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Life after Gallbladder Removal

Jennifer Kleinhans, BS, CHES® • Aug 13, 2018

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The gallbladder plays a vital role in the digestive process, and while the removal of the organ may provide relief from gallstones or other inflammatory related issues, its absence can cause discomfort when it comes to digesting and absorbing fats properly.

The gallbladder stores bile which is produced by the liver, and bile is essential for the digestion of fats in the diet. Once the gallbladder is removed the process of breaking down fat becomes more taxing on the digestive system. Think of it this way, if you place oil in water it will remain floating on the surface and does not mix in. However, when you add a drop of dish soap it breaks the oil into smaller droplets, thus allowing the oil and water to mix together (1). This is how bile works in the body, it acts like the “soap” that breaks down fats into smaller molecules to be absorbed.

If you’ve had your gallbladder removed, it’s quite possible eating foods that contain fat can result in digestive discomfort, stomach cramping, and even fatty stools due to improper absorption of fat. This is not to say you can no longer consume fats, but you may want to ease your way into reintroducing fats after surgery.

Supplements can also provide much needed support in breaking down fats after gallbladder removal. A few of my favorites are:

Enzymedica Lypo Gold: This product contains enzymes for protein and carbohydrates but has a specific focus on fats, and in studies has been shown to break down up to 22 grams of fat within 30 minutes. One capsule to be taken with each meal for optimal support. Plant based, vegan, and Kosher.

Vital Choice Superzymes: A combination formula of pancreatic enzymes for breaking down protein (protease), carbohydrates (amylase), and fats (lipases). Also contains:

  • Bile acid- helps to break down fats so that fat digesting enzymes (lipases) can further break down foods
  • Betaine HCL- helps support the digestive process in the break-down of protein and fats, helps relieve digestive discomfort.
  • Bromelain- derived from pineapple, can aid in the break- down of protein
  • Papain- derived from papaya, supports protein digestion
  • It is important to note that if someone has stomach ulcers they should not use Betaine HCL, caution is advised if you are taking antacids or medications for acid reflux.
In addition to supplements, the following dietary changes can make digestion after gallbladder removal far easier and more comfortable (2)(3):

  • Fiber: high fiber foods such as flax, chia, beans, fruits, and vegetables
  • Beets, Artichokes, Dandelion Greens: these can help to support the liver and improve bile production for the break- down of fats
  • Unrefined Healthy Fats: these can come from sources such as nuts and seeds, olive oil, or coconut oil to name a few. Healthy fats should be consumed in small- amounts throughout the day
  • Fruits and Vegetables: an increase in plant- based foods in the diet can likely decrease gallbladder distress
  • Lean Protein: include good- quality pasture raised, wild caught, or grass- fed sources to decrease possible digestive upset associated with more fatty meats
This information is not intended as personal medical advice and is not intended to diagnose, treat, cure or prevent any disease.

By Michael Ventresca 19 Mar, 2024
In 1980, Dr. Hiroyuki Sumi, MD, a researcher for the Japan Ministry of Education discovered a special enzyme found in the fermented food natto had tremendous potential to improve cardiovascular health by preventing excessive clotting and promoting smoother blood flow. He called this enzyme nattokinase. Nattokinase works by regulating fibrin, a protein involved in blood clot formation. Think of fibrin as a mesh used by the body to slow down blood and help a clot to form when you cut your finger. When this system works properly, the fibrin does its job, but then is dissolved by another substance called plasmin.  When we’re young, we tend to have plenty of plasmin to dissolve the fibrin properly. However, due to normal aging as well as chronic inflammation and other conditions like hypertension and diabetes , plasmin levels decrease. The result is too much fibrin, leading to excessive clotting and slow-moving blood, increasing the risk of heart disease, thrombosis, and stroke. What makes nattokinase so special is its ability to break down fibrin by increasing plasmin production. In a sense, turning back the hands of time, it resets the proper fibrin response, and promotes smoother blood flow through the arteries. This in turn reduces the risk of blockages that can lead to heart attacks or strokes. In addition, nattokinase may also be able to lower blood pressure, improve cholesterol scores (by lowering LDL and raising HDL) and reduce inflammation. One of the best products nattokinase products available is Natto-K from Enzymedica. Natto-K uses a patented form of nattokinase proven to increase plasmin levels. For even greater support, Arthur Andrew’s Neprinol AFD offers unparalleled “anti-fibrin”, or fibrinolytic activity. It combines a high dose of nattokinase with serrapeptase, an enzyme used to treat inflammation. To be effective all nattokinase products must be taken on an empty stomach one hour before or two hours after a meal. Please note, if you are currently taking a prescription blood thinning medication do not take nattokinase without first talking to your doctor.
11 Feb, 2024
Watch Co-founder Michael Ventresca's recent discussion on WKYC's Good Company, shedding light on Vital Choice Health Store's crucial role as a community resource alongside hosts Joe and Terry.
By Michael Ventresca 16 Jan, 2024
For years, we were told the key to strong bones was taking 1,000 milligrams of calcium daily. When studies showed that didn’t improve bone health, the updated advice was to take more. Unfortunately, studies now show that not only does taking 1,500 milligrams of calcium each day still not ensure strong bones, but it could also lead to an increased risk of heart attack or kidney stones as the additional calcium settles in places outside bone. Today, I’d like to share what I believe is a better option for bone health—one that many of our customers report has improved their bone density. First, to build strong bones, the body needs an absorbable form of calcium. Unfortunately, the most common forms simply aren’t very bioavailable. For example, the most common, calcium carbonate, is derived from limestone. When you take it, you are essentially eating chalk. Unlike plants, we are not built to get nutrition from rocks. Our bodies are designed to get nutrients from foods that naturally contain calcium, like green leafy vegetables. That’s where algae-based calcium comes in. Supplements made from algae-based calcium offer significant improvement in absorption and provide a host of other naturally occurring minerals, including boron, strontium, and silica that aid in uptake and, more important, the building of healthy, stronger bones. My favorite bone formula is Algae-Based Calcium from Vital Choice. In addition to providing algae calcium with additional minerals, it includes vitamins D3 and K2, both of which are critical to proper bone mineralization.  Mike Ventresca is the owner of Vital Choice Health Store, 9243 W. Sprague Road in North Royalton’s Timber Ridge Plaza. Call 440-885-9505 or visit VChoice.com . This information is not intended to diagnose, treat, cure, or prevent any disease.
By Michael Ventresca 09 Aug, 2023
Over the past few months, berberine has exploded across social media as the next weight loss miracle pill with some calling it ‘nature’s Ozempic’. While I think these weight loss claims are exaggerated, it is true that berberine has been shown to provide support for a variety of conditions including irritable bowel syndrome, polycystic ovary syndrome, high cholesterol, heart disease, type 2 diabetes and yes, weight management. Today, let’s look at three of these, blood sugar, cholesterol and weight loss. Berberine has been extensively studied for its ability to lower blood sugar in clinical trials. It appears to work in several different ways including decreasing insulin resistance (effectively making the body’s insulin more effective) and increasing glycolysis, the process of breaking down sugar in cells. According to research, when compared to common medications like metformin, berberine was as effective as drugs, but with no significant side effects. Berberine has also been shown to help reduce blood lipids (cholesterol and triglycerides). Compared to statins, a class of drugs commonly prescribed for high cholesterol, berberine was found to lower total and LDL cholesterol but unlike the medications, additionally reduced triglycerides while increasing HDL. When looking at weight loss, the benefit appears to be from activating an enzyme inside cells called AMP-activated protein kinase (AMPK). AMPK plays a key role in regulating metabolism and energy levels and is found in cells throughout the body. While more studies are needed, preliminary studies show promise. One study from 2012 found that after taking berberine for 12-weeks participants lost an average of five pounds, while other studies found reductions in body weight, body mass index, and belly fat. While I always urge caution when social media claims sound too good to be true, berberine has been shown to provide a wide variety of health benefits without major side effects and therefore, may be worth a try. One note - berberine may interfere with the absorption of some antibiotics. Also, because of its ability to lower blood glucose, it is recommended to closely monitor your blood sugar levels if you are already taking oral hypoglycemic drugs. If you’re interested in trying berberine, one excellent option is Vital Choice’s Berberine . It provides the studied amount of 500mg of berberine HCl per capsule from sustainably grown barberry. Another great option is Enzymedica’s new Berberine Phytosome offering 9.6-times better bioavailability and Natural Factor's Berberine . Mike Ventresca is owner of Vital Choice Health Store located at 9243 Sprague Road in North Royalton. The phone number is 440-885-9505. This information is not intended to diagnose, treat, cure or prevent any disease.
By Michael Ventresca 13 Jun, 2023
Are soil-based probiotics the best option yet?
23 May, 2023
By Cheryl Myers - This article originally appeared on TasteForLife.com. It has been my observation that even people with fantastic hair want better hair. Wanting your hair to look nice is not all vanity—the appearance of your hair is psychologically and sociologically important. Hair not only keeps our scalp warm, it has been used since prehistoric ages to attract mates. Thick, lustrous hair is a sign of good nutrition and health, and both men and women are wired to be attracted to external signs of fertility. Through the ages, hair has been a fashion accessory that is worn every day. Hair styles are used to denote holiness, like the Catholic monk’s shaven tonsure, or the snail-shell curls of Buddha. Hair can make a political statement and proclaim membership in the tribe. So while one can live easily and attractively with little to no hair, most people are quite concerned about their hair quality and quantity. Hair Loss: Men vs. Women Men experience more hair loss than women, and partial to complete baldness is more socially accepted. Baldness can be celebrated and admired—think Patrick Stewart, Duane “The Rock” Johnson, and Terry Crews. In fact, we expect some hair loss as men age because of genes related to male pattern baldness. Unfortunately, there isn’t a cure for this problem. Women, on the other hand, are not expected to become partially or completely bald. And while women experience hair loss with age and hormonal changes, it is most generally an all-over hair loss and not in a single pattern. While women can certainly be bald and beautiful, many are seeking interventions to reduce or reverse their loss of hair. Hormonal Changes, Stress & Hair Loss According to the American Hair Loss Association (AHLA), the two most common causes of female hair loss are hormonal changes and nutrition/stress. As women age and estrogen production decreases, testosterone exerts a greater influence. One of testosterone’s metabolites can contribute to hair loss. Also, thyroid hormones are crucial for healthy hair growth and quality. In women experiencing sub-optimal thyroid function, one of the first observed signs is hair dryness and hair loss. Unfortunately, without interventions, these hormonal difficulties usually do not return to a normal pattern of hair growth on their own. Physical and psychological stress can greatly increase hair loss. For example, when you experience the birth of a child, malnutrition, severe infection, major surgery, or extreme stress, it can shift up to 90 percent of the hair from the growing phase to the shedding phase. Huge amounts of hair loss can occur 6 to 12 weeks after the event. The good news is that if the problems are resolved, hair growth may return to normal. Fortunately, there are interventions to help with female hair loss. However, it is important to visit your healthcare practitioner to make sure there is no underlying health concern that is causing or contributing to hair loss. Iodine, Iron & Hair Health From a nutrient perspective, iodine can be useful if the problem is sub-optimal thyroid function. Many integrative doctors are using between 12.5 and 30 milligrams (mg) of iodine to increase thyroid hormone production, which in turn can reduce hair thinning. Experts recommend a blend of more than one kind of iodine for better absorption and utilization, such as a mix of potassium iodide, molecular iodine, and sodium iodide. Making sure you are getting proper amounts of the mineral iron can influence the health of your hair. In fact, a review article published in May 2006 highlighted the role iron plays in healthy hair: "We believe that treatment for hair loss is enhanced when iron deficiency, with or without anemia, is treated," Leonid Trost, MD; Wilma Fowler Bergfeld, MD; and Ellen Calogeras, RD, MPH, write in the Journal of the American Academy of Dermatology. Healthier Hair with Plant Silica Silica is a very powerful mineral for healthy hair. There isn’t very much silica in our highly refined diets anymore, so supplementing with this mineral makes sense. Silica increases collagen production in the body and collagen is a critical component of hair, nails, and skin. Silica’s impact is much more powerful than hair alone, extending to increasing bone strength and perhaps even helping to prevent dementia because of its ability to displace aluminum in the brain. To get the best results, use silica from a plant called horsetail, blended with marine oils to increase absorption. There are synthetic silicas on the market as well, usually orthosilicic acid. The daily dose is 20 mg a day, but you can take up to 60 mg a day if you feel you need intensive support for your hair. Silica will make your hair shaft thicker and stronger, and this increase in hair shaft size can cause your hair to appear thicker and have better scalp coverage. Protect Your Hair with Millet Seed Last, but certainly not least, there is an interesting millet-seed extract originally used in Europe that shows promise for protecting against hair loss and promoting the regrowth of hair. A special plant compound in millet seed oil called miliacin increases the amount of keratin made by cells. Keratin is an important structural component in hair, and is strongly associated with hair growth. There are excellent formulas that contain millet seed extract along with other oils (like sunflower) and vitamins and minerals to improve hair health. There may be no perfect cure for every kind of female hair loss, but there are powerful nutritional interventions you can use to improve your hair’s health, quality, and appearance. The added benefit from using these important nutrients is that they also improve your overall health. You will need to have patience—since new hair grows slowly, it may be two months before you start to see results. The biggest mistake women make when using nutrients to improve their hair is not allowing a long enough trial to see results. Cheryl Myers, RN, is an integrative health nurse, author, and expert on natural medicine. She is a nationally recognized speaker who has been interviewed by the New York Times, Wall Street Journal and Prevention magazine. Selected Sources: “ The antioxidant network of the stratum corneum ” by J.J. Thiele et al., Current Problems in Dermatology, 2001 “ A case-control study of Panicum miliaceum in the treatment of cancer chemotherapy-induced alopecia ” by G. Gardani et al. Minerva Medica, 2007 “ Chemoprevention of smoke-induced alopecia in mice by oral administration of L-cystine and vitamin B6 ” by F. D'Agostini et al., Journal of Dermatological Science, 3/19/07 “ Clinical manifestations of zinc deficiency ” by A.S. Prasad, Annual Review of Nutrition, 1985 “ Clinical response of alopecia, trichorrhexis nodosa, and dry, scaly skin to zinc supplementation ” by A.E. Slonim et al., Journal of Pediatrics, 1992 “ Essential fatty acid deficiency in childhood ” by H.S. Heymans, Tijdschr Kindergeneeskd, 1981 “ Human skin condition and its associations with nutrient concentrations in serum and diet ” by E. Boelsma et al., The American Journal of Clinical Nutrition, 2003 “ Immunolocalization of enzymes, binding proteins, and receptors sufficient for retinoic acid synthesis and signaling during the hair cycle ” by H.B. Everts et al., 2007; “Organization and expression of hair follicle genes” by G.E. Rogers and B.C. Powell, 1993, Journal of Investigative Dermatology “ In search of the ‘hair cycle clock ’: a guided tour” by R. Paus et al., Differentiation, 2004 “ Physical fatty acid deficiency signs in children with ADHD symptoms ” by N. Sinn, Prostaglandins Leukotrienes & Essential Fatty Acids, 2007 “ Silicon and bone health ” by R. Jugdaohsingh, The Journal of Nutrition, Health and Aging, 2007 “ Skin signs of nutritional disorders ” by J.S. Prendiville and L.N. Manfredi, Seminars in Dermatology, 1992 “ Treatment of brittle fingernails and onychoschizia with biotin: scanning electron microscopy ” by V.E. Colombo et al., Journal of the American Academy of Dermatology, 1990
By Michael Ventresca 08 May, 2023
The pain and discomfort of a urinary tract infection are some of the most frequent medical complaints among women. The vast majority of UTIs are caused by the common bacteria E.coli. While harmless in the gut where it normally resides, E.coli can cause problems when it spreads to the opening of the urinary tract, and travels up to the bladder where it grabs hold and begins to multiply. The result is a painful UTI. The conventional approach is to prescribe antibiotics. The problem is, as we know, antibiotics kill the bad, as well as your good bacteria in the gut. This can introduce a whole new set of issues. Thankfully, health experts are increasingly prescribing a better option. Cranberries contain a simple sugar called D-mannose. While our bodies cannot process D-mannose (it does not affect blood sugar), E.coli love it. In fact, if you have enough D-mannose in your system, the bacteria will simply let go of the bladder wall and grab onto the D-mannose molecule. When you urinate, the E.coli, now clutching to the D-mannose, quite literally get flushed from your system without harming the good bacteria. While drinking cranberry juice can be helpful, it often doesn’t contain enough D-mannose. To that end, my favorite product is Cranberry + D-Mannose by Vital Choice . As the name implies, this formula combines a concentrated cranberry extract with 1,000mg of D-mannose per serving. Two capsules daily are recommended for general support. For more urgent use, the recommended dose increases to two capsules up to three times per day. Mike Ventresca is owner of Vital Choice Health Store located at 9243 Sprague Road in North Royalton. The phone number is 440-885-9505. This information is not intended to diagnose, treat, cure or prevent any disease.
14 Apr, 2023
Strengthen Immunity and Dampen Inflammation
By Michael Ventresca 06 Apr, 2023
More than 5,000 years ago, a holistic approach to medicine known as Ayurveda originated in India. Today, one of the essential herbs of this ancient form of medicine is the subject of an ever increasing body of research demonstrating its ability to reduce stress and anxiety, support blood sugar levels, manage inflammation, and more. The herb ashwagandha (pronounced aash·wuh·gaan·duh) is classified as an adaptogen. Adaptogens are plants and mushrooms that help the body respond to stress, anxiety, fatigue and support overall well-being. Multiple double-blind, placebo-controlled studies have found ashwagandha to be associated with reductions in both subjective and objective measures in chronically stressed adults. This means participants taking ashwagandha reported less perceived stress (subjective) than those taking a placebo, as well as reductions in objective measures including morning cortisol (the main stress hormone), c-reactive protein (a marker of inflammation), pulse rate, and blood pressure. In addition, early evidence suggests the benefits of ashwagandha may reach far beyond reducing cortisol and reducing stress. A meta-analysis published in 2020 found ashwagandha significantly reduced blood sugar, A1c levels, insulin, blood lipids, and oxidative stress markers. Studies published in 2020 and 2021 found it may increase athletic performance by increasing VO2 max, the maximum amount of oxygen a person can use during intense activity. While still other studies suggest it may help boost testosterone and increase fertility in men. When shopping for ashwagandha be sure to look for high quality, reputable brands to ensure safety and efficacy. We carry a variety with some of my favorites being Garden of Life , Natural Factors , and our Vital Choice brand . Mike Ventresca is owner of Vital Choice Health Store located at 9243 Sprague Road in North Royalton. The phone number is 440-885-9505. This information is not intended to diagnose, treat, cure or prevent any disease. References: Salve J, Pate S, Debnath K, Langade D. Adaptogenic and Anxiolytic Effects of Ashwagandha Root Extract in Healthy Adults: A Double-blind, Randomized, Placebo-controlled Clinical Study. Cureus. 2019 Dec 25;11(12):e6466. doi: 10.7759/cureus.6466. PMID: 32021735; PMCID: PMC6979308. Salve J, Pate S, Debnath K, Langade D. Adaptogenic and Anxiolytic Effects of Ashwagandha Root Extract in Healthy Adults: A Double-blind, Randomized, Placebo-controlled Clinical Study. Cureus. 2019 Dec 25;11(12):e6466. doi: 10.7759/cureus.6466. PMID: 32021735; PMCID: PMC6979308. Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2019 Sep;98(37):e17186. doi: 10.1097/MD.0000000000017186. PMID: 31517876; PMCID: PMC6750292. Pérez-Gómez J, Villafaina S, Adsuar JC, Merellano-Navarro E, Collado-Mateo D. Effects of Ashwagandha (Withania somnifera) on VO2max: A Systematic Review and Meta-Analysis. Nutrients. 2020 Apr 17;12(4):1119. doi: 10.3390/nu12041119. PMID: 32316411; PMCID: PMC7230697. Lopresti AL, Drummond PD, Smith SJ. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha ( Withania somnifera) in Aging, Overweight Males. Am J Mens Health. 2019 Mar-Apr;13(2):1557988319835985. doi: 10.1177/1557988319835985. PMID: 30854916; PMCID: PMC6438434.
15 Feb, 2023
This article originally appeared on TasteForLife.com. Cardiovascular disease is an enormous health problem throughout the industrialized world. In the United States, approximately 80 million people suffer from some form of this condition.
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