The Turd Nerds

By the integrative gastroenterology podcastMedicine Health & Fitness

The Turd Nerds episodes

June 25, 2024#45: The Patient with ALL the Imbalances
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
⁠⁠⁠⁠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/⁠⁠⁠⁠
29 min
June 11, 2024#44 - Post-Cholecystectomy Management
In this episode, the Turd Nerds discuss the complications that can arise after gallbladder removal. They explain the normal physiology of the gallbladder and how it functions to break down fat. They also discuss the common issues that can occur after gallbladder removal, such as bile acid malabsorption and bile acid diarrhea. The Turd Nerds provide treatment options, including the use of bile acid sequestrants and high-dose fiber. They also emphasize the importance of supporting the microbiome and addressing underlying factors such as diet and lifestyle.

👋 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/⁠⁠⁠⁠
34 min
May 28, 2024#43 Microscopic Colitis
Don't miss this one! Join the IBD expert, Dr. Gurevich, as we cover:
How to diagnose

MC vs other types of colitis

The main conventional approach

Other treatments you should know

The microbiome impact

👋 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/⁠⁠⁠
32 min
May 14, 2024#42 Liver Support
As promised, the Turds are back to now discuss some key elements to liver support. They cover:
Key diet shifts

Top shelf nutrients and herbs

Reducing toxin exposure

"The solution to pollution is dilution"

Other lifestyle add-ins that can make a big difference!
Plus:
Dr. Sand's love for chocolate

Dr. Gurevich's existential parenting crisis

Dr. Kapadia's gross "healthy" cookie

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/
29 min
April 30, 2024#41 Elevated Liver Enzymes
In this episode we cover:
Which Turd has the most recognizable voice?

Elevated bilirubin

Abnormal workups and algorithms

When to order GGT and alk phos isoenzymes?

Jaundice

Metabolic liver disease

Liver toxicants

Gilbert's... pronounced 3 ways!

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/
32 min
April 16, 2024 #40 Constipation Case Discussion!
Tune in with the doctors to tear apart a constipation case. In this episode we cover:
- How to define constipation
- Breaking down the Bristol chart
- The many uses of psyllium
- Gut directed hypnotherapy
- When peppermint can help
- How breathing affects pooping
- Squatty Potties

Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠
Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com
Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠
24 min
April 02, 2024#39 Antidepressants and the Gut
In this episode Dr. Sand leads us on a conversation about how three popular classes of antidepressant medications affect our gastrointestinal tract! SSRIs, TCAs, and SNRIs. This has definitely changed how we view the guts of these patients and may change your mind on how we're using them!

Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠
Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com
Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠
28 min
March 19, 2024 #38 - GERD Natural Remedies
GERD, Heartburn and Acid Reflux. What can be done for these ailments from a more natural perspective? Tune in to this episode to hear your favorite Turds discuss their favorite options. We will cover pills, teas, tinctures and get into a deep discussion on what each of our top products do in the gut!

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

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

Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠
43 min
March 05, 2024 #37 - Chronic Vulvovaginal Disorders
Dive in to a chronic vulvovaginal GI case with Dr. Gurevich to peak under the lens of how a doctor thinks. In this episode we will discuss:

- Vaginal and gut microbiome overlap
-MCAS and bloating
- Understanding candida blood testing
- Comparing sinus, vaginal and GI microbiome
- Diet and dysbiosis
-Dietary guidelines and the natural medicine community
- Fermented food and dysbiosis
- Mycoplasma and ureaplasma as a diagnosis of vulvovaginal disorders

37 min
February 20, 2024 #36 - Reflux? Gerd? Heartburn? Dyspepsia? Which one is it?
Join us as we discuss the multiple ways we think about reflux, the prescriptions we use to treat it, and lifestyle changes that will help your patients suffering from these symptoms.

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

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

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

About The Turd Nerds

From the publisher's feed

The Turd Nerds is an integrative gastroenterology podcast. Drs. Rebecca Sand, Ami Kapadia and Ilana Gurevich tackle complex digestive topics, spanning IBS, Celiac, parasites, SIBO, biofilms, the…