The Turd Nerds the integrative gastroenterology podcast

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

Don't be rash! Tune in to this discussion on how to TREAT gut conditions caused by food and environmental sensitivities or allergens. Dr. Kapadia recaps testing and dives into her favorite pharmaceutical and natural interventions to curb these pesky symptoms.

Topics covered:

- Blood testing for food and airborne allergies

- Debate on food sensitivities vs intestinal permeability 

- Home/lifestyle changes to reduce the effects of environmental allergens

- Drug options for improving symptoms and lessening reactivity 

- Do plant-based products work?

- ...And a brief tinea tangent



#allergies #sensitivities #foodsensitivities #inhalants #IgGFoodtesting #IgEbloodtesting #cromolyn #ketotifen #H1blockers #H2blockers #quercitin #toenailfungus #eliminationdiet 



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

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

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

Are allergies getting worse? And does this affect the gut? In this episode, Dr. K walks us through how to spot an atopic cause of gut symptoms and how to test for this. We also dive in to the histamine connection with food sensitivities. And who doesn't love a good debate on food sensitivities?!  This is a 2-part series so stay tuned for the next episode on treatment strategies! 

Topics covered in this episode:

- Recognizing an atopy/gut correlation in our patients

- Common symptoms - both digestive and systemic

- Blood testing for food and environmental allergens

- When to refer to an allergist

- Histamine diet? Yea or Nay.

- ... and a little detour into allergic vaginitis

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

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

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



- Kids, nutrition and constipation

- Celiac and constipation

- Food sensitivity and kids with constipation

- Constipation, dairy, and food allergies

- Constipation and comprehensive elimination diet

- Comprehensive elimination diet options

- Lactase deficiency as an underlying cause of constipation in children

- Casein intolerance as an underlying cause of constipation

- Concomitant conditions that present with constipation in children

- Food allergy testing vs food elimination testing

- Testing for food allergies in constipation with kids

- Discussion on drugs for allergies in children

- Supplement discussion for allergies in children

Dr's Sand, Kapadia and Gurevich discuss Bile Acid Malabsorption, also known as BAM. In this episode Dr. Gurevich leads us in a discussion of BAM.

Topics covered: symptoms and testing for BAM, utilization of testing for fecal fat and steatocrit, treatment of BAM, use of cholestyramine and other prescription/natural agents, treatment of underlying triggers of BAM, association with crohns, IBD, IBS, SIBO

#diarrheadisorders #BAM #bileacidmalabsorption #steatocrit #steatorrhea #fecalfat #celiac #IBD #IBS #SIBO #diarrhea #quantitativefecalfat #qualitativefecalfat  #cholestyramine #bileaciddiarrhea #lecithin #choline #bitters #cholecystectomy #gallbladder #bile #microbiome #greasystools #urgency #fatmalabsorption #bileacid



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

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

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