Momentum in the Mountains 2024


What You MUST Know If You Dont Have a Gallbladder

author avatar Dr. Eric Berg 03/07/2024

Supporting digestive functions is crucial to maintaining optimal health, particularly for those who have undergone gallbladder removal or are experiencing issues with their biliary tract.

Discover the importance of gallbladder function for digestion, hormone balance, and toxin elimination, and explore the impacts of gallbladder removal on cholesterol levels, thyroid health, and liver health. Also, learn some practical tips for adjusting your diet to promote healthy fat absorption while minimizing complications related to gallbladder removal.

Understanding Gallbladder Function

The gallbladder is a crucial digestive organ that assists in fat digestion, maintains cholesterol equilibrium, keeps hormones stable, lubricates the colon, and expels toxins from the body.

A healthy gallbladder ensures optimal digestive health and regular bowel movements. It aids in maintaining the right cholesterol balance, essential for producing hormones such as estrogen, progesterone, and testosterone.

Gallbladder: Toxin Eliminator

  • Toxin elimination: The gallbladder concentrates bile, making it more effective at removing harmful substances from the body.

  • Colon lubrication: Bile is a natural laxative that keeps the colon well-lubricated and prevents constipation.

Understanding the gallbladder's functions is crucial for maintaining overall health, especially if you experience issues like cholesterol stones, acute cholecystitis, or biliary tree problems. Seek medical advice immediately if you have concerns about your digestive health.

Gallbladder illustration

Consequences of Gallbladder Removal

When your gallbladder is removed due to issues like gallstones or inflammation, it can lead to several health problems as you become deficient in bile.

Bile deficiency affects various aspects, such as cholesterol imbalance and impaired thyroid function, associated with multiple health issues.

Imbalanced Cholesterol Levels

The absence of a gallbladder disrupts the balance between good and bad cholesterol levels in your body.

Bile plays an essential role in breaking down fats and regulating cholesterol levels; thus, without sufficient bile production, you may experience increased LDL (bad) cholesterol and decreased HDL (good) cholesterol.

This imbalance can contribute to developing heart disease and other related conditions.

Thyroid Issues

Bile also plays a crucial role in maintaining proper thyroid function by converting inactive T4 hormones into active T3 hormones.

Without adequate bile supply from the missing gallbladder, this conversion process becomes inefficient, leading to symptoms associated with hypothyroidism, such as fatigue, weight gain, hair loss, and depression.

Risk Of Developing Fatty Liver

Fatty liver disease is another potential consequence of gallbladder removal. The liver manufactures bile, a substance that facilitates the breakdown and digestion of dietary fats.

Without a gallbladder to store and concentrate this bile, your body may struggle to process dietary fats effectively, accumulating fat in the liver cells.

Fat-soluble vitamin Deficiencies without a Gallbladder

Without a gallbladder, your body struggles to absorb essential fat-soluble vitamins A, D, E & K properly, leading to deficiencies that can cause vision impairment, a weakened immune system, heart cramps, and soft tissue calcium buildup prevention.

Vitamin A

Vitamin A deficiency can lead to night blindness and other vision-related issues, making it crucial for maintaining healthy eyesight and supporting the retina's function.

Vitamin D

A lack of vitamin D can weaken your immune system and increase susceptibility to infections or illnesses, making it essential for bone health and mood regulation.

Vitamin E

Vitamin E's antioxidant properties help protect cells against damage caused by free radicals that contribute to cardiovascular diseases like heart cramps or stroke if left unchecked over time.

Vitamin K2

Vitamin K2 is crucial for preventing calcium buildup in soft tissues and ensuring it gets directed toward the bones where it belongs, preventing the calcification of arteries and other health issues.

Tips for improving fat-soluble vitamin absorption

  • Incorporate foods rich in vitamins A, D, E & K into your daily meals, such as leafy greens and fish oil.

  • Taking bile and vitamin supplements is important for those without a gallbladder to help support bile production and improve nutrient absorption.

Bile Support Supplements After Gallbladder Removal

Ox bile extract and tauroursodeoxycholic acid (TUDCA) are two types of bile support supplements that can help improve liver function and promote healthy cholesterol levels.

Purified bile salts help break down fats into smaller particles, allowing your body to absorb fat-soluble vitamins more effectively and detoxify.

Recommended Dosage and Usage for Optimal Results

  • Dosage: Consult a healthcare professional for personalized advice on the recommended dosage based on age, weight, diet type, and severity of deficiency symptoms.

  • Timing: Take bile support supplements before or during meals containing fats to aid digestion and nutrient absorption.

  • Potential Side Effects: Some people may experience mild side effects such as bloating, gas, or diarrhea when taking bile salt supplements. Discuss any adverse reactions with your healthcare provider and adjust the dosage accordingly.

Ketogenic foods

Tips for Adjusting Your Diet after Gallbladder Removal

Adjusting your diet after gallbladder removal is crucial for healthy fat absorption and preventing complications.

Following a Healthy Keto® diet, intermittent fasting, and using supplements to help increase bile production is an excellent strategy to promote a healthy body after gallbladder removal.

Foods that Promote Healthy Fat Absorption

  • Avocados are rich in monounsaturated fats that are easier to digest.

  • Coconut oil contains medium-chain triglycerides (MCTs) that bypass normal fat digestion pathways.

  • Flaxseeds are high in fiber and omega-3 fatty acids, promoting healthy bowel movements and reducing inflammation.

  • Fish oil supplements offer essential omega-3 fatty acids for hormone balance and cardiovascular well-being.


Your gallbladder is responsible for fat digestion, hormone balance, and toxin elimination, but if it's removed, you could face cholesterol imbalances and thyroid issues due to a lack of bile.

You can support your body with supplements like purified bile salts and adjust your diet to promote healthy fat absorption, prevent vitamin deficiencies, and avoid fatty liver.


1. What's the Best Support for Your Gallbladder?

Consume foods that promote healthy fat absorption, like artichokes or beets, and take supplements containing purified bile salts to aid digestion after gallbladder removal surgery.

2. What Foods are Good for Your Gallbladder?

Eat fiber-rich foods, such as green leafy vegetables, seeds, nuts, and omega-3-rich foods, including salmon and mackerel. Avoid processed foods with added sugars or unhealthy trans fats.

3. What are the Symptoms of a Low-Functioning Gallbladder?

Abdominal pain, bloating, indigestion, nausea or vomiting after meals - particularly fatty ones - constipation or diarrhea due to improper fat breakdown, jaundice caused by elevated bilirubin levels, and fatigue from malabsorption issues related to lack of bile production.

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