chronic diarrhea due to scleroderma.
  • Nitazoxanide was used as a treatment for Giardia.
  • Standard treatments like metronidazole had failed for the patient.
  • The patient unexpectedly became pregnant after treatment.
  • Managing diarrhea during pregnancy poses unique challenges.
  • Functional medicine approaches can provide alternative solutions.
  • Probiotics and dietary changes were attempted but were ineffective.
  • Nitazoxanide is considered safe during pregnancy.
  • The patient's symptoms improved significantly with treatment.
  • The case highlights the importance of individualized patient care.


👋 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/⁠⁠⁠⁠⁠⁠⁠
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The Turd NerdsBy the integrative gastroenterology podcast

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