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Gilbert’s Syndrome: A Functional Medicine Approach to Liver Health

Gilbert’s Syndrome: A Functional Medicine Approach to Liver Health

25 March 2025

Gilbert’s Syndrome is a common yet often misunderstood liver condition that affects the way the body processes bilirubin, a waste product formed during the breakdown of red blood cells. While it is generally considered a benign genetic disorder, many individuals with Gilbert’s Syndrome experience symptoms that impact their energy levels, digestion, and overall well-being.

A functional medicine approach focuses on supporting the liver, optimizing detox pathways, and addressing underlying imbalances to help individuals with Gilbert’s Syndrome feel their best.

What Is Gilbert’s Syndrome?

Gilbert’s Syndrome is a genetic condition that affects the liver’s ability to properly process bilirubin. This results in mildly elevated levels of unconjugated bilirubin in the blood, which can sometimes lead to noticeable symptoms. It is caused by a mutation in the UGT1A1 gene, which reduces the activity of the enzyme responsible for breaking down bilirubin.

Many people with Gilbert’s Syndrome have no symptoms, but for some, triggers such as stress, fasting, infections, or poor diet can lead to fluctuations in bilirubin levels.

Symptoms of Gilbert’s Syndrome

Although traditionally considered asymptomatic, many people with Gilbert’s Syndrome report experiencing a range of health challenges, including:

Common Symptoms:

  • Mild jaundice (yellowing of the skin or eyes, especially during stress or fasting)
  • Fatigue and low energy
  • Brain fog and difficulty concentrating
  • Digestive issues (bloating, nausea, or slow digestion)
  • Sensitivity to medications and alcohol
  • Episodes of dizziness or lightheadedness

If you have been diagnosed with Gilbert’s Syndrome and are struggling with any of these symptoms, functional medicine offers targeted strategies to support liver health and improve overall well-being.

Understanding Bilirubin Metabolism and Liver Detoxification

Bilirubin is produced when the body breaks down old red blood cells. In a healthy liver, bilirubin undergoes conjugation, a process that makes it water-soluble so it can be excreted through bile and urine. In individuals with Gilbert’s Syndrome, the reduced activity of the UGT1A1 enzyme leads to an accumulation of unconjugated bilirubin, which is not as easily eliminated.

A functional medicine approach to Gilbert’s Syndrome focuses on:

  • Supporting phase 2 liver detoxification to enhance bilirubin processing
  • Reducing liver burden by optimizing gut health and digestion
  • Managing inflammation and oxidative stress
  • Identifying and avoiding triggers that can worsen symptoms

Functional Medicine Strategies for Managing Gilbert’s Syndrome

1. Optimizing Liver Detoxification

Since Gilbert’s Syndrome affects phase 2 liver detoxification, it is essential to support the liver with key nutrients and lifestyle strategies that enhance bilirubin metabolism.

Nutrients That Support Liver Detox:

  • Glutathione – A powerful antioxidant that protects the liver
  • Milk thistle – Supports liver enzyme function and detoxification
  • N-Acetyl Cysteine (NAC) – Helps replenish glutathione stores
  • B vitamins (especially B6, B9, B12) – Essential for methylation and liver function

2. Supporting Gut Health and Bile Flow

A sluggish liver can contribute to poor bile flow, which may cause digestive symptoms, bloating, and toxin buildup. To enhance bile production and prevent bilirubin accumulation, consider:

  • Eating bitter foods like dandelion greens and arugula
  • Supplementing with digestive enzymes and bile acids if needed
  • Consuming fiber-rich foods to promote bile elimination

3. Reducing Triggers and Managing Lifestyle Factors

Certain lifestyle factors can worsen symptoms of Gilbert’s Syndrome by increasing bilirubin levels. Some of the most common triggers include:

  • Chronic stress, which impairs liver function
  • Prolonged fasting, which raises bilirubin levels
  • Alcohol and processed foods, which burden the liver

Looking to Support Your Liver Health?

If you’re interested in functional medicine approaches for liver health and detoxification, here are some ways to explore further:

1. Learn More with My Online Program

For a comprehensive, step-by-step guide to optimizing health, my self-paced online program provides guidance on:

How to uncover the root cause of health issues using functional medicine principles
How to balance hormones, optimize digestion, and reduce inflammation naturally
How to implement a personalized approach to nutrition, detoxification, and gut health

🔗 Explore The Functional Medicine Solution to learn more.

2. Get Personalised Support with 1:1 Consultation Packages

For those seeking individualized care, I offer consultation packages that provide:

Monthly Video Consultations – Regular one-on-one sessions to track progress and refine strategies
Comprehensive Case Reviews – In-depth evaluations to guide your personalized health journey
Advanced Functional Testing – Diagnostic testing to address root causes of health challenges

📞 Learn More About My Consultation Packages for details on how we can work together.

Taking the Next Step Toward Liver Health

While Gilbert’s Syndrome is often dismissed as a “harmless” condition, many people experience real symptoms that impact their daily lives. By focusing on liver function, gut health, and detoxification, you can optimize your energy, digestion, and overall well-being.

🌿 Start Supporting Your Liver Naturally Today and take the first step toward better health!