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doi: 10.1111/bph.70145

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Treatments include: Bile acid sequestrants (medications that bind to bile acids) Dietary modifications Anti-diarrheal medications Practical dietary strategies These dietary approaches can help manage digestive symptoms when taking Wegovy without a gallbladder: Gradual fat introduction : Start with lower-fat meals and gradually increase fat content as your body adjusts Smaller, more frequent meals : Helps accommodate continuous bile flow Soluble fibre : Helps bind excess bile acids (oats, psyllium husk, chia seeds, fruits, vegetables) Meal timing : Allow 3-4 hours between meals to support Wegovys slowed gastric emptying Hydration : Drink plenty of water between (not during) meals Probiotics : May help restore a healthy gut bacteria balance When to seek medical advice While most people without gallbladders tolerate Wegovy well, certain symptoms warrant immediate medical attention: Contact your doctor urgently if you experience: Severe abdominal pain that doesnt resolve Persistent vomiting (more than 24 hours) Signs of dehydration (extreme thirst, dark urine, dizziness) Severe diarrhoea (more than 6 loose stools per day) Blood in stool or black, tarry stools High fever with any digestive symptoms Yellowing of skin or eyes (jaundice) Routine monitoring recommendations: For optimal safety when taking Wegovy without a gallbladder, establish regular monitoring with your healthcare provider: Initial assessment before starting treatment Review of digestive symptoms at each dose increase Regular check-ins during the first 3 months Liver function tests as recommended by your doctor Medication review if other treatments are added Frequently asked questions Will Wegovy make my digestive issues worse after gallbladder removal