re: What is more likely to cause weight gain?

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I weighed 142 when I had surgery in January 2016. Now, I weigh 170 and all the fat is going to my midsection. I'm not really eating any more than I always did. If anything, I eat healthier than I used to, but my digestion has never been the same since surgery.

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The weight gain is not because of the gall bladder removal, though digestive issues are not uncommon. Just because you are eating "healthier" food doesn't mean you are eating fewer calories and consider if your activity level has decrease.

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My hypothesis is that my body is storing all the fat because it doesn't know what else to do with it because it can't break it down like it used to,

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Your think backwards on this, if you cant breakdown fats as well, then you will crap them out rather than digest/absorb them. But you live generally delivers mare than enough bile for your fat digestion needs with you gallbladder. Gall Bladder info

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I have also read Paxil can cause weight gain. I have taken 20mg since January 2017.

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This may be the culprit or at least part of it.

Good luck, I struggle with the fatness now at 55, mostly my affinity for chocolate and various desserts, I think.

https://www.youtube.com/user/drericberg123/videos

This guy explains nutrition in a very digestible way with great detail. I would look around for videos of what you are looking for and other general food topics. You'll find other great stuff there with regards to hormones, depression, etc. too.