
The Turd Nerds
Medical
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...
Location:
United States
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.
Language:
English
Website:
https://anchor.fm/theturdnerds
Episodes
# 80 - A Different Way to Think About Digestion with Ellen Goldsmith
4/7/2026
In this episode, we’re joined by Chinese dietetics expert Ellen Goldsmith to explore how traditional food systems approach digestion, health, and prevention. We discuss the framework of the five flavors, seasonal eating, and how these principles influence digestive function, satiety, and overall physiology. The conversation also highlights how modern dietary patterns can disrupt these regulatory signals, leading to persistent symptoms and cravings. Rather than focusing on restriction, this approach emphasizes restoring balance through everyday food choices. It’s a practical, systems-based perspective on how to think about food as part of long-term digestive health.
Music provided by Blue Dot.
👋 Connect with the Ellen Goldsmith
https://pearlnaturalhealth.com/
Nutritional Healing with Chinese Medicine by Ellen Goldsmith
👋 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/
Duration:00:32:48
#79 -Unlocking the Secrets of Fiber and Prebiotics with Dr. Mark Davis
3/24/2026
In this conversation, the Turd Nerds are joined by Dr. Mark Davis and the hosts discuss the significance of fiber and prebiotics in gut health, emphasizing personalized approaches to treatment. They explore the challenges of microbiome testing, the management of conditions like C. diff and chronic candida, and the role of prebiotics in treating constipation. The discussion also touches on SIBO testing and treatment perspectives, highlighting the evolving landscape of gut health and the importance of individualized care.
Music provided by Blue Dot.
👋 Connect with the Dr. Mark Davis
https://www.foundational-medicine.com/
https://www.probioticinfusions.com/about
👋 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/
Duration:00:36:02
#78 -Fecal Microbiota Transplant with Dr. Mark Davis
3/10/2026
In this episode of The Turd Nerds, the Turds are joined by Dr. Mark Davis, ND and we take a deep dive into the strange but powerful world of fecal microbiota transplantation (FMT)—what happens when you transplant an entire microbial ecosystem into the human gut and why it can be so effective for certain diseases. We explore why FMT is nearly curative for C. difficile, how dosing and delivery affect outcomes in ulcerative colitis and Crohn’s disease, and share striking clinical stories of severe inflammatory bowel disease improving after repeated treatments.
Music provided by Blue Dot.
👋 Connect with the Dr. Mark Davis
https://www.foundational-medicine.com/
https://www.probioticinfusions.com/about
👋 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/
Duration:00:30:34
#77 - Navigating Menopause FINAL: Hormone Therapy Insights
2/24/2026
In this conversation, the docs discuss the treatment of menopause, focusing on hormone therapy, diet, herbal remedies, and the importance of movement. She emphasizes the role of estrogen and progesterone in managing symptoms, the significance of a balanced diet rich in fiber and polyphenols, and the benefits of herbal supplements. Additionally, she highlights the necessity of regular exercise and monitoring health markers to improve overall well-being during the perimenopausal and menopausal stages.
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/
Duration:00:38:44
#76 - The Hormonal Shift: Understanding Insulin Resistance in Perimenopause
2/10/2026
This conversation delves into the intricate relationship between perimenopause, insulin resistance, and the microbiome. Dr. Rebecca Sand discusses how hormonal changes during perimenopause affect insulin sensitivity, fat distribution, and overall health. The importance of dietary adjustments, particularly increasing protein intake and maintaining gut health, is emphasized as a means to manage symptoms and improve well-being during this transitional phase. The discussion also touches on the implications of aging and inflammation on mental health, highlighting the need for a holistic approach to treatment.
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/
Duration:00:40:35
RECAP: Travelers Constipation
1/13/2026
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/
Duration:00:28:59
RECAP: Travelers Diarrhea
12/30/2025
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/
Duration:00:31:17
#75 - Revolutionizing IBD Treatment: Rectal Ozone
12/16/2025
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/
Duration:00:36:34
#74 -The Magic of Qing Dai: Transforming Ulcerative Colitis
12/2/2025
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/
Duration:00:33:56
#73 - The Bug Battle: Tackling GI Disorders Head-On
11/18/2025
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/
Duration:00:24:39
#72 -Poop, Prep & Polyps - Colonoscopies
11/4/2025
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
👋 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/
Duration:00:35:11
#71 - Rethinking Reflux Meds
10/21/2025
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
👋 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/
Duration:00:36:33
#70 - Gut Struggles in Scleroderma
10/7/2025
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.
👋 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/
Duration:00:15:31
#69 - Soothing the Pregnant Belly Blues
9/23/2025
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.
👋 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/
Duration:00:31:16
# 68 - Candida - Fungal Allergy or Overgrowth?
9/9/2025
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
👋 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/
Duration:00:34:54
Summer replay - Treatment options for SIBO varieties - SIBO part 2
8/26/2025
Treatment strategies for different varieties of SIBO.
A continuation of our burning SIBO questions.
Topics for part two:
👋 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/
Duration:00:30:53
Summer replay - SIBO - pathology and testing
8/12/2025
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
Duration:00:31:03
Summer Replay - Botanical and medications for management of fungal overgrowth.- SIFO Part 3
7/29/2025
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:
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/
Duration:00:29:51
Summer Replay - Fungus and the GI track - SIFO Part 2
7/15/2025
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/
Duration:00:26:21
Summer Replay - SIFO - Testing and treatment
7/1/2025
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/
Duration:00:28:44