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all right today we’re going to talk about bile  acid diarrhea that’s right bile can cause diarrhea  

as a side effect because bile inhibits the  reabsorption of water and so too much bile  

can lead to diarrhea so you would never want to  take bile salts including the gallbladder formula  

if you have diarrhea okay because that’s just  going to make it worse now many times when people  

have their gallbladder removed what happens  is now they just have a duct from the liver  

to the small intestine there’s no gallbladder  left so there’s really no way to regulate  

the amount of bile that’s going into the small  intestine because the gallbladder normally stores  

bile and then you eat and it contracts and  it pushes bile into the small intestine every  

time you eat but now there’s just a duct if that  duct is too big and it’s just draining too much  

uh it can lead to a lot of complications and then  what happens your doctor will give you medication  

to block that so we don’t have as much bile  now there’s a couple other reasons why you  

might have diarrhea from bile because your liver  makes bile those are called primary bile acids  

but then also the intestine will make bile salts  as well but what’s normally supposed to happen  

because your body is very very efficient with  bile you’re supposed to recycle 97 of all the  

bile that’s going through the small intestine  it acts like a detergent that can actually kill  

microbes because normally you shouldn’t have  bacteria in your small intestine just the large  

intestine so it’s supposed to kill everything  through there and then get reabsorbed at the last  

part it’s called the distal part the  last little part of your small intestine  

okay if there’s damage within that part of the  intestine or you have iliitis inflammation of the  

ilium or you have some type of inflammation  in that area you’re not going to reabsorb  

that bile so therefore you’re going to have more  bile than you really need and that can create  

diarrhea so this is why you might see this in ibs  or even sibo which is small intestinal bacterial  

overgrowth because the bile is not actually  killing the microbes in the small intestine so  

therefore the microbes are now living there  they’re growing and they’re robbing your nutrition  

and when you consume food you’re going to get  a lot of bloating so one thing you can do is  

get a stool sample to find out if this is what  you have because they can identify in the stool  

how much bile you have versus other things  the other thing you can do to slow down the  

diarrhea is to consume fiber fiber tends to bind  with the bile and it will slow things down i would  

highly recommend you do what’s called low fodmap  vegetables i’m going to put a link down below for  

more information on that but that would be things  like carrots green beans tomatoes zucchini spinach  

radish kale cabbage because certain foods that  are high in fodmap which are certain types of  

carbohydrates that can create more bloating  are going to be worse for you the other thing  

you want to cut down in this fat because fat  stimulates the bile production so i just wanted  

to give you a couple tips on this if you have this  condition it can be very devastating and there is  

some things you can do about it hey before you  go real quick i have a course entitled how to  

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