Cirrhosis, Bile Salts & Your Microbiome – Liver Disease Treatment Dr. Berg | DrEricBergDC

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Transcript

hey guys today we’re going to give you

an overview of your liver bile and the

microbiome okay because they all work

together so these are the players

involved in bile production so let’s

just kind of start with what is bile

okay well first of all you have the fat

or oil and you have water right they

don’t mix too well so basically when you

consume food and some of that’s going to

be fat it’s not going to really break

down in a water-based situation so bile

is used as a detergent it’s an

intestinal detergent okay that’s what it

is it’s soap so if you were to have a

greasy hands and wash your hands with

soap you would get rid of the grease if

you wash your hands without soap it’s

going to be real hard to clean them so

try to digest without bile it’s gonna be

really hard so if we actually take a

look at oil okay if I just open this up

here and do my demo and pour in my bile

detergent great I just kind of spilled

all over my hand here keep it nice and

clean here alright so I poured my vial

in there my detergent and then I go

presto and just shake a little bit BAM

look at that it’s all being emulsified

right now in other words the detergent

breaks down the fat particles and what

happens it breaks them down to smaller

particles okay so bile basically breaks

down your fat and then you have the

pancreas which comes along and releases

enzymes to break it down even further so

you can actually pull in the fat table

of vitamins and the essential fatty

acids omega-3 fatty acids and like DHA

which is good for the brain so so that’s

kind of the function of bile and so

there’s many different things that can

happen that can actually interfere with

your bile production one is you have the

gallbladder removed so now you’re not

going to have a concentrated bile

anymore normally with the gallbladder

supposed to concentrate the bile but

20 times so if you don’t have a

gallbladder it’s not concentrated it

trickles down from the liver and goes in

your small intestine and then it

basically you know doesn’t it’s not

concentrated so it’s not going to be as

effective okay so you’re going to have

undigested fat and you’re gonna have

less fat soluble vitamins less omega-3

so that’s one aspect it could be that

you’re not taking enough omega-3 fatty

acids or enough fat type of vitamins

from your diet that’s another reason why

you can have a deficiency of those those

vitamins and health factors now if the

liver is damaged okay let’s say it’s

fatty it’s inflamed you have hepatitis

or you have scar tissue cirrhosis you’re

not going to be able to produce as much

bile so you’ll have a bile deficiency

from that alone so many people who have

insulin resistance because we’re eating

too much chronic elevation of sugar and

starch develop inflammatory conditions

of the liver and then you start getting

all sorts of problems with the fatty

liver and then you can’t produce bile so

that’s another aspect that you should be

aware of but the microbiome all the 10

trillion bacteria they’re not all in the

gut but good portion of them are helped

to recycle the bile so your bile is

recycled 4 to 12 times in a given day

okay 95% of all the bile is recycled so

your body is very very efficient so if

you don’t have enough bacteria in your

gut in the small I’m sorry the large

intestine that could be the reason why

you don’t have enough bile to be

recycled to have it work in the body so

we want to look at all the different

aspects especially after antibiotics or

you have some type of imbalance like

diarrhea you lost all that that might

that microbe there and then also the

other thing I would have mentioned is if

you don’t have enough file either

because you don’t have a gall bladder or

because the livers damaged that alone

can create an overgrowth of pathogenic

bacteria in the gut so we need the the

bile to balance out

this might microbial life it doesn’t

seem to interfere with the good bacteria

only the bad bacteria so it actually

will kill off and dissolve the outer

shell of the bad bacteria so you can see

it’s very dynamic and each thing works

together and I just wanted to bring

bring this up of all the players

involved with bile and it could happen

from the liver

it could happen from the gallbladder you

can be deficient from the diet or the

gut thanks for watching hey guys so

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