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Home » Nutrition

13 Signs of Bile Deficiency Syndrome (hint: this looks a lot like chronic constipation)

Modified: Nov 26, 2025 · Published: Sep 5, 2024 by Catherine Crow, NTP · Medical Disclaimer · This Post Contains Affiliate Links Leave a Comment

double cheeseburger Do you have chronic and annoying low-grade symptoms that keep you from feeling your best? 

Bile deficiency syndrome results in the sluggish draining of toxins from your liver along with chronic digestive issues and a myriad of other unpleasant health symptoms.

Signs of Poor Bile Flow

The most common signs of bile deficiency syndrome are:

  • chronic constipation
  • low energy
  • varicose veins
  • skin issues
  • light colored stools
  • itchiness
  • persistent gut issues (SIBO, bloating, food sensitivity, etc.)
  • frequent nausea
  • blood pressure issues
  • trouble digesting fats
  • pain under right side of rib cage
  • chronic fatigue
  • weight gain

This is usually the time when someone will show up in a doctor's office to try to resolve these symptoms, only to be offered Rx drugs and/or supplements that often only act as a bandaid while making the root problem worse.

Poor bile flow is usually the result of the body not having the nutrients or 'raw materials' it needs to produce more bile, excess toxicity decreasing bile flow or making it thick and sluggish, nutrient excess reducing the further absorption of toxic nutrients (usually as an attempt to avoid poisoning), an issue with the bile ducts themselves (i.e. cholestatic blockage), or emotional issues causing nervous system disorders (such as sympathetic nervous dominance).

How Bile Is Supposed to Work

Your liver-gallbladder axis is like the garbage disposal of your body.

When it's working properly, you feel like your best self.

However, when there's a clog in the system, your body struggles to do its normal daily work and take out the day's waste products.

This is because it's overwhelmed from being worked too hard (being burdened by decades of dietary and environmental stressors), it gets sluggish and can't clear things from your body as quickly.

You see, your liver produces bile, a fluid that helps to carry toxins from your liver out of your body via your stool.

What kinds of things does your body need to dispose of on a regular basis?

  • metabolic waste (from normal bodily functioning)
  • toxins
  • used hormones (especially at ovulation and right before your period)
  • heavy metals
  • excess nutrients (especially fat-soluble vitamins, from too much 'health food' and supplements)
  • medications, supplements, hormone replacement therapy
  • pesticides, herbicides
  • and all the other things you're constantly bombarded with in modern life

When bile flow is inadequate, or gets too thick and can't flow properly, like a slow dripping facet vs. a healthy flow of fluid to help flush waste out of your system. This results in the reduced excretion of toxins, encouraging toxic build up over time.

This also means there is not enough bile to stimulate peristalsis (think lack of movement in your digestive tract -hello constipation!) to lubricate the pipes of your digestive system so you can 'go' to the bathroom easily and prevent bacterial overgrowth from happening in your intestines (hello SIBO)!

This is why so many people are bloated, constipated, fatigued and can't lose weight.

Poor Bile Flow and Weight Gain

Dilution is the solution to pollution, meaning extra fat can help dilute a toxic burden making your body feel more 'safe.' This is the same thing as if you have something toxic in your water and you want to reduce the amount, you'd simply dilute it by adding more water.

When waste stops getting removed efficiently, your body goes into accumulation mode vs. clearing; letting more toxic matter build up (read: weight gain). You're now accumulating toxins and excess nutrients faster than you're able to get rid of them.

Testing for Poor Bile Flow and How to Correct it

To support better bile production and flow, you have to identify the imbalances that are contributing to it.

The primary nutrients that should be assessed via testing are: plasma zinc (blood), serum copper (blood), iron (blood), vitamin A (blood), and selenium (hair analysis).

For clients of mine, this testing is easily accomplished with a hair analysis and blood labs package, the standard testing in my 1-1 programs.

PIN IT:

double cheeseburger

double cheeseburgerwords that describe digestive symptoms related to poor bile flow

References

  1. https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/cholestasis
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101675/
  3. https://pmc.ncbi.nlm.nih.gov/articles/PMC2863217/

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About Catherine Crow, NTP

Hi there! I’m Catherine Crow. Seattle-based Functional Nutritional Therapy Practitioner (FNTP), Educator, Diet Investigator, and Coconut Milk Ice Cream Enthusiast. My goal is to help guide you to improve your nutrition through strategic eating (not dieting) and without expensive supplements. Because when you know better, you can feel better! Read more...

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Hi, I'm Catherine! As a nutritional therapist, my passion is education. My goal is to help guide you to improve your nutrition through strategic eating (not dieting) and without expensive supplements! Because when you know better, you can feel better! More about me →

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