{"id":17989,"date":"2018-05-31T05:15:54","date_gmt":"2018-05-31T05:15:54","guid":{"rendered":"https:\/\/fxnutrition.com\/?p=401"},"modified":"2025-08-28T15:04:54","modified_gmt":"2025-08-28T15:04:54","slug":"how-does-cholesterol-affect-digestion","status":"publish","type":"post","link":"https:\/\/www.fxnutrition.com\/blog\/how-does-cholesterol-affect-digestion","title":{"rendered":"How Does Cholesterol Affect Digestion?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Cholesterol can be confusing. Is it good? Is it bad? Is my cholesterol too high? Is my cholesterol too low? Confusing matters more, what\u2019s the role of cholesterol on digestion?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whenever I encounter one of these confusing topics, I delve into the science of it, particularly the physiology. Far more than any dietary theory (which can\u2019t and won\u2019t work for every body) understanding the science \u2014 the physiology \u2014 is a key ingredient for using food as medicine.<\/span><\/p>\n<h4>How does cholesterol affect digestion and bile acids?<\/h4>\n<p><span style=\"font-weight: 400;\">When we consume fats in any form, they are initially broken down in the form of triglycerides. Chemically, triglycerides are a fatty acid molecule attached to a glycerol backbone. In our stomachs, which is part of our upper digestive system, there is typically some mineral breakdown of fats due to the action of an enzyme called gastric lipase. But the majority of digested fat is digested in our small intestine.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When partially digested food enters the small intestine in the form of chyme, it triggers the release of a hormone called cholecystokinin (CCK). This signals the gallbladder (if we have one!) to release bile. Bile is made up of bile salts, cholesterol, water and other substances.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cholesterol synthesizes bile acids which are essential for the absorption of fat from the small intestines. The bile acids work like a detergent to break down and emulsify fat into microscopic droplets. Those tiny beads of fat then have enough of an exposed surface area for lipases (your fat digestive enzymes) to come in and do their job of absorbing those fatty acid molecules into your bloodstream to support your energy, cell integrity, and internal insulation.<\/span><\/p>\n<h3>Cholesterol production in the liver<\/h3>\n<p><span style=\"font-weight: 400;\">Most cholesterol is produced in the body by the liver and contrary to dietary myths, does not come from the food you eat, but we\u2019ll bust that myth later. After creating cholesterol, the liver sends out two different agents\u2014LDL (low-density lipoproteins) and HDL (high-density lipoproteins). The LDL travels away from the liver and into the blood and has several functions including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">protection and repair of cell walls so that they are appropriately permeable (allowing only what is opportune to pass in and out of each and every cell in your body)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">serving as the backbone for many of our sex and stress hormones (think: progesterone, testosterone, estrogen, cortisol)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">production of the bile acids that allows for the vital digestion and absorption of the fats, oils and fat soluble vitamins (like your vitamin D!) from the foods you eat<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A key role of HDL is transporting the excess cholesterol from the bloodstream back to the liver for secretion. <\/span><b>HDL does the clean-up.<\/b><\/p>\n<p><b><\/b><span style=\"font-weight: 400;\">If you made it with me this far, or if you\u2019ve already chewed those facts, then you know cholesterol is vital for good health! Your cells need it. Your hormones need it.<\/span><span style=\"font-weight: 400;\"><br><\/span><span style=\"font-weight: 400;\">Your digestive tract needs it. Since cholesterol is mostly produced in the liver, the <\/span><b>vitality of the liver is critical for maintaining healthy cholesterol levels.<\/b><span style=\"font-weight: 400;\"> When your liver is in good form, it produces more HDL to help with the clean-up of the cholesterol circulating in the blood. That\u2019s why higher HDL is considered good.<\/span><\/p>\n<h3>The impact of dietary cholesterol<\/h3>\n<p><span style=\"font-weight: 400;\">It\u2019s important to remember that cholesterol is produced naturally in the body and plays a critical role in various physiological processes, as previously noted. So where does dietary cholesterol enter the picture?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The myth surrounding dietary cholesterol suggests that when we eat foods that are cholesterol rich, such as egg yolks, shellfish or organ meats, that they\u2019ll translate into high blood cholesterol levels. This is an oversimplification of how the body functions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The extent to which dietary cholesterol will impact blood cholesterol (measured in your annual lipid panel) varies widely among individuals. For some, there will be no significant impact at all. Others might experience a mild correlation between their dietary cholesterol intake and their serum cholesterol levels.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact there are other dietary and lifestyle factors that have a far greater impact on their blood cholesterol, including intake of chemically altered fats, physical activity and unique genetic factors. Even the American Heart Association and the Dietary Guidelines for Americans have now recognized that the causation between dietary cholesterol and blood cholesterol is broadly untrue! And this is why we have to bust the myth that whole foods that contain high amounts of dietary cholesterol are universally \u201cgood\u201d or \u201cbad\u201d.<\/span><\/p>\n<h3>What can be done to improve cholesterol digestion and absorption?<\/h3>\n<p><b>Eat more fiber to support your liver health<\/b><b><br><\/b><span style=\"font-weight: 400;\">Chances are you\u2019ve already heard the \u2018eat more fiber\u2019 mantra but it\u2019s my #1 action step for supporting liver health (and therefore your dual actions of your digestion and cholesterol) On average, Americans consume about 1\/3 the amount of fiber needed. Fiber binds and transports extra bile acids out of the body so it isn\u2019t reabsorbed by the liver.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br><\/span><span style=\"font-weight: 400;\">Excellent fiber rich foods include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">vegetables (particularly hearty leafy greens, cauliflower and broccoli)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">fruits (most berries and apples have great fiber)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">seeds (ground flax is a winner and chia has lots of fiber as well)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">beans (lentils, black, pinto, garbanzo, lima)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">grains (oats, quinoa, brown rice, if tolerated)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and cinnamon too!<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Today, tomorrow and heck from here on out, focus on filling up with fiber! And remember, we each digest and absorb fiber differently. If you\u2019re working with someone that is new to consuming more fiber, start low and go slow. Track to see what changes they experience with their digestion and elimination.<\/span><\/p>\n<p><\/p>\n\n\n<p style=\"font-size:15px\"><strong>References<\/strong>:<\/p>\n\n\n\n<p style=\"font-size:12px\"><a href=\"https:\/\/doi.org\/10.12968\/bjca.2014.9.10.515\">Cowan, Helen. \u201cCan Cholesterol Be Defined as Just \u2018Good\u2019 or \u2018Bad\u2019?\u201d <em>British Journal of Cardiac Nursing<\/em>, vol. 9, no. 10, 2014, pp. 515\u2013516, https:\/\/doi.org\/10.12968\/bjca.2014.9.10.515.&nbsp;<\/a><\/p>\n\n\n\n<p style=\"font-size:12px\"><a href=\"https:\/\/doi.org\/10.1194\/jlr.e036806\">Grundy, Scott M. \u201cPlasma Noncholesterol Sterols as Indicators of Cholesterol Absorption.\u201d <em>Journal of Lipid Research<\/em>, vol. 54, no. 4, 2013, pp. 873\u2013875, https:\/\/doi.org\/10.1194\/jlr.e036806.&nbsp;<\/a><\/p>\n\n\n\n<p style=\"font-size:12px\"><a href=\"https:\/\/doi.org\/10.1194\/jlr.r400003-jlr200\">Steinberg, Daniel. \u201cThematic Review Series: The Pathogenesis of Atherosclerosis. an Interpretive History of the Cholesterol Controversy: Part I.\u201d <em>Journal of Lipid Research<\/em>, vol. 45, no. 9, 2004, pp. 1583\u20131593, https:\/\/doi.org\/10.1194\/jlr.r400003-jlr200.&nbsp;Vourakis, Margaret, et al. \u201cThe Role of Gut Microbiota on Cholesterol Metabolism in Atherosclerosis.\u201d <em>International Journal of Molecular Sciences<\/em>, vol. 22, no. 15, 2021, p. 8074, https:\/\/doi.org\/10.3390\/ijms22158074.<\/a><\/p>\n\n\n\n<p style=\"font-size:12px\"><a href=\"https:\/\/doi.org\/10.3390\/ijms22158074\">Vourakis, Margaret, et al. \u201cThe Role of Gut Microbiota on Cholesterol Metabolism in Atherosclerosis.\u201d <em>International Journal of Molecular Sciences<\/em>, vol. 22, no. 15, 2021, p. 8074, https:\/\/doi.org\/10.3390\/ijms22158074.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Let\u2019s face it, when it comes to health there\u2019s an over-abundance of confusing information. Just within the last few days I\u2019ve had multiple conversations with people clearly stumped by conflicting opinions: Does the radiation fallout pose any danger for us in the United States? Is flouride a toxin or a heroic agent that thwarts tooth decay? And then, there\u2019s always the puzzle about cholesterol. Good? Bad? What\u2019s too high? Is there a too low?<\/p>\n","protected":false},"author":1,"featured_media":22218,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[133],"tags":[227,165,167],"class_list":["post-17989","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diet-lifestyle-support","tag-cholesterol","tag-digestion","tag-nutrition"],"_yoast_wpseo_sitemap-include":null,"_yoast_wpseo_canonical":null,"_yoast_wpseo_redirect":null,"_yoast_wpseo_opengraph-description":null,"_yoast_wpseo_opengraph-title":null,"_yoast_wpseo_focuskeywords":"[{\"keyword\":\"cholesterol production\",\"score\":\"bad\"},{\"keyword\":\"dietary cholesterol\",\"score\":\"ok\"}]","_yoast_wpseo_meta-robots-noindex":null,"_yoast_wpseo_meta-robots-nofollow":null,"_yoast_wpseo_title":"How Does Cholesterol Affect Digestion?","_yoast_wpseo_metadesc":"Discover the intricate relation between cholesterol and digestion, how cholesterol affects the digestive process, and explore the myth of dietary cholesterol.","_yoast_wpseo_focuskw":"how does cholesterol affect digestion","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.6 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How Does Cholesterol Affect Digestion?<\/title>\n<meta name=\"description\" content=\"Discover the intricate relation between cholesterol and digestion, how cholesterol affects the digestive process, and explore the myth of dietary cholesterol.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fxnutrition.com\/blog\/how-does-cholesterol-affect-digestion\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How Does Cholesterol Affect Digestion?\" \/>\n<meta property=\"og:description\" content=\"Discover the intricate relation between cholesterol and digestion, how cholesterol affects the digestive process, and explore the myth of dietary cholesterol.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fxnutrition.com\/blog\/how-does-cholesterol-affect-digestion\" \/>\n<meta property=\"og:site_name\" content=\"Functional Nutrition Alliance\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/fxnalliance\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-05-31T05:15:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-28T15:04:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.fxnutrition.com\/blog\/wp-content\/uploads\/2018\/05\/FxNA-blog-header-histo-liver-1-1024x576.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Andrea Nakayama, FxNA Founder &amp; 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