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I asked “what kidney problems” as this was the first I had heard of it, and my gp explained prior to my gallbladder being removed in Oct of 2010 bloodwork showed my kidney function at 40 and that I was anemic. He did a repeat bloodwork up with the same results. What could cause this sudden change in my kidney function and cause anemia.. when do zxt pills start to work? Please help me!I would suggest visiting a dietitian in your area. A dietitian is the professional in this area. He/she can provide a individualized plan for you as well as educate you on how to take the weight off and keep it off for life.