you know when some people do prolong fasting they might end up with various symptoms related to the gallbladder and that would be right shoulder pain or tightness that can go into the right side of the neck through here it can even cause jaw issues or even a headache on the right side of the head nauseousness bloating a full feeling underneath the right rib cage or pain or tightness or discomfort underneath the breastbone and what's happening is the bile is becoming a sludge okay it's called biliary sludge or bile sludge because the bile is becoming very very thick because normally when you have the right ratio of bile and cholesterol everything's fine but when the bile becomes deficient to a certain degree the concentration of cholesterol and other things in bile become more concentrated or super concentrated and things start getting thicker and it backs up to the pipes or tubes bile ducts and that causes the symptoms that i just mentioned the person may even find that their cholesterol goes up because one of the purposes of bile is the elimination of cholesterol and they may even notice on a blood test that they have higher levels of bilirubin or alkaline phosphatase that is just an indication that there's some type of problem with the gallbladder and it's backing up into the liver now normally this shouldn't happen when someone fast unless there is a pre-existing problem with bile like a bile deficiency going into the prolonged fast because what happens normally when you eat the gallbladder contracts and it squeezes out the bile but if you're not eating it doesn't contract and the purpose of the gallbladder is to concentrate the bile but if there's a deficiency of bile for some reason which i'll go through those reasons the person can start developing this sludge that kind of backs up through these little ducts so we should probably get our ducks in a row another definition of duct so i'm going to explain this simple solution but let's first just mention the things that can cause a bile deficiency well bile is produced by your liver so if there's any problem with the liver as in a fatty liver or an inflamed liver like hepatitis or a liver that's filled with scar tissue as in cirrhosis that could be why you have a deficiency in bile now also if you're on a statin drug that could be a reason because statins work by blocking the production of cholesterol and bile is made from cholesterol if you're on a low cholesterol or a low-fat diet that can create a deficiency in bile if you're eating a diet that's spiking insulin or have high insulin that can create a bile deficiency if you have high cortisol from stress that can create a problem or high estrogen for some reason maybe you're on birth control pills or hormone replacement therapy or you just became pregnant have you ever heard about someone being pregnant and then feeling nauseous well that's the reason now also could be that the person had gastric bypass because that alters the release of bile and that could be the problem another problem is that if someone doesn't have enough microbiome they don't have enough friendly bacteria let's say they just came off an antibiotic and your microbes make bile so that could be the reason why you're deficient and one last very interesting reason why someone can be bile deficient they're on like an iv nutrition it's called parenteral nutrition okay that has to do with having an iv put nutrition into your body versus consuming food that goes through your digestive tract it doesn't have anything to do with parenting or being a parent so it's interesting about parenteral nutrition is that if someone is on this for 13 weeks or longer based in one study a hundred percent of the patients developed bile or bilirubi sludge which by the way is the precursor to gallstones i mean if you think about what's in this nutrition it's just terrible 50 of it is dextrose which is a synthetic sugar they have soy oil which is probably the worst omega-6 fatty acid out there it's highly processed it probably has hexane which is a solvent and has been known to increase liver enzymes as well as a fatty liver in people taking parenteral nutrition and then they add amino acids synthetic vitamins minerals some trace minerals so what is the solution it's called tudka tutcom it's a type of bile salt that i would highly recommend that you can buy online i'm not going to recommend a brand you have to find that brand yourself based on maybe some good reviews but cut is a type of bile salt that thins the bile okay it will really give you a lot of relief and you want to take tutka on an empty stomach you want to take two and if it's very severe maybe you want to take two on an empty stomach twice a day in addition to that i would also recommend taking bile salts with a meal the one i'm going to recommend is called gallbladder formula i will put a link down below if you want more information on that but this tutka remedy is fascinating and i created a video on it so you can see all the other things it does check it out i put it right here