Weight loss, fat digestion and enzymes with gallbladder cancer

Cancer Research UK's page on eating problems with gallbladder cancer says "many people who have gallbladder cancer lose their appetite and some may lose weight", advises having "lots of small meals and snacks throughout the day, rather than sticking to the traditional 3 meals", notes that nutritional supplements "are available on prescription" and that "sipping nutritional supplements throughout the day can really boost your calorie and protein intake", and says of digestion: "you might not make enough digestive juices ... You usually take supplements of enzymes to help you digest fat". It also notes that after gallbladder removal "bile is no longer stored in the gallbladder and flows directly from the liver into your small bowel", which can cause diarrhoea. Macmillan's eating problems page adds fortifying everyday foods and says "if you have eating problems, your doctor or nurse may suggest you see a dietitian".

Questions worth asking the team or dietitian: whether pale, oily, floating or foul-smelling stools mean fat is not being digested; whether pancreatic enzyme capsules are appropriate and how to take them with meals and snacks; whether a low-fat diet is needed (Cancer Research UK mentions avoiding fatty foods while jaundiced rather than a permanent rule); and whether weight loss is enough to ask for a formal malnutrition screen. AMMF publishes a diet and nutrition booklet for biliary cancer. This is orientation from public patient pages, not advice for your case: your own team's instructions and 24-hour number come first.