Zepbound and Gallbladder Removal: Navigating Weight Loss Safely

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49 min
Published on
September 20, 2025
Updated on
September 20, 2025
Zepbound and Gallbladder Removal: Navigating Weight Loss Safely

Introduction

Many individuals have experienced gallbladder removal, a common surgical procedure known as cholecystectomy. While often a necessary step for relieving pain and preventing complications from gallstones or inflammation, living without a gallbladder can introduce new questions about how the body processes food and medication. For those exploring advanced weight management solutions, a significant concern often emerges: [can you take Zepbound if you don’t have a gallbladder]?

This question is increasingly relevant as medications like Zepbound (tirzepatide) have revolutionized the landscape of weight loss and metabolic health. As a leading provider of clinically proven, personalized weight loss solutions, we at TrimRx understand the nuances and specific considerations that arise when individuals with unique medical histories, such as a prior cholecystectomy, consider such powerful treatments. Our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions, all while prioritizing safety and individualized care.

This comprehensive guide aims to shed light on the intricate relationship between Zepbound, gallbladder health, and the implications of having undergone a cholecystectomy. We will delve into the essential functions of the gallbladder, the sophisticated mechanics of how Zepbound works, and the specific considerations for those who have had their gallbladder removed. If you’ve had your gallbladder removed and are considering advanced weight loss options, understanding these factors is crucial for making informed decisions. By the end of this post, you will gain a deeper understanding of how a personalized, medically supervised approach can help navigate these complexities, ensuring a safe and effective path toward your health goals. While Zepbound is not explicitly contraindicated for individuals without a gallbladder, a thorough understanding of potential interactions and a highly personalized medical approach are paramount for safe and effective treatment. We will begin by exploring the gallbladder’s vital role, then discuss Zepbound’s mechanism of action, and finally, address the specific considerations for individuals post-cholecystectomy, concluding with strategies for achieving sustainable weight management.

The Gallbladder: A Small Organ with a Big Role in Digestion

Nestled just beneath the liver, the gallbladder is a small, pear-shaped organ often overlooked until problems arise. Despite its modest size, its role in our digestive system is remarkably significant, particularly when it comes to processing fats.

What Does the Gallbladder Do?

The liver is responsible for continuously producing bile, a greenish-yellow fluid crucial for fat digestion. The gallbladder’s primary function is to store and concentrate this bile. Think of it as a small reservoir, holding onto bile until it’s needed. When we consume fatty foods, the gallbladder receives signals to contract, releasing a concentrated surge of bile into the small intestine. This bile then acts as an emulsifier, breaking down large fat globules into smaller ones. This process significantly increases the surface area for digestive enzymes to work on, allowing for efficient absorption of dietary fats and fat-soluble vitamins (A, D, E, K). Without the gallbladder, fat digestion can be less efficient, potentially leading to digestive discomfort.

Life After Cholecystectomy: When the Gallbladder is Removed

Cholecystectomy, the surgical removal of the gallbladder, is a common procedure, often recommended for individuals suffering from painful gallstones (cholelithiasis) or inflammation of the gallbladder (cholecystitis). While the removal effectively resolves these acute issues, it necessitates adjustments within the digestive system.

Once the gallbladder is gone, the liver continues to produce bile as usual. However, instead of being stored and released in concentrated bursts, the bile now drips continuously and directly into the small intestine. For many, the body adapts to this change over time, and they experience no significant long-term digestive issues. However, for some individuals, this continuous, less concentrated flow of bile can present challenges, particularly in how their body handles fatty foods. They might experience symptoms such as diarrhea, bloating, or general digestive discomfort after consuming meals rich in fats.

The key takeaway here is that while life without a gallbladder is absolutely manageable, it often requires a period of adjustment and a mindful approach to diet and lifestyle. Monitoring how your body reacts to different foods and maintaining regular check-ins with your healthcare provider is crucial. This foundational understanding becomes particularly important when considering new medications that can also influence the digestive system, such as Zepbound.

Understanding Zepbound (Tirzepatide): A Dual-Action Approach to Weight Management

In the evolving landscape of metabolic health, Zepbound has emerged as a truly innovative solution, offering a powerful new pathway for weight management. To appreciate its potential, especially in the context of prior gallbladder removal, it’s essential to understand the sophisticated science behind this medication.

How Zepbound Works: The Science of GLP-1 and GIP

Zepbound contains the active ingredient tirzepatide, a groundbreaking medication that distinguishes itself by acting as a dual agonist, mimicking the actions of two naturally occurring incretin hormones: glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). This dual-action mechanism is what gives tirzepatide its profound effects on both blood sugar regulation and body weight.

  • GLP-1 Receptor Agonism: Similar to other medications in its class, tirzepatide activates GLP-1 receptors in the body. This activation leads to several beneficial effects:
    • Enhanced Insulin Secretion: It stimulates the pancreas to release insulin in a glucose-dependent manner, meaning insulin is secreted only when blood sugar levels are elevated, reducing the risk of hypoglycemia.
    • Suppressed Glucagon Release: It reduces the release of glucagon, another hormone that raises blood sugar, further contributing to improved glycemic control.
    • Slowed Gastric Emptying: By slowing down the rate at which food leaves the stomach, it promotes a feeling of fullness and reduces post-meal blood sugar spikes.
    • Appetite and Food Intake Reduction: It acts on specific areas of the brain that regulate appetite, signaling satiety and leading to reduced caloric intake.
  • GIP Receptor Agonism: What makes tirzepatide unique is its additional action on GIP receptors. GIP also plays a role in glucose-dependent insulin secretion and has been shown to contribute to:
    • Improved Insulin Sensitivity: Potentially enhancing the body’s response to insulin.
    • Synergistic Effects: When combined with GLP-1 agonism, GIP activation appears to create a synergistic effect, leading to even more potent reductions in blood sugar levels and, crucially, a more pronounced impact on body weight compared to GLP-1 monotherapy.

The combined effect of GLP-1 and GIP agonism in tirzepatide leads to significant reductions in blood sugar, body weight, and body fat, offering a multifaceted approach to metabolic health.

Zepbound’s Role in Modern Weight Loss

Zepbound has received FDA approval specifically for chronic weight management in adults living with obesity, or those who are overweight with at least one weight-related health condition (such as high blood pressure, type 2 diabetes, or high cholesterol). Its effectiveness has been robustly demonstrated in extensive clinical trials, notably the SURMOUNT series, where participants achieved significant and sustained weight reduction. For instance, in clinical studies, Zepbound has shown an average weight loss of up to 21% of body weight with the highest dose, marking it as a highly effective intervention.

Beyond its primary role in weight reduction, Zepbound’s mechanism of action also contributes to overall metabolic health. By improving blood sugar regulation and promoting weight loss, it can positively impact various cardiometabolic risk factors, helping individuals not just lose weight, but also move towards a healthier overall physiological state.

At TrimRx, we recognize the transformative potential of medications like Zepbound. Our commitment is to leverage these advanced medical sciences alongside modern technology to provide compassionate, results-oriented care. We believe in harnessing the power of innovation to help individuals achieve their weight loss goals safely and effectively. To explore if Zepbound or similar prescription medications are a suitable option for your unique health profile, we invite you to take our free assessment quiz to see if you qualify for our prescription weight loss medications.

Navigating Zepbound Use Post-Gallbladder Removal

The question of whether [can you take Zepbound if you don’t have a gallbladder] is a nuanced one that requires a careful, medically supervised approach. While the answer is generally yes, it’s crucial to understand the underlying considerations.

Direct Answer to the Core Question: Can You Take Zepbound If You Don’t Have a Gallbladder?

For individuals who have undergone a cholecystectomy (gallbladder removal), Zepbound (tirzepatide) is not listed as a contraindication. This means that having had your gallbladder removed does not, by itself, preclude you from being eligible for Zepbound treatment.

However, it’s important to acknowledge that the manufacturer, Eli Lilly and Company, states that they cannot provide specific treatment recommendations on the use of tirzepatide in people with a history of gallbladder disease or prior gallbladder removal. While participants with these conditions were not explicitly excluded from tirzepatide clinical trials, no specific subgroup analysis was completed for this population. Therefore, while it is not contraindicated, the decision to prescribe Zepbound must be made by a healthcare practitioner who takes into account:

  • The patient’s full prior medical history.
  • Any concomitant medications being used.
  • Other individual health factors.
  • A thorough assessment of potential risks and benefits.

This emphasizes the paramount importance of personalized medical supervision. Given these complexities, a personalized, expert assessment is not just beneficial, but essential. We encourage you to take our free assessment quiz to see if you qualify for our prescription weight loss medications to begin a conversation with one of our affiliated medical professionals.

Potential Overlap of Gastrointestinal Side Effects

One of the primary considerations for individuals without a gallbladder taking Zepbound involves the potential for overlapping gastrointestinal (GI) side effects.

  • Common Zepbound Side Effects: As GLP-1 and GIP receptor agonists, medications like Zepbound commonly cause GI disturbances, especially during the initial phase of treatment and with dose escalation. These can include nausea, vomiting, diarrhea, and constipation. These symptoms are usually temporary and tend to improve as your body adjusts to the medication.
  • Post-Cholecystectomy Digestive Changes: Following gallbladder removal, some individuals experience digestive discomfort. Without the gallbladder regulating bile release, bile continuously drips into the small intestine. This can, for some, lead to increased bowel movements, diarrhea (especially after fatty meals), bloating, or abdominal discomfort.

The challenge lies in that symptoms of post-cholecystectomy syndrome (e.g., diarrhea, discomfort) can be very similar to the common GI side effects of Zepbound. This overlap makes it more difficult to pinpoint the cause of any digestive issues, potentially exacerbating existing discomfort or introducing new ones. Careful monitoring by a healthcare professional is vital to distinguish between these effects and to adjust treatment plans as needed. Our commitment to transparent service means our approach remains consistent, focusing on your well-being regardless of dosage changes or potential side effects.

The Link Between Rapid Weight Loss, GLP-1s, and Gallbladder Health

Even if your gallbladder has been removed, understanding the broader context of GLP-1 receptor agonists, weight loss, and gallbladder health is important.

  • Acute Gallbladder Events in Clinical Trials: Clinical trials for tirzepatide (Zepbound’s active ingredient) and other GLP-1 receptor agonists have reported an increased occurrence of acute gallbladder disease (such as cholelithiasis – gallstones, and cholecystitis – gallbladder inflammation) in treated patients. For instance, in a pool of two tirzepatide weight management clinical trials (SURMOUNT-1 and SURMOUNT-2), cholecystitis was reported in 0.7% of tirzepatide-treated patients compared to 0.2% of placebo-treated patients, and cholecystectomy was reported in 0.2% of tirzepatide-treated patients versus no placebo-treated patients.
  • Rapid Weight Loss as a Risk Factor: Crucially, acute gallbladder events are associated with rapid weight reduction itself. Whether achieved through diet, bariatric surgery, or medication, losing weight quickly is a known risk factor for gallstone formation. While the gallbladder itself is gone for those who have had a cholecystectomy, the digestive system’s response to significant and rapid changes, including weight loss, can still be a factor in overall GI health. Issues such as bile duct stones (which can still form without a gallbladder) or other biliary complications, while less common, are not entirely impossible. Therefore, even without a gallbladder, any suspected symptoms of biliary issues (e.g., severe abdominal pain, jaundice) should prompt immediate diagnostic studies and clinical follow-up. This underscores the necessity of ongoing medical oversight and transparent communication with your healthcare provider throughout your weight loss journey.

Perioperative Considerations: When Surgery is Needed (for other reasons)

For individuals taking Zepbound (or other GLP-1 receptor agonists) who may require unrelated surgery, there are specific perioperative guidelines to consider.

  • Slowed Gastric Emptying: GLP-1s, including Zepbound, slow gastric emptying. This effect, while beneficial for weight management, can pose a risk during anesthesia. If the stomach has not fully emptied before surgery, there is an increased risk of pulmonary aspiration—where stomach contents are regurgitated and enter the lungs.
  • Medication Pause: Medical guidelines from professional organizations, such as the American Gastroenterological Association, recommend that some patients at high risk for pulmonary aspiration may need to pause GLP-1 receptor agonists for about a week before procedures requiring anesthesia or sedation. It is absolutely essential to consult your healthcare provider and surgical team about whether you need to temporarily stop Zepbound (or any other medication) before any planned surgical procedure.
  • Restarting After Surgery: Your healthcare team will provide specific instructions on when it is safe to restart Zepbound or begin any new medications post-surgery. The timeline will depend on the type of surgery performed, your recovery progress, and any side effects you experience. We offer compassionate care that respects every individual’s unique journey, providing guidance and support through all phases of treatment.

Personalized Care: Your Path to Safe and Sustainable Weight Loss with TrimRx

Navigating weight loss with unique health considerations like a prior gallbladder removal requires more than a one-size-fits-all approach; it demands truly personalized, medically supervised care. This is precisely the foundation upon which TrimRx was built.

The TrimRx Difference: Science, Empathy, and Transparency

At TrimRx, our journey began with a shared vision: to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand that sustainable weight loss should be achieved through science, empathy, and a transparent approach. Our platform provides a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual.

Our brand personality is defined by empathy, innovation, trustworthiness, supportiveness, results-orientation, and personalization. We offer compassionate care that respects every individual’s unique journey by combining advanced medical science with modern technology. We are deeply committed to transparent service, meaning our approach remains consistent, and our support unwavering, regardless of dosage changes. Moreover, our steadfast focus on safety means we work exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring the highest standards of quality and integrity. It is important to clarify that while we facilitate a comprehensive service, the medical supervision and prescribing decisions are made by licensed healthcare providers within our network, and medications are shipped by these FDA-registered and inspected pharmacies.

What Our Personalized Program Entails

Our comprehensive service is designed to cover every aspect of your weight loss journey, providing you with all the tools and support you need:

  • Doctor Consultations: You’ll have access to licensed medical professionals who conduct thorough evaluations, discuss your medical history (including prior cholecystectomy), assess your eligibility, and craft a personalized treatment plan.
  • Medication: If appropriate, you may be prescribed advanced weight loss medications. For individuals considering options like Zepbound (tirzepatide), our personalized approach ensures all unique health factors are carefully considered. Our product offerings include:
  • Lab Work: Essential lab tests are included to provide a comprehensive picture of your health, guiding safe and effective treatment decisions.
  • Unlimited Support: Our dedicated support team is available to answer your questions and provide ongoing guidance throughout your journey.
  • Shipping: Medications are shipped directly to your door from our partner FDA-registered and inspected pharmacies, with no hidden fees.

To determine your eligibility and receive a personalized treatment plan for these prescription medications, you must complete our free assessment quiz. This initial step allows us to gather crucial information and tailor a solution that aligns perfectly with your health needs and goals.

Supporting Your Journey with Quick-Access Supplements

Beyond our personalized prescription programs, we also offer immediate support supplements designed to complement your overall wellness during the weight loss journey. These quick-access supplements are available for immediate purchase, no quiz required, and can be valuable additions:

  • GLP-1 Daily Support: This supplement is formulated to help optimize digestive health and overall wellness. For individuals managing digestive changes post-cholecystectomy, or those experiencing common GI side effects from GLP-1 agonists, this can be particularly beneficial in supporting gut comfort and function.
  • Weight Loss Boost: Designed to provide additional support for metabolic function, this supplement can assist your body’s natural processes, enhancing your efforts towards healthy weight management.

We believe in empowering you with choices that align with your unique health journey, offering both comprehensive, medically supervised programs and convenient, supportive supplements.

Strategies for Successful Weight Management Post-Cholecystectomy

Embarking on a weight loss journey, especially after gallbladder removal, requires a thoughtful and strategic approach. While medications like Zepbound can be powerful tools, they are most effective when integrated into a holistic lifestyle plan.

Dietary Considerations

The absence of a gallbladder means your body handles fats differently. Therefore, dietary adjustments are paramount for comfort and success.

  • Focus on a Balanced, Nutrient-Dense Diet: Prioritize whole, unprocessed foods. Emphasize lean proteins, a wide variety of fruits and vegetables, and whole grains. These foods are generally easier to digest and provide essential nutrients without overloading your system.
  • Mindful Introduction of Healthy Fats: While it’s important not to completely eliminate fats, be strategic about their inclusion. Incorporate healthy fats found in sources like avocados, nuts, seeds, and fatty fish (e.g., salmon) in moderation. Avoid large, high-fat, or greasy meals, as these are more likely to trigger digestive discomfort or diarrhea post-cholecystectomy. Our GLP-1 Daily Support can also offer digestive support during these dietary transitions.
  • Portion Control and Hydration: Eating smaller, more frequent meals can ease the digestive burden. Staying well-hydrated is also crucial for overall digestive health and can help manage potential constipation, a common side effect of GLP-1 agonists.

The Role of Physical Activity

Regular exercise is a cornerstone of both weight management and overall metabolic health, regardless of your gallbladder status.

  • Aim for Consistency: Strive for at least 150 minutes of moderate-intensity aerobic activity per week, coupled with muscle-strengthening activities on two or more days. This could include brisk walking, swimming, cycling, or strength training.
  • Benefits Beyond Weight Loss: Physical activity improves insulin sensitivity, boosts mood, reduces stress, and enhances cardiovascular health – all critical components of a sustainable healthy lifestyle.

Holistic Well-being

Weight loss is not solely about diet and exercise; it’s deeply intertwined with mental and emotional health.

  • Stress Management: Chronic stress can negatively impact weight loss efforts through hormonal imbalances and emotional eating. Incorporate stress management techniques such as mindfulness meditation, yoga, deep breathing exercises, or engaging in hobbies you enjoy.
  • Adequate Sleep: Quality sleep (7-9 hours per night) is crucial for hormonal balance, particularly those hormones that regulate appetite (ghrelin and leptin). Poor sleep can increase cravings for unhealthy foods and hinder weight loss progress.
  • Regular Check-ups and Open Communication: Perhaps most importantly, maintain regular contact with your healthcare provider. Be transparent about your symptoms, challenges, and progress. Your medical team can offer personalized advice, monitor your response to medication, and make necessary adjustments to your treatment plan. This collaborative approach is central to TrimRx’s philosophy of care.

By integrating these strategies, you create a robust framework for not just losing weight, but also for building a healthier, more resilient you. Our Weight Loss Boost supplement can also provide additional support for your metabolic function as you adopt these positive lifestyle changes.

The Importance of Medical Supervision and Ongoing Support

Embarking on a weight loss journey, particularly when involving advanced medications like Zepbound and unique medical histories such as gallbladder removal, underscores the absolute necessity of expert medical supervision and continuous support. This isn’t just about prescribing a medication; it’s about safeguarding your health and optimizing your chances for long-term success.

Why Professional Guidance is Non-Negotiable

The human body is a complex system, and interventions like weight loss medications introduce new dynamics. For an individual who has had a cholecystectomy, the interplay between their altered digestive system, the potential side effects of Zepbound, and the natural physiological changes that occur with rapid weight loss can be intricate. Professional medical guidance ensures:

  • Safety Assessment: A licensed healthcare provider can thoroughly evaluate your complete medical history, including your gallbladder removal, any existing conditions, and other medications you are taking. This assessment is crucial for determining if Zepbound is a safe and appropriate option for you, minimizing potential risks.
  • Personalized Treatment Plan: There is no universal solution for weight loss. A medical professional can tailor a treatment plan specifically to your needs, considering your health status, lifestyle, and weight loss goals. This may involve specific dietary recommendations, exercise guidance, and a carefully managed titration schedule for Zepbound to mitigate side effects.
  • Symptom Monitoring and Management: With the potential overlap of GI symptoms (from both Zepbound and post-cholecystectomy changes), ongoing monitoring is critical. Your provider can help distinguish the cause of any discomfort, offer strategies for symptom management, and adjust your medication dosage or type if necessary.
  • Long-Term Health Integration: Weight loss is a journey, not a destination. Medical supervision helps integrate weight loss strategies into your broader health management, addressing concerns like nutrient deficiencies, metabolic changes, and maintaining a healthy weight long-term.

It’s about finding the right balance for your unique body, ensuring that the path you choose is both effective and contributes positively to your overall well-being.

TrimRx’s Commitment to Your Health

At TrimRx, our core philosophy revolves around empowering you with a safe, effective, and personalized weight loss experience. We understand the significance of comprehensive care, and our model is designed to provide just that.

We partner with medical professionals who possess a deep understanding of these nuanced interactions, ensuring that your personalized recommendations are grounded in current medical science and tailored to your individual circumstances. Our goal is to empower you with the knowledge, tools, and unwavering support needed for a healthy, sustainable weight loss journey. We believe in a true partnership approach, where your questions are always answered, your concerns are heard, and your progress is carefully tracked with empathetic guidance.

Your health is our priority, and we are dedicated to helping you achieve your weight loss goals responsibly and effectively. If you’re ready to explore how our personalized, medically supervised program can work for you, we invite you to take our free assessment quiz today.

Conclusion: Embracing a Healthier Future, Responsibly

The journey toward effective weight management is a personal and often complex one, especially when navigating existing health conditions like a prior gallbladder removal. As we’ve explored, medications like Zepbound offer significant potential for achieving substantial weight loss and improving metabolic health. For many individuals who have had their gallbladder removed, Zepbound remains a viable option, provided it is approached with careful consideration of potential gastrointestinal interactions and the general risks associated with rapid weight loss.

We’ve delved into the gallbladder’s vital role in digestion and the adjustments required post-cholecystectomy. We’ve also illuminated the sophisticated dual-action mechanism of Zepbound and its profound impact on weight and blood sugar. Crucially, we’ve highlighted that while Zepbound is not formally contraindicated for those without a gallbladder, the nuances of overlapping GI side effects and the general association of rapid weight loss with biliary events necessitate a highly personalized and medically supervised approach.

At TrimRx, our unwavering dedication lies in providing personalized, clinically proven solutions that prioritize your safety, long-term health, and overall well-being. Our comprehensive programs, which include doctor consultations, lab work, medication from FDA-registered and inspected pharmacies, unlimited support, and transparent shipping, are designed to address your unique needs. We believe in harnessing the power of medical science and technology to offer compassionate, effective care.

Your journey towards a healthier lifestyle is unique, and we are here to support every step of the way with expertise and empathy. If you’re considering advanced weight loss options and want to ensure a safe and tailored approach, discover how our personalized program can work for you by taking our free assessment quiz. Alternatively, explore our immediate support options, such as GLP-1 Daily Support for digestive wellness or Weight Loss Boost for metabolic enhancement. Together, we can pave the way to a healthier, more vibrant future.

Frequently Asked Questions (FAQs)

Q1: Is Zepbound generally safe if I’ve had my gallbladder removed?

Yes, Zepbound (tirzepatide) is generally considered safe for individuals who have had their gallbladder removed, as having a cholecystectomy is not listed as a contraindication. However, the manufacturer has not conducted specific subgroup analyses for this population in clinical trials. Therefore, a licensed healthcare provider must assess your individual medical history, current health status, and other medications to determine if Zepbound is appropriate for you. Personalized medical supervision is crucial to monitor for potential side effects and ensure safety.

Q2: What are the common side effects of Zepbound, and how might they be affected by prior gallbladder removal?

Common side effects of Zepbound include gastrointestinal issues like nausea, vomiting, diarrhea, and constipation. These symptoms are often temporary and can subside as your body adjusts to the medication. For individuals who have had their gallbladder removed, there can be an overlap with existing digestive discomforts such as post-cholecystectomy diarrhea or bloating, particularly after fatty meals. This overlap means that it may be more challenging to differentiate between medication-induced side effects and post-surgical digestive changes. Close monitoring by a healthcare professional is essential to manage these symptoms effectively. Our GLP-1 Daily Support can also help support digestive health.

Q3: How does TrimRx ensure a personalized and safe approach for individuals with unique medical histories?

At TrimRx, we prioritize individualized care through our comprehensive, medically supervised programs. When you take our free assessment quiz, our affiliated licensed medical professionals conduct thorough evaluations, considering your entire medical history, including any prior surgeries like gallbladder removal. They then create a personalized treatment plan, monitor your progress, and adjust medication and lifestyle recommendations as needed. We partner with FDA-registered and inspected pharmacies for medication shipping and offer unlimited support, ensuring a transparent, empathetic, and results-oriented approach to your unique weight loss journey.

Q4: Can rapid weight loss, even with Zepbound, cause gallbladder-related issues in individuals who still have their gallbladder?

Yes, rapid weight loss itself is a known risk factor for the formation of gallstones and other gallbladder-related issues, regardless of the method used to achieve it (diet, exercise, or medication like Zepbound). While Zepbound has shown an increased occurrence of acute gallbladder events in some clinical trials compared to placebo, the primary mechanism is often attributed to the rapid weight reduction. For individuals who still have their gallbladder, experiencing significant or rapid weight loss can increase the risk of developing gallstones or cholecystitis. This highlights the importance of medical supervision to monitor for these potential complications during any substantial weight loss journey.

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