Many Hong Kong people who do ketosis worry about increased cholesterol, but Dr. Eric Berg explains that increased cholesterol is not necessarily a bad thing. The key is how the body processes and eliminates cholesterol, and bile plays a crucial role .
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Cholesterol production and excretion mechanisms
· Both the liver and intestines produce cholesterol.
· Bile is produced by the liver and intestines and is responsible for removing excess cholesterol .
· The small intestine contains bile acid receptors ( FXR ) that regulate cholesterol and inhibit excessive production .
· HDL (High-density lipoprotein): transported back to the liver from cells.
· LDL (low-density lipoprotein): transported to cells by the liver.
· Both are transport proteins; neither is "good" nor "bad ."
⚠️ Possible causes of high cholesterol (not just diet )
|
reason |
illustrate |
|
Genetic inheritance |
Familial hypercholesterolemia |
|
High-fat diet |
The ketogenic diet may lead to increased cholesterol. |
|
Hypothyroidism |
Slowed metabolism → cholesterol buildup |
|
Kidney dysfunction |
Affects cholesterol excretion |
|
Insufficient bile |
The most crucial but often overlooked reason |
Why does insufficient bile lead to elevated cholesterol ?
· Liver damage (fatty liver, hepatitis, fibrosis, cirrhosis) → reduced bile production
· Intestinal inflammation or damage (antibiotic deterioration, celiac disease, Crohn's disease, diverticulitis) → reduced bile production
· Insufficient beneficial gut bacteria → inability to recycle bile
· Removal of the gallbladder leads to decreased bile storage and release function.
✅ Solution: Address the root cause
· Supplementing with purified bile salts helps remove cholesterol.
· Supplementing with probiotics → Repairing gut microbiota and enhancing bile reabsorption capacity
· Improve thyroid function → Stabilize metabolism
· Further lipid testing → LDL morphology analysis to determine if it is "good LDL ".
In conclusion: Don't panic at the sight of high cholesterol; understanding the underlying mechanisms is the key to true health.
The ketogenic diet is becoming increasingly popular in Hong Kong, but high cholesterol doesn't necessarily mean danger; the key is how the body processes and eliminates it . Starting today, a bile salt capsule, a cup of probiotic yogurt, and a body checkup will help you establish a healthy baseline for your metabolic system !
Don't let the numbers scare you anymore. Understanding the mechanisms and making adjustments is the key to true health!
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YouTube source: https://www.youtube.com/watch?v=GvdsL_wR3Qg
YouTube Column: Dr. Berger in Chinese Health knowledge
