How Bile Controls Insulin, GLP-1, and Fat Burning

How Bile Controls Insulin, GLP-1, and Fat Burning

From The Metabolic Classroom with Dr. Ben Bikman by Insulin IQ

February 23, 2026 · 23 min · Episode 138

About this episode

Dr. Bikman explores the significant role of bile acids as hormone-like signaling molecules in metabolic health.

📢 Ask Dr. Bikman’s Digital Mind (multilingual): https://benbikman.com/ben-bikmans-digital-ai-mind 📢 Dr. Bikman’s Community & Coaching Site: https://insuliniq.com Topic: Bile acids are powerful hormone-like signaling molecules that regulate liver fat, glucose production, insulin sensitivity, energy expenditure, inflammation, and GLP-1 release through FXR and TGR5 receptors. Gallbladder function and bile acid signaling play a far greater role in metabolic health than most people realize. Summary: Ben explores a largely overlooked metabolic regulator: bile acids. While bile is commonly understood as a digestive fluid that helps emulsify fats, bile acids are now recognized as powerful hormone-like signaling molecules that influence insulin sensitivity, mitochondrial function, thyroid hormone activation, inflammation, GLP-1 release, and fat cell behavior. Dr. Bikman explains the remarkable efficiency of enterohepatic circulation, where bile acids are reabsorbed and recycled multiple times per day. This recycling process allows bile acids to interact with key receptors — FXR (a nuclear receptor) and TGR5 (a G-protein coupled receptor) — triggering metabolic effects throughout the…

People in this episode

Host: Dr. Ben Bikman

Topics covered

  • bile acids
  • insulin sensitivity
  • metabolic health
  • energy expenditure
  • hormone signaling

Keywords

  • bile acids
  • insulin
  • GLP-1
  • metabolic regulation
  • energy expenditure

Mentioned in this episode

Organizations: Insulin IQ

Products: bile acids, GLP-1, FXR, TGR5, FGF19

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