#86 – Gallbladder Chaos: Hormones, Microbes & Bile

Most people think gallbladder problems start and end with gallstones. The reality is much more complicated.

In this episode of The Turd Nerds, we discuss the hidden connections between the gallbladder, hormones, bile acids, estrogen metabolism, and the gut microbiome—and why these systems become especially important during perimenopause and menopause.

We cover:
✔ Why women develop more gallbladder disease than men
✔ The estrogen–gallbladder connection
✔ How the microbiome influences bile acid metabolism
✔ What changes after gallbladder removal
✔ Gallbladder dysfunction without stones
✔ DIM and calcium-d-glucarate for estrogen metabolism
✔ Taurine, glycine, bitters, phosphatidylcholine, magnesium, and bile support
✔ Bile acid malabsorption and chronic diarrhea
✔ How we approach gallbladder health in clinical practice

If you've ever been told your only option is to remove your gallbladder, this episode explores the physiology behind gallbladder dysfunction and the tools we use to support patients before and after surgery.

Music provided by Blue Dot.

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Rebecca Sand ND, LAc, MSOM

• ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

• ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Ilana Gurevich ND, FABNG, LAc, MSOM

• ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
• ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
• ⁠⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠

Ami Kapadia, MD, ABFM, ABIHM

• ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠