The Turd Nerds

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 ⁠⁠⁠⁠⁠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/⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠⁠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/⁠⁠⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠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/⁠⁠⁠⁠⁠⁠

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 probiotics. 👋 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/⁠⁠⁠⁠⁠

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 ⁠⁠⁠⁠⁠⁠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/⁠⁠⁠⁠⁠⁠

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/⁠⁠⁠⁠

👋 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/⁠⁠⁠⁠

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

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 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/

In this episode we cover: 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/

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/⁠⁠

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/⁠⁠

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/⁠⁠

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

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/⁠⁠

Tune in to listen to how the doctors think through a complicated nausea patient. We will discuss: - Marijuana and vomiting syndrome - Cannabinoid hyperemesis - SIBO and nausea - Gastroparesis and nausea - Neural therapy as a potential treatment - Hiatal hernia syndrome - Visceral massage as a treatment option - Blood sugar and nausea - Microbiome and chronic nausea

Did you know there are even MORE subtypes of constipation that the Turd Nerds had yet to cover?! Here they explore atonic constipation presentation and causes as well as go through all the medications and supplements that can cause constipation. We have cases, treatment ideas, and, of course, that Turd Nerd witty banter. Dr. Rebecca Sand - ⁠Naturopathic Medicine | Dr. Rebecca Sand | Portland Dr. Ilana Gurevich - Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR Dr. Ami Kapadia - Ami Kapadia, MD, ABFM, ABIHM

Join us for a lively discussion on best approaches to take a GI focused intake as part of your new patient encounters. Tune in for key questions, pearls, and more to include in your next new patient visit. Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠⁠https://www.naturopathicgastro.com/⁠⁠ Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

Join us as Dr. Gurevich leads us in a discussion about herbal options for prokinetics. Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

Join us for this episode as Dr. Sand walks us through an overview of constipation sub-types and then explores two of the four main categories: IBS related constipation and chronic idiopathic constipation. 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/⁠⁠