My 2025 Functional Blood Work: A High-Performer’s Guide to Liver and Gallbladder Heal - Part 4

In Part 1, I unpacked the signs of an overactive immune system.
In Part 2, I explored my kidney markers and why “dysfunction” might be misleading.
In Part 3, I looked at my GI function (gut health) and my sub-optimal total protein.

This week, we’re reviewing my liver and gallbladder results. According to my Functional Blood Analysis Report, my liver function has a 56% probability of dysfunction and my gallbladder has a 50% probability of dysfunction.

Not catastrophic. But not optimal either. And when you're training hard, running a business, parenting, and pushing for growth, suboptimal can catch up to you.

Liver Function Markers

Here are the markers used in the algorithm that looks at liver function.

Gallbladder Function Markers

Here are the markers used in the algorithm that looks at gallbladder function.

I've already covered some of these markers in part 1, part 2 and part 3.

Albumin (Low)

What It Is: Albumin is a protein made by the liver that helps with fluid balance, nutrient transport, and antioxidant defense.

Why It Matters: Low albumin can be an early marker of liver stress, chronic inflammation, or impaired nutrient absorption. It often drops before conventional liver enzymes show anything wrong.

Why Mine Might Be Low

  • Chronic immune load (gut stress, EBV recovery, histamine issues)

  • Liver pressure from detox demands, creatine byproducts, and a high-protein diet

  • Gut absorption issues (covered in Part 3)

What I’m Doing About It

  • Supporting detox: NAC, B-complex, sauna

  • Supporting digestion: HCl, enzymes, zinc

  • Reducing immune burden via gut protocol and stress management

  • Tracking trends over time, not just one result

Bottom Line: My low albumin reflects a high systemic load, not a lack of protein intake.

Bilirubin (High)

What It Is: Bilirubin is a yellow waste product from red blood cell breakdown. The liver processes it for excretion via bile.

Why It Matters: High bilirubin can indicate:

  • Sluggish liver detox pathways

  • Poor bile flow

  • Excess red blood cell turnover

Gallbladder Connection

  • Thick, stagnant bile increases risk of gallstones (especially pigment stones)

  • Poor bile flow = gallbladder congestion

  • Detox bottlenecks worsen histamine intolerance and toxin sensitivity

What I’m Doing:

  • Supporting phase 2 detox: NAC, B-complex, hydration, sauna

  • Enhancing bile flow: HCl, enzymes, bitters

  • Minimising liver stress: avoiding alcohol, excess sugar, and meds

Bottom Line: Likely a functional congestion, not a disease. My liver is working hard but needs better rhythm and support.

Cholesterol - Total (High)

What It Is: Cholesterol is essential for hormone production, vitamin D synthesis, brain health, and cell function. The liver makes 75% of your cholesterol and converts it into bile acids.

Why It Matters: High cholesterol can:

  • Thicken bile (when bile salts are low)

  • Increase gallstone risk (cholesterol stones)

  • Impair bile flow and fat-soluble vitamin absorption

Why Mine Might Be High:

  • High-protein, animal-based diet (red meat, eggs, liver)

  • Hormone repair and tissue recovery post-EBV

  • Natural genetic variance

Gallbladder Connection

  • Sluggish, thick bile stresses the gallbladder

  • May cause bloating, pale stools, or fatigue after fatty meals

Bottom Line: This isn’t about cardiovascular risk. It’s about bile function and liver load.

Gamma-Glutamyl Transferase (GGT) (Slightly High)

What It Is: GGT is a sensitive early marker for liver strain, oxidative stress, and bile stasis. It often elevates before ALT/AST.

Why It Matters

  • Indicates possible toxin or supplement load

  • May signal early gallbladder congestion

  • Correlates with oxidative stress around liver and bile ducts

Gallbladder Connection

  • High GGT = sluggish bile = more gallbladder strain

  • May explain symptoms like brain fog or nausea after fatty meals

What I’m Doing

  • Taking NAC, vitamin C, alpha-lipoic acid

  • Using sauna for gentle detox

  • Supporting bile with bitters and magnesium

  • Avoiding alcohol and unnecessary supplements

Bottom Line: Slightly elevated GGT is a nudge to respect the load I’m placing on my liver.

Triglycerides (Low)

What It Is: Triglycerides are fats in the blood, used for energy. Bile release is triggered by fat, so low triglycerides = less bile stimulation.

Why It Matters

  • Weak bile signals = sluggish gallbladder

  • May contribute to poor fat digestion and gallbladder congestion

Why Mine Might Be Low

  • Low-carb, high-protein diet

  • High fat metabolism from training

  • Possibly low fat intake or absorption

What I’m Doing

  • Increasing healthy fats: egg yolks, fatty fish, olive oil, liver

  • Supporting bile flow with choline, taurine, bitters

  • Ensuring consistent fat intake across meals

Bottom Line: Low triglycerides aren't bad, but combined with other markers, they hint at gallbladder under-stimulation.

Ferritin (High)

What It Is: Ferritin stores iron, mostly in the liver. High levels can signal inflammation, iron overload, or liver strain.

Why It Matters:

  • Excess iron gets stored in organs, especially the liver

  • Can contribute to fibrosis, cirrhosis, and liver dysfunction

What I’m Doing

  • Blood donations (I carry the hemochromatosis gene)

  • Supporting detox: NAC, milk thistle, curcumin, glutathione

  • Rotating protein sources

  • Monitoring markers every 6–12 months

Bottom Line: Managing iron stores is key for my long-term liver health.

Total Protein (Low)

What It Is: Measures albumin and globulins — proteins made by the liver and immune system.

Why It Matters

  • Can reflect liver underfunction, poor gut absorption, or immune stress

What I’m Doing

  • Supporting liver and gut (as above)

  • Tracking over time

Bottom Line: Another clue pointing to the liver-gut-immune load I'm carrying.

Final Reflection: Rhythm, Not Just Recovery

My liver and gallbladder aren’t failing. They’re just overworked.

Training, parenting, building a business, I’m often in output mode. But the liver doesn’t thrive in overdrive.

It needs:

  • Consistent meals

  • Strategic fasting windows

  • Parasympathetic support (sauna, breathwork, evening wind-down)

This isn’t about perfection. It’s about rhythm.

I'm learning to live in a way that supports my biology, not just my ambitions. And that’s a lesson worth sharing.

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When Fitness Isn’t Enough: My Wake-Up Call and the Health Lesson Every Man Needs