

What to Do If You Don't Have a Gallbladder?
Gallbladder problems are extremely common. Approximately 750,000 Americans have their gallbladder removed each year. In most cases, the pain of a malfunctioning gallbladder becomes so bad, that surgery is the only viable option. Most people are under the impression that once their gallbladder is taken out, the pain and discomfort they’ve been living with will be gone. Sadly that’s often not the case. It is common to have just as much discomfort after the gallbladder is removed.
People without a gallbladder are more prone to digestive problems and liver problems; they can even form stones within the ducts of the liver. The risk of developing a fatty liver is also greater in people without a gallbladder. Some herbs and nutritional supplements are extremely beneficial if you don’t have a gallbladder. Are you confused about which supplements to take, or which foods you should avoid?
The function of the gallbladder
Your gallbladder is important. Your liver continually manufactures bile, which travels to your gallbladder, where it is stored and concentrated. Bile helps you to digest fat; therefore your gallbladder secretes a lot of bile into your intestines after you’ve eaten a fatty meal. Bile is also your body’s way of excreting wastes and toxins. Bile contains cholesterol and other fats that your liver has broken down and wants to excrete. A well functioning gallbladder helps your body excrete cholesterol, other fats and fat soluble toxins.
What happens when you don’t have a gallbladder?
Your liver continues to manufacture bile, but there is no longer a place to store it or concentrate it. Therefore bile continually slowly trickles into intestines. If you eat a fatty meal, you will not be able to secrete a large enough amount of bile into your intestines, therefore the fat will be poorly digested. This means many people experience diarrhea, bloating, nausea or indigestion.
Not digesting fat well means you will not be able to digest essential fatty acids, including omega 3 and omega 6 fats. It also means you’ll have a hard time absorbing fat soluble vitamins such as vitamins D, E, A and K. These nutrients are vital for good health, and you will probably need to take a supplement.
How to have a healthy liver and good digestion without a gallbladder
First of all it’s important to realise that you developed a gallbladder problem in the first place because you had an unhealthy liver. If your liver is not healthy, it will make poor quality bile. The bile will be prone to forming sludge and stones. Just whipping the gallbladder out doesn’t solve that problem, and in fact sludge and stones can form within the liver, compromising its function.
Here are some vital tips to follow:
- Keep your intake of dairy products and grains to a minimum or avoid them altogether. Dairy products (milk, cheese, ice-cream, yoghurt) worsen all cases of gallbladder disease, liver disease and they are very difficult to digest. Food intolerance is a common cause of gallbladder problems, and there is research that links gluten intolerance with gallstones. A good reason to keep your intake of grains low is to reduce the risk of developing a fatty liver. There is an easy to follow eating plan in my book Fatty Liver - You Can Reverse It.
- Take a good quality liver tonic such as Livatone. The herbs St Mary’s thistle, dandelion root and globe artichoke leaves all increase bile production and bile flow. Taurine is an amino acid necessary for bile production. This should help to make you feel more comfortable after a meal, and should reduce the risk of stones forming inside your liver.
- Eat some good fats and avoid the bad fats. Your doctor may have recommended you follow a low fat diet after having your gallbladder removed. This is not necessary and in fact it is harmful. Your body desperately needs good fats and I recommend you include moderate quantities of extra virgin olive oil, avocados, coconut milk and oil, nuts and seeds in your diet.
- Take an ox bile supplement. This is the most important recommendation for people who have lost their gallbladder. A lack of bile can produce symptoms such as bloating and indigestion after meals, light colored stools, diarrhea, fatigue after meals and nutrient deficiencies. Taking a good quality ox bile supplement with each meal is wonderful for completely eliminating these symptoms in most individuals.
- Take a Digestive Enzymes supplement. The majority of people who developed a gallbladder problem have suffered with poor digestion for many years. If your stomach and intestines are not in optimal health, they will not send signals to your gallbladder, telling it to contract properly. Irritable bowel syndrome, dysbiosis, small intestinal bacterial overgrowth and Candida overgrowth are common in people with a gallbladder problem. If you have had your gallbladder removed, you may continue to suffer symptoms due to those conditions. These digestive problems also cause insufficient digestive enzyme production. Taking digestive enzymes in supplement form helps to restore good digestive health and reduces symptoms of indigestion.
- You may need a vitamin D3 supplement. People with compromised liver or digestive function are often vitamin D deficient. Exposure of your skin to the sun’s UVB rays enables your body to manufacture vitamin D. However, this process occurs in your liver and kidneys. People with a sluggish liver often do not manufacture vitamin D adequately. Therefore it’s a good idea to get a blood test and take a supplement. 5000 IU of vitamin D3 is a safe and effective dose for most people, but it’s best to be guided by your own doctor.
- Include some bitter and sour foods in your diet. They should help to improve your digestion and make it easier to tolerate good fats in your diet. Suitable bitter and sour foods include lemons, limes, radicchio lettuce, chicory, endive and dandelion leaves. These leaves are fairly easy to grow at home if you are lucky enough to have your own veggie patch.
The above statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease.
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This post is exactly what I have been looking for, thank you!
Following reading it, I have now added all the recommended supplements into my diet: Livatone, Ox Bile, Digestive Enzymes, and Vitamin D3.
Thank you again, Tom
We are pleased to have been instrumental in helping you to live a healthy life without your Gallbladder.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Your husband’s present condition does not lend itself to instigating the Gallbladder protocol.
Dr Cabot recommends you make him regular vegetable juices and deliver these through his tube.
When he can eat for himself, the protocol can be begun.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I had my gallbladder removed over 16 years ago. 8 yrs ago diagnosed with hypothyroidism tried Levo for 1 year felt worse changed my diet cut out gluten, dairy, peanuts and red meat only occasionally this has helped me tremendously and now my thyroid levels show normal. 2 years ago I was diagnosed with PBC liver disease. They prescribed URSO for me twice a day. I now also have very high cholesterol. It seems like one sickness after another since gallbladder removal. I have never taken a bile supplement as no one ever suggested it to me I’m at my wits end. Do you have any recommendations as to what can help me with improving my liver and lowering my cholesterol levels. I am 50 years old, my diet is healthy I do not eat fast foods. I try to eat leotard of fruits and vegetables daily. Occasionally I slip up and May eat a gluten product or indulge in vanilla ice cream but I usually go back to cutting them out as they make me feel awful. Could you please advise me please and My GI doctor says herbal supplements do not work? I am so lost.
Although everything seems to have occurred after your Gallbladder was removed, most of your problems may have been bubbling under the surface for a considerable time.
Most people with autoimmune conditions experience considerable gut inflammation that reduces liver function and that can progress to Gallbladder problems.
Your thyroid problems may well have also been autoimmune as they resolved with considerable dietary changes.
Your present high cholesterol may be due to your present diet, especially if you are consuming gluten free products.
The fruits and vegetables in your diet are supplying a lot of sugars and starches that all raise blood sugar and raise cholesterol and contribute to Fatty Liver.
We have seen our supplements work so well for so many patients that we cannot agree with your GI doctor. For your liver, please begin taking Livatone Plus – 2 capsules twice daily, NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid temporary stomach irritation, Collagen Food – ½ teaspoon twice daily, Vitamin D – 2,000 t0 5,000iu daily and please ensure your blood vitamin D is a minimum of 100.
High stress is a well-known trigger for autoimmune flares and for this please take Magnesium powder or tablets, 200mg twice daily in/with water.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Fatty Liver is becoming so common that doctors dismiss it, but when not treated appropriately is also becoming the major reason for liver transplant (replacing high alcohol intake for this). The Standard American Diet is a major reason for this.
We recommend your husband begin a liver friendly, anti-inflammatory diet and lifestyle as is found in Dr Cabot’s 15 Day Cleanse and Maintenance Program.
Alternatively, you may like to follow the eating plan in Dr Cabot’s Fatty Liver book and be aware that anyone with Gallstones is encouraged to avoid all dairy foods.
Good fats are necessary at each meal to encourage any contraction and ejection from the gallbladder. Poor gallbladder ejection fraction is often associated with vagal nerve dysfunction and so we recommend poly vagal nerve stimulation techniques and Magnesium powder or tablets at a dose of 200mg twice daily.
To heal his liver quicker than with diet and lifestyle changes only we recommend Ox Bile – 1 to 2 capsules with each meal, Livatone Plus – 2 capsules twice daily, and NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid temporary stomach irritation.
It is impossible to offer a timeline as we do not know how severe his Fatty Liver is.
If your husband is not experiencing pain, it is most unlikely to result in an emergency removal of his gallbladder, and this is even more unlikely as he follows our advice.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Your underactive thyroid may respond very well to regular intake of iodine rich food; are you able to get a regular supply of seaweed?
Having an underactive thyroid lowers your metabolic rate so makes Fatty Liver and Obesity far more likely.
To reduce the effect of an underactive thyroid we strongly recommend you reduce the amount of energy rich foods you eat every day.
Rice is likely to be a staple food for you so reduce the amount you eat every day to a quarter of what you have at present and, if possible, increase the amount of protein you eat every day.
Enjoy your vegetables and add lots of good fats but no seed oils, coconut oil is far better.
Avoid sweet foods, especially pastries because all these increase your effective sugar intake. If you can get supplements, we recommend Livatone Plus – 2 capsules twice daily, and Ox Bile – 1 to 2 capsules during each meal, and Thyroid Health Capsules to tone your thyroid gland.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Fatty Liver is very common and is often the cause of Gallbladders being removed.
To reverse your Fatty Liver, we recommend you begin taking Livatone Plus – 2 capsules twice daily, NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation, and https://www.liverdoctor.com/ox-bile-500mg-100-capsules.html">Ox Bile – 1 to 2 capsules two to three times daily during meals.
Ox Bile is necessary to supply the concentrated form of bile you can no longer supply naturally to help with the absorption of dietary fats and fat-soluble vitamins, and to assist removing the fatty deposits from your liver.
Dr Cabot's very relevant book 'Fatty Liver, You Can Reverse It' has a tasty and easy to follow plan to assist you reverse this increasingly common problem.
Both Digestive Enzymes - 1 capsule, and Ox Bile - 1 to 2 capsules can both be taken during all meals to improve digestion and absorption of your meals.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I have a gallbladder stones which is found 7 months ago. Now i am really confuse what to do with it. I Should remove it or not. Because now i know the several problems will have to face if i removed my gallbladder. At present i don’t have severe pain but worried and tensioned. My doctor suggests to operation, but after gallbladder removal i have to face indigestion, liver problems, high blood sugar, obese, diarrhoea, and also sevesal disease. So now i am totally confuse what to do now
Any suggestion please.
Most Gallbladders are able to be saved with appropriate dietary/lifestyle changes and supplementation.
Reduce high carbohydrate foods, processed foods and industrial seed oils.
Begin taking Ox Bile – 1 to 2 capsules with each meal, Livatone Plus – 2 capsules twice daily, and NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Thank you,
Amber
It may be that coconut is one of your food sensitivities, so avoid it until you have reversed all food sensitivities.
Most people who have their Gallbladder removed are left with a sick liver, so it is most important to clear your liver and restore its health.
Being pregnant limits supplementation although you can begin taking Ox Bile straight away – 1 to 2 capsules during meals daily.
You can certainly begin taking beneficial vegetable juices to flush your liver with health giving antioxidants, and wait until the beginning of the 2nd trimester to begin supplements.
Remove all processed foods, high carbohydrate items, industrial seed oils and hydrogenated oils, and alcohol from your diet and replace with lots of vegetables and first quality protein and good fats.
Once you have begun your 4th month supplements are far safer and Livatone Plus – 1 to 2 capsules twice daily, NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation.
Ensure your Vitamin D level is optimized for both yours and baby's health.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I had my gallbladder removed about 10 years ago. For the last 3 years i have been donating plasma! About 3 months ago i was told that my alt was high (168) to be exact. I drank beet juice and ate cucumbers and a healthy diet for over a month before i got tested again. Still my ALT was too high! What can I do to lower my ALT? And how soon Will i see results? Thank you
As your ALT is high it is important to consider you may have Fatty Liver. Most times when Gallbladder is removed the problem of a congested liver remains.
This tends to occur when the diet is high in foods that stimulate inflammation and often when the diet has considerable amounts of nutrients that raise blood sugar.
Please begin a course of Dr Cabot’s 15 Day Cleanse and then follow with the Maintenance Program and the same type of diet.
Supplements are important, and we recommend you begin Livatone Plus – 2 capsules twice daily and NAC - 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation.
Combining diet and supplements may bring ALT changes in as little as 2 weeks.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Most Gallbladders can be retained, and Gallstones shrunk and resolved if you are prepared to make the necessary diet and lifestyle changes.
The changes may assist with your constipation as well.
Rapid weight loss is often associated with Gallstone formation so begin taking Ox Bile – 2 capsules during each meal.
Follow the dietary protocol in Dr Cabot’s Gallbladder book.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Rather than what you begin taking it may be more important to make changes to your diet and lifestyle.
We recommend a low inflammation, liver friendly plan as is found with Dr Cabot’s 15 Day Cleanse and Maintenance Program.
This may help with the reflux you are experiencing.
When the Gallbladder is removed there is often considerable liver congestion remaining that may be why your immune system is under functioning.
Begin taking Ox Bile - 1 to 2 capsules during each meal, Livatone Plus – 2 capsules twice daily and NAC – 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I’m 46. Had my gallbladder removed a year and a half ago, due to stones. Was having digestive issues for a couple years before having it removed with bouts of diarrhea and discomfort under right rib cage. Saw Naturapath doc, gastro doc, etc… took lots of supplements. Then finally after lots of imaging over the years, stone were found in gallbladder. So, got it removed. I still struggle with bouts of diarrhea. I take a digestive enzyme (enzycore) and ox bile salts (cholacol) they seem to help some. I also take a probiotic (renew life women’s 25 billion). Is there anything else you can recommend to help with the bouts of diarrhea? I’m so over it. Thank you for your help.
You may not be receiving sufficient ox bile salts to compensate for the bile you are no longer able to concentrate.
Have you had tests to ensure you do not have celiac disease, which is characterized by frequent bouts of diarrhea.
If not, you may have IBS which often contributes to diarrhea.
We recommend you firstly undertake Dr Cabot’s 15 Day Cleanse and Maintenance Program to reduce intestinal inflammation.
Begin taking Ox Bile - 1 to 2 capsules during each meal, Livatone Plus - 2 capsules twice daily, and NAC – 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Most people who lose their Gallbladder still have a liver that is operating below par so we recommend you begin taking Livatone Plus – 2 capsules twice daily, and NAC – 2 capsules twice daily, well away from food with a large glass of water to avoid stomach irritation, and Ox Bile – 1 to 2 capsules at every meal, to replace the concentrated bile you can no longer provide your digestive system.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Although your liver is mostly good, we regularly find that people with raised bilirubin or Gilbert’s syndrome respond very well to an AIP diet as is found in Dr Cabot’s wonderful Autoimmune Book.
Our kidneys are very resilient to most nutrients but damaged significantly by high carbohydrate and processed food consumption.
When the Gallbladder is removed the ability for the body to have access to concentrated bile is lost, and this concentrated bile performs many necessary functions in the body so it is recommended that you begin taking 1 to 2 Ox Bile capsules during each meal to encourage the absorption of good dietary fats and fat soluble vitamins and to also act as a disinfectant to non beneficial species of bacteria that may be causing your constipation.
Selenium is beneficial to encourage conversion of your thyroid hormone to its bioactive form and also to reduce autoantibody levels. Once you begin taking Ox Bile we expect a Vitamin D supplement to be better absorbed to raise the level substantially and 5,000iu is not too much to get your levels up as quickly as possible.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
We are pleased you now have so much of your kidney problems under control.
To help with your liver, weight and diarrhea Dr Cabot asks you to begin taking Ox Bile – 1 to 2 capsules during each meal to ensure you are replacing the concentrated bile you can no longer produce yourself to absorb good dietary fats and fat soluble vitamins.
When you can absorb fats from your diet, diarrhea is reduced. Ox bile will also help clear out your liver to make weight loss easier and faster.
You have Hashimoto’s which is an autoimmune condition and we recommend you read Dr Cabot’s Autoimmune Book.
Many foods are toxic to the gut of people with autoimmune conditions, including gluten, dairy foods and others that may be personally toxic to you.
For liver health begin taking Livatone Plus – 2 capsules twice daily. This supplement contains selenium to help reduce your thyroid antibodies, and activated folate to help with your MTHFR concerns.
You are highly likely to also have gut damage and for this Glutamine is very beneficial – begin with ½ scoop in water before bed and gradually increase dosage till your digestive system tolerates 1 scoop twice daily.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I had my gallbladder removed 8 weeks ago through open surgery. Recovering really fast eating well thou having terrible bloating and gas after eating meat and again there is this numb feeling close the incision site that hurts and get this dull ache coupled with a dull ache in the inside under my right rib cage, it feels like its where the gallbladder was. Finally, I did my blood analysis 3 weeks ago and it indicates my liver enzymes all so high. Been so worried and need some help. Is this the recovery process? Will the liver enzymes drop? Will this dull uncomfortable ache go away eventually?
Your symptoms do not represent a typical post surgical response, and it may be best to have it checked for potential infection.
The effect of anesthetics would have been resolved by now and the most common non-medication reasons for liver enzymes to be raised are autoimmune liver disease or Fatty Liver.
It is important to have this issue resolved and then we can help you return your liver to best possible health.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
You have had so many problems with your digestive system it is hard to think that all has come about due to having your Gallbladder removed.
To begin with it is very important to calm, soothe and heal your oesophagus and for this we strongly recommend you begin Dr Cabot’s 15 Day Cleanse and Maintenance Program.
Due to long-term gut damage, it may take quite a while to boost your metabolism so we need to boost probable vitamin/mineral deficiencies - 2 capsules daily.
It is also necessary to begin taking Ox Bile to replace the concentrated form of bile that you have not had for 7 years.
Please understand that not everything needs to be fixed independently, because staying on this plan of action may have many of your present concerns self correct.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Just want to ask you if I can take the Vitamin D3, Ox Bile, Enzymes and the Liver Reset all together.
Thank you.
Livatone Plus is best taken at a dose of 2 capsules twice daily with or without food.
Digestive enzymes and Ox Bile are to be taken during each meal to improve protein digestion.
Vitamin D is best taken mid-morning with some fatty food to improve its absorption.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
You seem to be experiencing many of the vitamin deficiencies that tend to occur after Gallbladder removal because you are no longer to absorb fat soluble vitamins easily.
Bile has many functions and one of these is to act as a disinfectant in the large bowel allowing non beneficial bacteria to proliferate. Your present diet may not be as liver friendly as needed if you are experiencing pain and discomfort under your right ribs.
Dr Cabot’s 15 Day Cleanse and Maintenance Program provides a liver friendly anti-inflammatory diet with body corrective supplements.
Everyone who has their Gallbladder removed require a supply of concentrated bile when fats and fat soluble vitamins are consumed.
Many of your symptoms are indicative of low thyroid activity, and Dr Cabot prescribes Thyroid Health Capsules - 1 capsule twice daily.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
We have an article about a woman diagnosed with Cirrhosis being able to resolve the damage (because it was really severe Fatty Liver).
We offer you the same advice and ask you to undertake Dr Cabot’s 15 Day Detox and Maintenance Plan.
Supplements are also beneficial and we recommend Livatone Plus, Vitamin C, and Ox Bile (which you have needed since your Gallbladder was removed).
This style of eating may also make weight loss easier than it may have been in the past.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
It is often the case that the problem is the liver and this remains when the Gallbladder is removed.
When there is no Gallbladder it is difficult to absorb good dietary fats so the stool has more than usual concentration of fats and results in far more urgency.
During each meal have 1 to 2 capsules of Ox Bile to correct the imbalance.
Liver cysts often appear when high carbohydrate or processed food diets are eaten.
Livatone Plus and NAC are recommended for best liver health.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Heard that thyroid is fat soluble and need bile salts so going to take ox bile.
Any other recommendations for gallbladder connection to thyroid and hormones and pregnancy?
Milk thistle. Dandelion.
Thanks
Although you have not mentioned it, this symptom picture is often seen in those with intestinal inflammation which may have been responsible for the Gallbladder problems that made its removal necessary.
An underactive thyroid may have be associated with your miscarriages, and female hormonal imbalance may also have been implicated.
Thyroid hormone is not fat soluble, it is a well absorbed protein hormone to be taken either in the middle of the night or early each morning at least ½ an hour before eating or drinking.
The fat soluble vitamins A, D, E, and K are poorly absorbed if there is not a source of concentrated bile.
These vitamins are also very important for best possible metabolism and healthy pregnancies.
Everyone who has had their Gallbladder removed is advised to take 1 to 2 capsules of Ox Bile during each meal.
If you are already taking milk thistle and dandelion we recommend you begin also taking Livatone Plus.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
You are very perceptive as there is a definite link.
Psoriasis is autoimmune and as such you would have to have a tendency to these conditions for this development.
Many people with psoriasis are vitamin D deficient and as a fat soluble vitamin, it requires bile for efficient absorption.
After Gall Bladder removal your body has no way to produce the concentrated bile necessary for this.
It is necessary to increase blood Vitamin D levels. Ensure you obtain sufficient exposure to summer sun every year without sunscreens, and exposing your psoriasis lesions to sunlight daily helps resolve them considerably.
You can take Vitamin D daily with fish oil capsules and an Ox Bile capsule to effectively raise your blood levels during the fall/winter months.
Ox Bile is very beneficial for the body to remove liver metabolites, assist with the absorption of all fat soluble vitamins and also a disinfectant for the large bowel to restrict the growth of dysbiotic species of microbes.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
There are a number of changes to be made to reduce this problem and diet is often of considerable concern as it may be encouraging the bile reflux and we recommend Dr Cabot’s 15 Day Cleanse and Maintenance Program.
Digestive enzymes may not be the first supplements to recommend.
It is important to strengthen stomach sphincters and improve liver health. Dr Cabot recommends you begin taking magnesium powder or tablets 2 to 3 times daily, Livatone Plus 1 to 2 capsules twice daily, and Ultimate Gut Health 1 teaspoon twice daily and especially important just before bed each night.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Ox Bile is essential for everyone without a Gallbladder, to not only help with the absorption of fats and fat soluble vitamins but also to disinfect the digestive tract to keep the growth of opportunistic bacteria to a minimum.
SIBO may have proliferated because the lack of good bile in your system.
Those with gut problems tend to also develop liver congestion so Livatone Plus and NAC are clearly indicated.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
PBC is an autoimmune condition, so please follow the recommendations in Dr Cabot’s Autoimmunity Book.
Ursodiol is a supplemental source of bile salts because your body has an inability to properly supply sufficient bile.
Your diet and lifestyle may be contributing to your digestive concerns and we recommend you begin the liver friendly, anti-oxidant Dr Cabot 15 Day Cleanse and Maintenance Program.
Your enlarged spleen may have been induced by your autoimmunity.
Supplements are also essential and Dr Cabot prescribes Selenium, Vitamin D, Magnesium powder or tablets, and Super Digestive Enzyme Plus.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
also i exercise regularly and try to involve high protein, moderate fat and low carbs in my diet
Once the Gall bladder is removed, your body has no source of concentrated bile to ensure sufficient to absorb fat soluble vitamins and good dietary fats.
Dilute bile from the liver straight to the intestines does not do this efficiently.
Dr Cabot prescribes Ox Bile, Livatone Plus, and NAC.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
You probably have liver congestion which may have been the basis of your Gallbladder needing to be removed.
Without an ultrasound, Fatty Liver cannot be diagnosed, but weight gain is expected and weight loss is difficult when the liver is not in best possible health and function.
Your hanging belly may be associated with reduced integrity of your abdominal muscles and this is often found when there is poor nutrient absorption and insufficient exercise to keep these important muscles strong.
After Gallbladder removal it is essential you have a source of concentrated bile to absorb essential good fats and fat soluble vitamins.
For your concerns, Dr Cabot prescribes Livatone Plus, NAC and Ox Bile.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I have been suffering from abdominal pains for many years. I did not think much of it as it would come and go regularly. I thought it was indigestion and bloating. About a week ago I was rushed to ER because the pain was unbearable and they ran some tests and told me my gall bladder was inflamed. The following day my gall bladder was removed. This all happened very quickly and I was not prepared for any of it. No doctors spoke to me about any supplements and said you'll be fine just stay on a low fat diet. I am however concerned that in doing so my body would not be acquiring the nutrients it needs. What supplements would you recommend?
Ps. This forum is very informative and has taught me more than spending 5 days in a hospital did. Thank you for your time and effort.
Good fats are very important, not to mention the fat soluble vitamins A,D, E, and K.
Now that you no longer have a Gallbladder it is important to ensure you have a regular source of concentrated bile.
The inflammation in your Gallbladder probably arose from a congested liver that delivered toxic bile to your Gallbladder.
Now is a good time to restore your liver to best possible health and function, and Dr Cabot prescribes Ox Bile, Livatone Plus, and NAC.
To modify what your doctors said, please remove all toxic fat from your diet, including processed foods, most take out meals, seed oil and any in plastic or clear glass bottles.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Many people are constipated after surgery, especially with pain killers as they severely slow peristalsis.
Now that you no longer have a gall bladder it is important to ensure you have a reliable source of concentrated bile and to take at least 1 capsule of Ox Bile with each meal.
Your strict diet may yield a considerable amount of sugar that if not used by your cells may contribute to Fatty Liver if you don’t have this already, because most people with Gallstones have Fatty Liver.
Dr Cabot’s outstanding book ‘Fatty Liver – You Can Reverse It’ offers an easy to follow dietary protocol to reverse this increasingly common disease.
To hasten a return to a well functioning liver, Dr Cabot prescribes Livatone Plus and NAC.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
Do you have any recommendations on which supplements he should take. None of his doctors every mentioned he should take supplements after after his gallbladder removed which is very frustrating.
Now that you son has no gallbladder he has lost the ability to deliver concentrated bile into his digestive tract to enable fat soluble vitamins and good dietary fats to be absorbed into his body from the digestive tract.
This often results in a loose stool called steatorrhea.
Some of his other symptoms are very likely to be from liver congestion or Fatty Liver.
For these Dr Cabot prescribes Ox Bile, Livatone plus, and NAC.
The cramping and pain are highly suspicious of IBS or celiac disease. To improve his digestive health, have him remove all gluten, dairy, legumes and processed foods.
To calm, soothe and heal his digestive tract, Dr Cabot prescribes Ultimate Gut Health and BactoClear to clear non-beneficial microbes from his intestinal microbiome.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
A non functioning GB that is causing symptoms is better out than in.
We are pleased that the biopsy was negative.
Pain in the URQ where your Gallbladder was is a sign that the wound site may be still healing and you are advised to begin taking Vitamin C, NAC and Selenium to boost the healing processes.
If you had to have a large incision to remove your Gallbladder there may still be healing occurring in the lower layers of your abdominal muscles.
Ensure you do not strain or lift heavy objects until the pain has gone as you may damage the healing tissue.
Kind regards
Victoria
Naturopath for Dr Sandra Cabot MD
I’m 25, I had my first gallbladder attack when I was 17 weeks pregnant and the farther along I got in my pregnancy the more frequently I had them. But the most the attacks ever lasted was 3 hours. The week after I delivered my baby I had consistent pain that lasted for a whole week! It finally went away and then a week later it happens again, I went to the ER and was transferred to another hospital for emergency cholecystectomy. The stones that formed from the elevated estrogen during my pregnancy that were being pushed back into my gallbladder while I was big pregnant were able to come down and get lodged in my common bile duct after I was no longer pregnant causing lots of pain and many issues. I’m doing much better after removal and very rarely see any issues but I have some yellowing around my mouth and diarrhea if I eat a fatty meal. What vitamins would you recommend I take daily to help me be at my best and stay healthy?
You are describing the classic symptoms of Cholecystitis of Pregnancy, and it is a common cause of gallbladder removal in young women.
Although the gallbladder has gone it seems your liver may still be congested and not able to conjugate your bilirubin efficiently.
To restore best possible liver health and effective Phase 1 and 2 detoxification Dr Cabot prescribes Livatone Plus – 2 capsules twice daily.
If your baby has not been weaned defer this supplement and drink lots of Dr Cabot’s liver juices.
As you do not have a gallbladder you are no longer able to provide a source of concentrated bile to help with the absorption of good dietary fats and fat soluble vitamins, so begin taking Ox Bile – 1 to 2 capsules with each meal and more is required when fat loading of meals is high.
Kind regards
Victoria
Livatone Plus is designed to protect and heal your liver; no supplements are able to treat or cure disease, but they can build the health of your liver.
Having raised enzymes with a Fatty Liver indicates that your Fatty Liver is getting worse and we recommend a change of diet, lifestyle and supplements to reverse the condition and return your liver to best possible function.
Dr Cabot’s 15 Day Cleanse and Maintenance Program provide a Fatty Liver reversing dietary plan, coupled with moderate daily exercise, sufficient water with the benefit of Livatone Plus, and NAC.
If alcohol consumption is high it is best reduced to a very low amount for your liver’s health.
Now that you do not have a gallbladder you are unable to supply your system with the concentrated bile it needs to absorb essential good dietary fats and fat soluble vitamins and Dr Cabot prescribes Ox Bile – 1 to 2 capsules with each meal.
Kind regards
Victoria
Ox Bile replaces the concentrated bile that is required to assist with emulsification and absorption of essential dietary fats and the fat soluble vitamins A,D,E and K.
Bile is also a valuable disinfectant for the digestive tract which keeps dysbiosis to a minimum.
Zypan is a product to increase stomach acid for protein digestion and also supplies valuable enzymes to also assist with protein digestion.
As you can see, both have valuable digestive applications, especially for those of advancing years, but they are completely different.
Kind regards
Victoria
Thank you for the great article! It is ok for someone who had the gall bladder removed to take fish oil, vitamin D3 and vitamin K ? Thank you!
Once the gallbladder is removed the ability to concentrate bile is gone, which makes absorption of good fats like fish oil and fat soluble vitamins like both D and K far more difficult to absorb.
This makes deficiencies far more likely, and to avoid this situation please take 1 to 2 capsules of Ox Bile whenever good fats are consumed and when taking fat soluble vitamins.
Kind regards
Victoria
Ox Bile is absolutely necessary for all who have had their gallbladder removed.
Dietary changes are also necessary, and may have been responsible for your liver problems since you started developing gall bladder sludge.
We recommend you begin Dr Cabot’s widely acclaimed 15 Day Cleanse and Maintenance Program as well as Livatone Plus – 2 capsules twice daily, N-Acetyl-Cysteine (NAC 600mg) – 2 capsules twice daily and Collagen Food – ½ teaspoon in water twice daily.
Kind regards
Victoria
Thank you for your comment.
This article contains the key dietary and supplement recommendations to follow if you don't have a gallbladder.
Taking care of your liver is key because it has more responsibility now and eating bitter foods should help considerably with digestion.
Our patients benefit considerably from taking Ox Bile supplements as your body no longer has the ability to concentrate bile.
This case study might interest you:
https://www.liverdoctor.com/case-study-still-pain-gallbladder-removal/
Kind regards,
Louise
After suffering a pretty painful attack, my doc sent me to have a Hida scan done which showed a 5.9% function of the gallbladder. My bilirubin has also spiked up from it's usual high state of 1.6 to now six months later of 2.6. That bloodwork also recently revealed a positive ANA of 1:320. I have had Hashimoto for 15years, at 31, and have been taking Synthroid since then, 47 now. So with all of this being said, I don't want to have surgery, so is there a way to heal a non-functioning gallbladder, and how can I safely detox my liver if I can't take in but low amounts of good fats without pain? I am 5'6, 125 lbs, don't drink, don't smoke, exercise regularly and am in great shape otherwise. No one knows I am not feeling well other than my family, which has to mean there is a chance to save my original parts, right?
Your HIDA scan may have showed a low retraction percentage because your gallbladder wall may be thickened considerably and/or the number of gallstones you have restricted its ability to retract when challenged with a given amount of CCK.
Your ejection fraction was well below what is considered normal (>35%), so consultation with your doctor is best to determine the best course of action.
If your gallbladder is inflamed it is necessary to reduce this if you are going to attempt to keep the organ. We suggest Dr Cabot’s 15 Day Cleansehttps://www.liverdoctor.com/15-day-cleanse.html as a way to begin the anti-inflammation lifestyle. This is followed with Dr Cabot’s Maintenance Programhttps://www.liverdoctor.com/dr-cabot-ultimate-maintenance-plan.html.
We recommend you follow the protocol in Dr Cabot’s ground breaking book ‘Healing Autoimmune Disease – A plan to help your immune system and reduce inflammation’ to lower thyroid and ANA antibodies, because autoimmune conditions place considerable strain on liver and gallbladder functions.
Kind regards
Victoria
i have one query..i have had my gall bladder removed in 2006..now i am 25..but i have problem of sinus and phlegm coming from my mouth from past 10 yrs and lots of saliva in mouth..some times acid reflux..so is this mucus or phlegm is due to stomach? I also have fatty liver of grade ..i have allergy also. I want to ask like i have eaten oily and fried foods and junk food from so many years like very frèquently..i have constipation problem more regulary..i have to eat dulcoflex tablet sometime which is laxative for constipation.
Sometimesi feel mucus or phlegm comimg out of stomach.
So i want to ask please suggest some ways to detox body so that my sinus and phlegm mucus problem gets resolved. If the gall bladder is removed can body be detoxed? What foods to eat so that body can digest..which vitamins to take to keep healthy body
I have fatty liver of grade 1 also
And please also suggest treatment of excess saliva in mouth..
please dr. help..i have these health issues.
I can't take ox bile plz suggest substitutes
But the the thing is i don have gall blaader so will i be able to detox my body?
Ok..so i should eat only fruits and vegetables? So can i take it and also milk i take..but it not suits me much.
Is green vegetables good for me as i don have gall bladder and they contain iron.
Thank you for your enquiry/email.
We are very surprised that you had your gallbladder removed at age 11, this is a very young age to have it removed.
It is very difficult to answer all your questions without further information about your diet and lifestyle.
If you cannot take Ox Bile you can take Ursodiol, a medication that has similar properties of OxBile but does not come from the body of a cow.
Your symptoms sound very complex and may be quite serious.
Please send me more details of your diet and lifestyle to me at victoriat@cabothealth.com.au
Kind regards,
Victoria Taylor BHSc
Naturopath
If you can't take ox bile just follow the other advice in this article. Supporting your liver health is very important.
Kind regards,
Louise
Thank you,
Thank you for your enquiry/email.
Livatone Plus will not be devalued in action when taken with a CLA supplement.
To maximise the absorption of vitamins and good fats, Dr Cabot prescribes
Ox Bile capsules – 1 - 2 capsules during each meal to replace the bile that can no longer be delivered from your gallbladder to help essential fat and fat-soluble vitamin absorption.https://www.liverdoctor.com/ox-bile-500mg-100-capsules.html
Super Vitamin K2 (2,200mcg) with 2,000iu Vitamin D3 and Vitamin E – 1 capsule daily.https://www.liverdoctor.com/super-vitamin-k.html
Super Digestive Enzymes Plus – 1 capsule at the beginning of each meal.https://www.liverdoctor.com/digestive-enzymes-super-100-capsules.html
Kind regards
Victoria Taylor
Naturopath
Thank you for your enquiry.
There are many ways to soften a gallstone, even at the size of 8cm, and they are covered in Dr Cabot’s excellent book ‘Save Your Gallbladder Naturally – and what to do if you’ve already lost it’ for clear instructions to be able to keep your gallbladder and have it functioning well.
Ox Bile is a good supplement to take to ensure you have a good supply of concentrated bile, while beginning the process of ridding the present situation where the liver is producing toxic bile.
Dandelion root is one of the components in Dr Cabot’s Livatone Liver Tonic,https://www.liverdoctor.com//livatone-liver-tonic-120-240.html to stimulate liver function to increase the production of good quality bile from the liver.
Diet is an important factor in the development and maintenance of gallstones, so to reverse the process dietary and lifestyle factors are bet changed to produce an anti-inflammatory environment in your body.
We are delighted to let you know that Dr Cabot’s highly acclaimed 15 Day Cleanse is available and provides you with two weeks to begin your journey toward improved overall health and function, utilising both supplements and a tasty, easy to prepare dietary regimen. This is an anti-inflammatory program and the supplements are immune boosting, body alkalinising and gut healing.https://www.liverdoctor.com/15-day-cleanse.html
After completing the Cleanse, we recommend you remain on this style of eating and you can then begin the Maintenance plan.https://www.liverdoctor.com/dr-cabot-ultimate-maintenance-plan.html.
To hasten reversal of toxic bile, to shrink gallstones even faster, Dr Cabot also prescribes
N-Acetyl-Cysteine (NAC 600mg) – 1 to 2 capsules twice daily well away from food, if any upset occurs, take at the beginning of your meals. This supplement works well with Livatone Plus to get your liver better faster. This supplement is the precursor nutrient of glutathione; the body’s strongest anti-oxidant and potent detoxifier.https://www.liverdoctor.com/nac-n-acetyl-l-cysteine-600mg-90-capsules.html
You may purchase these supplements and Dr Cabot’s books athttps://shop.liverdoctor.com/
Kind regards,
Victoria Taylor
Naturopath for Liverdoctor.com
A drop in estrogen is usually an indication that menopause has occurred or is close to occurring.
Dry skin is often associated with poor thyroid function, so it may be worthwhile having it tested.
It is not possible for us to direct the use or not of any prescription medication.
If you have any other menopausal symptoms, Dr Cabot prescribes
Femme Phase – 2 capsules twice daily. Provides herbs and phytonutrients to assist with menopausal and perimenopausal discomfort.
Fem Pro (Bio-identical Progesterone) – Massage a rounded 1/8 tsp (a full pump equals 1/4 tsp) of cream into hands and body twice daily. Individual needs may vary. Transdermal delivery system with 7% MSM.
You may purchase these supplements and Dr Cabot’s books athttps://shop.liverdoctor.com/
Kind regards
Victoria Taylor
Naturopath
Thank you.
That's not necessarily correct, only if you are deficient in any.
Fat-soluble vitamins are A, D, E and K, and it should come up in blood tests if you are deficient in any.
These can all be obtained in foods, although vitamin D is mostly obtained from the sun when the UV rays convert our cholesterol into vitamin D.
If you do take fat-soluble vitamins in supplement form they are best taken with a source of fat for proper absorption.
Kind regards,
Jessah Shaw
Nutritionist for Liverdoctor.com
The first thing to do is stay on a healthy diet, so your supplements can have maximum effect.
Super digestive enzymes and Ox Bile capsules are to be taken during each meal.
Livatone Plus and NAC can also be taken together with or without food depending on your digestive sensitivity.
Multi Vitamin/Minerals best in the morning.
Depending on the severity of your inflammation, you may still benefit from taking fish oil as well as Dr Cabot’s wonderful Serrapeptase.
CLA has many benefits for clear arteries and to feed/modulate your gut flora.
May we suggest you also include Dr Cabot’s Ultimate Superfoods to provide first class protein and a stunning array of antioxidants to begin each day and the gut calming/repairing Ultimate Gut Health to potentiate your gut flora, while providing most valuable anti-inflammatory nutrients.
These can be purchased here:https://www.liverdoctor.com/products/supplements/bowel-health.html
Victoria Taylor
Naturopath
Everyone who has their gallbladder removed requires a replacement source of bile to effect good dietary fat and fat soluble vitamin absorption, and Dr Cabot prescribes
Ox Bile capsules – 1 - 2 capsules during each meal to replace the bile that can no longer be delivered from your gallbladder.
Most people who have had their gallbladder removed have a congested liver that remains after the gallbladder is removed.
We are delighted to let you know that Dr Cabot has recently released her 15 Day Cleanse - Two weeks to begin your journey toward improved overall health and function, utilising both supplements and a tasty, easy to prepare dietary regimen. Please go to www.drcabotcleanse.com to place an order.
After completing the Cleanse, we recommend you remain on this style of eating and you can then begin the Maintenance plan that is available at the same website.
To boost liver health and your vitality, Dr Cabot prescribes
Livatone Plus – 1 to 2 capsules twice daily, to improve liver function.
N-Acetyl-Cysteine (NAC 600mg) – 1 to 2 capsules twice daily well away from food, if any upset occurs take at the beginning of your meals. This supplement works well with Livatone Plus to get your liver better faster. This supplement is the precursor nutrient of glutathione; the body’s strongest anti-oxidant.
MSM + Vitamin C – ½ to 1 teaspoon twice daily in vegetable juice or water to reduce oxidation, inflammation and boost liver health.
You may purchase these supplements and Dr Cabot’s books athttps://shop.liverdoctor.com/
Kind regards,
Jessah Robinson
Nutritionist for Liverdoctor.com
Dr Cabot has recently released her 15 Day Cleanse - Two weeks to begin your journey toward improved overall health and liver function, utilising both supplements and a tasty, easy to prepare dietary regimen. Please go to www.drcabotcleanse.com to place an order.
After completing the Cleanse, we recommend you remain on this style of eating and you can then begin the Maintenance plan that is available at the same website.
There are indications of a congested liver from your symptoms and now that you no longer have a gallbladder you require supplementation to replace the duties of your gallbladder and to boost liver health and your vitality, Dr Cabot prescribes
Ox Bile capsules – 1 - 2 capsules during each meal to replace the bile that can no longer be delivered from your gallbladder to help essential fat and fat-soluble vitamin absorption.
Livatone Plus – 1 to 2 capsules twice daily, to improve liver function.
N-Acetyl-Cysteine (NAC 600mg) – 1 to 2 capsules twice daily well away from food, if any upset occurs take at the beginning of your meals. This supplement works well with Livatone Plus to get your liver better faster. This supplement is the precursor nutrient of glutathione; the body’s strongest anti-oxidant.
You may purchase these supplements and Dr Cabot’s books athttps://shop.liverdoctor.com/
Kind Regards,
Jessah Robinson
Nutritionist for Liverdoctor.com
Your present diet is contributing to your NAFLD and may also be adding to the gastroparesis you are experiencing.
Ensure contains what many consider to be the most toxic artificial sweetener and the nutritional panel, although extensive, contains many poorly absorbed forms of the vitamins and minerals it contains. This poor food value makes Ensure a very expensive option.
An easily made, quickly absorbed shake is vitally important for anyone with gastroparesis, and Dr Cabot prescribes
SyndX protein powder – 2 Tablespoons in a cup of water or nut/hemp milk, once to twice daily. Easily absorbed, appetite sustaining protein, for effective digestion, and both weight loss/gain.
Jello is simply a sugar solution with artificial flavours and gelatin to set it.
We understand that liquids will pass more quickly at the moment and encourage you to have 1 to 2 cups of fresh vegetable juice daily with a maximum of one fruit included.
Other soft foods that a very popular and getting a lot press at the moment are soups, either creamed or with small pieces of vegetable made in a bone broth base. These are flavoursome and highly nutritious.
These suggestions are to improve your overall health, especially your liver and to help your stomach digest nutritious foods like ground beef, fish, and other protein rich foods and vegetables and reverse your NAFLD Dr Cabot prescribes
Livatone Plus – 1 to 2 capsules twice daily, to improve liver function.
N-Acetyl-Cysteine (NAC 600mg) – 1 to 2 capsules twice daily well away from food, if any upset occurs take at the beginning of your meals. This supplement works well with Livatone Plus to get your liver better faster. This supplement is the precursor nutrient of glutathione; the body’s strongest anti-oxidant.
MSM + Vitamin C – ½ to 1 teaspoon twice daily in vegetable juice or water to reduce oxidation, inflammation and boost liver health.
You may purchase these supplements and Dr Cabot’s books athttps://shop.liverdoctor.com/
Kind Regards,
Victoria Taylor
Naturopath for Liverdoctor.com
i am vegan so can not take ox bile and enzymes mske my problems worse.
what ekss can i do?
Have you had your gallbladder removed?
Kind Regards,
Jessah Robinson
Nutrition Consultant for Liverdoctor.com