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is important, as there could be an underlying  University  (BA,  psychology  of  health).  She  completed  a  two-year
            stomach condition such as an ulcer.       residency in family medicine and, with her husband Don, owns Vitality
               A third simple action is to make sure that the  Integrative Medicine, a private family practice in rural Hawaii. She is
            diet includes beets in all their glory (see recipe).  a member of the Hawaii Society of Naturopathic Physicians and is a
            Beets are liver and gallbladder allies in many  long-time WAPF member and local chapter leader. Sally uses whole-food
            ways. They contain helpful  minerals, amino  nutritional therapies, lifestyle change and integrative medicine to treat
            acids, galacturonic acid, lactulose and a variety  a wide variety of conditions, especially digestive problems, hormonal
            of organic acids that help thin bile, such as citric,  imbalances and mood disorders. She lives on an organic jungle farm
            malic, tartaric and malonic acids and others.   and raises Icelandic horses. Questions and comments on this article are
                                                      welcome at docsally.com and vitalitymedicine.org.
            BACK TO BUTTER
               What happened to Casey? Fortunately,  REFERENCES
            Casey is  a member of the Weston A. Price   1.  The emotions. https://www.chinesemedicineliving.com/philosophy/the-emotions/.
            Foundation!  Because  fats  (in  the  short  term)   2.  Hill PA, Harris RD. Clinical importance and natural history of biliary sludge in
                                                        outpatients. J Ultrasound Med 2016;35(3):605-610.
            were making her worse, she went on a temporary   3.  Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and
            high-vegetable and lowfat food program. She   cancer. Gut Liver 2012;6(2):172-187.
            was able to follow the rest of the WAPF dietary   4.  Chatterjee S, Annaert P. Drug-induced cholestasis: mechanisms, models, and markers.
            guidelines (increasing broth-based soups and   Curr Drug Metab 2018 Apr 27. doi: 10.2174/1389200219666180427165035. [Epub
                                                        ahead of print.]
            eating some fruit, fish, properly prepared whole   5.  Inkinen J, Sand J, Nordback I. Association between common bile duct stones and
            grains and homemade kefir). She also stopped   treated hypothyroidism. Hepatogastroenterology 2000; 47(34):919-921.
            taking  oral  contraceptives, halted  her  statin   6.  Hogan NM, Dorcaratto D, Hogan AM, et al. Iatrogenic common bile duct injuries:
            drug, ate beet salads (see recipe in sidebar) and   increasing complexity in the laparoscopic era: a prospective cohort study. Int J Surg
                                                        2016;33(Pt A):151-156.
            started taking apple cider vinegar before each   7.  Alexander HC, Bartlett AS, Wells CI, et al. Reporting of complications after laparo-
            meal. After one week, she felt better and was   scopic cholecystectomy: a systematic review. HPB (Oxford) 2018 Apr 9. pii: S1365-
            able to test and then correct her low stomach acid   182X(18)30779-2. doi: 10.1016/j.hpb.2018.03.004. [Epub ahead of print]
            levels. She also went through a gentle liver and   8.  Einarsson K, Nilsell K, Leijd B, Angelin B. Influence of age on secretion of cholesterol
                                                        and synthesis of bile acids by the liver. New Engl J Med 1985;313(5):277-282.
            gallbladder detox program. Casey now enjoys   9.  Dr. Page’s food plan: supporting whole food nutrition. International Foundation for
            grass-fed butter and bacon with the rest of the   Nutrition and Health. http://ifnh.org/dr-pages-food-plan/.
            family, and her marriage is better, too!  10. Pendick D. How much protein do you need every day? Harvard Health Blog, June 18,
                                                        2015. https://www.health.harvard.edu/blog/how-much-protein-do-you-need-every-
            Sally Boyd Daughtrey, ND, is a naturopathic   day-201506188096.
            physician and graduate of Bastyr University
            (doctor of naturopathic medicine) and Naropa





                                     BEET SALAD TO SUPPORT THE LIVER AND GALLBLADDER

                The following recipe is for a tasty liver and gallbladder tonic food that is appropriate for most people.
                •  4 cups shredded beets
                •  2-4 cups beet greens, steamed and chopped
                •  2 cups shredded carrots (optional)
                •  1/3 cup vinegar or lemon juice
                •  Olive oil (to taste)
                •  Garlic to taste (optional)
                 •  Freshly grated ginger to taste (optional)
                •  Sea salt and pepper

                Clean and shred the fresh beets and optional carrots. Combine beets, carrots and beet greens with vinegar or lemon
             juice and add olive oil to taste (if fats are tolerated). Add optional garlic and ginger, sea salt and pepper to taste. Let mixture
             rest in the fridge for an hour, stir and eat. Keeps for one week in the fridge.


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