Video

Transcript

today we’re going to answer the question

can you actually do keto and

intermittent fasting if you have a

gallstone

the first question is

what is a gallstone made of now there

are several different types of

gallstones but the most common is the

cholesterol gallstone but all of them

have several ingredients in common they

contain some cholesterol they contain

some bilirubin which is a pigment as a

byproduct from the red blood cell they

have phosphates and calcium carbonate

okay so that’s what makes up a gallstone

so the next question is what actually

causes a gallstone so it’s a combination

of mainly two things but there’s some

other things but mainly it’s two things

too much cholesterol with too little

bile when you don’t have enough bile you

get this super saturation of cholesterol

and it can form into a stone especially

if there’s congestion within the

gallbladder and maybe the gallbladder is

not Contracting properly or something is

blocking it or you have sludge in there

that’s what basically creates this Stone

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my live q a each week so the most

important thing you need to know about

this video is that

the composition of a gallstone

is not the same thing as bile bile is

made in the liver up here

okay liver

and it drains down through a little tube

and it goes into the gallbladder which

is just a sac

and the purpose of the sac is to

concentrate bile salts so in the

gallbladder you have this really

concentrated solution to bile salts like

20 times concentrated

this bile salt that’s super concentrated

is not the same consistency as what’s in

a gallstone so sometimes people think

that a gallstone is really concentrated

bile a gallstone is created with the

deficiency of bile and at the same time

too much cholesterol so the majority of

a gallstone is made out of cholesterol

simply because there’s not enough bile

there

so

so this is important because when you do

fasting you’re going to be

concentrating the bowel even more and

that is not going to trigger a gallstone

so fasting does not cause gallstones at

all now the next thing you need to know

is what else can cause a super saturated

amount of cholesterol and that is a

situation where the gallbladder is not

Contracting anymore it’s not releasing

its bile so it just sits there and

there’s cholesterol that comes in there

and it forms Stones so if you’re not

triggering the gallbladder to release

its contents over a long period of time

that could potentially cause a gallstone

so now the question is what actually

triggers the release of this bile

from the gallbladder what causes it to

contract well guess what

saturated fats

Etc the fats well guess what a ketogenic

diet is it’s a high fat diet it’s a low

carb high fat so when you do keto you’re

going to be releasing a lot of this bile

on a regular basis if you add

intermittent fasting you’re going to

concentrate the bile so these two things

right here keto and if done healthily

actually decrease the risk of gallstones

what increases the risk of gallstones is

a low-fat diet why because there’s not

enough fat to trigger the release of

bile to dissolve the stone to keep it

from saturating

couple other things you need to know

high estrogen especially when a woman is

pregnant for example or on birth control

pills or hormone replacement therapy can

also trigger gallstones also High

insulin as in diabetics especially type

2 can also increase the risk of

gallstones and guess what keto is it’s

the opposite of this you’re normalizing

insulin you’re lowering it so you can

improve the situation and the other

thing that you need to know is a common

treatment for gallstones is taking

purified bile salts Okay so

really gallstones are coming from too

little bile not too much all right

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