Question for Telman!

Yes; I understand that when the gallbladder contracts it pressurises the whole of the biliary system including the bile duct in the liver. When it expands it rapidly fills with bile from the liver. The sphincter of Oddi controls the flow of the bile using a pulsing manner. But bile is responsible for the digestion of about half the fat we eat. The rest is broken down in a normal digestive manner.

There are other mechanism at play and bile salts are a way that the body regulates the production and flow of hepatic bile. The biochemistry can be disturbed by medication given into to blood directly, alcohol, and viral infection. But it can also be disturbed by autoimmune conditions such as coeliac disease and digestive mal-absorption. You can try and improve the production of bile salts in the liver by taking milk thistle.

Bile flow can be improved by four methods:
1. Herbs like milk thistle that increase the production and quality of bile in the liver.
2. Soluble fibre (pectin) and oats that increase the amount of bile excreted forcing the production of fresh bile which is less likely to coalesce.
3. Relaxing the sphincter of oddi to get a greater flow using anti spasmodic herbs. Doctors may sometimes prescribe Alverine for this.
4. Contracting the gallbladder. Not relevant for you.

Trying to correct bile flow by eating fibre or relaxing the sphincter of Oddi is not considered to be effective when the production of bile salts in the liver is involved.

It is a similar situation to liver damage caused by alcohol leading to fibrosis.

I have concluded that some people with an inherent problem that the liver will continue to produce defective bile that will form stones in the liver.

You need to try and get the frequency of flushing up to 3 months which is a more acceptable overhead.

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