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Gallbladder Disease

Liver disease is serious and requires treatment and regular monitoring by a liver specialist.

A liver specialist is known as a hepatologist and you need to be referred by your family doctor or general practitioner. Over nearly 40 years of practicing medicine I have seen many patients develop severe liver disease, which sadly could have been prevented by early detection and early referral to a hepatologist. There needs to be more awareness of liver disease so that patients can be treated early so that we can prevent cirrhosis, liver failure and liver cancer. Make sure you have your liver function checked annually with a blood test.

I have presented my ideas on how to help those with liver diseases using nutritional medicine, which I have been using for many years with good success rates. However my recommendations do not replace the care of your own doctor and you should remain under the care of your own doctor whilst using nutritional therapies.

What is the gallbladder and why do we need one?

The gallbladder is a small pear-shaped organ situated directly under the liver in the right upper quadrant of the abdomen.

It’s main function is to collect and concentrate the bile that the body uses to digest fats. Problems with the gallbladder and biliary system are very common and consist of –

  • Inflammation of the gallbladder and bile ducts
  • Muscular spasms and/or poor contraction of the gallbladder wall
  • Stones forming in the gallbladder and/or bile ducts
  • Obstruction to the free flow of bile

Gallbladder problems

The condition of fatty liver is often associated with gallbladder disease such as gallbladder inflammation or gallstones.

Gallbladder problems can be helped and often completely resolved. There is no need to panic and rush into surgery for gallbladder disease, unless you are in severe acute pain or your doctor suspects that you have gallbladder cancer. Indeed having your gallbladder surgically removed may not relieve your abdominal pain.

According to a study published in The British Journal of General Practice 2004;54:574-79, it was found that having the gallbladder surgically removed (cholecystectomy) does not always relieve upper abdominal pain even in those with proven gall stones.

After cholecystectomy, one third of the patients saw their doctor again with the same pain they had suffered prior to the surgery. What a disappointing result for these patients. After 12 months most of the patients who had a cholecystectomy were pain free, but so were 63% of the patients who had kept their gallstones.

In this study 45% of the patients with “biliary pain” did not have gallstones. Gallstones are very common but they are not always the cause of the patient’s pain. So if you have upper abdominal pain and proven gallstones, do not assume the pain is caused by the gallstones. It is important to get your doctor to exclude other causes of upper abdominal pain such as stomach ulcers, acid reflux, spasm and pancreatic disorders etc. These can be treated effectively so that it is often possible to avoid gallbladder surgery.

Gallbladder Example

Gallbladder problems can cause symptoms that include:

  • Nausea and vomiting
  • Indigestion
  • Intolerance to fatty foods
  • Abdominal bloating
  • Pain in the right upper and central upper abdomen
  • Referred pain may radiate to the back and the right shoulder

Acute Gallbladder Emergencies

If the gallbladder or large bile ducts become infected or obstructed with sludge or gallstones, very severe acute symptoms may supervene and these include –

  • Severe abdominal pains which may radiate into the back and the right shoulder
  • Vomiting
  • Fever
  • Septicaemia (the infection extends beyond the gallbladder into the blood stream)
  • Inflammation of the pancreas (pancreatitis)

This is an acute emergency and requires intravenous antibiotics and removal of the gallbladder to prevent a fatal outcome.

Chronic or grumbling gallbladder problems

This condition is far more common than acute gallbladder emergencies.

What is a grumbling gallbladder?

It is a gallbladder that is inflamed and/or sluggish and the causes of this include –

  • Weak or uncoordinated contractions of the gallbladder
  • Toxic sludge in the gallbladder and/or bile ducts
  • Bile that sits in the gallbladder and contains excess toxins
  • Gallstones
  • Overworked gallbladder, which cannot cope with a normal Western diet

What is meant by grumbling is that the symptoms come and go, especially recurring after indulgence in fatty foods or too much alcohol.

Interpreting your symptoms

Sometimes symptoms of a sluggish liver and/or sluggish bile flow can be interpreted incorrectly as gallbladder disease and the solution is to improve liver function. There may be excessive pressure inside the bile ducts within the liver and this occurs before the bile ducts get to the gallbladder. This increased pressure inside the bile ducts can be caused by thick toxic bile or an inflamed liver.

A fatty liver is swollen and congested with fat; this can cause bile flow to be sluggish, resulting in increased pressure and discomfort over the liver.

If the increased pressure remains in the bile ducts this can result in back pressure in the bile ducts; this can cause liver cysts. These cysts are small to begin with, but if nothing is done, these cysts can grow in size and become painful.

Other problems can masquerade as gallbladder problems and the diagnosis may not be made correctly.

Problems that can masquerade as gallbladder problems include:

  • Stomach inflammation known as gastritis – this may be caused by infection with bacteria known as helicobacter pylori; these bacteria live in the stomach lining and flare up if you eat excess sugar or excess carbohydrates
  • Reflux of acid from the stomach back into the oesophagus
  • Ulcers in the stomach or duodenum
  • Food allergies
  • Gluten intolerance
  • Liver cysts caused by sluggish bile flow (these are often small)
  • Fatty liver with liver congestion
  • Severe emotional stress causing spasm in the smooth muscle in the gut
  • Adverse drug reactions from anti-inflammatory drugs which can upset the liver and stomach

If a patient presents with symptoms that could be due to gallbladder disease, the doctor will order various tests such as:

  • Blood tests for liver function
  • Imaging tests of the upper abdomen to visualise the liver, gallbladder, bile ducts and pancreas such as an ultrasound scan, CT scan, MRI scan or a HIDA scan.
  • A HIDA scan (Hepatobiliary Imino-Diacetic Acid scan),) or cholescintigraphy is a nuclear imaging procedure to evaluate the health and function of the gallbladder. A radioactive tracer, usually technetium-99m, is injected through a vein, then allowed to circulate to the liver, where it is excreted into the biliary system and stored by the gallbladder.
  • Normally the gallbladder is visualized clearly within 1 hour of the injection. If the gallbladder is not visualized within 4 hours after the injection, this indicates either gallbladder inflammation or cystic duct obstruction.
  • An MRI scan of the liver and gallbladder is very accurate but can be expensive – still its worth it, if it can help you avoid uneccessary surgery.

It is not uncommon to find gallstones using these various imaging techniques, even in people with no symptoms, and these gallstones may or may not be the cause of the symptoms. However once the gallstones are detected, they are usually blamed for the patient’s symptoms.

Beware – your gallbladder is precious!

You may be talked into having your gallbladder out at the earliest convenience. The surgeon may tell you, “Why not get it removed; it’s not important and it’s making you sick?” Another common thing that doctors will say is “After your gallbladder is removed, you can eat whatever you like without any more pain”

Dr Cabot disagrees with both of these concepts for several reasons –

  • The gallbladder concentrates the bile and supplies a quick shot of bile into the small intestine during a meal – this facilitates the digestion and absorption of fats.
  • The gallbladder may not be the cause of any of your symptoms and may not be making you sick.
  • The gallbladder may be the cause of only a few of your symptoms and having it out may not relieve all your symptoms
  • After your surgery, if you eat whatever you like, you will probably get a fatty liver and gain a lot of weight
  • Any operation carries significant risks and if you get complications, you may end up worse off
  • You do not need to panic if you have a grumbling gallbladder – why not try to treat the cause first – namely improve your liver function so your liver can make healthy bile allowing your gallbladder to heal

What to do after your gallbladder is removed

Your liver cells are continually making bile, whether you have a gallbladder or not. Once the gallbladder is removed you lose the ability to store and concentrate bile in the gallbladder and bile continually flows through the bile ducts into the small intestine.

When you eat a meal you don’t get the extra squirt of bile from the gallbladder into the small intestine and thus your ability to dissolve, digest and absorb dietary fat may be reduced. Some people have problems after losing their gallbladder and this can be helped by various medical treatments.

The most common problems after the gallbladder is removed are-

  • Indigestion and/or reflux
  • Bloating after meals
  • Diarrhoea from unabsorbed fats remaining in the gut
  • Itching skin and a sallow complexion

These problems can be helped by the following drugs:

  • Cholestyramine

Cholestyramine is a medication most often used to lower cholesterol levels and works by binding bile salts in the bowel and taking them out of the body. It is a safe, effective and well tolerated medication that I think is underutilized. Cholestyramine can relieve the awful itching associated with some types of liver disease and jaundice. It is very effective in controlling chronic diarrhea that can be a side effect of gallbladder removal. It is taken in sachets as it is a powder and must be prescribed by a doctor.

  • Ursodiol

Ursodiol is a bile acid, found normally in human bile. Ursodiol is also used as a medication (tablets or capsules) and brand names include Actigall, Urso, Urso 250 and Urso Forte.

Some people find that Ursodiol helps to reduce indigestion and bloating as well as itching skin.

Ursodiol is often prescribed for the treatment of gallstones, as it has been found effective (although very slow), in dissolving them. Gallstones are formed from cholesterol stored in the gallbladder. Ursodiol dissolves the cholesterol from the stones and also reduces cholesterol production by the liver. It works better for smaller gallstones, including tiny stones stuck in bile ducts and those that are loose. The success rate for dissolving gallstones up to 20 mm in size is around 40 percent. Ursodiol can be used as part of a holistic program to prevent gallstones in those who keep forming more stones, even after the gallbladder has been removed.

Ursodiol can also be used to prevent the formation of gallstones, especially in patients who are undergoing rapid weight loss. Normally in the gallbladder, there is a balance between bile salts and cholesterol and fast weight loss can cause this balance to be disturbed. During fast weight loss (more than 1.4 kilograms or 3 pounds per week), bile salts tend to decrease and cholesterol increases. A 2008 issue of the medical journal “Obesity Surgery” states that ursodiol medication has been found to be effective and very safe for the prevention of gallstones in patients who have undergone bariatric (weight loss) surgery.

Ursodiol is also used as a treatment for primary biliary cirrhosis (PBC), which is a liver disease that destroys the liver’s bile ducts. When this happens, bile cannot flow to the small intestine to help with the digestion of fats. The bile remains trapped in the liver and causes damage to the liver’s cells which can lead to cirrhosis. Since ursodiol is a bile acid, it improves liver function in those with PBC. It can increase life expectancy and buy time for the patient who is waiting for a liver transplant. Ursodiol must be taken daily for life or until the transplant occurs.

  • Digestive Enzymes

These come in the form of capsules and are often used to improve indigestion and bloating associated with loss of the gallbladder. Stronger doses and types of enzymes are best prescribed by a doctor. For vegans it is possible to buy vegetarian enzyme capsules over the counter and these are not as strong but are still helpful.

Continuing Problems

Some people continue to have problems in their tiny or large bile ducts after the gallbladder is removed such as –

  • Toxic unhealthy bile inflames the bile ducts

Sluggish thick bile increases back pressure in the bile ducts leading to liver cysts which can be painful. Large to medium cysts can be seen on an ultrasound scan of the liver whereas tiny cysts in the bile ducts may only be seen on an MRI scan of the liver.

If the underlying problem of thick, sluggish or toxic bile is not improved the liver cysts may grow much larger causing chronic pain in the area of the liver.

  • Auto-immune diseases of the bile tract

There is a liver disease called Primary Biliary Cirrhosis (PBC) and it is caused by inflammation in the bile ducts within the liver; this inflammation extends beyond the bile ducts into the liver tissue surrounding the bile ducts.

The cause of this disease is the patients own immune system, which attacks the bile ducts and the surrounding liver tissue; this causes inflammation which damages these tissues.

What are the causes of this inflammation?

  • Genetic factors – you may have autoimmune disease in your family
  • Food allergies
  • Gluten intolerance – to determine if this applies to you, have a blood test to see if you have the genes which predispose you for gluten intolerance. This is a genotype test and checks your HLA DQ and HLA DR patterns.
  • Adverse reactions of your liver to certain prescribed drugs/medications
  • Build up of toxins and bacteria in the bile ducts

OX bile - Gallbladder Tablet

Natural Treatments

How to treat gallbladder and biliary problems and cysts in the bile ducts naturally

Important things to do

  • Do raw juicing using cabbage, carrot, ginger root, mint and apple etc. (see juice techniques and recipes in book by Dr Cabot)
  • Include fresh green leafy herbs in your salads and raw juices – the best liver cleansing herbs are mint, parsley, garlic, chives, shallots, basil, coriander and small amounts of thyme and oregano
  • Increase the amount of raw vegetables in your diet
  • Taking at the beginning of your meals may reduce symptoms
  • Take a good twice daily; ensure it contains Saint Mary’s Thistle, B group vitamins, vitamin C, and sulphur bearing amino acids such as glycine and taurine
  • Supplement with the amino acids taurine and glutamine and the mineral to support good bile quality and healthy bile ducts in the liver.
  • Increase intake of Omega 3 fatty acids – Suitable sources are oily fish, good quality fish oil, walnuts, flaxseed, chia seeds and hemp seeds. Keep oils in the fridge.
  • Sip one tablespoon of organic apple cider vinegar mixed in a small glass of water during your meals
  • Drink plenty of pure water
  • Drink dandelion tea and coffee
  • Be careful not to overindulge on dairy products – the best ones are natural cheeses and plain yogurt
  • Hot spices are good for the liver and bile ducts and good choices are wasabi, horseradish sauce, mustard, garlic, curry, turmeric and chilli. If you have a sensitive stomach or gastritis only use small amounts of these spices or avoid them.

Things to avoid

  • Deep fried foods, margarine, cream and icecream
  • Packaged snack foods and take away foods – such as chips, pretzels, cookies, donuts, hot dogs and pizza etc
  • Excess sugar – use natural alternatives to sugar such as xylitol or stevia rather than aspartame based products
  • Excess alcohol
  • Cheap processed vegetable oil
  • Sugary soft drinks and diet sodas
  • Dehydration

The Liver and Gallbladder Flush

The liver/gallbladder flush is a quick way of flushing toxins, fatty sludge and small gallstones out of the liver and gallbladder. It is becoming quite popular in Russia and the U.S.A.

Dr Cabot warns you that it is not for the faint hearted, and can cause some unpleasant reactions including abdominal pain and diarrhea.

Quite a few patients of her patients have told her of excellent results from this procedure, so you may find it of interest and also of help. This is particularly so if you have gallstones or sludge in the gallbladder, which may or may not be causing intermittent discomfort.

Before attempting a gallbladder flush check with your own doctor that it is suitable for your case.

Many people have “silent gallstones” that do not trouble them and these are often discovered accidentally when they are being investigated for some other problem. The natural history of these stones is that they will remain silent and cause no problems, and only around 18% of such stones will cause problems over a 15-year period. If you have stones that are not troubling you, it is suggested that you follow the dietary recommendations either of Dr Cabot’s books – Book or book and take a – chances are you can watch the stones slowly dissolve and shrink away. Ursodiol is also another way to dissolve gallstones.

If, however, the gallstones or sludge are causing upper abdominal pain, nausea, bouts of vomiting, pain in the right shoulder, or if there is a chance of infection or cancer in the gallbladder, then you must be guided by your own surgeon.

Laparoscopic surgery (keyhole surgery) has made the recovery time after surgery much shorter. In some very acute gallbladder attacks, surgery can be life saving. However, remember this type of surgery can have complications and although these are not common, Dr Cabot has seen patients who have had more problems after cholecystectomy than they had before. These problems included leaking bile, permanently damaged bile ducts, liver haemorrhage and infection. These are the reasons why some people opt to use the liver/gallbladder flush to try and avoid surgery. Once again if you decide to do this, please talk to your doctor first.

One evening Dr Cabot was giving a seminar in Florida, when a middle-aged gentleman stood up in front of several hundred people and proudly told his account of how he had flushed out his liver and gallbladder with olive oil and lemon juice. This had resulted in him passing 1425 smallgallstones in his bowel actions over several hours, which he had obviously gone to great lengths to count!

For patients who believe that they need to stimulate the elimination of toxins and/or gallstones out of the bile ducts, a liver flush can be done to greatly increase the flow of bile through the liver and bile ducts.

The Standard Method for the Liver and Gallbladder flush is:

  1. Freshly squeeze some citrus fruits such as grapefruit, orange, lemon and limes to make 300 mls of juice. This will have a slightly sour taste, which is good, as bitter tasting fruits and vegetables stimulate the flow of bile from the liver and gallbladder. Dilute this juice with 200mls of filtered water.
  2. Finely grate 1 to 2 cloves of fresh garlic and half a teaspoon of fresh ginger, and then press both in a garlic press to make juice. Add this juice to the water and citrus juice mixture. Garlic and ginger are liver cleansing.
  3. Pour 300mls of good quality cold pressed olive oil into a warm glass.
  4. Every 15 minutes swallow 3 tablespoons of the citrus juice mixture and 3 tablespoons of the olive oil. Try to relax in between these 15 – minute intervals. Some people find it beneficial to lie down on their right side with a hot water bottle over the liver area, which helps to dilate the bile ducts to allow the passage of small stones and sludge from the gall bladder. Others prefer to sit in a warm bath, which also helps to dilate the bile ducts.
  5. If you desire, collect all your bowel actions (they may be loose and messy) into a bucket and when the flush is over, place them in a large strainer or colander and run tap water over them. You will probably find many greenish stones/gritty sludge around the size of a lentil or slightly larger. There may also be some large soft stones full of fatty cholesterol. Some people may not want to collect their bowel actions and are content to hear the stones clanging as they land in the toilet bowl!

Some people who do this flush may find that they feel very nauseated (bilious), and/or vomit several times. Abdominal cramps and diarrhea may accompany this, before the stones are passed.

An Alternative Method for the Liver and Gallbladder flush is:

  1. Drink one litre of organic unsweetened apple juice daily for five days. This will soften up the stones to such an extent that they can be squashed with the fingers. During these five days eat only raw fruits and vegetables and no dairy products, red meat or chicken.
  2. On the sixth day, skip dinner and at 6 p.m. take a tablespoonful of Epsom salts with 3 glasses of water. Repeat this at 8 p.m.
  3. At 10 p.m. make a cocktail of 115ml of olive oil and 115ml of fresh squeezed lemon juice. Shake this very well and drink immediately.
  4. Next morning you will pass green stones varying from the size of grains of sand to as large as your thumb nail. You may be amazed at the results, as have many thousands of people who have used this technique to avoid surgery.

Preparation for the flush:

  • To prepare for the flushing procedure, it is recommended that during the two days prior to the commencement of the flush, you consume only raw fruits and vegetables and drink 2 litres of water daily. This preparation will lessen the chance of a bad reaction.
  • Begin the liver flush in the morning after some brisk walking and deep breathing exercises. Make sure that you drink 2 litres of water gradually by sipping it slowly during the day otherwise the flush may induce dehydration. Some protagonists of this procedure recommend that you begin the flush at 7 p.m. because they believe that the gallbladder is “more active at night”. This may be true; however you will not get much sleep that night, if you decide to do the flush while the moon is shining!
  • If you are a person who forms recurrent gallstones you can do this flush 3 times every year to prevent gallstones from building up. Some people do it every month and find that it does not cause any problems or side effects. If you follow the dietary guidelines found in Dr Cabot’s Healthy Liver and Bowel book, you should not have to do this procedure very often because a healthy liver manufactures healthy bile, which prevents gallbladder inflammation and gallstones.
  • We do know that family history often plays a part in liver and gallbladder disease so if you find yourself with gallstones, have a good look at your family history and take extra special care of your liver.
  • Gallstones are more common during pregnancy. If gallstones are recurrent in younger persons, this may be a sign of an underlying blood disease.

Caution

Certain people such as pregnant women, young children, very elderly and frail people, insulin-dependent diabetics or those with severe liver disease or an acutely inflamed gallbladder, should not try the liver/gallbladder flush and should discuss it with their own doctor.

Ideally a qualified health practitioner should supervise your gallbladder flush. At the very least, never do the flush alone, so that if you do dislodge a large stone and get severe pain, your companion can take you to medical care.

Always check with your own doctor before doing the liver/gallbladder flush.

It is important to support the healthy function of your liver and gallbladder.

A powerful and comprehensive .

Capsules

These are taken at the beginning of meals. The bile in the capsules will be of benefit if  you have deficiency of bile which is common after gallbladder removal.

Increased consumption of fiber will assist the elimination of fats and cholesterol through the bowel actions. You can ensure you are getting enough fiber by taking a soluble fiber supplement.  Fibertone contains soy fiber, rice bran, vegetable powders, slippery elm and peppermint and will gently alleviate any constipation symptoms, while improving bowel tone and function. It can be added to soy, rice or oat milk, and fruit smoothies, or added in with your favorite breakfast cereal. Start on a small dose and gradually increase the amount. It is also important to drink at least 8 glasses of purified water every day and some people will need to drink up to 12 glasses daily. Water should be drunk gradually throughout the day, in-between meals. Fibertone is gluten free.

is required for the function of glutathione which is the most powerful anti-oxidant in the liver. The liver continually pumps many toxins out of body via the bile.

is an organic form of the mineral sulphur. Sulphur is a vital component of healthy bile and is needed to produce the powerful antioxidant called glutathione. Vitamin C will neutralize free radicals generated during the phase 1 detoxification pathway in the liver. Toxic chemicals are far less dangerous if there is plenty of vitamin C in the liver.


Common questions about the gall bladder

Can I still do the Liver Cleansing Diet or follow Liver Cleansing principles even though my gallbladder has been removed?

Yes – infact it is highly recommended as even after the gallbladder is removed there may still be problems in the bile ducts inside and outside the liver. This is because the underlying problem of toxic bile has not been corrected.
Indeed after gallbladder removal the following things may still happen –
Stones and gravel may form in the bile ducts inside & outside the liver. The liver may develop fatty changes, thus it is important to take extra care of your liver if you have gallbladder problems, or if you have had your gallbladder removed.

I have been diagnosed or believe I have gallstones – should I do a gallbladder/liver flush?

No – this is not recommended as a first step. These flushes using olive oil, lemon juice or apple juice, etc. work by shrinking the stones and causing the gallbladder to contract forcefully to hopefully expel the stones to be passed in the feces. Alternatively, a teaspoon of good quality apple cider vinegar mixed with a teaspoon of honey in a small glass of warm water and sipped slowly during every meal can be taken to help dissolve the stones. These flushes are best done after at least 6 months of following the “” principles and taking the recommended supplements to shrink and soften the stones before flushing. Once this has been done – the shrunken softened stones and remaining sludge may then be safely flushed out.
It is recommended to have an ultrasound of the gallbladder before undertaking the flush to determine the size of the stones. The reason being that if the gallbladder is full of silent gallstones and a flush is undertaken – these stones may become impacted in the narrow bile ducts as they are flushed out. This may cause a tear in the duct and requires immediate surgery.
A standard and alternative method of gallbladder flushing is outlined in Dr Cabot’s “ Book”

These statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any diseases.

 

Products Related to this Article

Digestive Enzymes
Vitamin D Caps
Ox Bile 500mg
Livatone Liver Tonic 240

40 comments

  1. Hello! There’s a ton of good information here but I have a question. I am 67 years young and have had gallbladder issues since I was approximately 25. At that time a very acidy cocktail sent me to the hospital. Many tests were taken but nothing conclusive was diagnosed. The symptoms at that time was the pain in my lower right abdomen. They thought I might have an ulcer but that was ruled out. Throughout the years I would have what I’ll call “attacks” of pain in my lower right abdomen radiating into my back and up to my shoulder, but they would go away and I would feel fine. Fast forward to 2004, after going to the doctor and complaining about the periodic attacks, she prescribed a HIDA scan. The results were “The computer generated ejection fraction calculation is 29.5%.” Normal HIDA scan and abnormally low ejection fraction.” I’ve been taking Ursodiol since then, which has helped with the pain. I have bloodwork done each year and my liver levels are fine. Here’s the kicker. For the past several years, I have had periodic diarrhea that comes out of nowhere. If I don’t get to the restroom fast, and I mean fast, an accident will result. Of course, this can happen at the most inopportune times. This week I explained the issue to an M.S.N. at my local Digestive Health location in preparation for my colonoscopy next month. She suggesting more testing, however, I asked if the diarrhea could be a result of my gallbladder issues. She said it could, but suggested a test called Rectal Manometry. I’m wondering if there’s anything you can suggest in the way of a supplement or diet that might help? She suggested fiber with a probiotic and lots of water. Well I tried that for two days and had terrible diarrhea so I discontinued the fiber supplement. I have Dr. Cabot’s OxBile in my medicine cabinet but haven’t taken it in a while. I bought it for this very reason quite some time ago. Would this product be helpful or would it make the diarrhea worse? Thank you for any light you can shed on this issue!

    • Hi Paulette,

      There is some helpful information in this article: https://www.liverdoctor.com/got-gallbladder-problem-natural-alternatives-surgery/
      There is an excellent dietary plan and further information in Dr Cabot’s book ‘Save Your Gallbladder Naturally’.
      We recommend you take
      Ox Bile 1 to 2 caps in the middle of meals to aid in the digestion of dietary fat, reduce the risk of gallstones and support the liver for improved digestion and nutrient absorption.
      Livatone Plus 1 to 2 caps twice daily to improve bile flow and optimise liver function.
      These can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

      • Thank you, Jessah, for your prompt reply. I have ordered what you have suggested and will keep my fingers crossed that the diarrhea stops. I will keep you posted.

        • Hi Paulette,

          This is so great to hear. I hope you have a lovely Christmas.

          Kind Regards,
          Jessah Robinson
          Nutrition Consultant for Liverdoctor.com

  2. Hello, great info on this site. Ive been experiencing symptoms of gallbladder disease and fatty liver for the past few years now. After going crazy ruling out food allergy, and other problems and doing tons of reading, ive settled on the fact that my life style and diet are causing my problems. My lifestyle is a that of a foodie and chef and red wine drinker. Although iam only 49yrs old and not over weight, i have been indulging in a high saturated fat, rich diet for the past 3 yrs straight. I exercise daily and retain fat around my waistline mostly. At 5’8″ approx 180lbs iam not obese by any stretch, but its whats going on on the inside that worry’s me. MY symptoms are, a dull ache on my right side where my liver /gallbladder are, and the worst…Pruitus with hives, nearly anytime i eat. It doesn’t matter what i eat whether its fatty or bland i get the itching skin with rash. No rhyme or reason to it…although it does seem worse when i eat alot of fatty greasy foods for sure. The itching is unbearable. I thought i had a liver diesase early on so i had a full blood work done, and ALL came back PERFECT. I then knew this pointed to gallbladder problems. So i did Dr. Cabots liver flush/gallbladder flush, and the next morning hundreds of large med, and small green stones came out as well as hundreds more of the smaller lighter yellow ones and chaff….I think i felt better than i ever have in my life that morning after, just a “light” happy feeling of well being…however upon eating dinner that nite (fish & broccoli rabe with some bread and olive oil and 2 small glasses of red wine, that nite the Pruitus attack was horrible…I though i had rid myself of this condition. My question is: what advise would you give someone like me who is a “Foodie”? Ive read you recommend giving up ALL animal foods, Meats, chicken even fish? eggs? do you mean permanently for life??? What does that leave one to eat? Iam very concerned. Food & wine are part of my life, and my culture, this would certainly be a curse. Please advise. Thank-you

    • Hi Matthew,

      There is some dietary information in this article: https://www.liverdoctor.com/what-should-you-eat-if-you-have-fatty-liver/
      There is an excellent eating plan in Dr Cabot’s book ‘Fatty Liver: You Can Reverse It’.
      We recommend you take
      Livatone Plus 2 caps twice daily to increase bile flow and improve liver function.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster.
      Ox Bile 1 to 2 caps in the middle of meals to aid digestion, improve nutrient absorption and reduce gallstone formation.
      These can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  3. Hi Justine,
    I have recently had five episodes of severe abdominal pain, twice admitted to a&e at hospital. Bloods show some issues with my liver and suspected gallstones. I am swaying an appointment for an ultrasound and a bowel scan. I am cutting out fat and dairy and alcohol. What can I do to help myself as I have had a real scare.

    • Hi Alison,

      We recommend you see your healthcare practitioner.
      We recommend you follow the eating plan in Dr Cabot’s book ‘Fatty Liver: You Can Reverse It’.
      You may benefit from taking
      Livatone Plus 1 cap twice daily for 2 weeks and then increasing to 2 caps twice daily to improve liver function.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  4. Hi,

    Would a very low functional gallbladder cause fatty liver?

    Thanks,

    • Hi Tom,

      Yes these two issues often go hand in hand.
      There are some eating principles in this article: https://www.liverdoctor.com/what-should-you-eat-if-you-have-fatty-liver/
      There is an excellent eating plan in Dr Cabot’s book ‘Save Your Gallbladder Naturally’.
      We recommend you take
      Super Digestive Enzymes 1 to 2 caps with each meal to optimise digestion, increase nutrient absorption, improve fat metabolism and reduce digestive symptoms.
      Livatone Plus 2 caps twice daily to increase bile flow, protect liver cells and improve liver function.
      These products can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  5. I have a large stone in my gallbladder and have been told that I have had a fatty liver for decades. In February 2017 I began losing weight, after diagnosis, controlling calories, staying approximately at 1400/day. Gastro Dr wants me to have it removed and sent me to a surgeon who also does weight loss surgeries. I have met with the Dr., not prepared to have weight loss surgery because I have been successful thus far and am not certain that I could live the lifestyle that having that surgery entails, especially the one that is the new malabsorption method that means taking 20 vitamins for the rest of my life or die.

    I lost weight successfully until reaching about 60 lbs lost in July 2017 and have essentially maintained since then. Last week I embarked on a Keto journey and have been eating way more fat, less protein, and trying to keep carbs below 20 mg. a day, today being my most successful day at about 25. I have lost about 8 lbs, drinking lots of water, and today, actually have stomach upset and some slight discomfort between my shoulder blades, but not stabbing pain yet. All I’ve read online is that this diet may or may not cause gallbladder trouble because eating more fat will cause my body to make less cholesterol naturally. Looking for guidance…

    • Hi Mary,

      What is your gallbladder functioning at?
      Read this article for further info: https://www.liverdoctor.com/got-gallbladder-problem-natural-alternatives-surgery/
      There is an excellent eating plan in Dr Cabot’s books ‘Save Your Gallbladder Naturally’ and ‘Fatty Liver: You Can Reverse It’.
      We recommend you take
      Livatone Plus 2 caps twice daily to improve liver function and increase bile flow.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster.
      Super Digestive Enzymes 1 to 2 caps with each meal to reduce digestive symptoms.
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  6. I have bike reflux and my gallbladder function is at 34%. I am having pain around the clock. I’ve adjusted my diet but I still have cereal and toast. I do eat fresh fruits veggies and have had beef chicken and tuna. I don’t want to remove my gallbladder unless it’s 100% necessary. I plan on ordering digestive enzymes and being stricter with diet. Will that help? I really don’t want the surgery as I don’t do well with anesthesia. Any suggestions would be great! Hoping it will heal itself.

  7. My daughter is 10. One year ago she was playing outside when she got a sudden sharp pain in the upper abdomen. That pain has not stopped or decreased since it began a year ago. Within about a month of the pain beginning, she also began to have nausea and vomiting (greenish yellow vomit) at least once per week, sometimes two to three times per week. The doctors ran test after test and could find nothing wrong in her blood work. They did just about every form of scope, scan, and imaging imaginable, but found nothing until they did a HIDA Scan. Then they found that her gallbladder function was only 19, so the doctor recommended removal. It has now been five months since the removal. She still has the exact same pain in the upper abdomen, but now there is no more vomiting. We have gone back to the doctor several times and gone to other specialists, but we keep getting the same answer. There is nothing more we can do except pain management. She is already taking 50 mg of Amatriptaline daily. Nothing we have tried does anything for the pain and all of these other medications cause constipation, so now she has to take laxatives several times per week or she gets to the point where she can not have a bowel movement at all. Could this pain be her liver? If so, are any of the medications you recommend on this website safe for children?

  8. Doctor said I have gallbladder Mucocele Do I need my gallbladder removed. ? I have no pain.

  9. Hi

    I am enquiring about liver polyps and if there are any natural remedies for this.

    • Hi Nicola,

      Do you mean liver cysts or gallbladder polyps?

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  10. Lorraine Michalak

    Is eating smaller meals helpful for a person who does not have a gall bladder? Mine was removed 28 years ago; I’m now 59 years old and experiencing digestive issues. Trying to find a long term, healthy, solution.

    If one takes bile salts, how does one know the correct balance? For example, if just a small meal is eaten that includes fats, does a bile capsule need to be taken then?

    I’m concerned that I’m not absorbing healthy amounts of nutrients from my foods.

    • Hi Lorraine,

      After gallbladder removal we recommend you eliminate grains, sugar, dairy, processed food and takeout meals.
      There is some dietary information in this article: https://www.liverdoctor.com/what-to-do-if-you-dont-have-a-gallbladder/
      We recommend you take
      Super Digestive Enzymes 1 to 2 in the middle of meals to improve digestion and absorption and reduce digestive symptoms. This product also contains Ox Bile which is needed to replace the bile that can no longer come from your gallbladder for essential fat absorption.
      If you have a small meal that doesn’t contain much dietary fats you may only require 1 capsule.
      Livatone Plus 2 caps twice daily to improve liver function. You may wish to start with 1 cap twice daily and then after 2 weeks increase to 2 caps twice daily.
      These products can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

      • Thank you so much, Jessah.

        The information is helpful.

        One more question: Do you also include plain Greek style yogurt as dairy to be avoided? One doctor told me that the way it is processed alleviates some of the problems associated with other dairy products.

        Best,

        • Hi Lorraine,

          Plain Greek yoghurt is a probiotic, however dairy is mucous forming and can still cause issues for a lot of people.
          If you do not have a gallbladder, you will need to consume Ox Bile with all dietary fats to allow adequate absorption.

          Kind Regards,
          Jessah Robinson
          Nutritional Consultant for Liverdoctor.com

  11. Dear Jessah, you seem to be very kindly addressing lots of people’s issues, so I am hoping you can help me.
    I had an ultrasound about ten days ago which showed that I have two gallstones of just under 2cm each in size. The doctor wanted me to get my gall bladder removed and has given me a referral to see a surgeon.

    I wanted to wait a bit but I have a strange taste in my mouth, a slight fever and a very dry cough. I also suffer from Hashimotos Disease (autoimmune thyroiditis) I have already ordered the Gall bladder pack. I have had liver function tests done and am awaiting the results tomorrow. I really want to save my gall bladder, but the pain (when it attacks) is unbearable and this fever and cough has left me weak and unable to do much. Should I be doing the liver cleanse as well? What should I be asking my doctor tomorrow? Any comments/advice would be so gratefully received. Thank you.

    • Hi Justine,

      We recommend you get a HIDA scan to check the functioning of your gallbladder.
      You may benefit from reading this article: https://www.liverdoctor.com/got-gallbladder-problem-natural-alternatives-surgery/
      We recommend you reduce or eliminate grains, sugar, dairy, processed food and takeout meals.
      Try to base your diet on good protein sources (chicken,seafood,eggs,lean meat), good fats (avocado,coconut oil,cold pressed olive oil,seafood), fresh vegetables and fruits, nuts and seeds.
      There is excellent information in Dr Cabot’s books ‘Save Your Gallbladder Naturally’ and ‘Healing Autoimmune Disease’.
      Whether you do or don’t get surgery, Dr Cabot recommends you take
      Livatone Plus 2 caps twice daily to improve liver function and increase bile flow.
      Ox Bile 1 to 2 caps in the middle of meals to reduce digestive symptoms, soften gallstones and reduce their size.
      These can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  12. Hi. I suspect a sluggish gallbladder and have a HIDA scan scheduled for Aug 14th. My doctor said I can go on a healthy gallbladder diet and supplements in the meantime (I’ve already had a scope done to rule out ulcers). Where can I get comprehensive information on the type of diet I should pursue and supplements to purchase?

    Thank you!

    • Hi Jennifer,

      We recommend you read this article for further information: https://www.liverdoctor.com/gallbladder-and-digestive-problems/
      There is some great dietary information in Dr Cabot’s book ‘Save Your Gallbladder Naturally’.
      Dr Cabot recommends you take
      Livatone Plus 2 caps twice daily to support gallbladder function and the production of healthy bile.
      Ox Bile 1 to 2 caps with each meal to help supplement your bile level and to make your bile more thin and liquid, thus reducing the risk of gallstones.
      Magnesium Ultra Potent 1/2 tsp twice daily or Magnesium Complete 2 tabs twice daily to help the gallbladder to contract.
      These supplements can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  13. what supplements/treatment do you recommend for abnormal functioning (9%) gallbladder (no stones)?

    • Hi Kathy,

      This is very low functioning. Are you in a lot of pain?
      We recommend you eliminate grains, sugar, dairy, processed food and takeout meals from your diet.
      There is an excellent eating plan and further information in Dr Cabot’s book: ‘Save Your Gallbladder Naturally and What to Do If You’ve Already Lost It’.
      Whether you do or don’t decide to get surgery, we recommend you take
      Livatone Plus 2 caps twice daily to improve liver function and increase bile flow.
      Ox Bile 1 to 2 caps in the middle of meals to replace the bile that can no longer come from the gallbladder for essential fat absorption.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster.
      These supplements can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  14. Hello,

    I just received my blood tests. I have high bilirubin and low bun creatine. I have suffered from migraines and headaches all my life (some 1years old). My thumb nails split, and I was diagnosed with Barrett’s Esophagus. I have very painful gerd. That about sums it up. I am a 39 year old female,not over weight.
    Do you think intensive juicing will cure all this? I do not own a juicer will putting everything in a vitamix produce the same effect? Your response is greatly appreciated.

    Gratefully,
    Melody

    • Hi Melody,

      You would benefit from an anti-inflammatory diet.
      We recommend you eliminate grains, sugar, dairy, processed food and takeout meals.
      A diet low in sugar and deep fried foods will reduce symptoms of heartburn and reflux.
      Consume a diet based on plenty of fresh fruits and vegetables, good protein sources (chicken, seafood, lean meat, eggs), good fats (avocado, cheese, seafood, nuts and seeds).
      There is some information in this article: https://www.liverdoctor.com/natural-solutions-gerd-gastro-esophageal-reflux-disease/
      There is an excellent dietary plan in Dr Cabot’s book: ‘Healthy Bowel, Healthy Body’.
      Raw juices are excellent, there are some great recipes in Dr Cabot’s book: ‘Raw Juices Can Save Your Life’.
      Dr Cabot recommends you take
      Glutamine Pure powder one teaspoon twice daily in coconut or almond milk to reduce inflammation in the lining of the stomach and heal and seal the gut lining.
      Super Digestive Enzymes 1 to 2 caps with a glass of water with each meal to improve digestion and absorption of nutrients.
      Livatone Plus 2 caps twice daily to improve liver function, elimination of toxins and increase detoxification abilities.
      These supplements can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  15. Hi there,

    Both of my parents had their gallbladders removed in their 30s. i am 28 and underwent a cholecystectomy a year ago due to sludge/ gallstones and the fact that an artery was cutting off its blood supply. I tend to read alot and wondered about the health of my liver. At a follow up with my surgeon i asked him if there was anything i should be doing to better myself and heal. He blew me off. ive been back and forth to the doctor since ive had it removed because of stomach upset and bile dumping syndrome. ive since been told im severely deficient in D3 and have been taking 50,000 iu once a week. I would like to give my liver a flush to maintain its health and possibly rid myself of any more of this sludge and stones. ( if any) But i was wondering if you still recommended it or if there was anything else you could suggest?

    thanks, Carla

    • Hi Carla,

      After gallbladder removal we recommend the elimination of gluten, dairy, sugar, processed food and takeout meals.
      There is some information in this article: https://www.liverdoctor.com/things-you-must-know-you-dont-have-gallbladder/
      There is an excellent dietary plan in Dr Cabot’s book: ‘Save Your Gallbladder Naturally and What to Do If You’ve Already Lost It’.
      Raw juicing is excellent and there are great recipes in Dr Cabot’s book: ‘Raw Juices Can Save Your Life’.
      Dr Cabot recommends you take
      Ox Bile 1 to 2 caps in the middle of meals to replace the bile that can no longer come from the gallbladder for essential fat absorption.
      Livatone Plus 2 caps twice daily to improve liver function.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster.
      These supplements can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  16. Man bahadur bhujel

    Hello..I am man bdr ..I am the pt of liver cirrhosis since 7yrs..and I had upper GI bleeding and nerve binding was done..now I have problem of abdominal distension..I had done PET scan as well..and there came the result of hepatocellular carcinoma at stage 1st..T1,N0,M0..now what should I do?? Plz suggest me some natural remedies..that I could apply and help me…THank you!!

    • Hi Man Bahadur,

      Hepatocellular carcinoma requires a very anti-inflammatory diet with no alcohol, a diet that is mostly vegetables with a little protein, no processed foods or deep fried foods at all.

      You require a rich source of selenium and Vitamin D.

      Dr Cabot recommends you begin taking

      Selenomune Designer Energy – 1 capsule daily, to increase your selenium levels to help deal with the cancer cells.

      Vitamin D 5,000iu – 1 capsule daily. Please have a Vitamin D blood test to ensure this dose is sufficient.
      These can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  17. I’m 52. I’ve been on a gluten free, dairy free, sugar free (other than fruit) diet for 6 months, as well as eating a lot of veggies, avocados, coconut oil, and live, fermented foods like sauerkraut and miso to address several autoimmune conditions I’ve had, some for a decade at least. Rhematoid Arthritis was the most debilitating. I’ve since lost 30 lbs, was obese, now still overweight but not terribly. I’ve gone off methotrexate, my cardiology meds (had a stent). my thyroid & kidney function is better than in 10 years, as well as my C-reactive protein. Still very fatigued…and about 4 weeks ago had sudden pruritis and some mild digestive distress. Dr discovered severely elevated liver enzymes, espec the ALT, ALP, AST, and bilirubin was 3. I felt very ill.
    They suspected PCB. Did ultrasound. I cannot see hepatologist for 6 more weeks. Just discovered ultrasound results: enlarged liver, no bile duct dilation, 1 gallstone 3.5 cm.
    I’m on ursodiol 500mg. just began.
    I’ve been drinking a lot of beet kvass b/c I cannot tolerate sugar (severe candida issues when I have sugar). I’m going to order a juicer (any recommendations? I’m low income but want to get a decent one). What else should I be doing? I’m afraid of a liver flush bc do not want such a large stone to obstruct anything. I’ve been taking silymarin and turmeric. I take several other supplements to reduce inflammation.
    I’m shocked at this sudden health challenge and am so tired of being fatigued. I work but am honestly too tired to get out of bed. But I want to heal and be well and do not want to rely on pharmaceuticals…I feel they exacerbate my health challenges. I had both a paternal and maternal grandmother who lived to age 108 and 102 respectively. I want to do the same but am getting discouraged. I’ve been working on positive self-talk and inner healing, I only listen to health related topics online, no TV, but lately I feel too tired to think straight or even decide what to do next to help myself. Some guidance in where to start now would be appreciated. Thank you so much. Blessings,
    Dina Barzilai

    • Hi Dina,

      You need to heal your liver and gut.
      Your diet sounds very good, please stick with this way of eating.
      We recommend any cold pressed juicer. There are specific juices for dissolving gallstones in Dr Cabot’s book: ‘Raw Juices Can Save Your Life’.
      We recommend you take
      Livatone Plus 2 caps twice daily to improve liver function.
      N-Acetyl Cysteine (NAC) 2 caps twice daily at least 2 hours away from food, if any upset occurs please take with meals. NAC is the precursor to glutathione; the body’s most potent antioxidant. This supplement works well with Livatone Plus to get the liver better faster. This is 30% off for a limited time.
      Intestinal Parasite Cleanse, start with 1 cap three times daily, after 2 weeks increase to 2 caps three times daily, discontinue use after 2 months. Can help clear out unwelcome bacteria such as candida that may be responsible for your fatigue and digestive symptoms.
      These products can be purchased here: https://shop.liverdoctor.com/
      Let us know how you get on.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

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