If you experience high cholesterol or headaches, among other symptoms, while fasting—you may have bile sludge. Find out why bile sludge can occur during a prolonged fast.


00 Introduction: Symptoms while fasting
30 What causes symptoms while fasting?
2:10 What causes a bile deficiency?
4:47 What to do for symptoms during fasting
5:27 Check out my video on TUDCA!

When some people do prolonged fasting, they might end up with various symptoms related to the gallbladder.

These symptoms could include:
• Right shoulder pain or tightness
• Right upper abdominal pain, tightness, or fullness
• Headaches on the right side
• Jaw problems on the right side
• Nausea
• High cholesterol
• Bloating

What’s happening is that the bile is becoming a sludge. It’s vital to have the right ratio of bile and cholesterol. When bile becomes deficient, cholesterol and other things in the bile become more concentrated, creating a sludge. This can lead to the bile backing up and causing the above symptoms.

The person may even find that their cholesterol goes up because one of the purposes of bile is the elimination of cholesterol.

This issue shouldn’t usually happen when someone does a prolonged fast unless they have a pre-existing problem with bile.

Top causes of a bile deficiency:
• A problem with the liver
• Statins
• Low-fat diets
• Low-cholesterol diets
• High insulin
• High estrogen
• High cortisol
• Gastric bypass
• A lack of friendly bacteria
• Parenteral nutrition

I believe the best thing you can do in this situation is to take TUDCA. TUDCA is a type of bile salt that thins the bile and can potentially give you a lot of relief.

You may want to start with taking two on an empty stomach. If your symptoms are severe, you could try taking two twice a day on an empty stomach.

In addition to TUDCA, taking bile salts, like my Gallbladder Formula, with a meal could give you extra benefits.


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Dr. Eric Berg DC Bio:
Dr. Berg, age 56, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

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Thanks for watching! I hope this helps you better understand why you might have bile sludge while doing prolonged fasting. I’ll see you in the next video.