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. Hi, I have started the keto diet in earnest 2 weeks ago after over a year of low carb eating. But I have done bulletproof coffee in the morning for a long time often within intermittent fasting. Often I experience nausea after my coffee. I normally take Hcl and digestive enzymes with meals. I have long standing ibs, now with SIBO and reduced gut motility. What do you suggest? Ox bile or my normal digestive support? Thanks!

    • Hey! It’s worth a try to start incorporating Ox Bile. You could also try skipping the coffee and have a regular breakfast if you notice that’s what’s causing you to feel nauseous.

  2. Hi Leanne,

    I have been on Keto last 3 months… Lost 5 kg, HDL above normal at 89.0. LDL high 119.. Trigly at 84. But SGPT and SGOT went up above normal… is this normal with Keto? SGPT and SGOT were normal prior to my Keto experience…

  3. Leanne I need help! I’ve been eating keto for 2 months now (under 20 carbs) and feel great, but have only lost about 7 – 10 lbs. I have been living without a gallbladder for approximately 15 years now and have always had a problem with “dumping syndrome” after eating fatty foods. Recently I’ve starting taking “colestid 1mg” once/day and this has been a miracle drug for me. I can eat high fat with little worry and it has lessened my anxiety over this matter immensely. After listening to your video “keto without a gallbladder” I wonder if I’m still not absorbing nutrients from fats and if in my situation would I benefit from OxBile? I could really use your advice on this matter. Another question I have is the amount of fat I should be eating per day when I have a weight to lose (about 80lbs). I’ve been wondering if I’ve been having too much fat, meaning too many calories, therefore not much weight loss. Thank you so much. Just beginning my journey ……

    • Hey Laurie! If what you’re doing now isn’t working, you’re in a fine place to try something new. It may be worth it to try Ox Bile and see how you do. Do you have my book The Keto Beginning? In it, I provide a simple formula to calculate about how many calories and macros you should consume to lose weight. This would be a good starting place to figure out if you’re eating too much fat. I hope that helps!

  4. Hello Leanne.
    I had my gallbladder removed almost twenty years ago and have never been told to supplement. I would like to try it but do you have a recommendation on how much to take of each?

    Thank you.

    • Hey Brandi! I suggest following the dosage recommendations on the supplement bottles and/or consulting with your health care provider about it.

  5. This was very informative – I have been without my gallbladder for over 10 years and struggled with my body for so long. Do you have any suggestions on where to locate or a preferred method for OX Bile?

  6. I didn’t hear you discuss how to tell if you’re having trouble processing fats, though it was one of the points you listed in the teaser for the video. I’m 34, had my gallbladder removed at 19, and as far as I can tell, have no problem with eating high fat. I was never told to take any kind of digestive enzymes.

    • Hey! It’s the whole last half of the video if you listen again ;)

  7. My husband has Colitis and does not process fats well. He tried to eat a few meals from your book, when I started the program, but he couldn’t tolerate it. Wondering if Ox Bile would help his situation.

  8. Thank you so much Leanne, that was very informative. I’ve had my gallbladder removed a few years ago and am trying to follow a Keto diet. I’ve had some digestive issues and the ox bile supplement along with a digestive enzyme might just be what I need to correct the issue. Worth a try anyways! Thanks again :-)

  9. First things first – you say, “because your gallbladder creates bile which breaks down fat”. Incorrect. The liver creates bile, which is stored in the gallbladder. When you remove the gallbladder, your liver continues to make bile. The difference is that when you have a gallbladder and eat a high fat meal, stored bile is released to break down fat. Without a gallbladder, there is a slight constant drip of bile. In some cases, even 1 tablespoon of fat can cause instant diarrhea and what is called “dumping” syndrome. Not all diets work for everyone.

    • Sorry, it was one word that I fumbled on and we never caught it in the editing process. What it should say is that… 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.

      • I might suggest that you go back and correct your post, because it was more than just a word, and if someone is closely following you and taking your advise, they should have complete and accurate information. Just saying.

    • Hello Sharon,

      I did Keto for 6 weeks without a gallbladder and if I remember correctly for Me, it took about 1-2 weeks to tolerate the fat. Afterwards I no longer had the “dumping syndrome”. I didn’t take any supplements either. However, I never realized that without a gallbladder you will have trouble absorbing things.

      Yes, your explanation about gallbladder and bile is correct. I was just curious and I was wondering are you doing keto without a gallbladder? If so, what supplements are you using and how? Thanks and please let me know as it could help me.

  10. haha I love your videos, Leanne! Looking forward to your new book! The Keto Beginning was great!!