She may have been wrong about the fasting stuff, but she's not wrong about the Epsom Salts . If you don't relax the ducts with the Epsom Salts , then you will probably experience pain upon flushing. I've also heard that magnesium citrate will relax the ducts as well, but I can't confirm. As I have gall bladder pain, I can say that the Epsom Salts are the only thing that help me when I've had an attack. I know they work.