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Digest Fats Easier | Tips for Keto with no Gallbladder- Thomas DeLauer. In this video, Thomas will provide some simple and specific things that you can do to make the digestion of fats easier with or without a gallbladder. Study – Journal of the American Gastroenterological Association:

The main role of the gallbladder is to store bile, and in turn, the role of bile is to digest fat – people assume eating a lot of fat is somehow linked to an increased risk of gallstones, which are solid deposits of cholesterol and bile that can form in the gallbladder. Most of the cholesterol in the bloodstream is made inside the body (as part of a tightly regulated process inside the liver), not derived from the diet.
None of the common causes of gallstones (including inherited body chemistry, body weight, low gallbladder motility, and low-calorie diet) are linked to the keto diet.

A meta-analysis compared those who lost weight on a low-fat diet versus a low-carb diet and found that those on the low-fat diet were more at risk of developing gallstones, with those on a high fat diet having a reduced number of gallstones. Additionally, eating high fat is thought to stimulate gallbladder emptying, which could be even protective against stone formation. In other words, it is possible to follow your original diet after gallbladder surgery. However, you may have to make adjustments before your body can adapt to fat digestion:

Keto without a Gallbladder- Slowly Increase Fat Intake:
It’s typically recommended that you avoid very high-fat and low-fiber meals right after surgery as if you ingest a lot of fat with a small amount of fiber in one sitting, then you are much more likely to experience diarrhea or indigestion, but most people return to a regular diet within a month after surgery. You need to take a much slower approach to the keto transition than most people would.

Ideally, slowly increase your fat intake and eat smaller meals on a more frequent basis until your body adapts to higher fat meals, then see how your body reacts before adding additional fats to another meal. If your stools don’t change much, you can try adding a little bit more fat to your meals the following day.

Pair Fats with Soluble Fiber:
When you add more fats to your meals and you notice your stools becoming greasy or oily, there’s a good chance your body is unable to digest all the fats you’re eating. Pair soluble fiber with your meals as soluble fiber attracts water and turns to gel during digestion, which slows digestion – pulls water into the digestion process and essentially turns it into a gel-like substance to help your body break down food and fat properly.

Eat Foods that Increase Secretion of Bile:
The more bile your liver produces, the easier time your body will have breaking down your additional fat intake.

Artichokes- Artichokes stimulate bile production in the liver and increase its flow into the intestines. A study published in the journal Phytomedicine looked at the effect artichoke extract vs placebo had on bile secretion in 20 people. Researchers found that in the artichoke group: after 30 minutes after the test-substance was administered there was a 127.3% increase in bile secretion was recorded, after 60 minutes, 151.5%, and after another 60 minutes, 94.3%. The highest increase in the case of the placebo (139.5%) was seen after 30 minutes (1)

Ginger (and lemon)- Ginger stimulates the secretion of gastric juices like hydrochloric (HCL) acid and bile – it has also been shown to inhibit inflammation of liver tissue aiding in the removal of toxins;

ACV- Apple cider vinegar contains malic acid which can help thin bile for efficient flow from the liver – allows for more bile production and bile flow, resulting in easier fat digestion.

References:
1) Kirchhoff R , et al. (n.d.). Increase in choleresis by means of artichoke extract. – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23195882
2) R, G. (n.d.). Anticholestatic activity of flavonoids from artichoke (Cynara scolymus L.) and of their metabolites. – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/12211745
3) Soluble vs. insoluble fiber: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved from https://medlineplus.gov/ency/article/002136.htm
4) Zhou Y , et al. (n.d.). Dietary Natural Products for Prevention and Treatment of Liver Cancer. – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26978396
5) http://biomedj.cgu.edu.tw/pdfs/2013/36/1/images/BiomedJ_2013_36_1_9_107154.pdf

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