Dear Mary!
Unfortunately, almost everyone has problems after a gall bladder operation, because the bile produced immediately drains into the horseshoe casing. So the gallbladder that was removed no longer stores the bile, so when you eat you miss the amount that used to be there waiting to be discharged in large quantities into the horseshoe. In the short term, this causes bloating and abdominal pain, but in the long term it can lead to sugar problems, inflammation of the intestine and psoriasis. In principle, there is a chance that eating bile acids will also normalise your sugar levels, but check with your GP.
Gradually increase the daily dose:
- First 3 days: 1 capsule a day at lunch
- Next 3 days: 2 capsules daily (breakfast and lunch)
- After 3 days: 3 capsules daily (breakfast, lunch, dinner)
Choose the dose that gives you the best sensation and continue taking it.

Important information:
- Take the capsule with or at the start of a meal in addition to a normal diet
- Do not use when dieting (may cause diarrhoea, nausea)
- Up to 2 capsules can be taken at the same time with a hearty meal
- Drink 2-3 litres of water a day

GALLMED