@kerrymcg72 I have been on Zepbound for over a year and I dont have my gallbladder. Ive lost 135 pounds and haven't had any side effects. I love that it stops the food noise .. ive also had a revised sleeve but when I go off the zepbound I start gaining so I plan on staying on it. The manufacturer offers coupons.. im getting it for 25 a month.