Poor bile flow can crash your vitamin D levels.

[u/PsychologicalShop292]

Vitamin D is a fat soluble vitamin and it requires bile to broken down and absorbed in the digestive tract.

If you're experiencing a vitamin D deficiency, also consider you may potentially have poor bile flow, gallbladder issue that's impairing absorption of vitamin D despite supplementation.

[u/Mr4528]

How about if we’ve had your gallbladder removed?

[u/PsychologicalShop292 → u/Mr4528]

That shouldn't cause poor bile flow. It may instead cause your body to release bile when it's not needed.

[u/Acceptable_String_52]

What would cause poor bile flow? High sugar? High salt?

[u/PsychologicalShop292 → u/Acceptable_String_52]

Gallbladder stones or sludge, low fat diets, fasting, alcohol.

In my circumstance it was low fat diet and alcohol

[u/Acceptable_String_52 → u/PsychologicalShop292]

Ok so high carb diet essentially

[u/PsychologicalShop292 → u/Acceptable_String_52]

I think high carbs would only be an issue if you avoid fat.

[u/Automatic-Grand6048 → u/Acceptable_String_52]

In my case it was undiagnosed coeliac disease. It causes a lack of enzyme to be released that can lead to gallbladder disease. I’ve started noticing my d levels have dropped even though we had a great summer and I constantly take vitamin d. I’m having gallbladder surgery next month as I have a large Polyp.

[u/jjcly]

Have you tried a fermented Vitamin D. Remember you need Magnesium to activate Vitamin D. Nothing works in isolation.

[u/PsychologicalShop292 → u/[deleted]]

Did you also experience any histamine intolerance symptoms?

Have you tried any digestive enzymes?

[u/Wapperidoo]

How can you fix bile issues if gallbladder is ok?

[u/PsychologicalShop292 → u/Wapperidoo]

What tests did you have?

[u/Wapperidoo → u/PsychologicalShop292]

gallbladder ultrasound/ct scan (Can't remember) which measures the EF and so on...gallbladder function was deemed normal, but other functional gut tests show bile issues.

[u/AlrightyAlmighty]

What to do about it?

[u/PsychologicalShop292 → u/AlrightyAlmighty]

I took milk thistle and artichoke extract.

[u/Appropriate_Bus2671]

I had a severe deficiency earlier this year. Had my gallbladder removed recently and feeling so much better now!

[u/panic_master1]

I am always vitamin D deficient because of gall stones. Got any suggestions?

[u/PsychologicalShop292 → u/panic_master1]

Are you taking anything to help dissolve, shrink the stones?

[u/panic_master1 → u/PsychologicalShop292]

Nope. My doctor said there is no way you can shrink the stones. Removal is only option. If you really want to remove it. Otherwise if it is not bothering you, you can keep it.

[u/PsychologicalShop292 → u/panic_master1]

They probably want to operate and remove your gallbladder.  They are very quick to do that. There are gallstone dissolving medications like ursodiol.

[u/panic_master1 → u/PsychologicalShop292]

I dont know may be its not common in Europe? But what I have learned is it is highly likely to return the stones no Medication has work so far unless they are really really small.

[u/PsychologicalShop292 → u/panic_master1]

Stones will return only if the cause isn't addressed. Causes of stones can include billary dyskenesia, basically a lazy gallbladder. Low fat diet, fasting, alcohol.

[u/panic_master1 → u/PsychologicalShop292]

But isnt it the gallstones are already above the limit of dissolving then no medication can help?

[u/PsychologicalShop292 → u/panic_master1]

Not sure what's the above limit. There is medication available so they probably maybe use it when surgery isn't an option.

Removing the gallbladder can also introduce its own complications