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The Turd Nerds
the integrative gastroenterology podcast
80 episodes
1 day ago
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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Medicine
Health & Fitness
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All content for The Turd Nerds is the property of the integrative gastroenterology podcast and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
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. 
Show more...
Medicine
Health & Fitness
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#71 - Rethinking Reflux Meds
The Turd Nerds
36 minutes 33 seconds
2 weeks ago
#71 - Rethinking Reflux Meds

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/⁠⁠⁠⁠⁠⁠⁠⁠
  • ⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠

Ilana Gurevich ND, FABNG, LAc, MSOM

  • ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠
  • ⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠

Ami Kapadia, MD, ABFM, ABIHM

  • ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠



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.