Missing your gallbladder? Your liver and gut still need backup.

In the Gut Liver Loop class, Nurse Doza walked through the three supplements behind our Good Poops Protocol: GUT for the gut lining, Liver Boost for Phase I and Phase II liver detox pathways, and Berberine Plus for healthy blood sugar. He was clear that all three are fine to take even if your gallbladder has been removed.

His measuring stick is simple — easy, daily good poops. It's a 60-day protocol, designed to sit alongside the diet changes he teaches in the course, not replace them.

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A: Nurse Doza was gentle but direct: if the gallbladder came out, the liver was probably struggling first. Here's the part almost nobody hears after surgery — your liver makes bile. The gallbladder only stores it. Take the gallbladder out and your liver keeps making bile anyway; it just has nowhere to wait. His view is that most gallbladders wouldn't have needed to come out if the liver had been healthier to begin with.

He'd recently talked with a surgeon about exactly this — the bile duct that stays behind, and why some people still have digestive trouble after removal. The surgeon's job is to get you out of pain, and that's a real job. What happens with your liver and your diet afterward is a conversation that usually never happens.

That's where the fat advice comes in. Most people are told to go low-fat after surgery. Nurse Doza's take is that it's less about no fat and more about the right fat: olive oil should sit well, and the Mediterranean-style eating he teaches throughout the course is built on healthy fats. He's also not a fan of piling on ox bile — your liver is still making bile. What it needs is support. If your gallbladder is gone, your liver is the organ worth paying attention to now.

Your liver kept working after the surgery. This is how to support it.

The Liver Course walks through what your liver actually does all day, the two-step detox process it runs around the clock, why fatty liver shows up, the gut-liver loop, MTHFR and the liver, and how to build your own liver protocol. Each class ends with a short quiz so it sticks.

It's self-paced, recorded from the live classes, and yours for good. Already on All-Access or Monthly? It's waiting in your Courses tab.

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A: Nurse Doza said he doesn't think there's a "too far" — and he chose his words carefully. He shared that some people he works with who have advanced liver damage changed how they eat, supported their liver, and saw their labs and imaging move in the right direction. Not perfect. Better. One was told by her own doctor that the chronic inflammation had calmed down.

The image he used is the one I can't shake: think of a damaged liver as a liver on fire. You can't rebuild a house while it's still burning — you put the fire out first, and most people never get past that step. How he puts the fire out: gut support, fasting, lowering insulin, and cleaning out the liver. That's basically the whole course in one sentence. It's also why I keep doing my 36-hour fasts.

He gave numbers to watch, too. A GGT over about 30 is a flag he associates with fatty liver. For fasting insulin, he likes under 10, with under 5 as optimal — a lab most people have never had ordered. And yes, you can lose weight with a mild fatty liver, but it's harder, because the liver and gut are part of why the weight hangs on in the first place. The liver is one of the few organs that can regenerate. That isn't a promise. It's a reason to start.

You can't put out a fire you can't see.

GGT, fasting insulin, homocysteine — the numbers Nurse Doza talked about in this course are the ones most people have never had explained. That's what Lab Review is for.

Send the labs you already have. Nurse Doza reads them before the call, then walks you through each marker in plain language and leaves you with a short list of next steps. Telehealth by phone or video, anywhere in the US.

Lab Review — $99, 15 minutes.

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A: Short answer: the B12 probably won't come down, and it isn't the number to chase. Nurse Doza pointed straight at homocysteine. In the MTHFR class he explained that homocysteine sits on the same pathway your liver uses to make glutathione, its master antioxidant. When homocysteine runs high, that pathway may be backed up. He considers 6 to 7 optimal, so 9 to 11 is a signal worth acting on.

His suggestion was to stop leaning on one or two B vitamins and switch to a methylated B complex — all the B's together — because the methylation cycle needs a whole recipe: folate as 5-MTHF rather than folic acid, plus B12, B6, magnesium, and betaine. That's where he brought in two of our MSW products: Bliss (SAMe and betaine) and Liver Boost. Alongside a methylated B complex, the goal he set was homocysteine at 8 or lower — and the only way to know is to retest.

This is the part of the course that gives me the most hope. Your genes load the dice, but they don't get the last word. A number like homocysteine isn't a verdict — it's a dial, and you can learn which inputs move it. Poor genetics aren't a death sentence.

Labs are a snapshot. Your body fat is the trend in between.

In the last class of the Liver Course, Nurse Doza talked about the Hume device he wears every day to track his body fat and visceral fat at home. His reason: there's a direct link between a high body fat percentage and fatty liver, and he pairs that daily tracking with his labs.

Hume makes at-home health tracking gadgets with a free app and a 10-year warranty. It's on the list of products Nurse Doza has personally vetted and uses, outside of MSW's own lineup.

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