Effective measures for the secondary prevention of symptoms developing in an asymptomatic case or for preventing complications with symptomatic gallstone disease includes bile acid therapy. However, medical therapy of asymptomatic stones is not currently indicated.

• These preventive measures aim to prevent the development of symptoms in those patients who are discovered incidentally to have gallstones and to prevent complications in a symptomatic patient.^[1]
• Effective measures for secondary prevention of gallstone disease include:
  • Dietary adjustments such as increasing protein, fiber and calcium
  • Prophylactic ursodeoxycholic acid decrease the chances of developing symptomatic gallstones and/or future complications