Gallbladder

Adequate bile flow keeps cholesterol and other bile components in solution, preventing crystallization into gallstones. Bile prevents microbial overgrowth in the small intestine. Elevated cholesterol on keto is not a long-term problem and resolves once bile flow is adequate. The combined early enzymatic breakdown and direct absorption make coconut oil metabolically distinct from other dietary fats. The typical Western diet already runs approximately 20:1 omega-6 to omega-3, which is pro-inflammatory even before bile insufficiency is factored in. Low-fat diets produce a similar prolonged hunger by removing dietary fat, which is highly satiating. The majority of gallbladder problems produce no noticeable symptoms, and the gallbladder can be silently dysfunctional for years. Supplementing vitamin D or DHA without first restoring bile availability will not correct the underlying deficiency. Digestion of coconut oil continues in the stomach after oral enzymatic breakdown has begun. The gallbladder is connected to the bile duct system and stores liver-produced bile before it is released into the digestive tract. Bile is produced by the liver, stored in the gallbladder, and its primary r…