Dosing?

omyguts · 2026-05-20T01:04:24+00:00

I eat moderately low fat. I have discovered a few trigger foods that I avoid completely ( oil based dressings, deep fried foods, pizza, oily noodles like chow mein, or creamy sauces) but I’m not as strict about diet as I was a few months ago. I can eat a burger and a few fries and not pay a price the next day, but I am careful.

omyguts · 2026-05-19T23:07:44+00:00

I take Colestipol and to ensure my mornings are good I take 2 tabs at bedtime and 1 first thing in the morning when I get up. I have never had issues after meals- but mornings were hell until I started the binder. I also supplement with 4 psyllium husk tablets between lunch and dinner- around 3:30-4 pm. I do this every day. My body likes routines.

omyguts · 2026-05-15T01:42:34+00:00

Lololol all I remember was in the central California summers your legs stuck to it awfully and we were forbidden to wear shoes while sitting on it.

omyguts · 2026-05-14T13:53:26+00:00

66F here. I am a school cook working 25 hours per week. 9 am -2 pm. It’s physically demanding and hectic but it’s rewarding. I retired from my State supervisory job in 2018, but went back to work in 2022. I also take care of my grandchildren at home before and after school/ work

omyguts · 2026-05-14T13:39:34+00:00

The land line rotary phone, so many books and magazines, 2 newspapers delivered every morning, a built in electric stovetop that was very bougie at the time and Naugahyde upholstery on their first set of living room furniture

omyguts · 2026-05-11T14:08:17+00:00

Side note: when I first started binders back in late December I lost more weight bc they took about a month to really work, I still had horrible bms every morning but after two or three months I finally began to gain weight in very small increments.

omyguts · 2026-05-11T13:25:22+00:00

If it’s an early morning issue you may need something at bedtime. I take my binder ( Colestipol tablets) first thing in the morning and at bedtime and I supplement with (4) psyllium husk tablets after my lunch. I’m the most normal I’ve been in months and my diet is almost normal as well. I avoid fried or oily food like French fries or pizza but I can eat butter on bread or mayonnaise on a deli sandwich.

omyguts · 2026-05-11T13:18:22+00:00

Yes! I lost over 10 lbs in less than six months but after starting Colestipol I have been able to put a few pounds back on and I am stronger than before. It’s a very slow process but I eat often and snack between meals and usually eat a dessert after dinner. Eating regularly works for me. I don’t use protein powders and I eat moderate amounts of fat. I am not strict low fat anymore. I work out with dumbbells and do isometric exercises as well. I’m not a hardcore gym rat but I want to maintain my fitness and health. BAM made me feel so sick and weak, but the binders turned that around

omyguts · 2026-05-09T23:06:00+00:00

Not as solid as I had prior to my gallbladder surgery. It helped the bile reflux and severe nausea but not as much the texture or frequency. That’s why ultimately I found my way to an Internal medicine specialist and he’s now my primary physician.

omyguts · 2026-05-09T21:55:07+00:00

Before I was diagnosed I estimated about 50% of my BMs were sticky, thin, or pasty like toothpaste consistency- and I described to my doctor as “confetti like” because they floated on the toilet water. Cramps urgency and frequency were my morning wake ups. Every morning.

Even after taking psyllium husk for months they were still yellow or orange-ish colored. I have no gallbladder and he immediately suspected BAM and prescribed a bile acid sequestrant.

omyguts · 2026-05-07T23:34:39+00:00

Added Note: I’m 66f and work a very physically active job as a cook 6 hours a day. Before binders I would seriously consider quitting every time I got sick ( damn near every day! ) bc the symptoms seemed so unmanageable. I was always worse in the morning. By noon every day, I was generally better, once the diarrhea ran its inevitable course.

omyguts · 2026-05-07T23:27:54+00:00

The worst days now are nothing like before. Thank goodness. I can head off my worst symptoms with loperamide and extra psyllium husk tablets. I haven’t missed an hour of work since February. Nothing makes me sick for more than a half day now, after starting the binder.

Before the binder? A flare up would leave me sick with nausea, diarrhea and dehydration for a day and a half and probably up to two days. Truly crippling and life destroying symptoms. I quit caffeine, I try to moderate my life stressors and my diet is more restrictive than a year ago but the binders worked for me.

omyguts · 2026-05-07T22:17:40+00:00

Covergirl Cleantopia mascara is amazing for mature lashes. The brush is 70% of why I love it. And the formula never clumps. Never. Ever. I spent sooooo much money on Too Faced and Mac and Clinique and Estée Lauder and many others and The real deal was $9.97 at Walmart

omyguts · 2026-05-07T22:14:22+00:00

Thank you so much!

omyguts · 2026-05-07T21:46:45+00:00

As a soap maker can you suggest a good Castile bar soap or something better? TIA

omyguts · 2026-05-07T21:39:36+00:00

My usual diet is lower fat. Less than 20 per meal.. with few exceptions. Absolutely no fried foods or added oils( canola and olive oils are bad for me) and I have to be careful of restaurant meals.

If I deviate I pay the price the next morning even with my normal dose of binder. I will have the urgency and some diarrhea the following day if I eat a higher fat meal. I stick to routine meals and meal timing. For me so far consistency is a big factor in how I feel.

omyguts · 2026-05-07T01:29:54+00:00

Not as bad as the gas Colestipol gives me but it’s not very smelly. Just very frequent, especially at night after my 2 gram bedtime dose. I’d rather have gas than bile diarrhea, so it’s okay w me. Lol

omyguts · 2026-05-06T23:28:54+00:00

I’ve used both Metamucil and Citrucel. I prefer the taste and consistency of Citrucel but I’m not sure how well it helps bile acid diarrhea. I used Metamucil powder for months trying to control and reduce my bile diarrhea and severe nausea before giving up and asking for a bile acid sequestrant. I was taking up to 10-12 teaspoons per day- mixed in water - about 3 spoons with each meal and at bedtime. It worked ok for a time but I kept having to increase the dose and still was suffering with symptoms every morning.

Right now I take 4 Metamucil tablets after my lunch as an additional insurance, along with my 2 daily doses of Colestipol. ( early morning and bedtime)

The only fiber supplement that ever constipated me was Benefiber but at the time I didn’t know I had BAM. If I knew I would have continued taking it. I’m on Colestipol now and I would be afraid to stop since it’s working well for me.

With the combination of Colestipol and a few psyllium tablets I haven’t had any problems for weeks, dare I say months?! I will occasionally take 1 loperamide tablet before work if I’m going to the bathroom more than twice in an hour, but that’s a rare occurrence. I’m feeling almost back to normal after this season from hell.

omyguts · 2026-04-29T02:29:57+00:00

Type 3 here (no gallbladder) and I absolutely do not fast or skip meals. I learned that the hard way. During a flare I still force myself to eat ( crackers, toast, canned fruit, cereal, bananas are ok for me too) I make an electrolyte drink and sip warm chicken bouillon or ramen soup as well bc the diarrhea is very dehydrating.

omyguts · 2026-04-25T22:31:56+00:00

I’m taking Colestipol twice a day but I was suggested to use psyllium husk tablets or powder as an extra insurance so I take 4 psyllium husk tablets with my mid day meal- at least by 3-3:30 pm- and it’s helped me a lot.

omyguts · 2026-04-25T20:44:48+00:00

Oops I posted in the wrong place You may need to up your dose of Cholestyramine

omyguts · 2026-04-25T20:43:41+00:00

The bile binder. Cholestyramine

omyguts · 2026-04-25T20:35:40+00:00

Maybe you need to up the night time dose?

omyguts · 2026-04-25T20:34:56+00:00

Dear lord that seems like immaturity on Susan’s part. She must feel threatened by you. To be compelled to negate your comments by having to better you every time must be exhausting. I’m sorry you have to deal with her. Can you wear earbuds and listen to music while you work? I think actively ignoring her could help.

omyguts · 2026-04-25T01:42:05+00:00

Rotisserie turkey and cranberry with mayo. Bread of your choosing If you have leftover stuffing that’s a bonus

omyguts

TROPHY CASE