One issue I faced when first switching is that I discovered I didn’t know how to eat – when and how much. With many decades of habit, it took me a while to realize that I really wasn’t hungry and I mean AT ALL for 6 – 12 hours after eating.

But old habits die hard. I was used to seeing a certain volume of food on my plate and would sometimes fail to realize that when eating LC/HF, a much smaller volume of food was required. Also those habits of eating at certain times like “breakfast, lunch and dinner” need to examined carefully. I would sometimes eat at 12 or 1 especially at work just because that’s what I’ve always done. I had to consciously realize that I just WASN’T HUNGRY and it made no sense to eat.

After reading literally hundreds of cases of people with heartburn, GERD, etc. who found that it completely disappeared once they adapted to LC/HF – and I don’t recall hearing of a single one who actually stuck with LC/HF and still had any of those things – my bet is some level of overeating or eating too soon when it is not yet necessary or appropriate. That’s what happened to me for the first several weeks, anyway.

I still have my gall bladder but from what I’ve read it isn’t essential to digesting fat. Once it’s gone, the body quickly adapts and bile can be produced by other organs in sufficient quantities, apparently.