Can You Do Keto Without a Gallbladder?

Can You Do Keto Without a Gallbladder?

July 28, 2019 0 By William Morgan


Is the ketogenic diet possible
if you don’t have a gallbladder?
It’s a question that
comes up quite frequently,
and today in this video,
I’m going to break it down.
I’m going to give you the
steps that you need to know
to truly be successful
with the ketogenic diet
if you don’t have a gallbladder.
Hey, I’m Thomas DeLauer with Keto-Mojo
and let’s get into the science.
All right, so first off,
we have to understand
what the gallbladder does.
It’s actually pretty simple.
See, the gallbladder isn’t what
is actually producing bile.
The gallbladder is just an extra sac
that’s sort of a storage area
for the bile that’s produced by the liver.
So for example, if you
were to eat some fats,
your liver’s going to produce bile.
It’s going to help break down the fats
so that they can become emulsified
and you can absorb them.
But you don’t usually use all
the bile that you produce.
You see, the liver doesn’t really modulate
how much bile it produces.
It’s kind of an on-off switch.
So when the liver senses
that some fats are
coming into the equation,
it produces a bunch of bile.
You use a little bit of that
bile to break down the fats
and the rest of the bile recirculates
and goes back into the gallbladder
so that it can be stored and used later.
So, if you start doing the math,
if you don’t have a gallbladder,
you just don’t have the ability
to store bile for later use,
which means that you’re
relying on your liver
to ramp up every single
time that you consume fats.
You see, ordinarily, what’s gonna happen
is you’re gonna consume those fats,
and if you have some bile
that’s sitting in your gallbladder,
it can be released immediately
and help you break down those fats.
But if you don’t have that gallbladder,
you do have to wait for the
liver to produce that bile,
which means that you
may consume too much fat
at one point in time before
the liver ever gets a chance
to truly create enough bile.
This can cause an issue
and potentially cause some diarrhea
and some other kinds of indigestion.
But there are some things that you can do
to make it a better situation.
You see, if you’re on a ketogenic diet,
you really need to find your sweet spot
when it comes down to fats,
and that’s exactly where
the Keto-Mojo meter comes in
because you can actually measure
where your ketone levels are at.
You might be a person that doesn’t require
quite as much fat as
the person next to you
so, therefore, you might
be able to get away
with a little bit less fat
and be able to put less
of a strain on your liver
and the bile production
in the first place.
So if you actually know where
your ketone levels are at,
you can get away with a
lot less fat, potentially.
Now the other thing that you can do
is you can start adding a
little bit more soluble fiber
along with the fats.
You see, what’s going to
happen is the soluble fiber
is going to draw some water into the colon.
It’s called passive diffusion.
But this process is also going make it
so that the digestion
is a little bit slower.
It’s going to slow down gut
motility with the fats;
therefore, making it so
that your liver has a chance
to produce enough bile so you don’t end up
with a potential issue.
Now the other things that
you’re going to want to do
is you’re going to want to make sure
that you start modulating
what kind of fats you consume.
You see, you hear us talking about
medium chain triglycerides
and shorter chain fatty acids all the time
in the ketogenic world, but the reality is
those can be a big piece for you
if you don’t have a gallbladder.
You see long chain fatty
acids require the breakdown
utilizing bile salts.
But short chain fatty acids
and medium chain triglycerides do not.
So things like MCT oil
can go right through
to absorption phase
without having to utilize
the gallbladder, without having to utilize
the liver’s production of bile.
So therefore, you can absorb
more in the way of fats
without causing digestive discomfort.
But again, the main thing that
you want to be focusing on
is just making sure that your ketones
are in the sweet spot.
If you can get by with,
hypothetically, 5 grams of fat
instead of 10, then
obviously that’s better.
It’s less calories anyway.
So as always, make sure
that you’re not guessing
where you’re at when it
comes down to your ketones.
You want to leave the
measuring to the meter
to make sure that you are your best self
on the ketogenic diet.
I’ll see you in the next video.