Dr Berg
Dr Berg Gallbladder Formula Extra Strength: Advanced Digestive Support with Ox Bile & Enzymes - 90 Caps
Dr Berg Gallbladder Formula Extra Strength: Advanced Digestive Support with Ox Bile & Enzymes - 90 Caps
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Product Overview
Dr. Berg Gallbladder Formula Extra Strength combines purified bile salts with a concentrated digestive enzyme blend to address the physiological consequences of impaired biliary function. The gallbladder concentrates hepatic bile approximately 5- to 10-fold before releasing it in response to dietary fat; when gallbladder motility is compromised — or following cholecystectomy — bile availability at the duodenum is reduced, impairing emulsification of long-chain triglycerides and absorption of fat-soluble vitamins A, D, E, and K. This formula replaces or supplements biliary output with exogenous ox bile extract and conjugated bile acid to restore normal fat digestion mechanics.
The 560 mg digestive enzyme proprietary blend provides betaine hydrochloride to optimise gastric pH for pepsin activation, pancreatin for broad-spectrum macronutrient hydrolysis (lipase, amylase, protease activity), and pepsin for gastric protein digestion. The botanical components — stoneroot (Collinsonia canadensis) and slippery elm bark (Ulmus rubra) — provide mucosal demulcent and bile duct tonic effects traditionally employed in integrative gastroenterology practice. The formula is manufactured in a cGMP-compliant facility and is free from artificial additives.
Supplement Facts
| Manufacturer | Dr. Eric Berg DC / KB Wellness LLC, USA |
|---|---|
| Format | 90 vegetable capsules; 45-day supply at 2 capsules per day with a meal |
| Choline (as choline bitartrate) | 40 mg per serving |
| Ox Bile Extract | 200 mg per serving (purified bovine bile) |
| Conjugated Bile Acid | 100 mg per serving |
| Stoneroot (root) | 100 mg per serving |
| Slippery Elm Bark | 40 mg per serving |
| Digestive Enzyme Blend | 560 mg per serving; contains betaine hydrochloride, pancreatin (lipase, amylase, protease), and pepsin |
| Manufacturing Standard | cGMP-compliant facility; non-GMO; free from artificial additives |
| Regulatory Status (SG) | Health supplement under HSA Health Products Act (HPA) Cap 122D; ox bile extract is a permitted ingredient per HSA health supplement guidelines |
| Dosage | 2 capsules per day taken with a meal containing fat; adjust per clinical or dietitian guidance |
Clinical Indications and Key Applications
- Post-cholecystectomy syndrome with fat maldigestion, steatorrhoea, and fat-soluble vitamin (A, D, E, K) deficiency secondary to reduced duodenal bile acid concentration
- Biliary sludge and low-bile-flow states presenting as bloating, right upper quadrant discomfort, and nausea following high-fat meals, prior to surgical intervention
- Non-alcoholic fatty liver disease (NAFLD) patients with impaired bile acid enterohepatic circulation where supplemental bile acid support may assist hepatic fat processing
- Low gastric acid states (hypochlorhydria) associated with long-term proton pump inhibitor (PPI) use, where betaine HCl supplementation assists gastric protein digestion and pepsin activation
- Ketogenic and high-fat dietary protocols where bolus fat intake exceeds endogenous bile acid output capacity, resulting in incomplete fat emulsification and gastrointestinal discomfort
Frequently Asked Questions
Q: Is this product appropriate after cholecystectomy (gallbladder removal)?
Post-cholecystectomy, continuous hepatic bile drips directly into the duodenum without the concentration and pulsatile release mechanism of the gallbladder, reducing bile acid availability at meal time. Supplemental ox bile extract can partially compensate for this deficit, particularly with high-fat meals. Clinical assessment by a gastroenterologist or accredited practising dietitian is recommended before use.
Q: Does betaine hydrochloride interact with proton pump inhibitors (PPIs)?
Betaine HCl supplements acidify gastric contents and may counteract the acid-suppressing effect of PPIs (e.g., omeprazole, lansoprazole). Patients on PPI therapy for established indications such as GERD or peptic ulcer disease should not combine betaine HCl supplementation without medical supervision, as rebound acidification may exacerbate mucosal injury.
Q: Is this product Halal-certified?
The formula contains bovine (ox) bile extract. It is not MUIS-certified Halal. Muslim consumers should consult their religious authority before use.
Q: How does this differ from TUDCA (tauroursodeoxycholic acid) supplements?
TUDCA is a specific bile acid conjugate with cytoprotective and hepatoprotective properties studied in clinical contexts including cholestasis and neurodegeneration. This formula provides a broader ox bile extract and conjugated bile acid blend primarily targeting digestive support rather than liver-specific cytoprotection. Patients with cholestatic liver disease requiring TUDCA should seek specialist hepatology guidance.
Q: Is ox bile extract regulated as a health supplement ingredient in Singapore?
Ox bile extract is a permitted ingredient under HSA's list of ingredients allowed in health supplements (Health Products Act Cap 122D). Products are not subject to pre-market registration but must comply with quantity limits, permitted sources, and labelling requirements under the HPA Subsidiary Legislation and HSA health supplement guidelines.
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