The gallbladder is a small, pear-shaped organ located beneath the liver, playing a crucial role in digestion. It stores and concentrates bile, a digestive fluid produced by the liver, which helps break down fats. While it is possible to live without a gallbladder, its removal—commonly due to gallstones or inflammation—can impact digestion and overall health.
Additionally, conditions like subclinical hypothyroidism have been linked to an increased risk of gallbladder disease, as thyroid hormones play a role in bile production and flow..
The Role of the Gallbladder in Digestion
The gallbladder’s primary function is to release bile into the small intestine when fatty foods are consumed. Bile emulsifies fats, making them easier for digestive enzymes to break down and absorb. Without the gallbladder, bile is no longer stored but flows directly from the liver into the intestine, which can lead to digestive discomfort, nutrient deficiencies, and fat malabsorption.
Consequences of Gallbladder Removal
Cholecystectomy (gallbladder removal) is a common surgical procedure, but it can lead to digestive challenges, such as:
- Fat malabsorption – Since bile is not stored and released in a controlled manner, fat digestion may become inefficient.
- Diarrhoea and bloating – Unregulated bile flow can irritate the intestines and cause loose stools.
- Nutrient deficiencies – Fat-soluble vitamins (A, D, E, and K) may not be adequately absorbed.
- Increased risk of digestive disorders – Some individuals may develop bile acid diarrhea or acid reflux.
- A sharp increase in oestrogen dominance symptoms after surgery - the gallbladder plays a crucial role in eliminating excess oestrogen from the body through bile, so without it, the body may not be able to effectively metabolise and excrete oestrogen, leading to an increase in circulating oestrogen levels.
- An increased risk of certain gynaecological cancers - according to a large cohort study, risk of ovarian cancer is increased within the first 6 months after surgery. Women undergoing this operation also show an increased risk of breast and uterine cancer up to 30 years after surgery.
Essential Herbs and Supplements After Gallbladder Removal
While lifestyle changes like eating smaller, low-fat meals can help, certain supplements can support digestion and nutrient absorption:
1. Bile Salts
Bile salt supplements (such as ox bile) help replace the lost function of the gallbladder, improving fat digestion and nutrient absorption.
2. Herbs
Herbs like dandelion root, milk thistle, artichoke and turmeric may help with liver and gallbladder function after gallbladder removal.
3. Berberine
For those without a gallbladder berberine can be beneficial in promoting healthy bile flow. Berberine stimulates bile secretion from the liver, crucial for emulsifying fats and for the absorption of Vtamins A, D, K and E.
4. Digestive Enzymes
Lipase-containing enzymes assist in breaking down fats, reducing bloating and digestive discomfort.
5. Probiotics
Probiotics support gut health, reducing symptoms of diarrhoea and bloating by maintaining a balanced gut microbiome.
6. Fat-Soluble Vitamins (A, D, E, and K)
Since these vitamins require bile for absorption, supplementation may be necessary to prevent deficiencies.
7. Fibre Supplements
Soluble fibre helps regulate bowel movements and prevents bile acid irritation in the intestines.
8. Magnesium
Magnesium can help relax the digestive tract, reducing cramping and irregular bowel movements.
Final Thoughts
While living without a gallbladder is possible, it requires mindful dietary choices and supplementation to maintain optimal digestion and nutrient absorption. If you’ve had a cholecystectomy, incorporating bile salts, digestive enzymes, probiotics, appropriate herbs and essential vitamins into your routine can greatly improve your digestive health and overall well-being.
