Biliary Obstruction

What Does It Mean?

Biliary obstruction occurs when bile flow from the liver to the small intestine is partially or fully blocked due to gallstones, inflammation, liver dysfunction, or tumors. This obstruction prevents fat digestion, toxin elimination, and cholesterol metabolism, leading to bile buildup, systemic inflammation, and impaired detoxification.

How Did We Get There?

Root Causes:

• Gallstones or Bile Duct Blockage – Hardened bile components obstruct normal bile flow.

• Liver Inflammation & Cholestasis – Impaired bile production due to toxins, infections, or poor liver function.

• Hormonal Imbalances (Estrogen Dominance) – High estrogen levels slow bile movement and increase gallstone risk.

• Nutrient Deficiencies (Choline, Taurine, Magnesium) – These nutrients are crucial for bile production and flow.

• Gut Dysbiosis & Intestinal Overgrowth (SIBO, Candida) – Disrupts bile acid metabolism and impairs fat digestion.

• Toxin Overload & Heavy Metals – Increased toxic burden inhibits bile excretion and increases oxidative stress.

Signs & Symptoms:

• Jaundice (Yellowing of Skin & Eyes) – Bile pigment buildup due to obstruction.

• Dark Urine & Pale Stools – Reduced bile flow alters pigment metabolism.

• Right Upper Quadrant Pain – Due to gallbladder inflammation or bile duct blockage.

• Nausea, Bloating, & Poor Fat Digestion – Fatty food intolerance due to reduced bile secretion.

• Itchy Skin (Pruritus) – Bile acids accumulate in the bloodstream.

• Elevated Cholesterol & Fatty Liver – Reduced bile flow affects lipid metabolism.

Lab Test Findings

Lab Test Name	Expected Changes	Optimal Range
Anti-Mullerian Hormone (AMH)	Altered	1.10-4.0 ng/mL
AST (SGOT) : ALT (SGPT) Ratio	Increased	0.00-1.00
Bilirubin Indirect	Increased	0.40-0.75mg/dL
Bilirubin, Total	Increased	0.50-0.90mg/dL
Lactate Dehydrogenase (LDH)	Increased	140.00-200.00 U/L
Urobilinogen	Altered	Negative

How Do We Treat It?

Functional Medicine Approach:

The goal is to restore bile flow, reduce inflammation, and support liver detoxification.

Supplement Protocol

Supplement	Function	Dosage & Frequency
Novo Hepatic	Improves liver detox pathways and bile flow	1 capsule without food, daily
Advanced Vita-Biotic R	Delivers active organisms shown to promote healthy gut flora and immune function	1 capsule with food, daily
Endura	A naturally-flavored hydration powder containing essential electrolytes for endurance and hydration	3 packets with or without food, three times daily
CoQ-10 300 mg	Supports cell energy production and provides wide-range antioxidant support	2 capsules with food, daily
Vita-Glutathione	Master antioxidant in the body that supports healthy detoxification pathways	1 capsule with or without food, daily
Vita-Digestyzyme	Supports healthy digestion while working to maintain gut balance and function	2 capsules 20-30 minutes prior to food, daily
Vita B Methyl	Supports B vitamin levels for hormone balance	1 capsule without food, daily
Magnesium	Aids stress response, detoxification, and hormone metabolism	2 capsules with or without food, daily
Vita DIM	Promotes estrogen metabolism and detoxification	2 capsules with or without food, daily
Vita Defense	Provides antioxidant protection and immune support	1 capsule without food, daily
Vita Buffered C Powder	Enhances detoxification and adrenal function	¼ scoop of powder with food, twice daily
SBI Powder	Helps maintain gut barrier integrity and microbiome balance	1 scoop of powder in cold water without food, daily
Vita Microbe	Supports gut flora for estrogen recycling and detox	3 capsules with or without food, daily
D-Mannose Powder	Aids urinary tract and vaginal microbiome health	1 tsp of powder without food, twice daily
Vita-Flux	Enhances circulation and nitric oxide production	2 capsules 20-30 minutes prior to meal, twice daily
V-Inflamma	Reduces systemic inflammation and oxidative stress	1 capsule without food, daily
Vita Candid	Helps maintain healthy yeast balance	2 capsules 20-30 minutes prior to food, twice daily
V-Pax	Comprehensive multivitamin for overall health	2 capsules with or without food, twice daily
V-Collagen	Supports skin, joint, and gut health	1 scoop of powder without food, daily
Gluta Protect	Provides glutathione support for detoxification and immunity	1 scoop of powder without food, daily
Vita-Biotic	Supports gut microbiome and immune system	4 capsules without food, daily

Additional Lifestyle Interventions:

• Increase Bitter Foods (Dandelion, Artichoke, Milk Thistle) – Stimulates bile flow.

• Hydration & Lemon Water – Supports liver detox and bile production.

• Optimize Fiber Intake – Binds excess bile acids for proper elimination.

• Avoid Processed Fats & High-Toxin Foods – Reduces burden on liver and gallbladder.

• Intermittent Fasting – Promotes gallbladder contraction and bile renewal.