So let's talk about what causes the clubbing appearance of your nail, where the nail becomes

thickened, becomes enlarged, it starts to create a little bit of a convexity as it enlarges

right here. So this is the appearance of a club nail. But what's behind it? Well, there's

several things that it could be. One would be related to the heart. You have maybe a

hypoxic condition where you're just not getting enough oxygen and it's showing up in the

nails. And there's another condition which is genetic involving the structural part of

the heart. And because you're born with that, you're going to develop this appearance

early on. Also, the lung. If there's a condition called sarcoidosis or you had TB, that could

create disappearance. Now, you could also have a problem in your gut, malabsorption, where

you're not able to pull in the fat type of vitamins or vitamins in general, that can create

that appearance. It could also come from a type of thyroid condition called graves, which

is a hyper thyroid condition. And it's an autoimmune condition. And lastly, it could come

from your liver. So if you have cirrhosis or it could be fibrosis or scar tissue over

the gallbladder or the little ducts, they're called bile ducts. And that can create a big

problem with the liver, which can affect all sorts of nutrient issues as well as structural

problems throughout the body. Not just the nail, it can create hair problems and skin issues.

And as a side note, a very good remedy for this would be bile salts, by the way, that

actually will help reverse some of this fibrosis.