65
SCORE
Ox bile (bovine bile salts)
Fat digestion · Gallbladder removal · Bile insufficiency
Tier 2 — Promising
What it is
Supplemental bile acids help digest dietary fats when your own bile production is low. Most commonly needed after gallbladder removal. Reduces bloating, diarrhea, and fatty stool that many people experience after surgery. Start with a low dose and increase based on how well you tolerate it. Only needed with fat-containing meals.
Efficacy
3/5
Safety
4/5
Research
2/5
Onset
4/5
Cost
3/5
Drug-int.
4/5
Dose
100–500 mg with fat-containing meals; start low and increase based on tolerance
Time of day & tips
Take with each fat-containing meal (typically lunch and dinner), not with low-fat or protein-only meals. Start at 100 mg per meal and adjust up. Loose stools indicate too high a dose — back off.
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