The Turd Nerds

In this second episode on fatigue, Dr's Kapadia, Sand and Gurevich discuss more details on the workup and treatment of fatigue.

Topics covered include:

- underlying medical conditions to consider/work-up

- lab testing

- nutrient deficiencies

- sleep disorders

- adaptogens

- mitochondrial support

- the clinical picture of different types of fatigue

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

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

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

The Turds dive into the mystery of GI-related fatigue with Dr. Ami Kapadia, breaking down how everything from sleep habits to blood sugar can zap your energy. They dish out practical tips on improving sleep hygiene, balancing lifestyle habits, and how even caffeine, alcohol, and antihistamines could be dragging you down. Curious about the impact of intermittent fasting or wondering which supplements actually help? The Turds cover it all.

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

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

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

Vegetarian/vegan enzyme supplements

Dr. Ilana Gurevich continues the discussion about enzyme options for our patients. Here, the doctors cover plant-based enzymes. Did you know that different enzymes work at different pH levels? Did you know that it matters when you dose the enzyme depending on what kind if enzyme it is? Dr. Gurevich goes through what all those long ingredients are on enzyme supplement bottles and tells us when to use each of them!

Don't forget to go back and listen to the Animal-based Enzymes episode released 8/8/23!

Dr. Ilana Gurevich - ⁠www.NaturopathicGastro.com⁠

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

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

In this episode we make sense of enzyme supplements, specifically the enzymes derived from animal sources.

Dr. Ilana Gurevich schools us on dozing, use and monitoring for animal-based enzymes. You'll learn how to select animal vs plan based products, when to consider this for your patients, and what conditions should be on your radar. You'll also finally get some clarity on the prescription vs supplement versions!

Dr. Ilana Gurevich - ⁠www.NaturopathicGastro.com⁠

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

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

Dr's Sand, Kapadia and Gurevich continue their discussion of Endometriosis. In this episode, Dr. Sand leads us in a discussion of Endometriosis and how it relates to the microbiome as well as botanical/nutraceutical support that can help symptoms of Endo. Listen for a comprehensive discussion and approach to endometriosis management.

Topics covered:

#endometriosis #endometriosistreatment #endo #microbiome #probiotics #sporeformingprobiotics #lactobacilli #bacteroides #botanicals #angelica #vitex #redrasberry #SIBO #antibiotics #estrogendominance #ginger #gingerol #crampbark

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

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

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

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