The Turd Nerds

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

👋 Connect with the Turds!

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.

👋 Connect with the Turds!

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.

👋 Connect with the Turds!

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.

👋 Connect with the Turds!

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

👋 Connect with the Turds!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

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, and biofilm treatment. They also discussed the challenges of diagnosing and treating microscopic colitis. The case highlighted the importance of considering multiple factors, such as dysbiosis, inflammation, and malabsorption, in complex gastrointestinal cases.

👋 Connect with the Turds!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

👋 Connect with the Turds!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

Don't miss this one! Join the IBD expert, Dr. Gurevich, as we cover:

👋 Connect with the Turds!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM

As promised, the Turds are back to now discuss some key elements to liver support. They cover:

Plus:

Connect with the Turds!

Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM