21% ejection fraction is not that bad. You will feel so much better when you flush and do the cleanses and the such. I chose to have my gb out, but my ejection fraction was under 1% and was full of scar tissue and adhesions. I wish I would have figured out what was making my gb sick earlier when I could have saved it. Make sure you drink lots of water and take herbal teas to support your liver. Liver Cleanses are a must. Have you done the parasite cleanses too? Good luck to you.