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Bile plays a critical role in digestion, serving as an emulsifier for fats much like dishwashing detergent breaks down grease. Understanding bile quality issues can explain why many people struggle with either constipation or loose stools despite trying various remedies.

• Bile breaks down dietary fats into fatty acids, essential for hormone production and blood sugar regulation
• Poor bile production or quality can lead to undigested fat, causing inflammation, bloating, and bowel irregularity
• Common signs of bile issues include floating stools, pale/chalky colored stool, and unusually strong-smelling bowel movements
• Steatocrit testing in comprehensive stool analysis can objectively measure undigested fat
• Two main bile problems: insufficient production and poor quality ("sludgy bile")
• Chronic low-fat diets and consumption of low-quality processed oils contribute to bile issues
• Conventional treatments like bile acid sequestrants (Welchol, cholestyramine) may provide symptom relief but don't address root causes
• MCT oil can be helpful for those with fat digestion issues as it doesn't require bile for absorption
• Start with small amounts of MCT oil (½ teaspoon) and increase slowly based on tolerance

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Disclaimer: None of the content discussed is meant to be taken as medical advice. All information presented is for educational purposes only and listeners and viewers assume all responsibility around implementing any changes to their health and medical regimen.