Ox Bile Benefits: 6 Reasons to Use Bile Salts

Ox Bile Benefits: 6 Reasons to Use Bile Salts

Ox bile contains bile acids that enhance the absorption of fat-soluble vitamins, promote optimal bile flow and gallbladder function, and have been linked to better liver health.

Discover six ox bile benefits and find out if incorporating bile salts into your routine could support your digestive wellness.

What is ox bile?

Ox bile is a digestive fluid derived from the gallbladders of cows that contains bile acids such as cholic, deoxycholic, and chenodeoxycholic acid. It is often used by people living without a gallbladder to improve fat digestion.

The bile acid composition of ox bile is very similar to that of human bile, which is a vitally important digestive fluid produced in the liver and stored in the gallbladder. 

Bile acids play a crucial role in breaking down fat and supporting the metabolism of certain nutrients, as well as promoting liver and gallbladder functions. 

Ox bile-derived bile acids have been used for centuries in traditional wellness practices to support digestive system function and enhance overall health and well-being.  

Today, ox bile is often included in supplements designed for individuals seeking additional support for fat digestion, nutrient absorption, and overall gut health, as well as those following a high-fat ketogenic diet. 

Watch the video below to discover nine impressive benefits of bile salts. 

6 benefits of ox bile

Bile acids are steroid-based molecules synthesized from cholesterol by specialized liver cells.

Because of their unique chemical structure, bile acids have potent emulsifying properties, which support digestion, microbial balance, detoxification pathways, and bile flow.

Here are six benefits of ox bile.

1. Supports fat digestion

Bile salts help emulsify fats, breaking them into smaller droplets that are more accessible to digestive enzymes, which further break them down into fatty acids and monoglycerides.

This process supports the efficient breakdown of lipids, making it easier to process and absorb dietary fat in the digestive tract.

2. Enhances nutrient absorption 

In addition to facilitating fat digestion, bile acids help promote the breakdown and absorption of fat-soluble nutrients such as vitamins A, D, E, and K, as well as omega-3 fatty acids.

This has been confirmed by research published in the Journal of Biological Chemistry, summarizing, “The absorption of lipid-soluble vitamins from the diet requires the detergent actions of bile acids.”1

Fat-soluble vitamins are critical for vision, bone health, immune defenses, hormonal balance, and antioxidant functions, while omega-3 fatty acids help maintain cellular integrity and play a role in heart, brain, and joint health.

Without sufficient bile flow, the uptake of these essential nutrients may be less efficient, which can impact overall nutritional balance and wellness.

Gallbladder illustration 
Image credit: MicroScience/shutterstock.com

3. Supports gallbladder health 

Ox bile acids, due to their solubility, can help maintain bile fluidity, which promotes the flow of bile through the bile ducts and aids the body’s natural processes of bile production and secretion.

Bile is essential for the digestion and absorption of fats, and healthy bile flow supports proper gallbladder function. 

The liver produces bile, which the gallbladder stores and releases when needed, and maintaining optimal bile flow helps keep digestive processes working efficiently.

4. Promotes healthy liver function

Ox bile contains cholic acid, a primary bile salt that plays a significant role in supporting the detoxification of fat-soluble toxins and waste products. This enhances detoxification processes, which are critical for maintaining overall liver function.

By helping maintain bile solubility, bile salts also support the proper flow of bile from liver cells to the gallbladder, which supports the liver’s ability to carry out its essential functions effectively.

Microbiome illustration  
Image credit: Troyan/shutterstock.com

5. Supports a diverse gut microbiome

A study published in Current Opinion in Gastroenterology found that bile acids help promote an intestinal environment that supports the growth and diversity of beneficial gut bacteria, contributing to digestive tract health and overall well-being.2

It’s believed that bile acids act by influencing the composition of the gut microbiota through their detergent-like properties, which help modulate bacterial populations.

Maintaining a diverse gut microbiome is vital for optimal digestion, immune function, and nutrient absorption, and has been implicated in mood regulation and mental well-being.

6. May help maintain thyroid hormone balance 

Evidence published in Nature found that bile acids can stimulate the conversion of thyroxine (T4), the inactive form of thyroid hormone, into its active form, triiodothyronine (T3).3

Balanced thyroid hormone levels are essential for overall health, as they regulate critical physiological functions, including metabolic pathways, energy production, heart rate, temperature regulation, and growth and development.

Young woman in pain   
Image credit: Prostock studio/shutterstock.com

Who shouldn’t take bile salts?

While ox bile is considered well-tolerated when used in appropriate amounts, those with certain health conditions should exercise caution, as bile salt supplements may not be suitable for everyone.

Individuals with these health conditions are advised to avoid ox bile.

Hyperthyroidism 

Because bile acids play a role in converting thyroid hormones, bile acid supplementation could contribute to imbalanced thyroid hormones and worsen symptoms of an overactive thyroid.

Loose stools or diarrhea

Bile salts can draw water into the intestines, which could exacerbate loose stools and diarrhea in individuals with irregular bowel movements. 

Inflammatory bowel conditions

Inflammatory bowel disease (IBD) is a group of inflammatory conditions that affect the digestive tract, including ulcerative colitis and Crohn’s disease. 

Taking bile salts can increase the permeability of the intestinal lining in people with IBD, allowing potentially harmful substances to enter the circulation and trigger immune responses, which can perpetuate intestinal inflammation and associated symptoms. 

Chronic liver diseases 

Although ox bile can promote liver health, individuals with fatty liver disease and cirrhosis should consult a healthcare provider before using ox bile supplements, as impaired liver function can affect how bile acids are metabolized.

Clock and pills
Image credit: Cat Ka/shutterstock.com

When to take bile salts

Purified bile salts are commonly taken with meals to support digestion. However, some individuals may find it more effective to take them on an empty stomach.

“I typically recommend taking bile salts before or after a meal to speed up digestion and support digestive health,” says Dr. Berg. “However, eating stimulates stomach acid, which can lower the effectiveness of bile salts, and some people benefit from taking ox bile on an empty stomach.”

It’s crucial to carefully follow the instructions for the ox bile supplement you plan to use, pay attention to how your body responds, and adjust your routine as needed.

Although rare, sensitive individuals may experience mild digestive discomfort, such as bloating or loose stools, especially when starting bile salt supplementation. Therefore, it’s recommended to begin with a low dose and gradually increase as tolerated.

FAQ

1. What is ox bile?

Ox bile is a digestive aid derived from the gallbladders of cows and contains bile acids that help emulsify fats during digestion. It’s typically used to enhance digestive processes, promote gallbladder health, and support liver functions.

2. What does ox bile help with?

Ox bile contains bile acids that help emulsify dietary fats, which supports the absorption of fat-soluble vitamins like A, D, E, and K. Bile acids also promote healthy bile flow, which has been linked to better liver and gallbladder function.

3. What are the side effects of ox bile?

While ox bile is generally well tolerated, some sensitive individuals can develop mild and transient gastrointestinal side effects such as bloating, cramps, nausea, and changes in stool consistency.

4. How often can you take ox bile?

Ox bile supplements are typically taken before meals to support fat digestion and nutrient absorption.

However, eating triggers stomach acid production, which can reduce the potency of bile salt, and some individuals find it more effective to take ox bile on an empty stomach.

Sources

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC2863217/ ?
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC4215539/ ?
  3. https://pubmed.ncbi.nlm.nih.gov/16400329/ ?
  • How to Lower Cholesterol on Keto
    Diet

    How to Lower Cholesterol on Keto

    At a glance While a nutrient-focused ketogenic diet is often associated with improved cholesterol balance, it’s not uncommon to see elevated cholesterol levels during the early stages of keto adaptation….
    12/05/2025 13.1k views
  • What Are Digestive Enzymes and Why Are They Important?
    Health concerns

    What Are Digestive Enzymes and Why Are They Important?

    At a glance Factors such as low stomach acid, sluggish bile flow, and gut imbalances can influence the activity of digestive enzymes and affect how well the body breaks down…
    09/26/2025
  • What Dissolves Gallbladder Stones Fast?
    Health concerns

    What Dissolves Gallbladder Stones Fast?

    At a glance Gallstones form when bile becomes thick or sluggish, often due to poor diet, hormonal imbalances, or liver congestion. Supporting healthy bile flow through diet and natural remedies…
    04/09/2025 65.3k views
  • Can I Do a Ketogenic Diet without a Gallbladder?
    Diet

    Can I Do a Ketogenic Diet without a Gallbladder?

    At a glance While the gallbladder plays a key role in the digestion of dietary fats, gallbladder removal doesn’t mean the keto diet is off-limits. By making gradual adjustments to…
    04/09/2025 55k views
  • What Is a Sluggish Gallbladder? Everything You Should Know
    Health concerns

    What Is a Sluggish Gallbladder? Everything You Should Know

    At a glance A sluggish gallbladder can impair bile flow, making it harder to digest fats and leading to discomfort after meals. Dietary and lifestyle strategies may help restore bile…
    04/09/2025 29.5k views
  • How to Increase Bile - 5 Natural Ways
    Health concerns

    How to Increase Bile – 5 Natural Ways

    At a glance Bile is a digestive fluid made by the liver and stored in the gallbladder that helps the body break down fats and absorb fat-soluble nutrients. It also…
    04/09/2025 125.3k views
  • Abdominal Gas and Bloating DO THIS NOW
    Health concerns

    Abdominal Gas and Bloating DO THIS NOW

    If you’ve been experiencing abdominal gas and bloating, you’re not the only one. This is a huge problem for many Americans. It may be one of the more uncomfortable topics…
    04/09/2025 35k views
  • Bile Deficiency: Symptoms and Causes
    Health concerns

    Bile Deficiency: Symptoms and Causes

    At a glance Bile is an essential digestive fluid that helps your body absorb fats and fat-soluble vitamins. A bile deficiency can lead to digestive issues, such as bloating, fatty…
    04/09/2025 19k views
  • 5 Common Thyroid Problems - Symptoms and Causes
    Health concerns

    5 Common Thyroid Problems – Symptoms and Causes

    At a glance The thyroid is a small gland located at the base of the neck that produces hormones essential for metabolism, energy production, and body temperature regulation. Its function…
    04/09/2025 45.1k views
  • Vitamin D Bile and Your Gallbladder
    Health concerns

    Vitamin D Bile and Your Gallbladder

    Optimizing Vitamin D Absorption For Your Gallbladder Many individuals need to know why vitamin D is crucial for optimal health. This essential nutrient is vital in various bodily functions, including…
    04/09/2025 10.7k views

Shop our bestsellers

  • D3 & K2 Vitamin
    4.8 (1630)

    D3 & K2 Vitamin

    In stock2 Potencies
    From $14.99
    View Product
  • Electrolyte Powder with 1000 mg of Potassium with Magnesium
    4.7 (3736)

    Electrolyte Powder with 1000 mg of Potassium with Magnesium

    In stock8 Flavors2 Servings
    From $35.99
    View Product
  • Magnesium Glycinate with Naturally Sourced Vitamin D3
    4.7 (397)

    Magnesium Glycinate with Naturally Sourced Vitamin D3

    In stock2 Sizes
    From $18.99
    View Product
  • Whole Food Multivitamin with Minerals - 60 Capsules
    4.8 (468)

    Whole Food Multivitamin with Minerals – 60 Capsules

    In stock
    $36.99
    View Product
  • Natural Vitamin B1+ Allithiamine with B Complex Blend - 60 Capsules
    4.7 (420)

    Natural Vitamin B1+ Allithiamine with B Complex Blend – 60 Capsules

    In stock
    $23.99
    View Product
  • Trace Minerals Enhanced - 60 Capsules
    4.8 (1075)

    Trace Minerals Enhanced – 60 Capsules

    In stock
    $36.99
    View Product
  • Multi Collagen Peptides - 15.5 g per serving - Grass-Fed, Pasture-Raised, and Wild-Caught Sources - 25 servings
    4.6 (61)

    Multi Collagen Peptides – 15.5 g per serving – Grass-Fed, Pasture-Raised, and Wild-Caught Sources – 25 servings

    In stock
    $32.99
    View Product
  • Wild-Caught Omega-3 Cod Liver Fish Oil DHA EPA - 60 Softgels
    0.0 (0)

    Wild-Caught Omega-3 Cod Liver Fish Oil DHA EPA – 60 Softgels

    In stock
    $29.99
    View Product