Gallstones and low carb

Gallbladder

Gallbladder in pink

Do gallstones improve or worsen on a low carb / high fat diet? It’s a common question with an interesting answer.

The gallbladder stores bile, a yellow-green fluid manufactured in the liver. The bile is used to digest the fat you eat. The question is: Is it good or bad for the gall bladder to eat fat?

The conventional fat phobic answer

The usual medical belief today is that eating fatty foods can result in gall stones. This is because what happens if you already have gallstones in the gallbladder and eat fat: A gallstone can get stuck on the way to the intestines and give you a gallstone attack (pain in the top right part of your stomach).

The conventional advice is thus to eat low fat – and take pain killers if you get a gallstone attack. If the attacks continue the gallbladder is removed by surgery and the problem usually goes away. Probably with the side effect of slightly decreased ability to absorb fat and nutrients from what you eat (there is a reason we have gallbladders).

The conventional low fat advice rarely makes gallstone disease go away. Instead it often gets worse with time, until surgery is necessary. That is hardly a coincidence.

How to get gallstones

If you eat low fat less bile is needed to digest your food. More bile thus stays in the gallbladder. Long enough, perhaps, for stones to form. It’s been shown that people who (instead of fat) eat more carbohydrates are at increased risk of gallstones.

It all sounds logical. And there is even better evidence. The risk of low fat diets have been tested at least three times:

Studies of extreme low fat diets

galla

  • In a study of 51 obese people using an extremely low fat low calorie diet (just one gram of fat a day!) the gallbladder was examined by ultrasound before the diet and after one and two months. After one month four of the 51 participants had developed new gallstones. After two months more than one in four (13 people) had new gallstones! This on an almost fat free diet. Three participants needed to have their gallbladder removed during the study.
  • A similar study examined 19 people eating an extremely low fat low calorie diet over 16 weeks. At the ultrasound examination at the end of the study five people (again about one in four) had new gallstones.
  • A third study compared an extremely low fat diet with a diet slightly higher in fat during 3 months. More than one in two (6 of 11 people) in the group eating extremely low fat developed new gallstones. Nobody in the group eating more fat did.

Conclusion: Avoiding fat increases your gallstone risk!

What happens if you do the opposite?

What if you were to do the opposite of the usual advice? Regularly eat food with fat in it? Then more bile will be used to digest the food. The bile ducts and the gallbladder will be flushed through regularly. Theoretically stones will not have time to form, and pre-existing stones might (if you are lucky) be flushed out into the small intestine.

The risk is that if you already have gallstones, you may get discomfort as you flush them out.

The question is: Do you want to think short-term (low fat) or long-term (higher fat) solution?

Does high fat food work?

It’s logical to think that food higher in fat can result in a gall bladder free from gallstones, and the science supports it. One randomized controlled trial compared a higher fat to a lower fat diet in obese subjects over the course of 6 months. 1 The Higher fat group had better gallbladder emptying and no stones developed, whereas over 50% of the low-fat group developed gallstones. This was despite weight loss in both groups.

This fits with clinical experience and anecdotal reports from those who have experienced their gallstone disease disappear on a LCHF diet. Sometimes at the expense of initial gallstone attacks though.

Gallstones and kidney stones

Let’s compare the advice we give patients with kidney stones to the advice for gallstones. We tell patients with kidney stones to drink a lot of fluid, increasing the production of urine, so that stones do not have time to develop. If you already have kidney stones this advice could give you a painful attack initially as you pass the stone. But doctors still advise this despite the short-term discomfort as it is the better longer term solution.

The reason we give the opposite advice when it comes to gallstones might be the misguided fear of fat. If we were afraid of water instead, patients with kidney stones might have been advised to avoid drinking to avoid kidney stone attacks. If they did not improve, would we surgically remove their kidneys?

What do you say?

Have you had gallbladder problems? Have you tested a LCHF diet? What happened?

More

Other health problems

LCHF for beginners

PS

Another common question is if you can eat LCHF if your gallbladder is already removed. The answer is that this seems to work fine.

Some people without a gallbladder might have to increase their intake of fat gradually to allow their body time to adapt. Otherwise the body might not have time to digest the fat which could result in loose fatty stools initially. However this rarely seems to be a problem.

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342 comments

  1. Sara
    I had my gall bladder removed at 21 yrs of age following sever years of pain flareups which Drs seemed unable to diagnose, after having my daughter I saw a consultant to diagnosed gall stones and whipped my gall bladder out! A few days after surgery I had the pains again and they continued to flare up in times of stress. I saw a naturopath who said it was criminal that my gall bladder had been removed - that I should now spend a life time of being dairy free and low fat unless I wanted to die of a heart attack! Great stuff to hear in your early 20s. Fast forward 25 yrs. Ive struggled all my life with weight - more bad eating habits than from not having a gallbladder. I was scared into a low-fat diet for a while but sustaining that type of diet around children and family life was unachievable. over the years I got many flareups which seemed to be more stress related than food type - even tho I believe tomato might have been my trigger food; a change of lifestyle and life partner has seen no flareups in the past 10-15 yrs however our love of good food and a relatively sedate lifestyle has resulted in the lbs piling on, however I seem to get to a point in my weight where my body tells me its hurting - generally my colon just under the ribcage seems to hurt - maybe related to the lack of gallbladder? Ive never had it checked out as it subsides if I lay off the high calorie or high processed food. I started the Keto diet yesterday and then laid awake for some time in the night worry and reliving the advice of that naturopath telling me to avoid fat like the plague! Or else! Hoping my liver can deal with the extra fat content in the diet and that im not gonna keel over with a heart attack from clogged up arteries over time like she seemed to think I would!!! SO far so good So good, Im enjoying the food and have no desire to reach for anything sweet or carby at this point. Would love to hear from other gallbladderless folks on the LCHF to see how they are managing and if the initial purpose of the diet is to loose weight and body fat should I actually consume as much fat as the diet recommends initially? Like don't sauté in the fat from the bacon perhaps to not add unnecessary fat - id really like to burn the fat off my body 1st! Haha.
  2. Marsha Duregger
    Both of my parents are diabetics and several of my siblings. I'm a nurse and have always tried to keep low carbs but by body still acts like it wants be to be diabetic. I went Keto and so did my diabetic sister and this IS the BEST way to eat for diabetics. It rests your pancreas and stops the constant output of insulin and puts you in nutritional ketosis! This is not the same as Keto acidosis. Check out Dr Fung on YouTube. He's a diabetic specialist and kidney doc!
  3. Richard
    Thanks so much for this wonderful collection of information.

    Gallbladder ultrasound should be a standard part of health checkups. It's cheap, easy and non-invasive.
    It makes perfect sense. But it would mean less income for surgeons and hospitals. So they don't do it.

    People need to start asking for it.

    Also, another related diet that doesn't get talked about much is Keto Vegan. Considering the terrible decline in quality of various foods Keto Vegan makes more and more sense.

    Close to half of us will get cancer or heart disease in our lives. That's a terrible statistic!

    Current research shows that most of that risk can be reduced by removing meat and dairy from our diets.

    "Oh I could never stop eating meat and cheese and dairy! I don't care how much better it makes me feel or how many more disease-free years I'll live."

    Hmm.

  4. Lewis
    I suffered through a couple years of gallbladder disease eating low fat which I started when I retired. The internist wanted to remove my gallbladder immediately. I guess I can understand since the attacks were extremely severe (lasting about two weeks on average and causing debilitating abdominal and back pain along with severe nausea and explosive diarrhea). The frequency was also about once every two to three months which with the two months ones giving just about enough time for me to feel almost normal. Anyway I started reading up on natural, holistic treatments and settled on a high protein, average fat, low carb, high fiber diet supplemented by ACV-lemon juice cocktails with olive oil chasers twice daily and adding lemon juice to just about everything I drank. After about a month I cut back on the ACV, kept using olive oil exclusively for cooking and occasional gulps, kept using the lemon juice (6-8 quarts/month), and stopped using white sugar completely along with using almond milk as opposed to cow milk. I also increased my liquid intake to 6-8 liters/day and stopped eating "trigger" foods (for me) like raw cabbage, broccoli, cauliflower. I lost 25 pounds in six weeks and have been gallbladder problem free for almost five years now. I still drink a LOT of lemon juice-about four quarts/month, only use sugar for baking (raw honey for all other sweetening) use only butter instead of margarine, have gone back to whole milk, and still eat lots of high protein foods like eggs, lean meat, cheese, and fish. Unfortunately I went back to eating too many carbs and have gained back the weight but have zero gallbladder problems. I was 63 when this all started so yes a lifetime of food abuse can sometimes be reversed by a focused changing of one's ways and diet. I did this in consultation with my doctor and likely would have agreed to surgery had the symptoms not gone away in a reasonable amount of time. I just feel that any surgery should be avoided if being contemplated solely for the purpose of symptom relief as opposed to getting better by acheiving and maintaing a state of being that brings balance to the systems that make our bodies work properly.
    Reply: #327
  5. Kelley
    I'm just starting to have gall bladder issues. Ive been keto for a few years with a week here or there off. Just went off for a week over Christmas and felt so bad that Ive decided it was certainly not worth it. I also had a gall bladder attack yesterday. It only lasted about an hour but I was nauseous and in pain. From reading here, I'm guessing that full on keto will help. I know I have gall stones from an mri I had last summer. I've had 3 gall bladder attacks so far, two lasting an hour or so and one that ended me up in the ER where they put me on Pepcid IV. Actually yesterday I took a Pepcid OTC and felt better although I dont know if the pain ran it's course or the pepcid helped.

    Im interested in adding ACV and lemon juice but what is the cocktail recipe?

    Reply: #333
  6. Elaine Wilson
    Hi There,

    I have been on the keto eating plan for a month now and have only lost 1 1/2 kilos. It is very dispiriting. I really advocate for the problems associated with metabolic syndrome as I have a couple of those offshoots namely: diabetes type 11, arthritis, hypertension. I am on medication for the last two. I haven't been hungry at all which makes for my 500 calorie days really easy. (twice weekly).I have had my gall bladder removed and just after the Tex Mex meal the other night I had indigestion, thinking there was a lot of fat in that meal. I am female aged 66, and live in Australia. The G.P who put me onto this diet recommended your web site. I always have black coffee with dollop cream (twice a day). I have to have Physillium husks in Greek yogurt for breakfast as I have been constipated all along. I am on Januven (Diabetes medication) as Metformin gives me diarrhea. The G.P who put me on this Keto says if it tastes sweet spit it out. Good one huh! I don't have a sweet tooth at all anyway. I exercise (fast walking) half an hour a day. Or get on my exercise bike. Just don't know what I am doing wrong!! HELP!! I am overweight by 10 kilos. Once I reach that will be in the normal weight category.
    Thanking you.

    Reply: #307
  7. Kristin Parker Team Diet Doctor
    Elaine, you can check out our weight loss troubleshooting tips here - https://www.dietdoctor.com/how-to-lose-weight
  8. Jennifer
    I am confused with the above tips on kidney stones. TIn general, to avoid formation of kidney stones, should we drink more water?? Thank you for your comments
    Reply: #309
  9. Kristin Parker Team Diet Doctor
    Just to clarify, this article is about gallstones, not kidney stones. There are different types of kidney stones with different causes.
  10. Sarah
    No essential carbs? I think you may be confused as to what a carbohydrate is. Not all carbs are from bread and dairy. Carbs are a macro nutrient found in almost all food. Balancing carbs with proper fiber is essential, but you cannot cut ALL carbs from your diet. They are found in leafy greens, fruits, and almost every other food that exist. Processed carbs have minerals, fiber and fatty acids removed, turning them into empty calories fro the most part. You can force your body to run on fat and not carbs but you still have to have a carb intake. Real foods, straight from the ground - not a factory, have carbs. Some more than others, and while gluconeogenesis will keep your body running without carbs, with no fruits and veggies in your diet you open yourself up to slower digestion and inflammation. Don’t give up on those greens just because they have carbs, just balance them.
    Reply: #328
  11. Iwona
    I have kidney stones - how it will be working with Keto diet?
    Reply: #312
  12. Kristin Parker Team Diet Doctor

    I have kidney stones - how it will be working with Keto diet?

    Generally speaking, there are several different types of kidney stones and they have different causes. Keto is moderate protein, not high protein so it generally won't cause problems. Sodas and diet sodas are one of the main causes of the most common kind of kidney stones. If you have specific concerns about the type and cause of your kidney stones, you may want to give your doctor a call.

  13. Kim
    I’ve been eating LCHF for a few months - I’ve resumed after my pregnancy - and just been in the hospital for a week due to pancreatitis likely caused by gall stones. From the way that I am reading this article, it seems likely that previously formed gallstones (likely formed during pregnancy) were now squeezed out, causing pain and inflammation. I’m a bit at a loss as to what is best now. I’m starting to recover and I’m almost back at my normal food intake, but I’m not sure if I should resume LCHF right now, given that there are still gallstones left. Any advice?
    Reply: #314
  14. Kristin Parker Team Diet Doctor

    I’ve been eating LCHF for a few months - I’ve resumed after my pregnancy - and just been in the hospital for a week due to pancreatitis likely caused by gall stones. From the way that I am reading this article, it seems likely that previously formed gallstones (likely formed during pregnancy) were now squeezed out, causing pain and inflammation. I’m a bit at a loss as to what is best now. I’m starting to recover and I’m almost back at my normal food intake, but I’m not sure if I should resume LCHF right now, given that there are still gallstones left. Any advice?

    Please make sure to work with your doctor for the best food options while you still have gallstones.

  15. Jennifer
    I had a very painful gallbladder attack the other day and wound up in the ER. I now have an appointment with a general surgeon. I have dealt with a gallbladder with stones for a few years, but this is the first acute flare up. I am torn between gallbladder removal to avoid any pancreas issues, and wanting to focus on LCHF to try to allow stones to be flushed out. I am 50 and have a lifetime of the "Low fat Dogma" which I am sure is to blame for the stones. My local medical center, which I am tied to due to being insured through them, are not forward thinking and still pushes the low fat high fiber line of thinking. Is there any way to widen the common bile duct to allow most of the stones to flush? I am going to be truthful with my surgeon about my desires, but I would like some information from this group on my situation.
    Replies: #324, #325
  16. Amy
    I have had severe flare ups since 6 months before I started keto, but doctors have not yet figured out what it is. I have been diagnosed with pancreatic insuffiency, from before the time I started keto. I've had 2 endoscopies, and 1 colonoscopy and an abdominal CT, and no one can tell what why I am having these attacks, and worse yet, I have no pain medication. The attacks last for hours. I work from home, but I suddenly disappear when I have an attack, and my coworkers are getting annoyed and concerned. So, I look and look for a way to get pain medication, and try to be a google doctor and figure out what the heck is wrong with me. And I wonder if it is gallstones, which the advice is to avoid fat. So, even though I have lost 25 lbs on this diet easy peasy, are they now going to tell me I have to stop eating fat, and should I stop eating fat. I don't want to regain the weight. And I still have more weight to lose.
    Reply: #323
  17. Amy
    I'm reading Jennifers note. She said she ended up in the ER with an attack. I can tell you when I am in pain like that, I can't make a call or drive or do anything. I had leftover codones from a dental problems, that I used, and seemed to help. Now those are gone, so next time, I've asked my husband to take me to urgent care. Not ER, last time I went there, it was $1100 out of pocket!! Usually I am too hurting to even say anything to him
  18. Karl Steggles
    I had my Gallbladder removed in 2018 due to severe gall stone attacks. I have just started the Keto diet and wondered if i need to accommodate this in any way? Will the fact that my Gallbladder has been removed slow down the Keto process or weight loss?
    Reply: #319
  19. Kristin Parker Team Diet Doctor

    I had my Gallbladder removed in 2018 due to severe gall stone attacks. I have just started the Keto diet and wondered if i need to accommodate this in any way? Will the fact that my Gallbladder has been removed slow down the Keto process or weight loss?

    Most people find that lack of a gallbladder does not hinder keto. Some do find they have trouble with the higher fats at first so you can try gradually raising your fat intake and/or using digestive enzymes.

  20. Maria
    I started doing Keto about a month ago, for the past two weeks I’ve been experiencing some pain in my right side under my breast. Could this be gallstones?
    Reply: #321
  21. Kristin Parker Team Diet Doctor

    I started doing Keto about a month ago, for the past two weeks I’ve been experiencing some pain in my right side under my breast. Could this be gallstones?

    It could be any number of things, and not necessarily keto related. If the pain persists or gets worse, please see your doctor.

  22. Nancy
    Can I get my gallbladder back 😩?
  23. Dawn B
    Hi Amy. I read through your post and I am wondering if the issue is not gallstones, but a low ejection rate of your gallbladder. It causes bad pain like gallbladder stones. The test used to detect this is the HIDA Scan. My ejection rate it very low, 14 iirc, anything less than 35 is considered low. That is what was causing me the pain, I had no gallstones. I did not have my gallbladder out and the doctor gave me medication to stop the pain. It's an anti cramping medication called dicyclomine. It is usually prescribed for IBS, it relaxes the GI tract muscles.
    The HIDA Scan is an MRI done of the liver/gallbladder/bile ducts. They inject you with a medication and then trace it through the paces to see how well those organs are working. Maybe that would give you an answer?

    Good luck!

    Reply: #330
  24. Katie
    Epsom salt widens the common bile duct.
  25. Katie
    I accidentally replied to the wrong person on here but Epsom Salt widens the common bile duct such as used in a liver/gallbladder flush/cleanse. Take care.
  26. Chandra
    Katie, what is the dose of the Epsom Salt to help with liver/gallbladder cleanse, please?
  27. Lee
    Hi
    I am very interested in your diet plan as have had my gallbladder removed and after 6 weeks on the Keto diet found that my bowel movements became regulated by the high fat content to the point i had to stop.
    My back and under rib cage was in pain also which ideally i would like to avoid down the track.
    can you please provide me with some details re the ACV and what plan you took for eating ?
    any help would be greatly appreciated.
    Thanks
    Lee
  28. iLap
    Hi Sarah,

    There are NO essential carbs.
    You should do some research on plants defence systems. This one is a good start.
    https://www.youtube.com/watch?v=fnjX3cZ4q84
    Herbivores can run from predators, while plants cannot.

  29. iLap
    You know, I always say that the firm statements come from the lack of knowledge in Natural Sciences and Math.
    So, pls try to evolve and adapt, as those will survive and not the strongest.
  30. iLap
    Hi Dave B,

    And what is your current diet then?

    Cheers,

    iLap

  31. Michael Taylor
    I believe it helps to go on a high fat and low carb diet, but like any diet, it needs to be custom fit to the person who is undertaking it. The hardest part is knowing where to start. The same triggers that create other problems seem to be the answer for me. A trip to the doctor will help me see my mistake. Then I may be ready to take some responsibility for my problem. It seems to me, my problem has been a sitting too much and not enough getting up to live. I have been craving food and eating too much. There is a lot to be learnt from moderation and other good habit. But I believe the Keto style diet will help many people who know there situation well enough to avoid needless triggers. I can not eat certain foods: egg yolks, onions, and red meat. I have had to stop caffeine, because of my line of work. I was in hot environments and needed to stay hydrated. It helps to drink enough water. I found I had a high starch, high carb or high sugar diet. That is why I think I needed a Keto style diet. I do need to keep up the movement, hydration, sleep, and diet. I also need to fast with in reason. I tend to eat small meals and fast whenever I eat my last meal. I suppose I could write a book on the subject. I hope others look into the health benefits of living a better lifestyle that requires a diet to suit your lifestyle.
  32. 1 comment removed
  33. Tais Riva
    Hello, I wanted to share what helps me.
    I been having gallbladder pain off and on for 9 years now. I had ultrasound 4 years ago and there was no stone but there was sludge. I did go on HCLF vegan diet for 3 years and thought that it cures my gallbladder but I was wrong. Long story short my pain came back and I think I just made it worse.
    So about 6 months ago I found Keto. I got on it and never looked back. Of course I do have some pain here and there but I learned that if I take ox bile, betain hydrochloride with bitters and some enzymes along with ACV and lemon juice, I don’t have any pain at all. I haven’t had it for few weeks now using these things. Dr Berg says that we have to slowly dissolve the stones or sludge and eat a healthy Keto with lots of veg. Also I started to take choline, which he said will help to clean it out and get it back to normal. So that’s what I’m doing and when I stick to this advice, it seem to work great for me! Keto is the way to go I believe, like this article mentions.
  34. Marg
    Whilst on holiday I suffered a ruptured gall bladder caused by a huge 7cm gall stone. I and my doctor were totally unaware of the presence of this stone except for severe IBS symptoms which I was trying to control by going almost fat free. It got to the point that my diet was just rice and fruit. Disastrous. My intolerance of most foods was really stressful in social situations and my body was in a state of high inflammation. Needless to say something had to give and it did in a big way. Five days in hospital in a foreign country.
    When I returned home I really started to study inflammatory pathways which led me to low fodmap, Gundrey and Keto. I found that the Keto diet was the ultimate diet and have been on the diet for almost a year. My levels of inflammation have reduced dramatically. Where I was heading for a knee replacement (with appointments and consultation with a specialist) I no longer need surgery. I had the beginnings of osteoporosis in my forearm and now have halted the bone loss. I had declining eyesight and now have reversed it to almost 20/20 vision. All of these problems I thought accompanied old age, as I am 71 years old, but now have a different mindset. I have no pain anywhere in my body, my energy levels have increased and I sleep more soundly, which I firmly believe it’s due to the Keto lifestyle
    Reply: #339
  35. Joyce Garcia
    I found this interesting because my Functional Medicine doctor warned not to eat too much fat, because it could cause gallstones. I didn't think that was right, with all the success of the Ketogenic diet. Good to know this. :)
  36. What's the frequency, Kenneth?
    I seem to be dealing with this right now. I had my first attack about 24 hours into a fast (I've fasted countless times, as long as 22 days.) The best advice I could find was to take Dr Berg's Gallbladder Formula after fatty meals (which is all of them.) Since, I'm having apparent gallbladder issues. Eating always relieves it. Don't want to see my primary care doctor, because he's not keto/IF friendly, and I figure he'll probably want to take out my gallbladder and/or scold me about keto/IF. I'm thinking a keto friendly doctor (I know of exactly one in my area) would give me reasonable advice. I'm hoping the sludge or stones or whatever can be passed. I do not intend to take an excess of oil to flush, as I'm aware this can be dangerous.
  37. What's the frequency, Kenneth?
    I don't know why my comment was reported, especially already. I was going to add that since eating fat soothes the gallbladder, I'm thinking maybe it's not because of a blockage, but because while fasting it fills up and it doesn't know how to empty without eating fat? Does that make any sense? If true, may it mean cutting back on the fat so I don't produce as much bile? I would really like to be able to fast again. Wondering if daily MCT oil while otherwise fasting may help (heard one needs protein to trigger release, though, and haven't tried it yet.)
  38. Mike
    Reassuring to see I'm not the only one with sludge who was told its normal. HIDA scan.. Everything normal! So me complaining about discomfort, mainly when I sit hunched over, was perceived as Ive been "over tested" meaning I'm a hypochondriac and next step is surgery if I dont shut up! I also noticed more discomfort when I ate low fat, and I wonder if I made the sludge worse doing a few 10 day lemonade fasts. The discomfort does diminish when I take a swig of olive oil. Even though I'm not overweight, Ive started the keto diet but I have had allot of stress and alcohol in my life and wonder if that may have caused a fatty liver and gallbladder sludge? My doctor also said fat would make it worse so I guess we need to be our own doctors. Thanks everyone!
  39. Danuta
    Hi Marg, I too am 71 and had a gallbladder attack two weeks ago that took me to hospital. After an ultrasound I was told I have a 2.5 cm stone in my gallbladder but the gallbladder is healthy. I must have passed a smaller stone, which led to the intense pain. I am now trying the keto diet using Diet Doctor and have had a few twinges but no real pain. I am determined to keep my gallbladder and keep doing keto not low fat. This is my second week on keto but I still feel tired. Hopefully my body will adjust soon and I’ll have more energy. So far I have lost 1.5 kg in weight. I live in Australia.
  40. Dee
    What is the name of the procedure to remove stones by mouth? I ask because all my doctors just wants to do surgery to remove my whole gallbladder, which I afraid to do.
  41. Dee
    I heard that high starchy carbs, refined sugar, processed foods, and dairy "thicken" the bile in the liver and gallbladder. This causes high cholesterol, which hardens into gallstones.
  42. AM
    What you're passing is soap. Look up saponification - what you're taking in essentially results in you pooping little blobs of green soap. Higher fat - more bile production to keep gallbladder fresh and healthy is all that's needed. I wish the comments on this site were moderated by the professionals. I've read some pretty worrying things on here!

    https://www.thelancet.com/journals/lancet/article/PIIS014067360566373...

  43. 1 comment removed
  44. Rafael
    Interesting article as I stumbled upon it given that I had my gallbladder removed about 6 years ago. I will share my case as I eat a pretty balance diet and have toyed with high fat diets in the past. In my case, I am still highly sensitive to high saturated fatty foods (peanut butter, certain cuts of steak, fried foods). Interestingly enough, the pain usually only comes at 5-6am the morning after consuming these foods if I ate them at dinner/nighttime. I have also found out I am highly sensitive to codeine now, which apparently and can cause something called sphincter of Oddi dysfunction. The codeine induced pain happens pretty much instantly. To summarize, it seems everyone is going to be slightly different so you will have to see for yourself if a high fat diet works for your body.
  45. D. T-G
    I don't know if I have gall bladder issues or not, but I have severe abdominal pain 5-6 hours after I eat. I do eat Keto and have for 3 months now. I also do intermittent fasting daily. I eat at 7pm and then at 12 pm. I eat two smaller meals per day. I had an acute attack after eating 15 almonds so it's not Keto related. I had a CBC panel done and all was normal. I have pain in my upper abdomen and it lasts for an hour to two.I am taking liquid lidocain and Mylanta 15 minutes before I eat anything. I have had to go for days eating only bone broth and green tea because if I misjudge the time before eating or forgot once, I am in excruciating pain. Then, I have nausea and bloating like crazy. I initially thought I had an ulcer but now I am thinking gall bladder. Eating Keto didn't cause this did it??? I am happier and healthier than ever. I am physically active and eat very healthy in general. Lots of greens, no sugar at all. I have an ultrasound on Tuesday and am seeing a gastroenterologist a week after that. I'm going to eat 3 small meals instead of 2 from now on and keep taking the Mylanta. I should buy stock in it.
  46. Asma
    I think that’s all a bit wrong. I got my Gallstones during my pregnancy, eating lots of dairy and meat. So protein and fat from animals. After my pregnancy I lost weight on the Keto Diet which is LcHF. I am not a scientist but the explanation of eating more fats, more bile flow and therefore less stones is a bit easy and maybe totally wrong. Healthy eating would probably avoid stones. Healthy is not high Carb or low Carb but probably less food from Animals and more plant based food.
  47. Tina M.
    To anyone reading this, if you want to STOP the attack (pain, etc) you need to drink 1 tablespoon of Apple Cider Vinegar (organic, w/the mother in it) and a glass of apple juice. It's the only thing that stops it. I've started drinking that before a meal I worry will trigger an attack. I never once had a gallbladder attack until I went on keto. I'm not bashing the diet, I'm just stating facts. After about a year and more and more frequent attacks, I've decided to stop it. Since then, I haven't had one. I've also been doing castor oil packs (soak flannel or terry cloth in oil w/a heating pad over it) and it helps. I know if I go to the doctor they will say surgery (since we can live w/o this organ) but no way will I do that unless my skin turns yellow or they come daily. Look into natural remedies because as others have pointed out, you can STILL have attacks and pain w/o a gallbladder so you may do all that for nothing.
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