For those with no gall bladder or with otherwise poor bile secretion

Fat plus emulsifier plus water = emulsion with absorbable fats and fat-soluble nutrients. Fat-soluble nutrients include hundreds of substances in supplements (like Ginkgo and Ginseng) and whole foods, from vitamins A, D, E, and K to compounds like cholesterol, lutein, zeaxanthin, CoQ10, lipoic acid, bioflavonoids, and so many more. Yes, cholesterol is a fat-soluble nutrient that the body welcomes in our diet. The body tries to absorb all of the cholesterol that we give it, and it reabsorbs more than 90% of its bile. This reabsorption of bile salts spares the precious body pool of cholesterol, because more than half of all of the body’s daily intake of cholesterol goes to replace lost bile.

Normally, all we have to do is have sufficient fat with a meal and we can get sufficient bile secretions to emulsify the fats and fat-soluble nutrients to get a reasonable absorption.

Not so for someone with inadequate bile secretion.

In addition to increasing fat consumption, consider also digestive bitters to stimulate bile secretions. Definitely consider trying digestive bitters before letting a surgeon extract your gall bladder if the only reason for surgery is an “ejection fraction” below the dreaded “reference range.”

Emulsifiers include egg yolk, salad dressings (ex mayonnaise), soy or sunflower lecithin, or supplemental choline. Include one of these with every meal, and include fat in every meal.

Even people who consume copious quantities of vitamin K absorb very little. Absorption efficiency is about 5% without fat, 13% with fat, and no doubt greater than 13% with fat and emulsifier. Unfortunately, doctors forgot to run that control; so we do not have an actual number to put in there.

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