Ep:392 MYTHBUSTERS: GALLSTONES AND BILE ON A KETOGENIC DIET

[@rdbchurnowski]

Had a very painful attack June 2023. Doctors did a CT scan and determined that it was my gallbladder. They treated it and relieved the pain. Said I could go home and be fine. I elected to have it out. Thought I needed oxbile, but turned out its not needed. My daughter said thats what I get for being on carnivore diet. 🙄It was a blessing in disguise. They found a tumor on my kidney. I had a partial nephrectomy in November 2023. Was cancererous. Went back on the carnivore diet, my recent ct showed I was clear.😊

[@DangerZone-w6y]

Your daughter needs to be correctly educated. She's buying in to the lie and propoganda, because it some how makes her feel good.. but it's misguided.

[@rdbchurnowski]

@@DangerZone-w6y What I didn't say was that she is nurse. Indoctrinated in the standard American diet, food pyramid. I, however have found the true path to health. BBBE. Beef, Butter, Bacon, Eggs. Add some salmon, sardines, tuna, occasional yogurt, and multi vitamin. No cheese, milk in coffee. Down 35 pounds.

[@alimccoy9132]

Super!

[@ImiChitterman]

As this video explaned, the year when the stones and issue begins are wall back 10 or more years ago. however, it shows up someday, maybe today or maybe sometime down the road. I guess most people who getts the trigger, believe the trigger is the problem.

[@AedanBlackheart]

@@rdbchurnowski You don't eat any vegetables or fruit at all?

[@lizann3058]

Hi, a 71 year old Aussie here. I made history at our local hospital when my gallbladder was removed at 13. For months, my GP had to visit our home around 7:30pm on a Wednesday night just as Bonanza was coming on TV. I'd be in excruciating pain...throwing myself over the kitchen table in order to catch my breath. Given my age, a diagnosis was delayed...I wasn't "fair, fat and forty". Wednesday was our sports day at secondary school...the exercise caused gravel to move and block the duct. I recall my specimen jar containing two or three large stones with gravel. Surgery back then involved a very long opening and around 26 or 27 stitches. There were no instructions for after-care, aka nutrition. At around 33 years of age I was put on statins for cholesterol. Actually, initially it was an unpleasant white chalky drink...statin pills came later. I had over 30 years of no butter, cheese, red meat, eggs or full cream milk, along with statins. Around 2020 I commenced 18/6 fasting without realising...I was busy at the time and kept delaying breakfast. I reintroduced eggs, ghee, cheese and red meat into my diet and a yearly cholesterol check resulted in a reading of 4.7...I think it is measured differently here in Australia. Even so, I was informed I would be on statins forever. I've since thrown them out! After constipation and gas became a problem I started a bile salt and magnesium. My only other supplement is vitamin D/K2 and my BP is on average 119/75. You don't realise you had brain fog for approx 37 years until you no longer have it. Since becoming an advocate for my own health I've felt fantastic however, I'm extremely grateful for the informative, genuine KZbin doctors. Apologies for the full-length novel 🇦🇺 🐨

[@kiainfpe9]

Brilliant! 👌 Thank you for the thorough biological breakdown and your medical experience with this issue. As a non-medical industry human, I now have a much clearer understanding of how it all works 😊

[@jrobb316]

I had gallstone pancreatitis and was basically hospitalized for 2 months for it at age 41. Then I went keto and lost 100 lbs in a little less than a year. After the pancreatitis calmed down, 8 months later I had the gallbladder taken out. Took the very experienced surgeon and her team 4 hours (was still done laparoscopically) instead of the typical 90 minutes as it was in pieces and my body had isolated it by building fat all around it. Now at 43 im close to being the best shape of my life or certainly in decades. Been stuck on a weight loss plateau for like 6 months, probably going to cycle in some carnivore and longer fasts to break through.

[@sharoncockrill3676]

I was diagnosed with gall stones about 4 years ago. They said they were flat and filled 10% of my gall bladder. I declined surgery at the time, as I didn’t think I was having any symptoms, as I wasn’t having any pain. Thank you so much for this information. I will be listening to it again.

[@jadeweissleader4008]

I went Carnivore feb 22, in November of 23 my gallbladder spontaneously flushed after taking betaine hydrochloride and heavy cream with butter. It took 14 hrs and was rough, but it was a life chamger. I no longer suffer debilitating headaches that shut down my digestion.

[@markleblanc451]

If you do not have a gall bladder, let not your heart be troubled. This subject has been one of the most discussed issues I have seen thousands of times in carnivore groups for years. I've been doing carnivore going on my 7th year now. My gall bladder was removed about 15 or so years ago. Eating fat for me is a balancing game but I think I have it down pretty good now. You have to carefully titrate your fat intake if you don't want to have diarrhea on a consistent basis. I buy grass fed beef in the 90/10 fat/lean ratio (I know some of you die hard carnivores are rolling your eyes right now). I can't eat all of the fat off of my ribeye and trim some of it off (eye rolls again). I eat mostly scrambled eggs (about 6-9 per day) blending them with a hand blender to combine the protein with the fat. If I eat eggs over easy, it can send me over the edge and have diarrhea because of the bolus of fat from the yolk. A typical breakfast for me after a fasted workout is a ribeye (12oz), 3 eggs and 4 slices of bacon. I do pat the rendered fat off of the bacon. Don't get me wrong, I love the taste of the fat but I have to be very careful. If I'm getting greasy stools, I cut back a little. If I'm constipated, I try to add more fat and like I said, its a balancing game and not easy to play. You'll find your n=1 ratio you just have to be patient. Key word is "adaptation" and yours may take weeks, may take months or may take years but you'll get there. Good luck and God bless.

[@JTA-q1m]

This Dr Cywes video is so informative and straightforward. I had my gallbladder removed 02/24 and thankful it was done. For those going through all the gallbladder drama, this type of detail definitely helps people to more fully understand so they can make the right decisions moving forward. I've heard or read gallbladder issues can be caused from low fat, high carb diets. Is this true?

[@ianstuart5660]

Very true!

[@markujcich4245]

My mother had two bouts of pancreatitis and it almost killed her. She was on a blood thinner so it was a complex process to remove her gallbladder. Great episode!

[@HeyChantal]

Had mine removed before I discovered HFLC and the carnivore lifestyle … I don’t supplement and I eat about 70% fat … thank you for this video because I was wondering if I should be using ox bile … happy to no longer worry about whether I should do that 🎉

[@suzannewhitaker3507]

Gall bladder attack: The worst pain in my life, the only time in my life that I fainted. I'm doing fine on keto.

[@suzannewhitaker3507]

PS. I had my gall bladder out.

[@Pamela-yn8yo]

Yes, I know that pain. 😱 But I still have my gallbladder 30+ years later.. * This is an excellent video

[@wattwattyonline]

thats what i thought till i ended up with Pancreatitis from a gallstone, made my gallbladder pain seem like a walk in the park

[@cruiselover9903]

@@Pamela-yn8yohow did you make sure there is no more attack? Any suggestions in terms of diet?

[@primerib2928]

Thank you for doing this video. For years there have been ridiculous videos on cleanses. I didn’t fall for any of them. I have stones and at the beginning of going low carb, I had a couple of GB attacks. I’ve been low carb 2 years now and I haven’t had any issues since first starting.

[@dollyrocker40]

20 years ago I had acute pancreatitis caused by a stone I ended up in intensive care I nearly died but I didn’t I lost most of my pancreas only have the pancreas tissue left on the head I’m now diabetic I have been pretty lucky I’m on carnivore diet and o have been reducing my insulin as I’m type 3C diabetes now but I’m down 20 units background insulin to 8 units I’m reducing it every day now slowly but sure I’m hoping to come of it I do still make a tiny amount of my own insulin it’s been hard but I will beat diabetes I’m adamant Thanks Rob for your great information on videos. Faye U.K.

[@jimbeaver27]

thank you for making the whole bile thing clear

[@edcannon7521]

wish you had done this video about 5 months ago. I had my gall bladder removed then. You just re-assured me that I made the correct decision!

[@alimccoy9132]

WHEW! This is a course on my insides! Love all the "inside" information you have and share! You are so unique and helpful!

[@faylouise8169]

Very good explanation, I did have an episode about a year or so after going low carb, I had tons of the small black stones, with some regular ones. I have hyperbilirubinemia Gilbert's syndrome. I was shocked how much came out, four days of hell. Who knew! I had had a few months earlier an ultrasound with the comment 'normal for age' which says absolutely nothing LOL, and so it came to be, my body got rid of them, I thought I was close to dying. I never had any symptoms of gallstones whatsoever at any point in my life other than that clearing episode. Absolutely disgusting what came out.

[@patvaughn9987]

Another excellent video filled with easy to understand information. Thank you!

[@sammy6176]

Selfishly because I’ve had my gb removed I could hear you talk about the procedure and especially after care info - how digestion is affected etc. my attacks I used to get would last between 4 - 8 hours!!! And they were the worst pain I’ve ever experienced. I’d get them about twice a week once the symptoms started. While I was having an episode the only thought was:, “death” but you don’t the pain just goes on. I’ve heard it can sometimes be mistaken for a heart attack 🤷‍♀️so at the worst imagine a heart attack that doesn’t stop!!!!It can be awful for some. I had it removed in 2012 and touch wood I’ve been lucky not to have any issues. Enjoyed hearing your break down of the subject, thank you very much❤

[@JackieUnfilteredASMR]

You’re my favourite 🎉Dr! 🎉Hello from Ontario Canada 🇨🇦

[@arwenhardy1995]

Oops, you did it again...brilliant discourse; now I'm turning you back into an idol.😂✌️💖

[@LobsterMobility]

Cool video mate. Andre

[@robertbucsh8840]

I wish I had seen this video 35 years ago when my wife had gallstones. I would have had an understanding of her symptoms. She had an ultrasound that showed "sand" in her gallbladder. She had her gallbladder removed. It is interesting that her gallbladder was broken for ten years or more before her attack which was triggered by a high fat meal.

[@Bama_J]

Another informative video. Thanks

[@47445]

I don't understand! Why can't they just take the gall stones (and current standing bile) out of the gallbladder???? Then you can keep the gallbladder

[@enidcronin9704]

If the stones are very small or sludge they can do an ERCP. Which can basically flush them out. This is done endoscopically but they have to be small enough to pass through the bile duct.

[@nonsolorasatura9093]

​@@enidcronin9704Why don't exist a way,under surgical operation, to melt them? Or under endoscope maybe make a larger cut and flush out everything, while put later the filtered fluid back? Or eventually fragment them as happen with ESWL or PCNL or RIRS as used for other stones?

[@planner722]

I wish you would touch on bile malabsorption. I suspect this is an issue for me. I have Crohn’s-D with the ileum inflamed. I’ve had diarrhea pretty much all the time since I’ve been low carb (less than 15g/day) for the last 3 months (I’m also doing 18 to 20 hr fasts per day.

[@goldstar846]

When I first started keto I went hard, knew it all. About a month in I decided to give mct oil a crack. I had a teaspoon on an empty stomach. Within 5 minutes I was overwelmed with a sudden life ending searing pain, I couldn't even breath to tell my hubby to call an ambulance. THANK THE LORD. within 60 seconds it passed. And I was completely fine. I had experienced a bile flush. As excruciating as it was, this was the best thing that happened to me. One month into my keto journey I opened my sluggish gall bladder that previously would not let me eat fat. So many things to learn!!!

[@goldstar846]

Side note. Since then I have also had my allergies checked and I am highly reactive to all things coconut. So my bile flush might have been exacerbated by an allergic reaction. But anyway it was a good thing inthe end.

[@alimccoy9132]

MCT threw me into the same thing. It must be too pure and strong, I guess. Isn't the way Dr Cywes explains this system helpful? He has held many GB's in his hands.

[@rajeevarora190]

You mentioned that you will show an image but somehow missed it. It will be nice if you can include some reference slides with text images in your videos - they will help us remember all the nicely explained and valued information.

[@luigirigolio4690]

What about Intermittent fasting/One Meal a Day after gallbladder is remouved?

[@GabrielaBaciu-ji1sn]

Hi @DrCywesCarbAddictionDoc! What about the people who have from time to time attacks and have no gallstones? It results in vomiting and headaches and it takes a couple of days for the attack to pass.

[@paulafelipe1694]

Dr. It would be interesting if you did a video on what you eat in a day.

[@heavenbound-1957]

Thank you for this video. I am seeing a surgeon to see if I should have my gall bladder removed. I have had stomach problems for a long time so did not know the symptoms was my gall bladder. I had an MRI as I have to have very large cysts on my kidneys removed. When they did the MRI they found my gall bladder was filled with stones. My urologist said he wanted the surgeon to look at the MRI before he does his surgery.

[@martineleven8179]

My missus had pain on right side of lower ribcage, doctor gave her amitriptaline, wtf, I thought it was gallstones, what I did was squeezed half a pint of fresh lemon juice & mixed it with half a pint of olive oil & had her sip the mixture through a straw over an hour or so, she was on the bog like bonkers, she's never had the problem since, she obviously passed the lot. She is now on a ketogenic diet as myself, never had a problem since. I noticed you mentioned lithotrypsy , well my father had kidney stones and they performed it, after that he suffered with crumbling discs in his spine, funny that,not. Try to do things naturally and eat simple food , cut the sugar&carbohydrates.

[@sunshinekis8583]

Dr Cywes, thank you for such an important informative video.😊❤ Question: How to prevent getting stones? Is then high fat low carb diet a key NOT to develop them? Does higher cholesterol cause more crystals to produce?? Thank you

[@bclname9800]

Very informative! My gallbladder was removed years ago and it helped immensely. Could you speak to EPI? I have been prescribed enzymes (creon) because apparently my pancreas is not producing enough.

[@1taxibill]

TY Dr. Great informative video.

[@angelakyle4838]

Having looked everywhere on internet etc I can’t find the answer to this question - can a low or zero carbohydrate diet help gallstones to not be a problem once you have them?

[@armywhammer-dc9qk]

You stated that people who are metabolically healthy do not end up with gallstones no matter how high their cholesterol is. Can you maybe explain why, and the mechanisms of gallstone creation that support that explanation? Edit: you also explain that the gallbladder isn't working once gallstones have formed, but since this only happens AFTER gallstones have formed, how can we prevent them from forming in the first place?

[@standom2390]

On high fat my gb stones are shrinking. No new ones have formed.

[@judee.baland6526]

Eat Sardines they said so I tried it, and was 🤢 all night! No gallbladder . 🤮🤮🤮

[@Helen-nv8el]

I tried a sardine fast.... had a huge histamine reaction.. !😮

[@ChickadeeBird]

was it all of a sardine or did it come on slowly? Pun intended! Hopefully you are ok now! 😊

[@FLANNELSHIRT]

Were the sardines packed in oil? Or in water?

[@tinamartin4381]

Wow! I was told i need to take oxbile and something for stomach acid. I belch and get acid reflux on high fat carnivore. Been at it 2 yrs and it still happens. A little over 2 yrs ago i passed a large white stone..no pain, just saw it on my tp(sorry for graphic). Nothing showed on ultrasound. My urine is cloudy and smells very strong. Electrolytes and more water dont seem to help. Kidneys feel uncomfortable. Still have ibd as well. How do we adjust to the high fat?

[@alimccoy9132]

Can hemangeomas (sp?) be blocking my bile? I have them. Would this cause chronic constipation?

[@WesternWomanUK]

You are so helpful , Thankyou , I can understand better so when they try and blame my Keto diet and int fasting , and continue to suggest low fat rubbish!! I assume my gall bladder has had a problem for years and just now getting infected, dad about the damage antibiotics will be doing to my gut! Any tips from anyone , I have pain still in GB , no infection in blood .

[@WesternWomanUK]

I can still feel GB under rib, like a stuck ball ! NHS aren’t offering an op ! Any suggestions

[@enidcronin9704]

I had a cholecystectomy 40years ago and then it was open surgery not Key hole. I have had diarrhoea on and off since but I've now gone carnivore dropped the dairy and the diarrhoea has settled down with only the occasional episode. The thing that amused my doctor is that after going Keto and losing 140lbs the scar is now no longer anywhere near my Liver and I get asked what surgery did I have. When I say a cholecystectomy they say THERE! I'd rather have loose skin than the 140lbs.

[@mattfisano]

Wow IQ with caffeine. About time. If they were smart, they would market it as a pre workout drink. I currently take 16oz bottle of water, take a sip to make space. Dump an IQ in it with a packet of Celsius drink with has the flavor and caffeine. I do this before my morning workout on a fasted stomach. It continues the fasting while you workout with loads of energy and stamina

[@waldenmathews8059]

What about gall stones in the liver itself? Asking for a friend.

[@alimccoy9132]

Begging ya'll's pardon, is orange stool a problem?

[@nancywilliams5976]

I had my gallbladder out 40 years ago. This has helped me understand why they didn't just take the stones out and leave me the gallbladder. Now I suffer from very dry eyes and recently was told having no gallbladder would cause this? is this true?

[@lisabroman3333]

What if you just have bile sludge?

[@stephweissinger]

I've had an uncomfortable feeling under my ribs on my right side for 4 yrs now. 2 ultrasounds came back normal. 😢 I need to know what it is.

[@mattfisano]

You wife next to you digging into you.

[@FLANNELSHIRT]

Can you get a CT scan?

[@WesternWomanUK]

I have a gallbladder , with a 2cm gallstone in it - currently infected- NHS answer ? Antibiotics for current infection , go away - eat low fat ! Problem , I have lost just over 3 stone, need to lose another stone- I am not going back to eating rubbish !!! WHAT CAN I DO ? I am in UK - Do you do phone consultations ?

[@WesternWomanUK]

I am 66 , it’s taken me until now to deal with my weight successfully - lived through low fat 80s/90’s - but knew Atkins insulin etc made sense then, just battled with it for years …

[@DivalerioKitchens]

Thank you for doing this video. It’s difficult to find videos that explain the Gallbladder….and the way the body works after a gallbladder is removed. I never had one symptom until I had the acute attack. 15 yrs ago my gallbladder was removed immediately, during an emergency surgery. The doctor said it weighted 3x what a normal gallbladder should and was unrecognizable. Because I’ve had hyperparathyroid with high blood calcium for over 20 yrs., I assume the gallstones were bound to form. For the past 4 yrs I’ve been keto/carnivore and have zero issues, just like before the surgery. I’m so thankful from what I’ve learned you and other doctors on this platform. My question is……Where does my bile go now that my gallbladder is gone? Do I need bile salts? Could not having a gallbladder and no bile in my stomach be the cause of constant bad breath? 🫢🤐👅

[@binglamb2176]

I take it, then, that I should have no problem doing the carnivore diet with no gall bladder. The liver will compensate to deal with the added fat.

[@FLANNELSHIRT]

How does the liver release bile into the small intestine when the bile ducts from the gallbladder are blocked by large gallstones? Is there another route from the liver to the intestines where the bolus of food chime has arrived from the stomach?

[@porterhousetoday]

Gut is extremely noisy?

[@nancygorham5908]

Listening 16 Aug 2024

[@tinamartin4381]

How to get fat adapted without diahrea/constipation?

[@FLANNELSHIRT]

S-L-L-O-O-O-W-W-L-L-Y-Y….

[@tinamartin4381]

@@FLANNELSHIRT 2 yrs I've been trying!

[@alimccoy9132]

@@tinamartin4381 Have you checked with Dr Cywes? His appointments are extremely helpful. You can also call the office and speak to his Dietician, Sheryl. Both cost, but they are soooo worth it!

[@mirianottoalgarve3326]

❤❤❤

[@porterhousetoday]

Japan Government debt accounted for 217.2 % of the country's Nominal GDP

[@corilv13honey9]

Does Lemon water or cream of tarter help dissolve gallstones?

[@747arek]

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