Video: Keto Without a Gallbladder + Fat Digestion Issues

Keto Without A Gallbladder + Fat Digestion Issues #keto #highfat #lowcarb #hflc #lchf

Fat indigestion, how to know when you’re not digesting fats and eating keto (high-fat, low-carb) without a gallbladder.

If you don’t have a gallbladder, or you have one and you experience weird symptoms after you’ve had a healthful, fatty meal, keto, today’s keto video is for you!

Something I forgot to mention in the video… if you have gotten bloodwork done recently and your fat soluble vitamins are low (vitamins A and D), it could be a good indication that your body may not be breaking down fats properly. If this is you, scroll down and press play!

Also, there was a little fumble in my words about 1-minute in. Your gallbladder does not CREATE bile, your liver does. The gallbladder stores bile. The liver will continue to make bile, but it has nowhere to store it. So, if you are eating meals with moderate to high amounts of fats, you are not going to have enough bile to break things down properly.

A must-watch if you’re having a hard time digesting fats or your gallbladder was removed and you’re interested in eating keto (high-fat, low-carb).

For video transcription, scroll down.

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  • How to be keto when you don’t have a gallbladder
  • How to know when you’re not digesting fats properly
  • Why I don’t support gallbladder flushes
  • The three foods to eat to increase bile production


Struggling to lose weight


  1. Please disregard anything fermented if you have any kind of MAST cell activation disorder. Niacin if you have an impaired methylation, as well as any synthetic B vitamins. Find a doc who knows of/understands both of these issues. Otherwise, the info above has the potential to male you sick as a dog.

    • Hi There! For anyone with health concerns, I definitely recommend that they discuss their nutritional needs closely with a doctor, thanks for looking out!

  2. Hello,
    So this video was very helpful, but it also raised some questions for me. I had my gallbladder removed in 2012, so about 6 years ago. I have done Keto once before and had great results. I fell off the wagon, but I am back on again. The only thing I noticed the last time I did do Keto was a lack of a consistent bowl movement. I never felt nauseous or had stomach aches or headaches. This time its pretty much the same. I had no idea that me not having a gallbladder impacted the way my body broke down the food I was consuming. I was wondering if I feel okay, should I still take the ox bile, flush free niacin, and B-complex? I do currently take MTC oil in my tea in the morning with heavy whipping cream and I take a magnesium supplement. I guess I’m not one to really be “in tune” with my body, so I am not sure if I need these things and I’m just not feeling/seeing the signs. Help!

    • Hi Denise! Even if you feel okay right now, you may still have symptoms (like inconsistent bowel movements) – try out the supplements and see how they make you feel. If you’re really worried about it, however, see your doctor!

  3. I have LOTS of comments about your blog (I use the term loosely) and the many hundreds included in the so-called ketosphere found on Youtube and elsewhere. But those should wait. My gallbladder was removed 30+ years ago. I have never really been aware of any problems as a result, regardless of what I was eating. No pain. No nausea. No…issues. However with my recent focus on the truly ketogenic state and trying to reach that macro nutrient nirvana of 2 to 1 or 3 to 1 fat vs protein/carb ratios, I have struggled with a couple of things: A. how to boost my fat intake sufficiently without adding too much protein (a steak has plenty of fat but protein wins) and B. am I really utilizing the fat efficiently. My poop (pardon me if that came out of left field) has begun to really look weird (gray, clay-like) and very inconsistent. So, for starters, are supplements really the key? Should I be experimenting with the amount of fat? Lowering the percentages and adding more protein? That approach concerns me because we know how protein get metabolized when glycogen stores are depleted. Obviously there is a lot to think about this area. I welcome any comments!

    • Hi Tom! Probably the best way to increase fat without protein is by taking in more pure fats like oils. MCT oil in the morning is one of my go-to methods, as is adding mayo to each meal and covering all my ingredients with as much fat as possible. I’m sure you’ll get plenty of other suggestions here! Good luck!

    • Hi Theresa! Beets are a great choice for carb-ups and for people following more moderate ketogenic protocols!

  4. I finally put together my digestive discomfort and extreme tiredness are related to starting Keto almost 2 weeks ago. My gallbladder was removed years ago.
    Understanding Keto is a work in progress. Adding the complication of not having a gallbladder is disheartening. I am losing weight but I am not feeling good. Trying to balance a diet with 60 % fat confuses me. Lettuce and raw vegetables are a problem also. Where can I get guidance and recipes?
    I ordered the ox bile today.

    • Hi Beverly! The Keto Diet Book has some great resources for digestive issues if you’re interested! You might also consider working with a local holistic nutritionist who can help you develop a plan for your specific needs!

  5. My gallbladder has been removed. I feel best when in a state of ketosis, however the weight loss is very slow. I have only lost 5 -7 lbs and it took me a month. I watched your video and found the information extremely helpful. I would really like to purchase the supplements, but wanted to confirm that the links to the supplements, are those brands you would personally recommend?
    Thank you for your help,

    • Hi, Christy! Yes, these are the brands that I absolutely recommend. Best of luck to you!

  6. Leanne,

    I’ve been trying Keto for about a month. I purchased your cookbook the Keto Diet and LOVE the recipes. Four years ago I had my gallbladder taken out. A year ago I also learned that I have a fibroid on my uterus. Since doing Keto, I have felt like the fibroid is growing (it is causing pressure and pain in more areas and with more intensity) since I’ve done the diet. I am at a loss what to do. Do I give up Keto altogether? Do I stick to saturated fats only? Should I avoid certain foods that affect the fibroid? I’d really like it to shrink and disappear. I also am unsure of what supplements and amounts I should be taking. Please help!!!! Thank you.

    • Hey, Laura! I can’t speak from a medical standpoint, as I am not your healthcare provider. But I have seen many women in your place have great success with this eating style. Eating keto can help balance hormones, so perhaps your body is going through some changes as its trying to balance itself out. If you know which foods aggravate your fibroids, I would definitely avoid those. That said, please do not hesitate to consult with your doctor if you’re unsure whether to continue eating keto. Best of luck!