Well Lil pretty much said it all. When you have a bad gall bladder or none at all, you have problems with too much bile or getting it at the wrong time. The Welchol binds up the bile so it keeps you from having diarrhea. If you don't have bile diarrhea, I don't know that it will help you. It can be constipating to normal people, but that's because it keeps their normal levels of bile from further digesting their food (which is how it keeps you from absorbing cholesterol) and can make them constipated that way. Bile diarrhea, by the way, is yellowish in color (the more bile, the yellower it gets) and it usually burns.
My g.i. told me to take a pill once a day and increase it if needed. He actually wrote my prescript
ion so I could take one before every meal and snack (100 pills a month). There's another girl on here who just got on it and her doctor has her taking 6 pills a day and it's fixed her without constipating her. I just take one in the mornings, although I occasionally need to take a second one if my stomach is upset for some reason or I eat something that bothers it.
My recommendation to you is to take one first thing in the morning and give it 30 minutes to work. If you develop diarrhea after that, take another, wait 30 minutes, take another one and so on until you stop having diarrhea. If you end up taking three pills, then plan on taking three pills a day. If you are worse in the morning, you may want to take two first thing then a second one mid-morning or lunchtime.
Be forewarned that you will have to adjust your dosage over time because you may go through a bad period and need to add an extra dose or you may go through a good spell and need to not take as much. You're taking too much if you get constipated. You're not taking enough if you have diarrhea. It's that simple.
And there's nothing at all wrong with adjusting your dosage on a daily basis; if you're about
to eat something that you know will bother you worse than usual, then take a pill right before you eat it to head it off at the pass, if you will.