BILE HEALTH: how to support fat-digestion (with or without a gallbladder)

BILE HEALTH: how to support fat-digestion (with or without a gallbladder)

WHAT IS BILE?

Bile is necessary for fat digestion, nutrient absorption, microbiome balance, and toxin excretion.

This thick, greenish liquid is produced from cholesterol in the liver and stored in the gallbladder.

Bile is released when you eat fat, working like soap to break down the globules for easier digestion.

ROLES OF BILE

bile health
roles of bile

Imagine the consequences of NOT having adequate bile: bloating, gas, loose stools, fatty acid deficiency, nutrient deficiency or excess, dysbiosis, hormonal imbalances, and increased toxic burden.

WHAT SLOWS BILE FLOW?

Not only is bile essential for reaping the benefits of a nutrient-dense diet, nutrition is a powerful way to support a healthy liver, gallbladder, and bile flow.

A high-sugar, low-fat diet does not require much bile, which can slow the flow and contribute to gallstone formation.

WHAT SPEEDS BILE FLOW?

On the other hand, a high-saturated-fat diet can rev up bile flow, which then contributes to dysbiosis in the large intestine.

Instead of being resorbed or excreted, bacteria convert the excess bile into cancer-causing metabolites.

The best way to support balanced bile flow is to eat a diverse, whole-food diet full of healthy fats and colorful plant foods.

WHAT IF I DON’T HAVE MY GALLBLADDER?

Your liver may still be able to produce bile, but it will trickle into the gut rather than being released after a meal.

You may need additional dietary or supplemental support to help your body compensate.

SUPPORT HEALTHY BILE

TASTE BITTERS

gentian, dandelion, artichoke, or a tincture made from bitter herbs

ADD BILE SALTS

take isolated bile salts or ox bile supplement with fat-containing meals

BALANCE FAT

regular fat consumption is necessary to keep bile flowing, but too much saturated fat can feed dysbiosis

INCREASE FIBER-RICH FOODS

beets, okra, eggplant, asparagus, and carrots bind & pull bile from the system, supporting production

support healthy bile

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References

Ajouz, H., Mukherji, D. & Shamseddine, A. Secondary bile acids: an underrecognized cause of colon cancer. World J Surg Onc 12, 164 (2014). https://doi.org/10.1186/1477-7819-12-164

Bravo E, Flora L, Cantafora A, De Luca V, Tripodi M, Avella M, Botham KM. The influence of dietary saturated and unsaturated fat on hepatic cholesterol metabolism and the biliary excretion of chylomicron cholesterol in the rat. Biochim Biophys Acta. 1998 Feb 16;1390(2):134-48. doi: 10.1016/s0005-2760(97)00174-4. PMID: 9507091.

Cholegogues. ND Health Facts. Retrieved from: http://www.ndhealthfacts.org/wiki/

Cholagoguede Aguiar Vallim TQ, Tarling EJ, Edwards PA. Pleiotropic roles of bile acids in metabolism. Cell Metab. 2013 May 7;17(5):657-69. doi: 10.1016/j.cmet.2013.03.013. Epub 2013 Apr 18. PMID: 23602448; PMCID: PMC3654004.

Devkota S, Chang E, B: Interactions between Diet, Bile Acid Metabolism, Gut Microbiota, and Inflammatory Bowel Diseases. Dig Dis 2015;33:351-356. doi: 10.1159/000371687

Gaby, A. R. (2017). Nutritional Medicine (2nd ed.). Fritz Perlberg Publishing.Guzior, D.V., Quinn, R.A. Review: microbial transformations of human bile acids. Microbiome 9, 140 (2021). https://doi.org/10.1186/s40168-021-01101-1

Han S, Zhang R, Jain R, Shi H, Zhang L, Zhou G, Sangwung P, Tugal D, Atkins GB, Prosdocimo DA, Lu Y, Han X, Tso P, Liao X, Epstein JA, Jain MK. Circadian control of bile acid synthesis by a KLF15-Fgf15 axis. Nat Commun. 2015 Jun 4;6:7231. doi: 10.1038/ncomms8231. Erratum in: Nat Commun. 2015;6:8270. Han, Sean Shuxin [Corrected to Han, Shuxin]. PMID: 26040986; PMCID: PMC4457302.

Hegyi P, Maléth J, Walters JR, Hofmann AF, Keely SJ. Guts and Gall: Bile Acids in Regulation of Intestinal Epithelial Function in Health and Disease. Physiol Rev. 2018 Oct 1;98(4):1983-2023. doi: 10.1152/physrev.00054.2017. PMID: 30067158.

Hundt M, Basit H, John S. Physiology, Bile Secretion. 2022 Sep 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 29262229.

Jones, D. S., Bland, J. S., & Quinn, S. (2010). Textbook of Functional Medicine. Institute for Functional Medicine.Talwinder S. Kahlon, Mei-Chen M. Chiu, Mary H. Chapman. Steam cooking significantly improves in vitro bile acid binding of beets, eggplant, asparagus, carrots, green beans, and cauliflower. Nutrition Research. Volume 27, Issue 12, 2007, Pages 750-755, ISSN 0271-5317, https://doi.org/10.1016/j.nutres.2007.09.011.

T.S. Kahlon, M.H. Chapman, G.E. Smith. In vitro binding of bile acids by okra, beets, asparagus, eggplant, turnips, green beans, carrots, and cauliflower. Food Chemistry. Volume 103, Issue 2, 2007, Pages 676-680. ISSN 0308-8146, https://doi.org/10.1016/j.foodchem.2006.07.056.

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