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(1) gallbladder attacks can still happen even if the organ is gone. I have a friend who's GB was removed 20 years ago and she still has 'attacks' when she eats certain foods. Go figure!
(2) scar tissue? Some whipplees have revision surgery to deal with excess scar tissue that was causing problems.
(3) hernia? again, a possible issue.
(4) gradual changes? After so many years post whipple, her digestive system may be making some more adjustments. Maybe she needs enzymes now while she may not have needed them earlier.
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