Welcome to the Dr. Berg's Healthy Keto and Interminute Fasting podcast, where Dr. Berg takes you on the journey for the truth about getting healthy and losing healthy weights.

I want to answer the question, why does weight loss sometimes increase the risk of gallstones?

Take a look at this. Your fat cell is composed of triglycerides and cholesterol. A lot of people don't realize this, especially the amount. If you're of a normal weight and you're not overweight too much, 25% of that fat cell

is made from cholesterol. But if you are obese, 50% of that fat cell is going to be

composed of cholesterol. So when you start losing weight, this cholesterol is going to come out.

This is why a lot of times on the ketogenic diet, the cholesterol is higher initially because

it's being dumped by the gallbladder. But what you have to

realize is there's a control mechanism of this cholesterol, especially to get rid of the excess.

And that has to do with bile. Bile salts. Bile salts help control the excess of cholesterol. And it's the lack of bile that can cause a

gallstone because you have this super concentrated cholesterol without enough bile, and then you get a

gallstone. So gallstones are caused by a bile deficiency. Now, if you add high insulin to this picture right here,

as well as a low-fat diet, so let's say someone is obese, you know they're going to have high

insulin. And you know in the past, they probably have been on a lot of low-fat diets, right?

Well, they're going to have low amounts of bile bile and they're going to be at risk for getting gallstones so the solution is to

go in a diet that's low carb to reduce the insulin and take purified bile salts i have done a lot of

videos on this topic right here because biosols are quite magical what they can do

in the body. But in the gallbladder, what they're going to do with fat is they're going to

help break down the fat molecules because the enzymes come from the pancreas, specifically

lipase, cannot break down these globules of fat. These fat compounds have to first be broken down

enough so the enzyme lipase can take effect. And that's where bile comes in. It's like a detergent

that breaks down the grease. So now this enzyme can take it down all the way to the smallest

particle so your body can absorb it.

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