Episode Details

If you've had your gallbladder removed and struggle with post-meal bloating, you've probably heard the standard advice: cut fat, try ox bile, take digestive enzymes. But what if the real culprit isn't undigested fat, but bile itself — constantly dripping into your intestine and wreaking havoc on your microbiome and motility? This episode maps the terrain beyond the usual suspects, from bile acid sequestrants like cholestyramine (a gritty but effective powder) to emerging therapies like FGF19 analogs, strain-specific probiotics, and even ginger as a natural prokinetic. We also explore lecithin as a potential emulsifier and the structural problem of seven-minute gastroenterology consults that leave patients without real solutions.