What Happens When Your Gallbladder Is Removed

After gallbladder removal, many patients are told they'll be fine — but for a significant number, nothing is fine. This episode explores the real consequences of living without a gallbladder: the constant trickle of bile into the small intestine, how it damages tissue over time, and why the standard surgical follow-up almost never addresses these problems. We break down the science of bile acid toxicity, the disrupted signaling between the gallbladder and pancreas, and what treatments actually work — from bile acid sequestrants to psyllium husk to timed eating patterns. If you've had your gallbladder out and still struggle with digestive issues, this episode explains why and what you can do about it.