The discussion centers on the debunking of the gall bladder flush myth, specifically the claim that mixing lemon juice and olive oil can cause the release of gallstones. Participants agree that the resulting "stones" are not actual gallstones but rather soap-like substances formed through saponification when these ingredients interact in the digestive system. The consensus emphasizes the importance of consulting medical professionals for gallstone treatment, as effective options like oral dissolution therapy using drugs such as ursodiol (Actigall) and chenodiol (Chenix) exist. The flush is deemed ineffective and potentially misleading.
PREREQUISITESIndividuals seeking accurate information on gallbladder health, healthcare professionals addressing patient misconceptions, and anyone interested in the chemistry of digestion and gallstone treatments.
Oral dissolution therapy. Drugs made from bile acid are used to dissolve gallstones. The drugs ursodiol (Actigall) and chenodiol (Chenix) work best for small cholesterol stones. Months or years of treatment may be necessary before all the stones dissolve. Both drugs may cause mild diarrhea, and chenodiol may temporarily raise levels of blood cholesterol and the liver enzyme transaminase.
Gallbladder and liver "flushes" are widely advocated as a way of treating gallstones and helping with medical conditions ranging from allergies to cancer [1-4]. In the usual “flush,” half a cup or more of a vegetable oil is consumed together with citrus juice and Epsom salts (magnesium sulphate), usually after a brief fast. Many green, brown, yellow or black blobs of various sizes may later appear in the bowel movements. Some bear a slight resemblance to gallstones, but they are not stones. They are merely bile-stained "soaps" produced by partial saponification (soap formation) of the oil. A recent demonstration found that mixing equal volumes of oleic acid (the major component of olive oil) and lemon juice produced several semi-solid white balls after a small volume of potassium hydroxide solution was added. After air-drying at room temperature, these balls became quite solid and hard. When formed in the intestine, these objects absorb bile and become green [5].
Gallbladder and liver "flushes" are widely advocated as a way of treating gallstones and helping with medical conditions ranging from allergies to cancer [1-4]. In the usual “flush,” half a cup or more of a vegetable oil is consumed together with citrus juice and Epsom salts (magnesium sulphate), usually after a brief fast. Many green, brown, yellow or black blobs of various sizes may later appear in the bowel movements. Some bear a slight resemblance to gallstones, but they are not stones. They are merely bile-stained "soaps" produced by partial saponification (soap formation) of the oil. A recent demonstration found that mixing equal volumes of oleic acid (the major component of olive oil) and lemon juice produced several semi-solid white balls after a small volume of potassium hydroxide solution was added. After air-drying at room temperature, these balls became quite solid and hard. When formed in the intestine, these objects absorb bile and become green [5].