
Advertise on podcast: The Turd Nerds
Rating
4.7from
This podcast has
85 episodes
Language
EnglishExplicit
No
Date created
2022/10/24
Latest episode
2026/01/13
Average duration
31 min.
Release period
15 days
Description
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 gut-brain connection and more. Tune in to hear clinical pearls, research updates and think with us through some tough cases.
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Check latest episodes from The Turd Nerds podcast
RECAP: Travelers Constipation
2026/01/13
In this recap episode, the docs dive into the often-overlooked topic of travel constipation. Join her as she explores the challenges of maintaining regularity while on the go, shares personal anecdotes, and offers practical tips to keep your digestive system in check during your travels. From the importance of hydration and electrolytes to the benefits of peppermint oil and magnesium, Dr. Sand provides a comprehensive guide to managing travel-related digestive issues. Tune in for an engaging and informative discussion that promises to make your next trip a little more comfortable.
Music provided by Blue Dot.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
RECAP: Travelers Diarrhea
2025/12/30
In this recap episode about travelers diarrhea, the docs discover a comprehensive protocol designed to prevent and treat this common travel ailment, featuring insights on enzymes, probiotics, and immunoglobulins. Learn how to protect your gut health while exploring new destinations, and hear real-life stories from patients who have benefited from these strategies. Whether you're planning a trip or just curious about gut health, this episode is packed with valuable information to keep you healthy on the go.
Music provided by Blue Dot.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#75 - Revolutionizing IBD Treatment: Rectal Ozone
2025/12/16
In this conversation, the docs discusse the therapeutic use of rectal ozone therapy, particularly for inflammatory bowel disease (IBD). She explains the mechanism of action of ozone, its benefits, and shares clinical experiences and case studies that highlight its effectiveness. The discussion also touches on the safety profile of ozone therapy, its applications in various medical conditions, and the future potential of this treatment in naturopathic medicine.
Music provided by Blue Dot.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#74 -The Magic of Qing Dai: Transforming Ulcerative Colitis
2025/12/02
In this episode, the doc discusse the herb Qing Dai, known for its transformative effects on treating ulcerative colitis. The conversation covers its historical uses, mechanisms of action, clinical studies demonstrating its efficacy, safety considerations, and broader applications in treating conditions like psoriasis and fistulas. The discussion emphasizes the importance of individualized care in Chinese medicine and the potential of Qing Dai as a valuable tool in integrative health.
Music provided by Blue Dot.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#73 - The Bug Battle: Tackling GI Disorders Head-On
2025/11/18
In this episode, the hosts, Dr. Rebecca Sand, Dr. Ami Kapadia, and Dr. Ilana Gurevich, delve into the complexities of gastrointestinal health, focusing on conditions like SIBO and protozoa. They discuss their personal experiences, treatment approaches, and the importance of proper testing and diagnosis. The conversation highlights the interplay between diet, lifestyle, and gut health, as well as the challenges faced in treating chronic infections. The hosts share insights from their practices and patient experiences, emphasizing the need for individualized care and the exploration of alternative treatment methods.
Music provided by Blue Dot.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#72 -Poop, Prep & Polyps - Colonoscopies
2025/11/04
In this episode, the docs discusses the importance of colonoscopies, especially as colorectal cancer rates rise among younger populations. They shares personal experiences and insights on the screening process, preparation, and post-procedure care. The conversation covers various screening options, the significance of early detection, and practical tips for managing the colonoscopy experience, including dietary recommendations for after the procedure.takeaways
Colorectal cancer screening is now recommended starting at age 45.Colonoscopy is a highly sensitive method for detecting colorectal cancer.Alternative screening options include FIT tests and Cologuard.Proper preparation for a colonoscopy is crucial for a successful procedure.Post-colonoscopy care includes dietary adjustments to aid recovery.The microbiome can be affected by colonoscopy procedures.Patients should be aware of the risks associated with delayed screenings.Using anti-nausea medication can improve the prep experience.Vaseline can help alleviate discomfort during the prep phase.Screening for colorectal cancer can save lives by detecting issues early.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdx@ilana.gurevichAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#71 - Rethinking Reflux Meds
2025/10/21
In this conversation, The doctors discusses the implications of long-term use of Proton Pump Inhibitors (PPIs), their efficacy, risks, and the importance of tapering off these medications. The discussion covers the physiological effects of PPIs, the necessity of addressing underlying causes of reflux, and the potential for natural and herbal alternatives to support patients in tapering off PPIs. The conversation emphasizes the importance of patient education and the need for a gradual approach to discontinuing PPIs to avoid rebound symptoms.
Takeaways
PPIs are effective for short-term use but not for long-term.Tapering off PPIs should take three to six months.Natural alternatives can help manage reflux symptoms.Melatonin can improve lower esophageal sphincter function.Nutrient deficiencies are a risk with long-term PPI use.DGL has been shown to improve quality of life in patients.Patient education is crucial in managing PPI use.Underlying causes of reflux should be addressed.Herbal remedies can provide additional support during tapering.A gradual tapering process is essential to avoid rebound symptoms.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#70 - Gut Struggles in Scleroderma
2025/10/07
In this conversation, Dr. Ilana Gurevich discusses a complex case involving a patient with scleroderma who experienced chronic diarrhea. The discussion covers the patient's journey, the challenges of treatment, and the surprising outcomes related to fertility and pregnancy. Dr. Sand emphasizes the role of nitazoxanide in managing the patient's symptoms and the considerations for treatment during pregnancy.
The patient had chronic diarrhea due to scleroderma.Nitazoxanide was used as a treatment for Giardia.Standard treatments like metronidazole had failed for the patient.The patient unexpectedly became pregnant after treatment.Managing diarrhea during pregnancy poses unique challenges.Functional medicine approaches can provide alternative solutions.Probiotics and dietary changes were attempted but were ineffective.Nitazoxanide is considered safe during pregnancy.The patient's symptoms improved significantly with treatment.The case highlights the importance of individualized patient care.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
#69 - Soothing the Pregnant Belly Blues
2025/09/23
This conversation delves into the gastrointestinal issues that arise during pregnancy, focusing on common problems such as morning sickness, reflux, constipation, and hemorrhoids. The speakers share personal experiences and professional insights on effective remedies, including acupuncture, dietary adjustments, and the importance of hydration. They emphasize the need for pregnant individuals to be proactive about their digestive health and provide practical tips for managing symptoms throughout pregnancy.
GI issues are common in pregnancy and can be severe.Morning sickness often lasts beyond the morning hours.Acupuncture can provide significant relief for nausea.Dietary changes, including ginger and protein intake, are crucial.Reflux is exacerbated by hormonal changes and physical space constraints.Constipation can worsen nausea and should be addressed promptly.Hydration is essential due to increased blood volume during pregnancy.Pelvic floor health is important to prevent complications during childbirth.Papaya enzymes are effective for digestive issues in pregnant women.The first bowel movement postpartum can be particularly challenging.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
# 68 - Candida - Fungal Allergy or Overgrowth?
2025/09/09
In this conversation, Dr. Ami Kapadia discusses the complex relationship between Candida and allergies, emphasizing that many patients may not just have a fungal overgrowth but could also be experiencing an allergic reaction to Candida. The discussion covers the importance of understanding Candida as a commensal organism, the connection between allergies and Candida, testing methods for diagnosis, and treatment options including sublingual immunotherapy. The conversation also touches on the role of the immune system, the impact of diet, and the connection between heavy metals and Candida.
Takeaways
Candida can be an allergen, not just an infection.Terminology in medicine is crucial for patient understanding.Allergic predisposition can lead to Candida allergies.Testing for Candida allergies often requires allergist involvement.Sublingual immunotherapy can be effective for Candida allergies.The immune system's response to Candida is complex.Chronic conditions may complicate Candida treatment.Diet plays a significant role in managing Candida.Heavy metals may influence Candida overgrowth.A thorough patient history is essential for effective treatment.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
Summer replay - Treatment options for SIBO varieties - SIBO part 2
2025/08/26
Treatment strategies for different varieties of SIBO.
A continuation of our burning SIBO questions.
Topics for part two:
Most effective treatment strategies for methane and hydrogen SIBOMaking sense of hydrogen sulfide SIBO,Dr. Gurevich's favorite herbal treatment optionsHow and why to support patients through the dreaded elemental diet.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
Summer replay - SIBO - pathology and testing
2025/08/12
Pathology and testing for SIBO.
Dr. Gurevich leads us in a discussion about small intestinal bacterial overgrowth (SIBO). We discuss pathology and underlying causes of SIBO as well as SIBO testing options. In this episode we also discuss SIBO and the microbiome, parasites and protozoa effecting the microbiome, endometriosis, gastroparesis, adhesions and SIBO. There is also discussion about testing including breath testing and the IBS smart test. We also look at a variety of treatment options including visceral massage and others.
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
Summer Replay - Botanical and medications for management of fungal overgrowth.- SIFO Part 3
2025/07/29
Botanical and medications for management of fungal overgrowth.
Dr's Sand, Kapadia and Gurevich continue their discussion on SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us through more details in a discussion of fungal overgrowth in the GI tract.
Topics covered in this episode:
Botanical and medication treatment options for SIFOGluten sensitivity and candidaSugar and candidaThe mold yeast elimination dietMCAS
Links to Dr. Kapadia's courses on SIFO:
Practitioner course on SIFO and Mold: https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifo
Patient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
Summer Replay - Fungus and the GI track - SIFO Part 2
2025/07/15
How fungal overgrowth changes the intestinal tract.
Dr's Sand, Kapadia and Gurevich continue their discussion on SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us through more details in a discussion of fungal overgrowth in the GI tract.
Topics covered in this episode: SIFO treatment, foundations of GI health, stress the gut and limbic system retraining, dietary changes and SIFO, nutrient deficiencies in SIFO, acid suppression and SIFO, medications and botanicals in treatment of SIFO
Links to Dr. Kapadia's courses on SIFO:
Practitioner course on SIFO and Mold: https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifo
Patient course on SIFO: https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
Summer Replay - SIFO - Testing and treatment
2025/07/01
Testing and Treatment
Dr's Sand, Kapadia and Gurevich do a deep dive into SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us in a discussion of fungal overgrowth in the GI tract.
Topics covered: Symptoms Testing and Treatment of SIFO, Organic Acid Testing, Stool Testing, Protozoa, tongue coating, association with allergies, MCAS, skin, Vulvovaginitis and candidiasis, IBS, IBD and SIFO, Biofilm and SIFO
Links to Dr. Kapadia's courses on SIFO:
Practitioner course on SIFO and Mold:
https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifo
👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
https://www.drrebeccasand.com/@drrebeccasandIlana Gurevich ND, FABNG, LAc, MSOM
https://www.openwellnesspdx.com@openwellness_pdxAmi Kapadia, MD, ABFM, ABIHM
https://www.amikapadia.com/
Podcast reviews
Read The Turd Nerds podcast reviews
SesE be me 2025/09/21
Complete information
These doctors are clearly passionate about GI health. This is a great podcast to get holistic information to treat GI issues.
Elvie33 2025/12/14
Slow down and balance your mics
The content is great. Such valuable info. But it’s so difficult to understand since one docs voice is so much louder and her mic isn’t balanced with t...
EM.11:11 2025/01/22
Great
Great show, coming from the perspective of someone not in the medical field the hosts make everything understandable and interesting. Great informatio...
pattyk19 2025/03/08
Good but…
You guys have lots of knowledge and I love learning and I want to listen, but you trample each other with your words and it makes it hard to follow an...
Akaio 2025/02/06
Chill Pill, Please
The hosts are very knowledgeable and I really want to like this podcast. But the they need to slow down. And stop talking over each other as it makes ...
lamaybe 2024/10/27
The best natural medicine podcast on Earth
I like all kinds of medical podcasts, but this one is definitely my favorite. The information is great, the cases are great, but actually my favorite ...
Katielivefit 2024/07/31
We need this podcast!!
Thank you for giving us this education!
kevintudball 2024/05/18
Great show!
These episodes are short, digestible (pun-intended), and informative. I’ve dealt with digestive issues for my entire life and have learned new things ...
Rawick_123 2024/05/15
Helpful and fun
Really great tips to use in clinical practice. I appreciate learning for their years of experience!
Jozie Z 2024/05/04
Life changing!
I have been struggling with GI issues and have been relentlessly trying to educate myself, which is not easy while maintaining full time work with chr...
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