What happens to medium-chain triglycerides in people without a gallbladder?
#1
I’ve been reading about how the body processes different types of dietary fats, and I’m confused about what happens to medium-chain triglycerides specifically. My understanding is they are absorbed directly into the bloodstream through the portal vein, unlike other fats, but I’m not sure what that means for someone without a gallbladder.
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#2
I learned that medium chain fats go into the portal vein straight to the liver, not into the lymph like the longer fats. The gallbladder does not have a big role with them, so people without one sometimes tolerate MCTs better, but digestion varies a lot. I tried one tablespoon of MCT oil and felt a quick energy lift with a mild gut feel.
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#3
I kinda doubt it is that simple. Even with MCTs I notice when my stomach is off the fat still acts up a bit and bile seems to help a bit sometimes. Not sure if the absence of the gallbladder changes that much.
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#4
I drifted to a memory of a coworker who used MCTs for a while and then stopped. It feels like the issue might be not the fat itself but how the gut moves. Could the real issue be gut motility instead of the fat itself?
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#5
One weekend I tried a small amount and made a note of how I felt later. Some days it sat well, other days it did not. I learned to spread it out and take it with meals but not a lot at once.
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