Gallbladder Problems and Prolonged Fasting | DrEricBergDC

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some people develop gallbladder symptoms when  they’re doing a prolonged fast okay i’m talking  

about like gastritis would be a symptom pain or  tightness in the right shoulder area or pain or  

tightness underneath the right ribcage or even  burping or belching all these symptoms could  

be a problem with your bile and gallstones or  gallbladder sludge which is a situation where your  

bile is too thick develop as the concentration of  cholesterol goes up and the concentration of bile  

goes down now i have two diagrams i want you to  look at on the diagram on the left you have this  

little gallbladder with low cholesterol and higher  amounts of bile okay so the green is the bile  

and the white is the cholesterol okay that is  normal the diagram of the gallbladder on the right  

has a high concentration of cholesterol and  a low concentration of bile that is abnormal  

because the formation of a gallstone occurs when  you get this higher concentration of cholesterol  

so we have this high concentration of cholesterol  low concentration of bile that develops bio sludge  

which is just a thick bile concentration because  there’s too much cholesterol in it and then  

eventually that can lead to a gallstone now what  does this have to do with going on a ketogenic  

diet or doing fasting well when you are in fat  burning the fat is going to release triglycerides  

and cholesterol so when you’re fasting especially  when you’re doing prolonged fasting and you’re not  

eating any fats that cholesterol is coming from  your own fat now normally the maximum saturation  

of cholesterol happens at 15 hours of fasting but  as soon as you eat or get to 20 hours of fasting  

the concentration comes down normally unless you  have a pre-existing liver problem or pre-existing  

gallbladder problem or you’re deficient in bile  for some reason or you’re lacking intestinal flora  

because you had an antibiotic at some point and  then intestinal flora the friendly microbes can’t  

make enough bile so you’re going to be deficient  so when there’s liver problems whether you have a  

fatty liver or you have an inflamed liver or you  have cirrhosis or scar tissue you’re not going to  

make enough bile and if your intestines don’t have  the friendly microbes that could be another reason  

why you’re not going to make enough bile and  because you don’t have enough bile and you do a  

prolonged fast you may end up with these symptoms  because the concentration of cholesterol is going  

up and the concentration of bile is going down  now what is the solution to this well over time  

your liver is going to get better your gallbladder  is going to get better your microbes and your gut  

are going to be more diversified there are so many  benefits of prolonged fasting so i don’t want you  

to stop this i want you to continue it the simple  solution is to add some purified bile salts  

while you’re fasting on an empty stomach i  would recommend taking two in the morning  

and two in the afternoon and that way that  extra bile will help you to break down this  

cholesterol and get the ratio of more bile salts  to cholesterol and so this extra bile can get rid  

of this cholesterol that’s coming from your fat  cells all right so that is the simple solution  

to gallbladder symptoms when you’re fasting hey  before you go if you’re benefiting from any of my  

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