4.5 • 774 Ratings
🗓️ 17 November 2025
⏱️ 28 minutes
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Did you know your gut bacteria directly impact gallbladder function? Learn how your microbiome affects bile production, evidence-based supplements to support digestive health, and essential care tips after gallbladder removal.
✅Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/
📖Probiotics Guide: https://drruscio.com/comprehensive-probiotics-guide/
💊Recommend Supplements
Methionine: 1 capsule per day
Magnesium gluconate: 1.5 tsp, twice per day with water
B1: 1 tablet per day
B6: 2 capsules, twice per day
Calcium lactate: 3 tablets per day
Biota-Fiber: https://store.drruscio.com/products/biota-fiber
Triple Therapy Probiotic Powder Sticks: https://store.drruscio.com/products/triple-therapy-probiotic
👇 Watch more videos like this 👇
➡️Heal Food Intolerance with HCL, Bile, and Enzyme Support | Heidi Turner:
https://www.youtube.com/watch?v=LoTdmmGEmKI
➡️The Top Supplements To Boost Your Digestion & Gut Health:
https://www.youtube.com/watch?v=MY1o533X5Ok
➡️The Top Diet & Treatments To Heal Leaky Gut:
https://www.youtube.com/watch?v=k-5dnD6axhE
➡️Why You Have Abdominal Bloating & Pain – And How to Fix It:
https://www.youtube.com/watch?v=mZL3fWbkg8A
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And if you have any questions or topics you would like covered in the future, let me know in the comments!
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https://drruscio.com/low-fodmap-snacks/
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https://drruscio.com/digestive-superfoods/
➡️Psyllium Husk: A Clinician's Guide to Benefits, Uses, and Best Practices:
https://drruscio.com/how-to-use-psyllium-husk/
➡️Probiotics and 5 Other Leaky Gut Supplements to Help You Heal:
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00:00 Intro
01:23 Microbiota & gallbladder connection
05:22 Bile production & SIBO
07:49 Gut supplements
10:26 Fiber-rich foods
11:57 Bile replacement supplements & diet
13:48 Bile production supplements
15:12 Gallbladder removal care
19:30 Gallstone & sludge testing options
📉Gastrointestinal microbiome and cholelithiasis:
https://pubmed.ncbi.nlm.nih.gov/36970590/
📉Intestinal flora imbalance affects bile acid metabolism and is associated with gallstone formation:
https://pubmed.ncbi.nlm.nih.gov/32143645/
📉Gut microbiota promotes cholesterol gallstone formation by modulating bile acid composition and biliary cholesterol secretion: https://pubmed.ncbi.nlm.nih.gov/35017486/
📉Bile acids through bacterial overgrowth, contributing factor to gallstone disease: https://pubmed.ncbi.nlm.nih.gov/24598592/
📉Ursodeoxycholic acid and lithocholic acid exert anti-inflammatory actions in the colon: https://pubmed.ncbi.nlm.nih.gov/28360029/
📉Bile acids as inflammatory mediators and modulators of intestinal permeability: https://pubmed.ncbi.nlm.nih.gov/36569849/
📉Differences in zinc metabolism, inflammation, and tight junction proteins in duodenum from cholesterol gallstone subjects: https://pubmed.ncbi.nlm.nih.gov/32366946/
📉Gallstone and intestinal mucosal barrier: https://pubmed.ncbi.nlm.nih.gov/19486450/
📉Tauroursodeoxycholic acid and/or intestinal probiotics on serum biochemical indexes and bile composition in patients with cholecystolithiasis: https://pubmed.ncbi.nlm.nih.gov/36353477/
📉Association between dietary fiber intake and gallstones: https://pubmed.ncbi.nlm.nih.gov/40898378/
📉Effect of Silibinin on biliary lipid composition: https://pubmed.ncbi.nlm.nih.gov/1940257/
📉URSODEOXYCHOLIC ACID AND SILYMARIN IN GALLSTONE DISSOLUTION: https://www.worldwidejournals.com/indian-journal-of-applied-research-%28IJAR%29/recent_issues_pdf/2021/March/comparison-of-combination-therapy-of-ursodeoxycholic-acid-and-silymarin-versus-ursodeoxycholic-acid-alone-in-gallstone-dissolution-and-improvement-in-lft-parameters_March_2021_3617704614_2811027.pdf
📉A Whole-Food-Based Health Product (A-F Betafood®) Improves Gallbladder Function in Humans at Risk of Gallbladder Insufficiency: https://pubmed.ncbi.nlm.nih.gov/32093137/
📉Postcholecystectomy Syndrome: https://www.ncbi.nlm.nih.gov/books/NBK539902/
📉Post-cholecystectomy syndrome and magnesium deficiency: https://pubmed.ncbi.nlm.nih.gov/15637226/
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*Full transcript available on YouTube by clicking the "Show transcript" button on the bottom right of the video.
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| 0:00.0 | Welcome to Dr. Rucho Radio, providing practical and science-based solutions to feeling your best. |
| 0:14.8 | To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player. |
| 0:22.2 | For weekly updates, visit Dr.ruciot.com. |
| 0:26.4 | 15% of adults have gallstones, |
| 0:29.7 | and even more have sludge in their gallbladder. |
| 0:34.5 | Some of the key and most hallmark symptoms are either central or right side pain or |
| 0:42.3 | discomfort. There can be nausea, vomiting, indigestion, intolerance to fat, meaning high fat foods or meals |
| 0:52.4 | will flare your digestive symptoms. |
| 0:55.8 | And these are all risk factors that may at some point lead you to need a gallbladder |
| 1:01.9 | removal surgery because of the stones and the sludge eventually occluding the gallbladder. |
| 1:06.7 | Let's discuss today what you can do to care for and prevent the need for surgery due to sludge and stones. |
| 1:18.7 | 15% of adults have gallstones. A higher percentage have gallbladder sludge. Here's a key point that provides a target therapeutically, |
| 1:30.3 | quoting a 2023 review paper. In recent years, the gastrointestinal microbiome has emerged as one of the |
| 1:37.3 | critical regulators of gall stone formation. Some of the symptoms of gallstones and gallbladder sludge include pain or discomfort |
| 1:47.7 | that's mainly consolidated to the upper central or upper right quadrant of your digestive tract, |
| 1:54.3 | so on your side. Fat intolerance, floating stools, reflux, nausea, vomiting, and indigestion. |
| 2:05.4 | These are all symptoms that risk eventual gallbladder removal and also that there are |
| 2:12.8 | currently stones or sludge present or in development. Let's discuss today what you can do to care for your gall |
| 2:22.8 | bladder and also if you've had your gallbladder removed, things you can do to optimize bile |
| 2:28.4 | function. If you're new here, welcome. I'm Michael Russo. I'm a doctor in clinical practice. I also work as an adjunct professor and as a clinical researcher with a few papers published and more in the works. |
| 2:42.7 | Okay, let's now develop a key point. This key point is the microbiome is a major regulator of bile and gallbladder health. |
| 2:56.9 | You see, we might think that the gallbladder, which stores bile that's made in the liver, |
... |
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