The Gallbladder Institute
Free Gallstone Risk & Family Gene Worksheet
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Find out if gallbladder trouble runs in your family, and what you can still control.
The free printable worksheet from Episodes 3 and 12 of The Gallbladder Series on YouTube. Three pages:
- Risk checklist: the old "4 F's" plus the 6 risk factors it misses, including rapid weight loss and GLP-1 (glucagon-like peptide-1) drugs, insulin resistance, and low-fat dieting.
- Family map: chart gallstones, gallbladder removal, high bilirubin, fatty liver and diabetes across three generations.
- Genes to ask about: ABCG5/ABCG8, UGT1A1, ABCB4, PEMT and AOC1, with space for your results, an action list, and questions for your doctor.
Instant PDF download. Print as many copies as you need.
Educational use only, not medical advice or a diagnosis. Created by Buddy Black, FDN-P (Functional Diagnostic Nutrition Practitioner), BCHNP (Board Certified Holistic Nutrition Practitioner), Gallbladder Institute. Genetic results show tendencies, not certainties. Review this worksheet with your doctor.