Can people with gallstones do a ketogenic diet plus fasting? A comprehensive breakdown of the causes and dietary strategies for gallstones, essential knowledge for Hong Kong residents.

Dr. Eric Berg explains that gallstones are not caused by "too much bile," but rather by too little bile and too much cholesterol . Therefore, a ketogenic diet combined with intermittent fasting will not only not worsen the problem, but may actually help improve it!

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🧪 What are gallstones?

Ingredients : Cholesterol, bilirubin (red blood cell metabolites), phosphate, calcium carbonate
Most common type : cholesterol stones
Causes of formation :

Insufficient bile → inability to emulsify cholesterol → crystallization
Poor gallbladder contractility / bile duct obstruction / biliary sludge accumulation

🥑 Will the combination of ketosis and fasting worsen gallstones?

Dietary habits	Effects on bile	Risk of gallstones
Ketogenic (high-fat)	Stimulate gallbladder contraction → release bile	Reduce sludge buildup → Lower risk
intermittent fasting	Concentrated bile → Improves digestion	It will not cause kidney stones to form.
low-fat diet	Gallbladder lack of contractile stimulation → bile stasis	Increased risk of gallstones

👉 Conclusion : Ketogenic diet combined with fasting may actually help prevent/improve gallstones.

⚠️ Other high-risk factors for gallstones

High estrogen levels : pregnancy, birth control pills, hormone therapy
Hyperinsulinism/Diabetes : Insulin resistance → Abnormal bile metabolism
Sedentary lifestyle/low fat intake : Long-term lack of gallbladder contraction → bile stasis

💊 Natural method to improve: Supplement with bile salts (Purified Bile Salts )

Helps emulsify fats → Reduces cholesterol crystal formation
Improve bile flow → reduce biliary sludge buildup
Recommendation: Take bile salt supplements after meals, or take TUDCA (tauroursodeoxycholic acid) on an empty stomach in the morning and evening.

🥗 Dietary recommendations

High-quality fats : coconut oil, avocado oil, grass-fed butter
Medium protein : eggs, fish, grass-fed meat
Plenty of vegetables/salads : help bile flow and reduce cholesterol buildup.
Avoid high-sugar/high-carbohydrate/processed fats : such as vegetable oils, fried foods, and snacks.

🧾 In conclusion: Don't assume that "gallstones = you can't eat fat" anymore. Knowing how to eat right is the key to real improvement.

Starting today, a serving of high-quality fats, a salad, and an intermittent fasting habit will lay a solid foundation for your liver and gallbladder system!

Don't be misled by the "low-fat = gallbladder protection" myth anymore. True health comes from knowing how to replenish bile, stimulate bile excretion, and avoid harmful substances! 💪🫀🥗