Thumbnail avatar
0

Can a high fat diet cause gallstones?

by (10134)
Updated March 18, 2014 at 9:14 AM
Created March 16, 2014 at 4:15 PM

I bring this up because I read a lot of N=1's on diet blogs. Many successful Atkins dieters report having to have their gall bladders removed. While a major cause of gallstones is refined carbs and obesity, rapid weight loss on the high fat Atkins diet is also suspect:

http://www.livestrong.com/article/486957-atkins-diet-and-gallbladder-problems/

The unanswered question is what the gall bladder disease results from. The high fat macronutrient ratio? Hypercaloric consumption of fat? Excessive dietary protein? Any and all thought are welcome, but peer reviewed studies are most important.

96440612cf0fcf366bf5ad8f776fca84
17013 · March 18, 2014 at 9:12 AM

Rapid weight loss would indicate very low food consumption - for SAD eaters, this means one thing: Very Low Fat intake suddenly. Mine went on the fritz when I decided not to eat for a day or two after a binge of drinking. The bile just sits there and has a chance to form stones.

Thumbnail avatar
10134 · March 17, 2014 at 8:51 PM

So far as I know this is only an effect seen with crash dieters Robert. Atkins, 5 Day, Master Cleanse, Last Chance, you fill in the blank.

Thumbnail avatar
10134 · March 17, 2014 at 8:44 PM

Most people get fat eating a mixture of processed carbs and vegetable oils. Carbs may be the main cause of gallstones but soybean, cottonseed, corn, and canola oils are adding to the damage. Oh for the days of lard and butter.

F291857fa12a0291688ea994343156dc
675 · March 17, 2014 at 6:54 PM

I think so..... based on my experience with friends & relatives who had gall bladder issues. Issues were 'pre-existing' and (in hindsight) weight merely revealed the problem. And it weight loss was due to dietary macro changes (rather than mere caloric restriction) ... th macro change, lower carb / higher fat got the blame.

Thumbnail avatar
10134 · March 17, 2014 at 4:33 PM

The gallstones are probably prexisting and the sudden weight drop precipitates the attack, rather than creating a bunch of new gallstones (which was my initial thought). Gastronomer is probably right about the gall bladder changing physically with the weight loss and suddenly revealing the preexisting stones.

F291857fa12a0291688ea994343156dc
675 · March 17, 2014 at 4:04 PM

Sorry...different defintions of "gall bladder disease"...you & I.

Me... the existance of gallstones, you (I'm guessing) gall bladder 'attacks'.

For your definiton...asking a 'damaged / disfunctional' gallbladder to 'put out' a lot of bile.

Kinda like a ,... a guy eats poorly & develops metabolic disorder / CVD... he has a heart attack going up a flight of stairs ...what 'caused' his heart attack? Long term poor diet or the flight of stairs?

De1095b2ba29c1035f00428cbfe3cc7c
777 · March 17, 2014 at 3:59 PM

Interesting, recently my instinct is telling to eat the majority of my fats as animal fats, lard, clarified butter, goose fat, duck fat, egg yolk, fish. I love avocado fat or a spicy olive oil, but the animal fats just outdo them in my opinion, can't put my finger on why...

Thumbnail avatar
10134 · March 17, 2014 at 3:54 PM

The question is more why the rapid weight loss diet precipitates the gall bladder attacks.

Thumbnail avatar
10134 · March 17, 2014 at 3:41 PM

Makes sense. Since the high carb diets are the prime source of gallstones, any rapid weight loss program would surface existing gallstones. The link is interesting, but the comparison is on two very low fat, low calorie weight loss diets. Adding just a small amount of fat - 100 calories a day - appears to be protective. Atkins uses at least 10x that amount of fat so is at the other end of the spectrum, and the study doesn't shed light on that approach. The argument that extremely fast weight loss surfaces (and possibly exacerbates) an existing condition still holds. Thanks.

De1095b2ba29c1035f00428cbfe3cc7c
777 · March 17, 2014 at 2:49 PM

Successful and having gall bladder removed doesn't sound right together! I eat high fat, this is slightly worrying, but the other option (high carb low fat) isn't an option for me so...

Total Views
630

Recent Activity
96440612cf0fcf366bf5ad8f776fca84

Last Activity
185D AGO

Followers
4

Get Free Paleo Recipes Instantly

4 Answers

best answer

Be157308a0438e382b88d9db4c12ab30
0
301 · March 17, 2014 at 3:00 PM

The cause for gallstones and for gallbladder attacks are not the same. Low-fat or very-low-calorie diets cause gallstones, eating fat when gallstones are already present causes gallbladder attacks. If you already have gallstones and go on a high fat diet, you will experience gallbladder attacks, since the gallbladder will contract with gallstones present. If you had never had gallstones then a high-fat diet will actually prevent gallstones. This is because when someone eats fat, the gallbladder contracts to release the bile acids required to emulsify the fat. In low-fat or very-low-calorie diet the gallbladder does not release bile acids when there is not enough fat to trigger a release, so the bile acids build up over time and crystallize into gallstones. If a person ate a high amount of fat from the beginning, then bile acids would be flushed out often so no buildup of salts would occur.

Gallbladder Motility and Gallstone Formation in Obese Patients Following Low Calorie Diets: http://web.a.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=03070565&AN=8853546&h=mivSuIAXuGO7QPCv4kZwlJzouMahAPqBxvYwn%2f8OaNq3C52Ow4GG6oPDlr8b%2fcUY2ChZPU3ZsXJoJfxnO%2fAbbQ%3d%3d&crl=c

Thumbnail avatar
10134 · March 17, 2014 at 3:41 PM

Makes sense. Since the high carb diets are the prime source of gallstones, any rapid weight loss program would surface existing gallstones. The link is interesting, but the comparison is on two very low fat, low calorie weight loss diets. Adding just a small amount of fat - 100 calories a day - appears to be protective. Atkins uses at least 10x that amount of fat so is at the other end of the spectrum, and the study doesn't shed light on that approach. The argument that extremely fast weight loss surfaces (and possibly exacerbates) an existing condition still holds. Thanks.

96440612cf0fcf366bf5ad8f776fca84
0
17013 · March 18, 2014 at 9:14 AM

Likely not. The more fat you eat, the more bile you produce. The more bile you produce, the more you squirt out on to the chime, the less has a chance of sitting around to form stones.

Sure, if you don't have enough bile, you'll get stretorrhea, and you'll also feel a pain as the muscle squeezes an empty gallbladder (so you'd experience a bile attack). But you wouldn't form gallstones.

F291857fa12a0291688ea994343156dc
0
675 · March 17, 2014 at 3:50 PM

Late the party here.... computer issues.

High correlation between obesity & gallstones... imo the creation of gallstones is by metabolitc disorder>>> imflammation.

Thumbnail avatar
10134 · March 17, 2014 at 4:33 PM

The gallstones are probably prexisting and the sudden weight drop precipitates the attack, rather than creating a bunch of new gallstones (which was my initial thought). Gastronomer is probably right about the gall bladder changing physically with the weight loss and suddenly revealing the preexisting stones.

Thumbnail avatar
10134 · March 17, 2014 at 3:54 PM

The question is more why the rapid weight loss diet precipitates the gall bladder attacks.

2006ccb2b60f9cc5ba5e8eff8a7abc46
0
1523 · March 17, 2014 at 12:01 AM

The answer is both yes and no. It depends on what type of fats you are eating. At least in my experience, refined vegetable and nut fats, including organic olive oil, hemp and pumpkin seed soils, coconut oils and avocado seemed to cause gall bladder attacks. Avoiding those all together in favor of unrefined animal fats from fatty cuts of meat, egg yolks,fish and dairy do not cause gall bladder attacks in any amount.

Thumbnail avatar
10134 · March 17, 2014 at 8:44 PM

Most people get fat eating a mixture of processed carbs and vegetable oils. Carbs may be the main cause of gallstones but soybean, cottonseed, corn, and canola oils are adding to the damage. Oh for the days of lard and butter.

De1095b2ba29c1035f00428cbfe3cc7c
777 · March 17, 2014 at 3:59 PM

Interesting, recently my instinct is telling to eat the majority of my fats as animal fats, lard, clarified butter, goose fat, duck fat, egg yolk, fish. I love avocado fat or a spicy olive oil, but the animal fats just outdo them in my opinion, can't put my finger on why...

Answer Question

Login to Your PaleoHacks Account