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

Endometriosis underlying causes

The association with toxin exposure and an endometriosis diagnosis

Genetics and endometriosis

Lifestyle tips for prevention of endometriosis onset

Pharmaceuticals to treat endometriosis

Radiologic findings on ultrasound

Rebecca Sand ND, LAc, MSOM - ⁠https://www.drrebeccasand.com/⁠

Ami Kapadia, MD, ABFM, ABIHM” - ⁠https://www.amikapadia.com/⁠

Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/

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 treatment of intestinal permeability

- FOS and GOS as a way of address intestinal permeability

- Fiber and the mucus membrane

- GOS prebiotics and GI and brain health

- Hypnotherapy for IBS

- FODMAP as a treatment for IBS

- Supplements for cortisol and the GI track

- Adaptogenic plants for cortisol

Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/

Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/

Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/

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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 for intestinal permeability

- Lactulose - mannitol testing, Zonulin and LPS testing for intestinal permeability

-Anti-vinculin and Anti-CDTB testing

- Using glutamine, resveratrol, quercetin and zinc carnosine as potential options to treat intestinal permeability.

- Should we use probiotics to heal the intestinal lining

- Zinc and copper blood values

Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/

Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/

Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/

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 mentioned. They also discuss different herbal, phage and pharmaceutical options as well.

Dr. Ilana Gurevich - ⁠www.NaturopathicGastro.com⁠

Dr. Rebecca Sand - https://www.drrebeccasand.com/

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 at:

Dr. Ilana Gurevich - www.NaturopathicGastro.com

Dr. Rebecca Sand - https://www.drrebeccasand.com

Dr. Ami Kapadia - https://www.amikapadia.com

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/lifestyle changes to reduce the effects of environmental allergens

- Drug options for improving symptoms and lessening reactivity 

- Do plant-based products work?

- ...And a brief tinea tangent

#allergies #sensitivities #foodsensitivities #inhalants #IgGFoodtesting #IgEbloodtesting #cromolyn #ketotifen #H1blockers #H2blockers #quercitin #toenailfungus #eliminationdiet 

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/

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 covered in this episode:

- Recognizing an atopy/gut correlation in our patients

- Common symptoms - both digestive and systemic

- Blood testing for food and environmental allergens

- When to refer to an allergist

- Histamine diet? Yea or Nay.

- ... and a little detour into allergic vaginitis

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 elimination diet options

- Lactase deficiency as an underlying cause of constipation in children

- Casein intolerance as an underlying cause of constipation

- Concomitant conditions that present with constipation in children

- Food allergy testing vs food elimination testing

- Testing for food allergies in constipation with kids

- Discussion on drugs for allergies in children

- Supplement discussion for allergies in children

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

#diarrheadisorders #BAM #bileacidmalabsorption #steatocrit #steatorrhea #fecalfat #celiac #IBD #IBS #SIBO #diarrhea #quantitativefecalfat #qualitativefecalfat  #cholestyramine #bileaciddiarrhea #lecithin #choline #bitters #cholecystectomy #gallbladder #bile #microbiome #greasystools #urgency #fatmalabsorption #bileacid

Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/

Dr. Ami Kapadia, MD, ABFM, AIHM: https://www.amikapadia.com/

Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/

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 medicine 

- Celiac, non-celiac gluten sensitivity and food intolerances

- Food insecurity and Celiac disease 

- Celiac disease and the gluten free diet 

- Celiac disease and mast cells activation syndrome (MCAS)

-  Celiac disease and Postural Orthostatic Tachycardia Syndrome (POTS) 

- Celiac disease and cancer risk

- The future of drug treatments for Celiac disease 

- How to fix the intestinal lining for Celiac disease

- Celiac disease and low dose naltrexone (LDN)