This is not a direct reply to this message, but a response to some other things you've said elsewhere. I'm starting to find, as you have as well, that impaired bile flow and bone/joint health are intimately linked. I think impaired bile flow leads to dysbiosis and potential infection in the organs of digestion. This in turn provokes an immune response, and then you end up with what is called Rheumatoid Arthritis . I know you've written eloquently about this topic before, and I'm letting you know, I think you are exactly right.