No more gallbladder!
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I’m a new guy here and have developed a bad habit of hijacking other people’s threads. This time I’ll start my own.
As I mentioned in the Supplements thread, I started feeling pain in my upper right abdomen that slowly got worse over the course of the week. This coincided with starting Reta and foolishly titrating from .5ml to 2ml in less than three weeks. I saw my primary care on Tuesday and she ran labs and scheduled an ultrasound for Monday (tomorrow). At the time, the pain was moderate and I thought that would be fine. Unfortunately, it got bad enough that I ended up in the ER on Thursday evening. The diagnosis was gallstone pancreatitis. They admitted me to the hospital and ran a bunch of tests. (X-ray, Ct, MRCP, HIDA, etc) Today they took out my gallbladder.
I had already attributed this to Reta, and planned on eliminating it from my routine, but the doctor mentioned that my liver still had quite a bit of fat. (Kind of surprising since my abdomen has shrunk so much. That being said, direct eyes-on of the liver is probably superior to a lot of scans, so I should be grateful for the intel.).
Since I no longer have a gallbladder for it to fk with, perhaps I can continue Reta; perhaps at a reduced dose.
I’m pretty bummed that I may not be able to tolerate big, fatty ribeye, as they make life worth living on Carnivore. We’ll see how that goes. I hope to be discharged tomorrow but am restricted from lifting more than 15 pounds for the next six weeks. This will make caregiving for my 90 year old mother-in-law a real challenge, not to mention screwing up working out.
Currently, I take Wolverine (2mg), KPV (.5ML) and Testosterone Cipionate (.5ml) Monday thru Friday. I was planning on reconstituting and starting a Tesamorelin/Ipamorelin blend tomorrow.
I’d love to hear some insight regarding whether to continue Reta, perhaps after a pause, and other peptides or things you might suggest.
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I donated my gallbladder to science decades ago. I can eat plenty of fatty ribeyes.
Honestly, it's crazy talk that you're about to be released and you're talking about adding tesa/ipa or anything for that matter.
Follow your doctor's instructions. It's a big surgery. Not a time for cowboy stuff
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@randy Laying here in a bed with time on my hands.
Thanks for the reassurance on eating ribeyes!My doctor thinks eating meat will kill me. She was ok with GLPs when she prescribed it, and was mad when I quit Ozempic. Then I lost 85 pounds without it. She had never heard of Retatrutide, but was certain it was the culprit.
Neither the GI doc nor the surgeon had heard of it either, but were sure the right answer was stop it.
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Just let your body recover and reassess after that. Glps can cause gallbladder issues. It's likely what did it, but you were probably already in a position where your gallbladder was in bad shape.
In honor of your sacrifice to the gallbladder gods, I will be searing one in grass-fed butter this evening.
"If it doesnt come in a needle. It doesn't work"
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Just let your body recover and reassess after that. Glps can cause gallbladder issues. It's likely what did it, but you were probably already in a position where your gallbladder was in bad shape.
In honor of your sacrifice to the gallbladder gods, I will be searing one in grass-fed butter this evening.
@Randy ya bastid!
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Don't blame yourself too much, gallstones usually don't mysteriously appear in your gallbladder in 3 weeks. You grew them for a long time. GLP1 agonist (any, even Ozempic) could trigger the crisis, but not grow the stones in 3 weeks. Also, patients in trials start with 2 mg a week, it's the lowest dose there, so you could have been fine. On the other hand we have no proof that what is sold as RUO Retatrutide is even the same formula with what Eli Lilly calls Retatrutide. Get well!
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So much going on here. Lol.
Here is my experience. I would advise speaking to your doctor. Rapid fat loss causes the liver to secrete extra cholesterol into the bile. When bile becomes supersaturated with cholesterol, it can form crystals that turn into stones. So doesn't matter whether its Ozempic, Wegovy, Retatrutide or any other rapid weight loss intervention its the rapid fat loss that's the culprit.
Just had mine out 6 weeks ago. I stopped all research. Stopped going to the gym. Doc scheduled a follow up appointment for 10 days after surgery. At that appointment the Doc cleared me to start lifting again. Light. Nothing that would cause abdominal pressure. 4 weeks post surgery I was light running. 6 weeks Im full back.
In regards to food. I ate low to no fat then started introducing fat slowly and one food at a time. This way you can track what gives you issues. I've had only a couple of issues along the way and was able to adjust.
As Im typing this Im eating NY Strip.
I held off until week 4 to start research again. Wanted the extra calories to help with healing. I would not be starting anything at this time. Take a break. -
@randy Laying here in a bed with time on my hands.
Thanks for the reassurance on eating ribeyes!My doctor thinks eating meat will kill me. She was ok with GLPs when she prescribed it, and was mad when I quit Ozempic. Then I lost 85 pounds without it. She had never heard of Retatrutide, but was certain it was the culprit.
Neither the GI doc nor the surgeon had heard of it either, but were sure the right answer was stop it.
@randy Laying here in a bed with time on my hands.
Thanks for the reassurance on eating ribeyes!My doctor thinks eating meat will kill me. She was ok with GLPs when she prescribed it, and was mad when I quit Ozempic. Then I lost 85 pounds without it. She had never heard of Retatrutide, but was certain it was the culprit.
Neither the GI doc nor the surgeon had heard of it either, but were sure the right answer was stop it.
Time for a new Doctor. I had to find a new one a couple years back. My existing doctor's lack of knowledge at the time was really frustrating. Found a young Doc that was training and doing Jiu Jitsu. Told me he used Wolverine to help heal a pec tear. Knew I found my guy.
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@mydogdaryl423 That is awesome! Hope I can do as well.
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Glad you are healing. My wife had her gall bladder out a couple years ago and she can eat whatever she wants. You have to take it easy at first and let your body adapt. Missing the gall bladder makes it harder for your body to process fats, which means eating fatty foods may lead to, ahem, gastrointestinal distress. It varies from person to person, but like I said, my wife has no problems, and not to pile on, but we had rib eye Thursday night.
It seems odd to me that 3 weeks on reta would cause gallstones so bad it had to be removed, unless it was the Ozempic and maybe existing conditions and the reta pushed it over the edge.
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@researchcat I probably manufactured those puppies doing keto/carnivore the past year and a half. Reta may have just added the squeeze necessary to shove one into the duct.
Edited to add: Ya bastid!
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This is a vicious, vicious crowd.
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So I currently have a pain on my side, lower right rib cage, I've had it prior to starting reta, still trying (and my doctors as well) why. I have had my gallbladder our a number of years ago. I was told you have to limit fatty foods after that. Yes, they are right, you are sensitive to fatty foods after having your gallbladder out. The first burger I had a week or so after the surgery (red robbin if anyone cares) I immediately had to go to the bathroom or the code brown would have been real! I can tell you after a while you build up tolerance to that again. I eat a lot of healthy fats, and some not, but avoid those for other reasons. So don't think you can't eat those steaks, shit I go to brazilian bbq and feel great after.
On a tangent, I had very bad gallbladder attacks for years prior to knowing what it was. Years of symptoms that were not caught, or diagnosed correctly until a nurse said....hmmmm, you have been here a number of times for the same pain, lets to an ultra sound...... Well I argued for a long time looking at alternatives to removing my organ (I still think we don't know shit, about shit) but I can tell you the day I was sent home, I was limping down the street so happy that the gallstone pain was gone, had the surgery pain, but that was no where near the living with a mostly blocked gallbladder for years.
Take is slow, rest, recover, slowing introduce fat back. Best of luck bud!
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I’m home. No lifting or stressing abs for six weeks. Walking, working arms & legs are all okay.
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