Yeah, I figured you didn't have those. But the Canadian case didn't either. The thing that is interesting to me is that it's generally associated with a liver/bile problem, and now that I know you've had your gallbladder removed, I think the link is getting stronger.
Without enough or properly functioning bile, your toxic load goes way up. It can cause a wide variety of weird problems, especially with the skin.
Definitely worth looking into. Have you had any testing recently to assess liver/bile function?
Adding bile salts and acids to my regimen helped a lot.