- Diane Sanfilippo | New York Times bestselling author of "Practical Paleo" and "The 21-Day Sugar Detox" | Home of the Balanced Bites Podcast - http://balancedbites.com -
FAQs: How can I eat Paleo without a gallbladder?
Posted By Charissa Talbot On December 3, 2012 @ 1:33 PM In 30 Day Meal Plan,Autoimmune Protocol,Digestion,FAQs,Featured | 29 Comments
My maternal grandmother, who many of you read about in my book, has no gallbladder. My father has no gallbladder. I’ve said it many times over, when I talk about my background and motivation to study and teach nutrition, that I live and eat in a way to do the best I can to prevent not only ailments like cancer and heart disease, but also the autoimmunity that apparently is an underlying root-cause of gallbladder disease. I feel strongly that I narrowly escaped a lot of serious health concerns by changing my diet when I did. And I feel very motivated to maintain the choices that I make day-in and day-out in order to keep my current health trajectory as it has been since I kicked grains, beans, and all processed/poor quality dairy from my diet.
This post comes to you from one-half of the Dynamic Duo you’ve come to know as the Paleo Parents – Stacy Toth. Stacy is a busy mom of three with a full time job, a popular blog on parenting of Paleo kiddos, a loving wife, and a woman without a gallbladder. For those of you in the same boat – or dreading the possibility of losing your gallbladder soon – check out her take here on how to live and eat Paleo without one. This is Stacy’s perspective based on what she’s learned both in the science, and in her own n=1 experience in testing different dietary approaches on herself. Her situation is not entirely unique, but may not be exactly the same as yours. – Diane
Earlier this year I wrote a post on How to Eat Bacon without a Gallbladder. By the response the post received, there’s evidently quite a few of us who have undergone a Cholecystectomy (gallbladder removal) or know someone with Cholelithiasis (
Problem is, like most modern day diseases, the medical community just doesn’t get it. I appear to be one of the few voices in the paleo community who has this problem and can provide insight and recommendations – after having done a LOT of research.
Why did I get this problem to begin with? Let’s start with the standard justifications I hear and read in the standard medical community:
Among the misinformation the medical professionals may or may not realize they’re telling you, the above were the worst offenders for my overall health and wellness. Despite my doctors not believing I could possibly be eating a low-fat diet, I had been for years. And despite following an extremely low fat and whole grain filled diet, my disease progressed and stones worsened. I tell a detailed health history in my earlier post – but essentially, after 7 years as a vegetarian my body was wrecked.
During my twenties, my weight skyrocketed. Having always been overweight, I became morbidly obese and well over 300 pounds in my early twenties. I found myself tirelessly hungry and filled with intense cravings. I realize now that this was a symptom of micronutrient malabsorption. Since I wasn’t able to digest fat or fat soluble vitamins properly, my body wasn’t able to properly digest the foods I was eating. This led me to constantly want more food in a desperate attempt to get my body the proper nutrients it needed.
This is a typical problem for those with Celiac Disease, which I now realize I have. Interestingly, gluten sensitivity is among one of the many undiagnosed causes of Cholelithiasis. Beyond a normal paleo diet, I’ve had to adapt my lifestyle and tailor my diet to meet the needs of my (now) very complicated body.
After my extreme weight loss, the focus on overall health and well-being through diet and lifestyle has been the utmost priority for me. Before I discovered how, exactly, to eat and live I was a health disaster. I no longer have acid reflux, joint pain, headaches, elevated white blood cell count, terrible digestion or any symptoms for Syndrome X.
Since my doctor never tried to figure out why my body was making these stones, I had never healed the root cause. The surgery, like a pill to be popped, simply masked the symptom – not healed the problem. Before I found paleo, my health continued to deteriorate for years after the surgery.
Instead of discussing alternate diets that might help (like gluten-free), I had been told I needed to have surgery. I was also told it wouldn’t affect my long-term health and that digestion disruption would only happen short-term. The only truth I had been told was that it would be an “easy” laproscopic out-patient surgery.
After the surgery, I no longer had intense (worse than child birth) painful gallbladder attacks. I’d say “Yipee!” except, instead I was left with the inability to control my bowel movements. Turns out a permanent state of IBS years after a Cholecystectomy is “normal”.
It wasn’t until a few years later, when I discovered the paleo diet, that I’d remember what normal bowel movements felt like. Honestly, the freedom to eat in public without shame or fear of needing to immediately use the bathroom is one I try not to take for granted. Paleo gave me my health and life back with weightloss, but the resolved medical conditions are what I’m truly grateful for.
So how did I get to feeling normal again? Since I had to figure this out on my own with lots of personal experimentation, here’s my experience with what my gallbladder-less body needs:
Learning the differences between oils and fats, why they’re different and how a person’s body responds to them at the Practical Paleo Seminar changed my perspective on what an important piece of the puzzle it was to my health. After that day I started paying close attention to the foods that I ate, how my gut reacted, how my digestion was and ultimately if excretion was “normal” after.
After years on a Paleo diet post-Cholecystectomy, I’ve finally learned how to optimize my digestion. Most importantly, and what no doctor ever told me, is that it is with proper digestion that health and wellness is achieved. If you or someone you know has gallbladder disease or already has their gallbladder removed, Paleo is absolutely a wonderful approach for them.
Since the basis of these recommendations goes against conventional wisdom and likely the opposite of what doctors are saying, let’s cover some Frequently Asked Questions.
A: First of all, the Paleo diet doesn’t have to be high-fat. There are plenty of paleo foods that are naturally low-fat. I ate chicken breasts, salads and steamed veggies my first few months I went Paleo out of fat-phobia. So, until you’re comfortable go ahead and do that. Chris Kresser also addressed this here.
I think it’s easier to avoid sugar and get proper nutrients into you when eating fat, but you’ve got to figure that out yourself. When you’re ready, slowly add in the recommended fats from the Balanced Bites chart above and see how you feel. I found a proper carb-fat-protein ratio that’s ideal for my body; I know because my digestion is fantastic for the first time in years since having gallbladder issues!
Second of all, I was a vegetarian for 7 years. This was the period of time directly before my gallbladder became diseased. My mother was also a vegetarian for nearly a decade, and it was during this time that her gallbladder was diseased. Interestingly, broth was one of the few foods we could eat without triggering painful attacks. Makes sense to us now that we know how great bone broth is for healing the gut!
A: Here’s a link to the GallbladderAttack.com stating food allergies are a common cause of the disease.Here’s a link to Robb Wolf talking about how removal of the gallbladder leads to Dysphagia and other long-term health issues if the cause doesn’t get treated. Here’s a link to Robb Wolf talking about gallbladder removal and autoimmunity, and another about Celiac disease and gallbladders. And then this,this, and this out of PubMed.
A: I mean loose, painful, and violent stools unable to be controlled (must-go-now) bowel movements. UsePractical Paleo’s “Poop Pageant” to see if your stools are “fatty” looking (malabsorption of fat) or less than ideal. This is what happened years after surgery; weeks after surgery the situation was so awful and uncontrollable that I (literally) didn’t leave the house for fear of not making it to the bathroom.
A: I have heard that it is. Since I found the Paleo diet and lifestyle after my gallbladder had already been removed, it’s never been something I looked into. However, several people commented on this postsaying that NDs can sometimes help with supplements. If it were me, I’d get plenty of sunshine and Vitamin D, get plenty of rest, gentle exercise and follow the 7 steps above.
A: Work with a professional! If you’ve done everything in this post and still are struggling, take the time, energy and money and invest it in what matters – your health. Someone like Liz Wolfe or Diana Rogers can help you determine what you might be missing in your approach that could be the key to solving your health issues. Undiagnosed Celiac Disease or other autoimmune conditions can have severe long-term health problems (cancer), so figuring out the issue and resolving it today is worth the investment it will take on your part. That’s what I did, and have been thankful ever since!
Stacy Toth is the co-blogger at PaleoParents.com. She and her husband, Matt, lost over 200lbs adopting a paleo lifestyle. They have 3 young boys and blog about a practical and affordable approach to feeding their family real food. Their bestselling kid-friendly cookbook, Eat Like a Dinosaur, was published earlier this year. Stacy also co-hosts the well reviewed podcast,The Paleo View, and blogs about her emotional struggles and successes going paleo. You can find them on Facebook, Twitter, Pinteres
Photos from WebMD, in accordance with the Use of Content policy.
Article printed from Diane Sanfilippo | New York Times bestselling author of "Practical Paleo" and "The 21-Day Sugar Detox" | Home of the Balanced Bites Podcast: http://balancedbites.com
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