The authors claim that there are plausible biological explanations for a link between gallstones and the midriff bulge. The type of fat around the waist is more metabolically energetic than fat elsewhere on the body. And previous research in addition has linked gallstones with the metabolic syndrome, a feature of which is excess abdominal fat.. Central adiposity, regional extra fat distribution, and the chance of cholecystectomy in women A bulging midriff nearly doubles a woman’s likelihood of developing gallstones and the need for surgery to remove them, finds a thorough study published ahead of print in Gut.Another barrier to educating doctors of the expenses of health care, Allan noted, is that the pharmaceutical industry will be reluctant to support the addition of price information within drug info resources, just like the Compendium of Pharmaceuticals and Specialties . I believe the accurate understanding of health care cost is, for all intents and purposes, not possible. Education programs will have limited success for a host of reasons, Allan said.