The Turd Nerds

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.

The Turd Nerds is a health podcast hosted by Unknown Host, with 99 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Unknown Host hosts The Turd Nerds, a health show with 99 episodes published.

Our AI reads these to draft pitches. Use them as grounding for a pitch that cites a real guest and a specific topic.

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  The Turd Nerds

  #89 - The Gut-Skin Connection: What We've Been Missing

  Aug 11, 202637 min

  Why Acne Isn't Just a Skin Problem: The Gut-Skin Connection What if your acne, eczema, rosacea, or chronic skin condition isn't actually starting in your skin? In this episode of The Turd Nerds, we're joined by naturopathic physician and acupuncturist Megan Larivee for a deep dive into the fascinating world of the gut-skin axis. We explore why the skin is much more than a protective barrier—it's actually the body's largest immune organ. From the skin microbiome and immune signaling to leaky gut, leaky skin, acne, eczema, rosacea, and psoriasis, we unpack the growing evidence connecting gastrointestinal health to chronic skin conditions. We discuss how gut dysbiosis, inflammation, barrier dysfunction, hormones, diet, and environmental exposures may all contribute to skin symptoms—and why simply treating the skin often isn't enough. ✔ Why the skin is considered an immune organ ✔ The relationship between the skin microbiome and the gut microbiome ✔ Leaky gut and leaky skin: what they are and why they matter ✔ Acne, eczema, rosacea, psoriasis, and other chronic skin conditions ✔ How H. pylori and gut dysbiosis can influence skin health ✔ Why skin conditions often persist despite topical treatments ✔ The role of fiber and the microbiome in acne management ✔ Dairy, insulin signaling, and androgen-driven acne ✔ Candida, fungal overgrowth, and skin symptoms ✔ The impact of personal care products, soaps, and environmental chemicals on skin health ✔ Why skin barrier function is critical for long-term healing ✔ Clinical pearls for evaluating chronic skin conditions through a gut-health lens The skin and gut are constantly communicating through immune, inflammatory, hormonal, and microbial pathways. When that communication breaks down, chronic skin conditions may develop—or become difficult to resolve. If you've struggled with acne, eczema, rosacea, psoriasis, or unexplained skin symptoms, this episode offers a new perspective on where to look and what questions to ask. Because sometimes the best way to heal the skin is to start with the gut. Music provided by Blue Dot. Connect with Dr. Meghan Larivee https://www.integrativedermatologysolutions.com/about 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 ⁠⁠⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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  The Turd Nerds

  #88 - The Gallbladder Recovery Toolkit

  Jul 28, 202633 min

  What can you actually do to support gallbladder health—before or after gallbladder removal? In Part 3 of our Gallbladder Series, we move from theory into practice. After exploring the relationship between the gallbladder, microbiome, hormones, and bile acids in Parts 1 and 2, we discuss the clinical tools, supplements, dietary strategies, and testing considerations we use to support patients with gallbladder dysfunction, bile acid disorders, and post-cholecystectomy symptoms. We explore why some patients continue to struggle with digestive symptoms long after gallbladder removal, how hormone fluctuations impact bile flow, and why supporting the microbiome may be one of the most overlooked pieces of gallbladder care. Whether you're dealing with gallstones, bile acid diarrhea, digestive symptoms after surgery, or simply want to better understand how to support healthy bile flow, this episode is packed with practical takeaways. ✔ Conventional approaches to gallbladder disease and gallbladder removal ✔ Why removing the gallbladder doesn't always solve the entire problem ✔ The long-term microbiome consequences of cholecystectomy ✔ The connection between gallbladder function, metabolism, and insulin resistance ✔ Taurine and glycine for bile acid conjugation and bile production ✔ Bitter herbs and how they support bile flow and gallbladder function ✔ Dandelion, gentian, chicory, and other classic digestive bitters ✔ Phosphatidylcholine, lecithin, and cholesterol balance within bile ✔ Choline supplementation and gallbladder support ✔ Magnesium and gallbladder motility ✔ Ox bile, TUDCA, UDCA, and digestive enzyme support ✔ Psyllium fiber and bile acid regulation ✔ Butyrate and microbiome support after gallbladder removal ✔ The estrogen–microbiome–gallbladder connection ✔ DIM and calcium-d-glucarate for estrogen metabolism ✔ NAC, milk thistle, and liver support ✔ Hormone replacement therapy considerations in patients with gallbladder disease ✔ Functional testing options for patients with gallbladder concerns ✔ How these concepts have changed our clinical approach to patient care ✔ Gallbladder removal may be necessary, but it should also prompt a deeper look at why gallbladder dysfunction developed in the first place. ✔ Taurine, glycine, bitters, magnesium, and phosphatidylcholine can all play important roles in supporting bile production and flow. ✔ The microbiome is central to bile acid metabolism and should be considered in patients with ongoing digestive symptoms. ✔ DIM and calcium-d-glucarate may help support healthy estrogen metabolism and reduce gallbladder stress in susceptible individuals. ✔ Post-cholecystectomy patients may benefit from additional support for digestion, microbiome balance, fat-soluble vitamins, and bile acid regulation. ✔ Hormones, bile acids, the liver, and the microbiome are deeply interconnected systems that influence one another in meaningful ways. Part 1: Gallbladder Physiology, Bile Acids & The Microbiome Part 2: The Estrogen–Gallbladder Connection: Hormones, Menopause & Bile Acids Part 3: Practical Strategies for Supporting Gallbladder Health Before and After Surgery Music provided by Blue Dot. 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 ⁠⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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  The Turd Nerds

  #86 – Gallbladder Chaos: Hormones, Microbes & Bile

  Jun 30, 202635 min

  Most people think gallbladder problems start and end with gallstones. The reality is much more complicated. In this episode of The Turd Nerds, we discuss the hidden connections between the gallbladder, hormones, bile acids, estrogen metabolism, and the gut microbiome—and why these systems become especially important during perimenopause and menopause. We cover: ✔ Why women develop more gallbladder disease than men ✔ The estrogen–gallbladder connection ✔ How the microbiome influences bile acid metabolism ✔ What changes after gallbladder removal ✔ Gallbladder dysfunction without stones ✔ DIM and calcium-d-glucarate for estrogen metabolism ✔ Taurine, glycine, bitters, phosphatidylcholine, magnesium, and bile support ✔ Bile acid malabsorption and chronic diarrhea ✔ How we approach gallbladder health in clinical practice If you've ever been told your only option is to remove your gallbladder, this episode explores the physiology behind gallbladder dysfunction and the tools we use to support patients before and after surgery. Music provided by Blue Dot. 👋 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 ⁠⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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  The Turd Nerds

  #85 – Lyme and Co-Infections: A Hidden Driver of Gut and Chronic Symptoms with Dr. Crane Holmes

  Jun 16, 202630 min

  Could Lyme disease or co-infections be contributing to gut symptoms that aren’t improving? In this episode, Dr. Crane Holmes and the turd nerds break down Lyme disease and common co-infections - including Bartonella and Babesia - and how they can impact not just the gut, but the entire body. We explore how these infections can present as chronic digestive issues, brain fog, inflammation, and multi-system symptoms that don’t respond to typical treatments. In this episode, we discuss: What Lyme disease actually is (and why it’s often misunderstood) The role of co-infections like Bartonella and Babesia How these infections can affect the gut, nervous system, and immune system Why symptoms often go beyond digestion (brain fog, fatigue, joint pain) When to consider Lyme or co-infections in complex cases Challenges with testing and diagnosis Treatment approaches, including antimicrobials, herbs, and biofilm support This episode is for anyone dealing with chronic gut symptoms, unexplained inflammation, or complex health issues that haven’t improved with standard approaches. Music provided by Blue Dot. 👋 Connect with the Dr. Crane Holmes https://www.drcraneholmes.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 ⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

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  The Turd Nerds

  #84 – When It’s Not SIBO: Mold, Mast Cells, and Chronic Gut Symptoms with Dr. Crane Holmes

  Jun 2, 202630 minS0

  <p>What if your gut symptoms aren’t SIBO—and aren’t improving despite treatment?</p><p>In this episode, we explore a common clinical scenario: patients with bloating, gas, and digestive issues that look like SIBO but don’t respond to standard therapies. We take a deeper look at mold exposure, mast cell activation, and histamine as overlooked drivers of chronic gut symptoms. </p><p>Dr. Crane Holmes joins us to break down how mold can impact the gastrointestinal system, why symptoms often extend beyond the gut, and how to recognize when something more complex is going on.</p><p>In thi...

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