Keto rash, or prurigo pigmentosa, is an uncommon inflammatory skin condition that occurs in people in the first stages of ketosis. The exact cause of the rash is unknown, but it is believed to be linked to ketosis and may be triggered by excessive fasting, ketones, low-carb diets, nutrient deficiency, allergens, and external irritants. While the rash usually clears up on its own within a few weeks, there are several treatments that can help, including taking purified bile salts after meals to support digestion and enhance the absorption of fat-soluble nutrients.
Characteristics | Values |
---|---|
Definition | An uncommon inflammatory skin condition with the scary-sounding name "prurigo pigmentosa" (pigmented irritation) |
Other Names | Nagashima disease |
Symptoms | Itchy, raised skin lesions that are red, brown, or light pink in colour |
Body Parts Affected | Torso, back, neck, shoulders, chest, armpits, face, and extremities |
Age Group | Commonly occurs in female teenagers and young adults |
Cause | Unknown, but possibly linked to ketosis, fasting, low-carb diets, uncontrolled diabetes, bariatric surgery, or mechanical irritation |
Treatment | No specific treatment, but bile salts may help with digestion and absorption of fat-soluble nutrients |
Prevention | Transition into ketosis slowly, supplement with vitamins and minerals, and avoid potential irritants |
What You'll Learn
Bile salts help with the absorption of fat-soluble nutrients
Bile salts are crucial for the absorption of fat-soluble nutrients. They are produced in the liver and stored in the gallbladder. When we eat, our hormones signal the gallbladder to release bile, which is then released into the duodenum, the first part of the small intestine. This is where bile helps break down and digest the fats present in food.
Bile salts are made of bile acids that are conjugated with glycine or taurine. They are secreted in a conjugated form, with the functional group of bile acids coupled to the conjugating moiety. This process increases the water solubility of bile salts. Bile salts are amphipathic, meaning they have both hydrophilic and lipophilic properties, which allow them to emulsify fats and promote the absorption of cholesterol and fat-soluble vitamins.
The fat-soluble vitamins that bile salts help absorb include vitamins A, D, E, and K. Additionally, bile salts also aid in the absorption of omega-3 fatty acids. By emulsifying fats, bile salts increase the surface area of fats, making it easier for enzymes to break them down. This process is essential for the body's absorption of fat-soluble nutrients.
Bile salts are also important for removing toxins from the body. They help eliminate waste products and toxins by secreting them into the bile, which are then eliminated in feces. Therefore, bile salts play a crucial role in detoxification and maintaining the body's metabolic homeostasis.
In summary, bile salts are essential for the absorption of fat-soluble nutrients. They help break down fats and facilitate the absorption of vitamins A, D, E, and K, as well as omega-3 fatty acids. Additionally, bile salts aid in detoxification by removing toxins from the body.
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They support the liver's detoxification process
Bile salts are synthesized in liver cells called hepatocytes and are then stored in the gallbladder. They are the main organic component found in bile, which is a digestive liquid produced in the liver. Bile is in charge of aiding the digestion of fats in the duodenum, the first region of the small intestine. Bile salts are crucial for the body to excrete cholesterol and potentially toxic compounds, like bilirubin and drug metabolites. They also help to improve gallbladder function by reducing inflammation of the bile ducts and helping normalize blood flow.
Bile salts support the liver's detoxification process by emulsifying fats in the gut, which is a water-based environment, so they can be broken down by digestive enzymes. This is how bile salts play a role in cholesterol regulation and help get rid of wastes and toxins through bile. About 500 milligrams of cholesterol are converted into bile acids and eliminated in our bile every day.
Bile salts also work as a defence mechanism to fight infectious agents and toxins that can lead to a number of diseases, including sepsis, herpes, psoriasis and parvovirus infection. This is called a "physico-chemical defence system", and it wouldn’t be able to protect us properly if there weren’t enough bile salts present in the body.
Bile salts also improve the symptoms of diseases affecting the liver. They improve liver function by assisting in the process that removes toxic substances and pathogens from the body. If you have a bile salt insufficiency, taking supplements may help improve conditions of the liver like cystic fibrosis, non-alcoholic fatty liver disease and primary biliary cirrhosis.
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Bile salts can be supplemented with digestive enzymes
Bile salts are one of the primary components of bile, a greenish-yellow fluid made by the liver and stored in the gallbladder. They are crucial for the digestion of fats and the absorption of fat-soluble vitamins like vitamins A, D, E, and K. Additionally, bile salts aid in the removal of toxins from the body.
Some people may not produce enough bile salts, leading to a bile salt deficiency. This can be due to having their gallbladder removed, or other diseases of the bowel. Symptoms of a bile salt deficiency include vitamin deficiencies, heartburn, bloating, abdominal tightness, digestive issues, gallstones, jaundice, hormone imbalance, and low cholesterol levels.
For those with a bile salt deficiency, bile salt supplements can be taken to counteract these symptoms. These supplements are often made from sterilized ox or bovine bile and are typically taken with meals to aid in the absorption and digestion of fats and fat-soluble vitamins. It is recommended to start with lower doses and monitor how you feel after meals.
In addition to bile salt supplements, digestive enzymes can also be taken to further support the breakdown and absorption of fats. Digestive enzymes work together with bile salts to help emulsify fats into soluble fatty acids, making them easier to be absorbed and utilized by the body.
Therefore, for individuals experiencing a keto rash, supplementing with bile salts and digestive enzymes can be a potential solution to alleviate the rash by supporting the proper digestion and absorption of fats, as well as the removal of toxins from the body.
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They may help alleviate keto rash by improving digestion
Bile salts may help alleviate keto rash by improving digestion.
Keto rash is an inflammatory skin condition that occurs in people in the first stages of ketosis. It is characterised by an itchy rash that usually appears on the torso, back, and neck. The exact cause of keto rash is not yet known, but it is believed to be linked to ketosis and the body's detoxification process.
One of the potential causes of keto rash is sluggish fat digestion. When transitioning to a ketogenic diet, the body needs to produce more bile to digest high-fat foods and absorb fat-soluble vitamins. Bile salts act like a detergent, emulsifying fats into soluble fatty acids. Taking purified bile salts after meals can help support fat digestion, enhance the absorption of fat-soluble nutrients, and aid detoxification.
Additionally, a bile salt deficiency can lead to a temporary backup of toxins in the liver, causing an inflammatory response and potentially triggering keto rash. Bile salts are needed to break down fat and remove toxins from the liver. Supplementing with purified bile salts can help alleviate the stress on the liver and support healthy detoxification.
While the effectiveness of bile salts in treating keto rash is not definitively proven, some people who have used them have reported positive results. For example, one person who experienced a "Keto Itch/Rash" after starting a ketogenic diet found relief after taking bile salts for just one day.
It is important to note that keto rash usually improves and disappears on its own after a few weeks as the body becomes keto-adapted. However, supporting digestion by taking bile salts may help alleviate the rash and improve overall digestion and nutrient absorption during the transition to a ketogenic diet.
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Purified bile salts can be taken as supplements
Bile salt supplements can be helpful for those who don't produce enough bile salts naturally. This can be due to a number of factors, including not having a gallbladder, not producing enough bile, or not being fully keto-adapted.
Purified bile salts are available from a range of brands and in various forms, including capsules and tablets. They can be purchased online and in health stores.
Some people have reported positive experiences with bile salt supplements, claiming that they relieved their keto itch/rash and improved their digestion. However, it's important to note that everyone's body is different, and some people may experience negative side effects such as constipation or stomach upset.
If you are considering taking purified bile salts as a supplement, it is always a good idea to consult with a healthcare professional first to ensure that it is safe and appropriate for your individual needs.
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Frequently asked questions
Keto rash is an uncommon inflammatory skin condition, also known as prurigo pigmentosa. It is a preventable and treatable skin irritation that is a normal side effect of starting a ketogenic diet.
The symptoms of keto rash typically occur on the torso, back, chest, neck, shoulders, and underarms in the form of itchy, raised skin lesions. The disease usually forms a symmetrical pattern on each side of the body with a web-like appearance.
There is no specific treatment to cure keto rash, but there are several steps you can take to help your skin heal quickly. These include supporting your digestion with purified bile salts, adjusting your carb intake, giving your skin time to heal, and avoiding skin irritants.