Ever wonder what makes bile go rogue and start forming gallstones like it’s trying to win a mineralogy award? Gallstones (a.k.a. cholelithiasis) aren’t just a random attack on your right upper quadrant — they come with a set of predictable drama queens known collectively as the 5 Fs.
Gall Stones Risk Factors – The 5 F’s of Gallstones
| Factor | Explanation |
|---|---|
| Fat | Obesity increases cholesterol secretion into bile. Gallbladder’s way of fat-shaming. 🍔 |
| Female | Estrogen increases cholesterol saturation. Hormonal betrayal. ♀️ |
| Forty | Incidence peaks around age 40. Welcome to the club. 🎉 |
| Fertile | Pregnancy = high estrogen + progesterone → gallbladder stasis. Baby’s first gift: stones! 👶 |
| Fair | Higher prevalence in Caucasians. Melanin may be protective? 🧴 |
🧬 Quick Med Talk:
- Gallstones form when bile becomes supersaturated with cholesterol, or there’s impaired gallbladder emptying (stasis), or there’s an excess of bilirubin.
- The result? Crystals that become stones. Like kidney stones, but pettier and more bile-ful.
🚨 Bonus Risk Factors (a.k.a. Unofficial Fs):
- Fast weight loss (Crash diets = bile revolt)
- Family history (Thanks, Grandma.)
- Failure to move (Sedentary lifestyle? Your gallbladder’s silently judging you.)
HAPPY LEARNING, folks! 🙂

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