The Turd Nerds

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.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 treatments like the Keezy technique and herbal suppositories. For fissures, they recommend high-dose vitamin E oil and sodium butyrate. They also emphasize the importance of prevention, including increasing fiber and water intake, exercising, and proper bowel movements.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 symptom.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 needs for optimal health.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 impacts their dietary choices. Throughout the episode, the hosts share personal anecdotes and clinical experiences, providing listeners with practical insights into improving their dietary habits for better health outcomes.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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, IBS, SIBO

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 and macrolide antibiotic.  We also discuss serotonin and dopamine antagonist drugs.  Laxatives are discussed and differentiated as well. This includes over the counter  laxatives, stimulant laxatives, osmotic laxatives, and bulk forming laxatives.  We looking at constipation lubricants, Finally there is a discussion on herbal interventions for constipation.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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, and getting regular exercise is emphasized. Other factors, such as stress and microbiome imbalances, are also discussed as potential contributors to diverticulitis.

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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 as naturopathic approaches using biofilm disruptors, herbal interventions, and

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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM