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Doctor insights on: Bile Acids Fractionated And Total

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How the heart uses carbohydrates, lipids, proteins and nucleic acids?

How the heart uses carbohydrates, lipids, proteins and nucleic acids?

Heart: Your question should not be an open ended question. It is difficult answer in this limited space. I write a book basing on your question. Answer is too broad. Please come to the point. What is your main health problem? I would try to help you. ...Read more

Dr. James Lin
14 doctors shared insights

Bile Acids (Definition)

Bile acids are made in the liver and stored in the gall bladder. When you ingest a fatty meal, bile acids are released into the intestine to help digest fats and they are necessary for the absorption of certain fat soluble vitamins such as a, ...Read more


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What is the normal non-fasted range of bile acids ? How much does your bile acids rise after a meal?

What is the normal non-fasted range of bile acids ? How much does your bile acids rise after a meal?

Varies per lab but: A normal level is: Direct (also called conjugated) bilirubin: 0 to 0.3 mg/dL. Total bilirubin: 0.3 to 1.9 mg/dL ...Read more

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Bilirubin levels are total 2.0 total 1.76 and direct 0.27... Have fatty liver bad gallbladder? Protein 8.4

Bilirubin levels are total 2.0 total 1.76 and direct 0.27... Have fatty liver bad gallbladder? Protein 8.4

What's the question?: You have some form of likely liver disease and need further evaluation. These labs are of very little value without a full detailed assessment of the entire clinical picture, which may also require a hepatic biopsy. Need serologic testing for all forms of hepatitis, and so on. What are you asking? ...Read more

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Does the intake of omega-3 fatty acids help lower cholesterol?

Not really: It generally has a small effect on cholesterol. At high doses like 2000 mg a day it can lower another type of fat called triglycerides. ...Read more

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Does tudca (tauroursodeoxycholic acid) work at lowering liver enzymes and reversing liver damage?

TUDCA: Tauroursodeoxycholic acid is an ambiphilic bile acid, the taurine conjugate of ursodeoxycholic acid . Humans have trace amounts of tudca. Bears contain large amounts of tudca in their bile; tudca has been used in ancient asian pharmacopoeias for its supposed beneficial effects. Udca is produced in several countries for the treatment of gallstones and liver cirrhosis. It is not approved by the fda. ...Read more

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Help can bilirubin and bile salts be the same as bile pigments?

Help can bilirubin and bile salts be the same as bile pigments?

They are not: Bile salts are synthesized by the liver from cholesterol. Bilirubin is a breakdown product of hemoglobin. ...Read more

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What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?

What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?

ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP. ...Read more

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
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Does consuming Bcomplex daily after food reduces triglycerides apart from regular exercise. If triglycerides are 250 and hdl 25.

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
Does consuming  Bcomplex daily after food reduces triglycerides apart from regular exercise. If triglycerides are 250 and hdl 25.

Kinda sorta, but ...: Standard or typical B complex doses probably won't make a dent in high triglycerides or low HDL cholesterol. However, high dose vitamin B3 aka niacin has been proven to lower triglycerides & raise low HDL but is often intolerable due to flushing (can be mitigated by aspirin). But there's no proof that niacin prevents heart attacks & strokes to same degree as statins. No such thing as free lunc ...Read more

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What are the functions of carbohydrates, lipids, proteins, and nucleic acids in the body?

What are the functions of carbohydrates, lipids, proteins, and nucleic acids in the body?

Replace tissue&Energ: Have U seen dead animal after 2days? UR Stomach lining(which exposd to acid&dig-enzymes) is replaced every 2wks. UR Heart Mscle is replaced every 4-6 mnths Individuals who shed skin cells faster than can replace have Psoriasis, Excema Carbs mainly for energy, but also form backbones of some proteins. 18 inch baby become 6'4", cells did not get bigger, all replaced&more added hundreds of times ...Read more

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Within 12 months - high cholesterol, triglycerides normal, mildly elevated liver enzymes, and most recently an egfr of 59, and gallstones. What gives?

Within 12 months - high cholesterol, triglycerides normal, mildly elevated liver enzymes, and most recently an egfr of 59, and gallstones. What gives?

Liver enzymes: Hi christine! i hope you're feeling ok. Lots of things could explain the picture you're describing. You must be having some symptoms that prompted these tests. Please speak with your private physician to discuss these questions...This is a really hard online diagnosis to make.... ...Read more

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Is salmon omega 3 capsules useful in elevated sgpt, sgot, bilirubin's and triglyceride levels ?

Is salmon omega 3 capsules useful in elevated sgpt, sgot, bilirubin's and triglyceride levels ?

Don't treat labs: Omega-3's have been a massive disappointment in most areas when subjected to scientific testing. Most important is finding WHY these liver tests are up. If it's chronic hepatitis B or C, hemochromatosis, Wilson's, or autoimmune hepatitis, you're going to die if you're not diagnosed & Rx'd. If this is non-alcoholic steatohepatitis, nothing will help as much as getting aerobically fit. ...Read more

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Was diagnosed fatty liver with sgpt 71 and LDL 139(total chol. 200) & TSH 11.5, are these all bcz of fatty liver, how severe is my fatty liver?Plz help

Was diagnosed fatty liver with sgpt 71 and LDL 139(total chol. 200) & TSH 11.5, are these all bcz of fatty liver, how severe is my fatty liver?Plz help

See below: Your LDL is only slightly elevated. A prudent diet will correct it. Your TSH indicates deficiency in thyroid hormone and has nothing to do with fatty liver but requires attention. Your SGPT is elevated - the degree is non-diagnostic and not helpful. If fatty liver is suspected, it can only be graded with liver biopsy. Repeating the SGPT in 6 weeks would be more prudent. ...Read more

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Electron transport chains and ATP synthase enzymes are embedded within what?

Electron transport chains and ATP synthase enzymes are embedded within what?

Mitochondria: It sounds like you have been reading about mitochondria, the powerhouse organelle of cells. These organelles use methods to create the cellular currency of energy, Adenosine triphosphate. You probably read that a portion of the ATP synthase complex is embedded in the mitochondrial membrane. Read about it here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278611/ You can consult me if you have Q's ...Read more

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Chronic Elevated Total bilirubin (2.5) direct bilirubin (0.5) and indirect bilirubin (2.0). All other liver enzymes are normal. What causes this??

Sounds serious: Hello again Matt. If your direct bilirubin is actually 0.5 mg/dL now, then this is more than Gilbert's which I understand is diagnosed. If this is not a lab error, then I suspect you have cholestasis too for some reason and you deserve a workup by somebody who's good with liver disease. Actually, the alprazolam / Xanax you're taking occasionally causes this. You might start there. Best wishes. ...Read more

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Can amino acids be used by the body to make glucose fatty acids?

Can amino acids be used by the body to make glucose fatty acids?

Your body wilk: Break down anything and everything it can into basic building blocks and then metabolize them for calories and energy, store them away or use them to manufacture something like carbohydrates, proteins, fats or anything and everything else. There's nothing special about Amino Acids - they're just building blocks that will be broken down like everything else. ...Read more

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What is the definition or description of: bile acids?

They digest fats: Bile acids are made in the liver and stored in the gall bladder. When you ingest a fatty meal, bile acids are released into the intestine to help digest fats and they are necessary for the absorption of certain fat soluble vitamins such as a, d, e and k. ...Read more

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What is the normal non-fasted range of bile acids ? How much does your bile acids rise after a meal?

Varies per lab but: A normal level is: Direct (also called conjugated) bilirubin: 0 to 0.3 mg/dL. Total bilirubin: 0.3 to 1.9 mg/dL ...Read more

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How can bacterial overgrowth, a common consequence of gastric syrgeries, lead to changes in bile acids that upset bile function?

How can bacterial overgrowth, a common consequence of gastric syrgeries, lead to changes in bile acids that upset bile function?

Bacterial overgrowth: When you have gastric surgery this stresses the bowel and can change the bacteria in the biofilm which lines the bowel. This different type of bacteria metabolizes the bile differently and this can upset the bodies ability to digest. ...Read more

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No gall bladder. Would taking " bile acids factors" by jarrow hurt if possibly have non-acid reflux? Aka bile reflux?

No gall bladder. Would taking " bile acids factors" by jarrow hurt if possibly have non-acid reflux? Aka bile reflux?

Wouldn't help: Bile reflux gastritis is caused by inflammation of stomach lining by alkaline bile (a digestive detergent). Antacid meds and acid reducers like Prilosec don't help this, because acid is not the issue. Other meds that coat the stomach and/or prevent back flow from small bowel into the stomach help. Discuss with your doc. ...Read more

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How can bacterial overgrowth , a common consequence of gastric surgeries , lead to changes in bile acids that upset bile function ?

How can bacterial overgrowth , a common consequence of gastric surgeries , lead to changes in bile acids that upset bile function ?

Dysbiosis possible: It is equally possible that the antibiotics you took made your normal flora out of balance. When you have major surgery you are given broad spectrum antibiotics to prevent infection. But the antibiotics kill the good bacteria is well as the bad bacteria, then they get out of balance. Sometimes if you take probiotics, that can restore the balance and make things better. ...Read more

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How would my dr know if I had reflux from acid or from bile?

Reflux is common: Typically it may cause heartburn or a sour or bitter taste in the mouth. Overeating or laying down after a heavy meal may cause it to come on or get worse. caffeine and certain foods like spicy foods may cause your symptoms to get worse. your doctor may suggest doing an upper Endoscopy to document changes. SOmetimes bacteria cause symptoms, and that should be investigated ...Read more

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Is there a way to increase amt of hydrochloric acid or bile I produce?

Is there a way to increase amt of hydrochloric acid or bile I produce?

Why?: Why would you want to do that? Excessive production of acid is a cause of peptic ulcers, and I do not know of any way to increase bile production. ...Read more

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What is the definition or description of: serum bile acid elevated?

What is the definition or description of: serum bile acid elevated?

Maybe big trouble: We check for several nonspecific liver tests like ast, alt, alkphos, bili and one specific GGT test for alcoholism (and others). We worry when these increase 2x, 3x, 4x etc. Bile acid (bilirubin) can increase in a newborn and cause jaundice, which is temporary and treatable. In adults, an elevate bili can be ominous possible heralding hepatitis, disease, or blockage of some type. ...Read more

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I had an endoscopy done 2 days ago,i was told that i have gastritis and that i have increased secretions of acid and bile,what is the cause& solution?

I had an endoscopy done 2 days ago,i was told that i have gastritis and that i have increased secretions of acid and bile,what is the cause& solution?

Many: There are many causes of gastritis- Certain foods can irritate your stomach such as alcohol, chocolate, spices and mint. Also, NSAID medications such as ibuprofren can irritate the stomach. A potential solution is avoiding certain foods and ibuprofen. Medications such as nexium (esomeprazole) and sucralfate may help also. ...Read more

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Does eating before a bile acid blood test affect the results?

Does eating before a bile acid blood test affect the results?

Depends...: ...on the reasoning behind the test: e.g. non-fasted blood draw to rule out Gilbert's would alter results. ...Read more

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How can I know difference between acid reflux and bile reflux?

How can I know difference between acid reflux and bile reflux?

Esophageal test: the only way is with an esophageal ph study with impedance. It is a very specialized test. usually an anti-acid will help symptoms of acid reflux but not those from bile reflux. ...Read more

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Coeliac D trying to gain weight,there is fat malabsorption, is there any way to ameliorate this other than bile acid sequester? Thank you any tips ?

Coeliac D trying to gain weight,there is fat malabsorption, is there any way to ameliorate this other than bile acid sequester? Thank you any tips ?

Time: If you have truly avoided all gluten, the small intestine will eventually heal up and start absorbing the nutrients within a few months at the latest. Just give it time. If you still fail to gain weight after 3 months, check with your GI again to see if there may be something else causing your weight loss issue. ...Read more

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Does bile reflux create burning sensations like acid reflux? Or no sensations at all?

Does bile reflux create burning sensations like acid reflux? Or no sensations at all?

Can be similar: You need to see a doctor for specific diagnosis and advice pertaining to your particular individual situation. Here is an article from the Mayo Clinic about bile reflux symptoms and how they are similar to acid reflux. http://www.mayoclinic.org/diseases-conditions/bile-reflux/basics/symptoms/con-20025548 ...Read more

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What are the diseases associated with the presence of bile acid and acetone bodies in urine?

Reflux,Atresia,DKA: Bile is a greenish golden color secretion, produced by the liver ; is stored in gallbladder.Bile leaves from gallbladder through bile duct and helps in absorption of fats. Bile duct may be obstructed, causing gallstones. Biliary atresia, biliary cirrhosis, biliary cholangitis, pancreatitis ; bile reflux are bile related conditions. Acetone bodies are ketone bodies and can cause dka, ketoacidosis. ...Read more

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Can eating before a bile acid blood test affect the results. When testing for pregnacy cholesatsis ?

Can eating before a bile acid blood test affect the results. When testing for pregnacy cholesatsis ?

Cholestasis: It is not necessary to be fasting before serum bile acid testing for cholestasis of pregnancy. Not all patients with cholestasis will have abnormal blood work. Some physicians will try a medication called Ursodiol in patients with suspected cholestasis. If the itching resolves on this medication then this can confirm the diagnosis. ...Read more

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Up and had the need to vomit, though what only came out was some acid green liquid, might it have been bile?

Biliary emesis: Bile is typically a golden yellow to green color. It mixes with food to help digest dietary fats. When bile backs up into the stomach, it may appear in your vomitus. When persistent, it can lead to alkaline reflux and stomach irritation. Lots of common things can cause bilary emesis, but if persistent, worsening, or associated with pain, tenderness, weight loss, blood then please have it evaluated. ...Read more

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What type of diet helps to reduce bile reflux? I had a bilroth II in my 20's and I am 70 now. Was treated for acid reflux but now they say it is bil

What type of diet helps to reduce bile reflux?  I had a bilroth II in my 20's and I am 70 now.  Was treated for acid reflux but now they say it is bil

Water?: I do not know if GI specialist know what to do about bile reflux either. I am not a big believer of drinking extra water, but this might be a case that washing the system might be the only way to minimize your symptoms. ...Read more

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Pregnant 26+5 by scan.bile acid sent was 11.9 reported .started on UDCA tab .any effects on baby ?baby wt estimate d by scan 750g and told ?IUGr .????

Pregnant 26+5 by scan.bile acid sent was 11.9 reported .started on UDCA tab .any effects on baby ?baby wt estimate d by scan 750g and told ?IUGr .????

Cholestasis: Your pregnancy is at risk due to fatty liver, so there is a strong chance your baby will deliver prematurely if this does not improve soon. The ursodeoxycholic acid you are taking helps to reverse that trend, so hopefully this will get better. Trust your OB, and stick to the diet they likely put you on to help, and hopefully your liver gets better soon... ...Read more

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I'm on tpn and have a gj tube mainly to take medicines thru the j part. Farrel bags help empty the acid and bile. Why does it hurt, what should I do?

Complicated: Why are you on TPN and not been feed through the J tube. Are you on any proton pump inhibitor because you may be producing a lot of gastric acid. Likely to have Gastritis. Also concern may be stress ulcers ...Read more

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Can gallbladder surgery cause you to develop acid/bile reflux?

Can gallbladder surgery cause you to develop acid/bile reflux?

Not usually: Once a bad gallbladder is removed and those symptoms fade, your underlying bile/acid reflux may become more symptomatic. Bile binders and anti acid medications can help you. Okay to check in with your surgeon or your regular doc. Be well. ...Read more

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Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Bile (Definition)

Dark green to yellowish brown fluid, produced by the liver for digestion of fats ...Read more