Kelsey Kinney: I don’t have anything on my website personally, but I did a little digging to see if I could find something that I generally agreed with for dietary considerations after gallbladder removal. There is an article from Diets vs Disease about how to eat after you’ve had your gallbladder removed that, I think, if you wanted to send this to your clients, you can certainly do that, or if you wanted to read a little bit about it yourself so that you can explain it to your clients, this is a good kind of overview. I’ll go over briefly just what to think about in general with someone who has had their gallbladder removed. I was talking about this a little bit before when we were talking about the protein-sparing modified fast, which is that we have to sort of consider directly after gallbladder removal versus someone who doesn’t have a gallbladder but hasn’t had a gallbladder for years. It may be coming to you and not just something in their history because if someone just had gallbladder removal surgery, really what you want to focus on is lower fat, higher fiber, and then over time they should actually start to be able to increase their fat intake without any problems, but you want to do that really, really slowly and, of course, right after surgery they’re on a low-fat approach.
There’s a two-day sample meal plan where you can see in the content. This I think goes pretty extreme. They are not eating much, if any, meat products here, which I don’t think is necessary. They’ve got a little bit of meat in that dinner for day one it looks like and then fish for day two. I think you can go a little bit higher protein with this, but you want to focus on lean protein, fish or lean ground beef like they’re talking about here. Those would be great options, but I think you could incorporate those things potentially in most if not all of the meals for the day depending on the person. But some people you’ll find they’re going to have trouble with really any amount of fat especially right after surgery. For some people, you may actually have to go to a diet kind of like this, which I realize looks very un-Paleo, and it is. It is not very Paleo, but for some people, something like this made may be appropriate for the short term because, again, as time goes on, typically as long as they’re increasing their fat intake slowly, most people are going to be able to eat at least relatively normal amount of fat in their diet. They may not be able to do something like a ketogenic diet. That might be really triggering digestive discomfort for them, so it is something to keep in mind if you have someone who is coming to you as a client and doesn’t have a gallbladder but had surgery years ago. Those kinds of people, I certainly would not jump them to a really high-fat content diet. That is, I think, a recipe for disaster for many of these clients. If you wanted to do something like a ketogenic diet with these people, you want to do that really, really slowly, and ramp them up very slowly. If they don’t have a gallbladder, it is also a real possibility that they just will not ever be able to tolerate something that is really high in fat, like a ketogenic diet. Hopefully looking at these couple of things on this website gives you some indication of what is normal here.