Is it safe to follow a ketogenic diet if you have no gallbladder?

By Dr. Stephen Phinney and the Virta Team‍

The gallbladder is a storage organ for bile, which (among other functions) helps with the digestion of dietary fat.  After gallbladder removal, some people find that their dietary fat tolerance is reduced to the point that a high fat, moderate protein diet is difficult.  For others, this is not a limitation. One way to assist with fat digestion is to consume dietary fats mostly as emulsions (e.g., low polyunsaturated mayonnaise, cream, sour cream, Greek yogurt), and to spread the fat intake throughout the day rather than large amounts with any one meal.