If your gallbladder has been removed (or you have gallbladder problems), it can be more difficult to digest fats because the gallbladder is known for secreting bile that helps with fat processing. This might make you wonder whether a ketogenic diet (which is very high in fats) is possible for you at all.

The short answer is yes, you can absolutely eat keto without a gallbladder! But there are a few extra precautions that will ensure you follow the diet safely.

Use These 2 Crucial Supplements for a Keto Diet Without a Gallbladder

There are two important supplements to take if you follow the ketogenic diet without a gallbladder:

1. Fat-Zyme

Fat-Zyme is a cutting edge Divine Health digestive enzyme supplement designed specifically for those on the Keto Zone diet.

These enzymes help your body break down both fats and keto vegetables more efficiently, which is crucial for someone with no gallbladder to do the job.

You’ll want to take Fat-Zyme with all of your meals, even your keto coffee.

2. Ox Bile Extract

Ox bile extracts are a combination of bile acids and bile salts from oxen that enhance bile production in the human digestive system. Basically, it helps you break down fats! It also promotes absorption of important fat-soluble vitamins.

This is good for anyone who needs digestive support but especially those without a bile-producing gallbladder.

Make sure the ox bile extract is high-quality and take around 80 mg with every meal.

To order, please call our medical practice at 407-331-7007.

Start Slowly and Ease Into Your Fat Intake

When starting the diet, go slowly. It’s best to do the following initially (especially if you’ve just had the surgery to remove your gallbladder):

  • Start with easy-to-digest foods and clear liquids only for the first few days.
  • Include foods with high amounts of soluble fiber.
  • Eat keto meals in smaller, more frequent periods throughout the day.
  • Take the Fat-Zyme and ox bile supplements with every meal to support your digestion.
  • Consider including a MCT supplement, which can provide extra easy-to-digest fat and doesn’t require bile to be absorbed

Each day, increase your amount of fat gradually until you reach the Keto Zone proportions of 70% fat.

Staying hydrated and making sure you’re getting enough electrolytes can also help ensure a successful diet transition.

No-Gallbladder Symptoms to Watch Out For

Most people can eat normally within a month of gallbladder removal surgery, but there are some symptoms to speak with your doctor about if you experience them:

  • Severe vomiting or nausea
  • Abdominal pain that is severe, unrelenting, or gets worse over time
  • No bowel movements, inability to pass gas, or diarrhea for more three days
  • Jaundice (yellowing of the skin or white of the eyes)

A keto diet can also be preventative. Not having a gallbladder increases your risk of metabolic conditions like non-alcoholic fatty liver disease (NAFLD), and the keto diet can help combat that by improving blood sugar, triglycerides, and cholesterol.

Also, know that you can always adjust as needed. If you start to notice issues, try decreasing your fat intake for a while and focus smaller and more frequent meals, then repeat the above steps. And don’t forget to keep taking the recommended supplements for extra support.

Can a Keto Diet Save Your Gallbladder?

For those who still have their gallbladders, a keto diet may actually help you keep it healthy! The most current research suggests obesity and a high BMI are associated with increased risk of developing gallstones and that losing weight can help [1,2].

Since a keto diet is so excellent for weight loss, it may help improve your gallbladder health and save it from more extreme measures.

Overall, with the right preparation, it’s entirely possible to reap the benefits of keto without a gallbladder.



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  1. Violet Sprouse says:

    Have had a lot of stomack pain, no gallbladder, even fatzyme and oxbile capsules caused pain. Had gallbladder out when I had stomach stapled for weight loss, about 30 years ago. Have trouble eating meat. Having ultra sound Friday, hoping I can find out what’s wrong and continue on Keto. Have lost 47 lbs and need to lose 50 more. Appreciate your prayers.

  2. Carole Aldrich says:

    Can I get the fat-zyme and ox bile from you?
    I hope so as I also want to get the Mct powder. Thanks.

  3. Miriam Dutton says:

    Need info, cost, instruction of doses, quantity in each, for fat-zyme an ox bile extract. I am 74 female with no gallbladder.
    Thank you, miriam

  4. Violet Sprouse says:

    Pain became severe, temporarily off Keto, having more tests, pain has decreased since I’m off diet. Hoping to try again after getting tests results.

  5. Gail Griffith says:

    My gallbladder was removed in 2007. Not knowing the issues that I would or could have after such an event I believe I have developed “fatty liver”. A lot of times after eating the right side of my body around my rib cage will seem to get hard or swollen. This has been happening for a few years. I did some research and found that for a healthy liver I need to eat smaller portions often and chew my food to almost mush. But I’m still suffering from symptoms. It even seems the right side of my body is larger than my left side. After reading about Fat-Zyme and Ox Bile Extract I used the phone # listed to talk to someone about these products and if they would be an answer to my liver problem. Thank you for your attention to this matter. Gail Griffith

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