What Are Gallstones?
Gallstones are hardened deposits of digestive fluid mainly cholesterol and bile salts that form in the gallbladder. While they may remain silent in many people, they can cause pain, nausea, vomiting, and digestive upset when they block bile flow.
Weight Loss and Gallstones: What’s the Connection?
It may sound ironic, but losing weight too quickly whether through medical weight loss or bariatric surgery can actually increase your risk of developing gallstones.
When your body breaks down fat rapidly, it releases more cholesterol into bile. The gallbladder may also empty less frequently during rapid weight loss, making it easier for crystals to form and harden into stones.
Who Is Most at Risk?
- Individuals losing >1.5 kg (3.3 lbs) per week
- Patients undergoing bariatric procedures such as:
- Gastric sleeve
- Gastric bypass
- Duodenal switch
- Women (especially over age 40)
- Patients with insulin resistance or diabetes
- Those on very low-calorie diets
Gallstones Symptoms to Watch For
If gallstones become problematic, you may experience:
- Sudden pain in the upper right abdomen
- Pain that radiates to your back or right shoulder
- Nausea or vomiting, especially after meals
- Indigestion, bloating, or intolerance to fatty foods
Preventing and Monitoring Gallstones
At IBI Clinic, we take proactive steps to monitor and prevent gallstones in patients undergoing weight loss:
1. Gradual, Supervised Weight Loss
First and foremost, we emphasize steady, controlled weight loss. Instead of promoting quick fixes, our medical weight loss programs aim for a safe rate of 1–2 pounds per week. This pace is important because sudden drops in weight increase the risk of gallstone formation. By losing weight gradually, the body adjusts more comfortably and the gallbladder continues to function normally.
2. Preventive Medications When Needed
In addition, we assess each patient’s risk factors before surgery. For those who are at higher risk of developing gallstones—such as patients undergoing bariatric surgery we may prescribe ursodiol. This medication helps dissolve excess cholesterol in bile, which is a major contributor to gallstone development. When started early, it can significantly reduce the likelihood of stones forming during rapid weight loss phases.
3. Routine Ultrasounds for Early Detection
Moreover, we don’t wait for problems to appear. If a patient experiences symptoms like upper abdominal pain, nausea, or indigestion, we quickly recommend ultrasound imaging to check the gallbladder. Even in patients without symptoms, we may recommend routine scans after surgery especially for those with a personal history of gallbladder disease. By identifying changes early, we can treat any issue before it becomes more serious.
4. Personalized Dietary Counseling
Equally important, we offer detailed nutrition guidance as part of every weight loss plan. Our registered dietitians work one-on-one with patients to build balanced meal plans that include healthy fats, adequate fiber, and the right amount of calories. Consistent hydration is also strongly encouraged. Together, these strategies help the gallbladder empty regularly and prevent bile from becoming stagnant or overly concentrated.
Supporting Long-Term Success
Finally, ongoing follow-up appointments and lifestyle support help us monitor each patient’s health well beyond their initial weight loss. Whether you’re recovering from bariatric surgery or pursuing non-surgical weight management, our care team remains closely involved. This ongoing relationship ensures that we catch any warning signs early and adjust treatment plans as needed.
Treatment Options if Gallstones Develop
If symptomatic gallstones form, treatment may include:
- Medications like ursodiol (for mild cases)
- Laparoscopic cholecystectomy (gallbladder removal), which is safe and often done as outpatient surgery
Bottom Line: The Risk of Gallstones After Medical Weight Loss and Bariatric Surgery
Gallstones are a known but manageable risk of medical and surgical weight loss. Early detection, prevention, and expert follow-up significantly reduce this risk.
If you’re considering weight loss treatments or are currently in a program don’t hesitate to ask your provider about gallstone prevention. At IBI Clinic, we’re committed to your long-term health and wellness.
Questions or concerns? Contact us at IBI Clinic today.
