On Tue, 23 Jan 2001, Stacie Tolen wrote:

> What I really want to know, and the nutritionist avoided answering this
> (maybe she has no idea) is WHY would her gall bladder not be producing
> enough bile? WHY would there be lack of pancreatic enzyme? How do we know if
> this is the case (she said it's hard to tell...) and what do we do to
> correct it?

I would like to know the answer, too, but it's distinctly
possible that no one knows.  I suppose we should not assume that
every human being is suited for a high-fat diet.  I think I would
favor a cautious and gradual implementation of the nutritionist's
suggestions, to see if there is any change, positive or negative.

Some people whose gall bladders have been removed are able to
tolerate a high-fat diet, so I doubt that that is the complete
explanation.  The pancreatic enzyme theory is more vague, and
therefore harder to assess.  It's possible, for example, that the
pancrease was damaged by a virus somewhere along the line,
compromising its function in this particular way.  It would be
very hard to know for sure.

Todd Moody
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