The Turd Nerds

In this conversation, Dr. Rebecca Sand discusses a complex case of a 34-year-old female patient suffering from bloating, constipation, and other gastrointestinal issues. The discussion covers the patient's medical history, diagnostic tests, treatment strategies, and the exploration of potential underlying conditions such as SIBO and endometriosis. The conversation emphasizes the importance of a comprehensive approach to diagnosing and treating digestive health issues, particularly in women.takeawaysThe patient had a long history of gastrointestinal issues starting from childhood.Initial treatments included dietary changes and medications, which were not effective.Lab results indicated significant nutritional deficiencies, particularly low ferritin and B12 levels.SIBO was diagnosed and treated with herbal remedies, leading to some improvement.Endometriosis was identified as a potential underlying condition contributing to symptoms.Management strategies included dietary adjustments, nutritional supplementation, and lifestyle changes.The importance of addressing inflammation in the treatment of digestive issues was highlighted.Regular monitoring of symptoms and lab results is crucial for effective treatment.Walking and physical activity were emphasized as beneficial for digestive health.Understanding gynecologic conditions is essential in managing women's health issues.

The Turd Nerds interview fellow naturopathic physician, friend, and scientist, Dr. Andrea McBeth, the CEO of Thaena, makers of the one-and-only ThaenaBiotic®. Here, the Turds dive into the data behind this human-derived postbiotic supplement crafted from healthy donors' microbiomes. Unlike typical probiotics, ThaenaBiotic® delivers a rich array of microbial signals without live bacteria, aiming to support gut balance and resilience. Join us as we pick Dr. McBeth's brain to uncover more about the clinical utility of this product and how the Turds have used it in their practices. Curious about the science? Two study links are nestled below for the nerdy and the nosey.

In this conversation, Dr. Gurevich discusses the innovative field of neural therapy, focusing on its applications, mechanisms, and emotional aspects. The discussion covers the use of procaine as a tool for resetting nerves, the concept of interference fields, and the emotional implications of scarring. Dr. Gurevich shares insights on how neural therapy can be beneficial for various conditions, including GI issues and women's health, while also addressing chronic pain and inflammation. The conversation highlights the importance of understanding the emotional connections to physical pain and the effectiveness of neural therapy in holistic treatment approaches.takeawaysNeural therapy is beneficial for scarring and inflammation.Procaine is used to reset nerve function.Emotional aspects play a significant role in physical pain.Neural therapy can be applied to GI conditions effectively.The concept of interference fields is crucial in understanding nerve pain.Neural therapy can help with women's health issues, including fertility.Chronic pain can be alleviated through targeted neural therapy injections.Procaine IVs can reset the nervous system for various conditions.Neural therapy is a cost-effective treatment option.Injections should not be the first line of treatment.

Dr. Sand continues the discussion on underlying cause of bloating. We do a deep dive on various histamine causes, how inflammation can cause bloating, and various ways we can support better movement. Did you know hypermobility can cause bloating?!www.turdnerdspod.com

Dr. Sand leads us through part I of a two-part series on often missed underlying causes of bloating. Bloating can impact quality of life for many of our patients and sometimes it will persist even after treating common underlying causes, like SIBO. Tune in to learn what else can cause bloating - and what to do about it! www.turdnerdspod.com

In this episode of the Turd Nerds podcast, the hosts discuss a complex case of microscopic colitis, exploring various treatment options including the use of Budesonide and the elemental diet. They delve into the challenges faced by patients with gastrointestinal issues, the importance of a holistic approach to treatment, and the emotional toll on both patients and providers. The conversation highlights the significance of understanding the patient's experience and the need for innovative solutions in functional gastroenterology.

NSAIDs might be the go-to for pain relief, but they come with some gnarly gut side effects. The Turds unravel how these common meds can lead to gastritis, ulcers, and even long-term digestive issues—sometimes in as little as a week. From topical alternatives to protective strategies like H2 blockers and mucilaginous herbs, they weigh the pros, cons, and sneaky risks of these over-the-counter staples. If you've ever popped an ibuprofen without a second thought, this episode might just change your approach to pain management.

Welcome sleepless turds! In this episode we have decided to revisit the topic of sleep in all it's facets: the microbiome, digestive function, and a huge player... histamine! We talk through our personal struggles and triumphs on this topic.

Join the Turd Nerds as we discuss one of the most uncomfortable aspects of traveling for a lot of us... the constipation! We will guide you through some of our personally tested strategies for combating this and ways you can prepare for your next trip.

In this episode, Dr. Sand covers the intricate relationship between diet, the microbiome, and overall health. The turds discuss the impact of dysbiosis and bile acid malabsorption on metabolic dysfunction, emphasizing the importance of probiotics and prebiotics in weight management. The conversation highlights practical strategies for incorporating gut health into daily life, including the role of fiber, exercise, and detoxification. The hosts share personal anecdotes and insights, making the discussion both informative and relatable.

In this episode of the Turd Nerds podcast, the hosts delve into the intricate relationship between the microbiome and metabolism. Dr. Sand leads a discussion on how gut health influences weight management, the role of hormones, and the impact of inflammation. The conversation also touches on bile acids, testing for gut health, and the potential benefits of probiotics and prebiotics. Dr. Sand emphasizes the importance of understanding these connections to improve overall health and well-being.

In this episode, the Turd Nerds discuss Eosinophilic Esophagitis (EOE), exploring symptoms, diagnostic testing, and treatment approaches. The conversation delves into dietary interventions, the role of histamine in gastrointestinal health, and the importance of comprehensive diagnosis in managing EOE. The episode highlights the evolving understanding of EOE and the potential for integrative treatment options.

In this episode, the hosts discuss Eosinophilic Esophagitis (EOE), a condition that has gained recognition in recent years. They explore its symptoms, including dysphagia and food impaction, and the importance of accurate diagnosis through endoscopy and biopsies. The conversation delves into risk factors, potential triggers such as food allergies, and the role of diet in managing EOE. Treatment options are discussed, including pharmaceutical interventions like Budesonide and PPIs, as well as dietary management strategies such as elimination diets. The hosts also touch on herbal remedies and the importance of monitoring for fungal overgrowth during treatment.

Join the Turds for part 2 of the parasite and protozoa series. In this segment, they cover natural, herbal, and pharmaceutical options often used in their practices to address all variety of of these intestinal critters.

Join the Turds for Part I of the exploration of intestinal parasites and protozoa. In this episode, they cover testing, a thorough recap of the wide variety of protozoa and parasites that can exist in humans, and a discussion on the controversial "gray areas" with this topic.

In this episode, the Turd Nerds discuss hemorrhoids and fissures, common issues related to constipation. They cover the causes of hemorrhoids, including pregnancy, constipation, and prolonged sitting or standing. They also explain the different types of hemorrhoids and treatment options, including conventional treatments like topical analgesics and surgical procedures, as well as naturopathic treatments like the Keezy technique and herbal suppositories. For fissures, they recommend high-dose vitamin E oil and sodium butyrate. They also emphasize the importance of prevention, including increasing fiber and water intake, exercising, and proper bowel movements.

This case discussion the doctors focuses on a 74-year-old female patient with a 50-year history of constipation and uncontrollable gas. Despite trying various treatments, including medications and dietary changes, the gas issue persisted. Dr. Gurevich discusses how she treated the patient and the many attempts at resolving her chronic issue. The case highlights the complexity of such a simple symptom.

In this episode of Turd Nerds, the hosts delve into various dietary frameworks, focusing on the importance of fiber types, therapeutic diets like Low FODMAP and Whole30, and the implications of the Keto diet. They discuss the roles of soluble and insoluble fiber in gastrointestinal health, the effectiveness and challenges of different diets, and the significance of understanding individual dietary needs for optimal health.

In this episode of the Turd Nerds podcast, the hosts delve into the complexities of diet and nutrition, emphasizing the importance of individualized dietary approaches. They discuss the significance of meal spacing, the role of healthy fats in mitochondrial function, and the benefits of adequate protein intake. The conversation also touches on the relationship individuals have with food and how it impacts their dietary choices. Throughout the episode, the hosts share personal anecdotes and clinical experiences, providing listeners with practical insights into improving their dietary habits for better health outcomes.

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

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.

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.

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.

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.

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.

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.

In this episode, the Turd Nerds discuss the complications that can arise after gallbladder removal. They explain the normal physiology of the gallbladder and how it functions to break down fat. They also discuss the common issues that can occur after gallbladder removal, such as bile acid malabsorption and bile acid diarrhea. The Turd Nerds provide treatment options, including the use of bile acid sequestrants and high-dose fiber. They also emphasize the importance of supporting the microbiome and addressing underlying factors such as diet and lifestyle.

Don't miss this one! Join the IBD expert, Dr. Gurevich, as we cover: How to diagnose MC vs other types of colitis The main conventional approach Other treatments you should know The microbiome impact

As promised, the Turds are back to now discuss some key elements to liver support. They cover: Key diet shifts Top shelf nutrients and herbs Reducing toxin exposure "The solution to pollution is dilution" Other lifestyle add-ins that can make a big difference! Plus: Dr. Sand's love for chocolate Dr. Gurevich's existential parenting crisis Dr. Kapadia's gross "healthy" cookie 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: Which Turd has the most recognizable voice? Elevated bilirubin Abnormal workups and algorithms  When to order GGT and alk phos isoenzymes? Jaundice Metabolic liver disease Liver toxicants  Gilbert's... pronounced 3 ways! 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, ORDr. Ami Kapadia - Ami Kapadia, MD, ABFM, ABIHM

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/⁠⁠

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/⁠⁠

Prokinetic drug classes discussed in this episode: Explaining the Acetyl choline medications and how they act Discussion about antibiotics that show efficacy for motility PEMORA drug classes Medications that act on the mu receptors that are useful for constipation Naltrexone for constipation Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM” - ⁠⁠https://www.amikapadia.com/⁠⁠ Ilana Gurevich ND, FABNG, MSOM - https://openwellnesspdx.com/

This is Part 1 of a three part series on prokinetics. Dr. Sand leads a discussion on what prokinetics are and walks us through serotonin agonists and dopamine antagonists. If you haven't heard, there is a connection between the gut and the brain! Dr. Rebecca Sand - Naturopathic Medicine | Dr. Rebecca Sand | PortlandDr. Ami Kapadia - Ami Kapadia, MD, ABFM, ABIHM Dr. Ilana Gurevich - ⁠Open Wellness PDX | Gastroenterology & Naturopathic Physicians located in Portland, OR

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 Dr. Gurevich in a break down of when and how to use stool SIgA in clinical practice. The doctors discuss: - What is SIgA? - What does it tell us about your immune system? - How to analyze SIgA in clinical practice? - How lab values and set - How to interpret labs with an informed but skeptical view - What dietary and lifestyle modifications and change this marker - What supplements can impact the SIgA results Learn more about us at: 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/⁠⁠

In this pearl packed episode, Dr. Ilana Gurevich leads us through treatment options for traveler's diarrhea and food poisoning. We discuss supplements/medications to keep on hand, when to add what, and dietary tips to get our patients feeling better. 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/⁠⁠

Today we cover comprehensive strategies for preventing gastrointestinal symptoms while traveling. We discuss our favorite herbs, enzymes, microbiome support, immune support and medications that should be part of your arsenal when traveling to places we all tend to get sick. You don't want to miss this one! 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/⁠⁠

In this second episode on fatigue, Dr's Kapadia, Sand and Gurevich discuss more details on the workup and treatment of fatigue. Topics covered include: - underlying medical conditions to consider/work-up - lab testing - nutrient deficiencies - sleep disorders - adaptogens - mitochondrial support - the clinical picture of different types of fatigue Dr. Ami Kapadia, MD, ABFM, ABIHM: ⁠https://www.amikapadia.com/⁠ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/

Dr. Ami Kapadia leads us in a discussion about the step by step thought process in working up a fatigue GI patient. In this episode we discuss: Fatigue and sleep Sleep hygiene and fatigue Lifestyle hygiene for fatigue Blood sugar's relationship to fatigue Intermittent fasting and fatigue Alcohol and fatigue Caffeine and fatigue Anti-histamines that can affect fatigue Supplements that can affect fatigue Ami Kapadia, MD, ABFM, ABIHM” - ⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠ Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.naturopathicgastro.com/⁠

Vegetarian/vegan enzyme supplements Dr. Ilana Gurevich continues the discussion about enzyme options for our patients. Here, the doctors cover plant-based enzymes. Did you know that different enzymes work at different pH levels? Did you know that it matters when you dose the enzyme depending on what kind if enzyme it is? Dr. Gurevich goes through what all those long ingredients are on enzyme supplement bottles and tells us when to use each of them! Don't forget to go back and listen to the Animal-based Enzymes episode released 8/8/23! Dr. Ilana Gurevich - ⁠www.NaturopathicGastro.com⁠ Dr. Rebecca Sand - https://www.drrebeccasand.com Dr. Ami Kapadia - https://www.amikapadia.com

In this episode we make sense of enzyme supplements, specifically the enzymes derived from animal sources. Dr. Ilana Gurevich schools us on dozing, use and monitoring for animal-based enzymes. You'll learn how to select animal vs plan based products, when to consider this for your patients, and what conditions should be on your radar. You'll also finally get some clarity on the prescription vs supplement versions! Dr. Ilana Gurevich - ⁠www.NaturopathicGastro.com⁠ Dr. Ami Kapadia - https://www.amikapadia.com Dr. Rebecca Sand - https://www.drrebeccasand.com

Dr's Sand, Kapadia and Gurevich continue their discussion of Endometriosis. In this episode, Dr. Sand leads us in a discussion of Endometriosis and how it relates to the microbiome as well as botanical/nutraceutical support that can help symptoms of Endo. Listen for a comprehensive discussion and approach to endometriosis management. Topics covered: #endometriosis #endometriosistreatment #endo #microbiome #probiotics #sporeformingprobiotics #lactobacilli #bacteroides #botanicals #angelica #vitex #redrasberry #SIBO #antibiotics #estrogendominance #ginger #gingerol #crampbark Dr. Rebecca Sand, ND, LAc: ⁠https://www.drrebeccasand.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/

This episode is part 1 of our endometriosis deep dive. Dr. Sand leads us in a dynamic discussion about presentation, underlying causes and diagnosis of endometriosis. Other topics covered in this episode include: Endometriosis symptom pictures The overlap of endometriosis and digestive health Blood and imaging workup to for endometriosis patients Endometriosis underlying causes The association with toxin exposure and an endometriosis diagnosis Genetics and endometriosis Lifestyle tips for prevention of endometriosis onset Pharmaceuticals to treat endometriosis Radiologic findings on ultrasound Rebecca Sand ND, LAc, MSOM - ⁠https://www.drrebeccasand.com/⁠ Ami Kapadia, MD, ABFM, ABIHM” - ⁠https://www.amikapadia.com/⁠ Ilana Gurevich ND, FABNG, LAc, MSOM - https://www.naturopathicgastro.com/