Episode - Bile Metabolism and Thyroid Health with Dr. Eric Balcavage


Bile Metabolism and Thyroid Health with Dr. Eric Balcavage

Optimized thyroid hormones are a critical component of healthy gut function. They play a crucial role in stomach acid production, bile acid production, and the release of pancreatic enzymes and bile into the GI tract.

Bile’s functions extend far beyond digestion. Produced by the liver and concentrated in the gallbladder, bile plays a pivotal role in detoxification, has antimicrobial properties, and is involved in the metabolism and regulation of thyroid hormones.

This interconnectedness between thyroid health and bile metabolism means that on your healing journey, it’s essential to consider the impact on and influence of each one on the other.

Today I’m joined by a repeat guest, Dr. Eric Balcavage, to talk about the connection between thyroid function and bile physiology. We discuss the functions of bile, its importance for thyroid hormone regulation, risks associated with excessive bile acid supplementation, factors affecting T3 levels, the significance of bilirubin levels, the importance of addressing underlying health issues, and more. Enjoy the episode!


About Dr. Eric Balcavage

Dr Eric Balcavage is the owner and founder of Rejuvagen, a functional medicine clinic in Chadds Ford, PA. He is a nationally recognized speaker and educator on various health-related topics, including thyroid physiology, bile physiology, detoxification, oxidative stress, methylation, and chronic illness. Dr. Balcavage is a Functional Medicine Practitioner and a licensed Chiropractor in Pennsylvania.

Dr. Balcavage is the host of the Thyroid Answers Podcast. The podcast focuses on answering the pressing questions those suffering with chronic hypothyroid symptoms can’t get answered elsewhere. You can find his educational Thyroid Thursday videos on Instagram and YouTube.

Dr Balcavage has made it his mission to change the way medicine looks at hypothyroidism. He is the co-author of the book, The Thyroid Debacle. The book co-written by Dr. Kelly Halderman addresses the problems with current allopathic and functional medicine approaches to hypothyroidism as well as the solutions to restoring thyroid physiology.


During this episode, you’ll learn about:

  • Dr. Eric’s experience with a conference focused on bile physiology and how Dr. Kelly Halderman came to be the co-author of The Thyroid Debacle
  • The functions and components of bile
  • Bile’s antimicrobial activity in the digestive system
  • How insufficient bile acids can contribute to SIBO
  • The interplay between thyroid hormones and bile production
  • Applying caution when using ox bile supplements
  • Exploring what’s behind the reduced T4 to T3 conversion
  • The limitations of thyroid medication and potential consequences of long-term intake
  • Leading causes of low T3 levels
  • Why Dr. Eric recommends assessing total hormone levels in addition to free hormone levels
  • How estrogen impacts bile metabolism and potentially influences gallbladder issues
  • The problem with rushing to remove the gallbladder
  • Symptoms that you may be developing challenges with bile production
  • The significance of elevated or low bilirubin levels
  • Why we don’t typically recommend DIY remedies for shrinking gallstones
  • Considering the underlying cause of gallstones
  • Supporting bile flow and production after gallbladder removal
  • The role of bile acids in chronic leaky gut
  • The connection between oral hormonal contraceptives and gallstones


Connect with Dr. Eric Balcavage


Mentioned in this episode


Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com


Do You Want Help Saving Your Thyroid?

Click Here to access hundreds of free articles and blog posts.

Click Here for Dr. Eric’s YouTube channel

Click Here to join Dr. Eric’s Graves’ disease and Hashimoto’s group

Click Here to work with Dr. Eric


Listen to the episode on your favorite app

Click Here To listen to this episode on Apple Podcasts

Click Here To listen to this episode on Spotify

Click Here To access the transcript for this episode