Evidence supporting the use of: Fiber
For the health condition: Gall Stones

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Dietary fiber is supported by some scientific evidence for its role in the management and prevention of gallstones, though the evidence is not overwhelmingly strong. Epidemiological studies have found that higher fiber intake, especially from fruits and vegetables, is associated with a reduced risk of gallstone formation. The proposed mechanisms include fiber's ability to decrease intestinal transit time, reduce bile acid deoxycholic acid concentrations, and improve insulin sensitivity, all of which may contribute to a lower risk of cholesterol gallstone development. Soluble fiber, in particular, may bind bile acids in the intestine and promote their excretion, thus preventing supersaturation of cholesterol in bile—a key factor in gallstone formation. However, most of the evidence comes from observational studies, and direct interventional trials specifically targeting gallstone treatment with fiber are limited. The use of fiber is typically recommended as part of an overall healthy diet to prevent gallstones rather than as a primary treatment for existing stones. Clinical guidelines do not list fiber as a treatment for symptomatic gallstones, but increased dietary fiber is often advised for those at risk. In summary, while there is scientific rationale and some supporting evidence for fiber in gallstone prevention, its use as a treatment is not robustly established.

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