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Common Reflux Triggers on GLP-1s Very spicy foods chilli-heavy dishes, hot sauce, curry with high capsaicin content Tomato-based sauces pasta sauce, pizza sauce, tomato soup (particularly on an empty stomach) Citrus fruits and juices oranges, grapefruit, orange juice Chocolate relaxes the lower oesophageal sphincter Peppermint including peppermint tea (also relaxes the LES) Carbonated beverages even sugar-free ones increase pressure and reflux Coffee, particularly on an empty stomach combines acid stimulation with LES relaxation Onions and garlic in large quantities some patients report significant reactions What to eat instead: Mild-flavour proteins, cooked vegetables (steamed, roasted), plain yoghurt, oats, bananas, ginger tea (actually helps reduce nausea)

If you have unopened vials, you have no reliable way to verify their contents or quality

The non-standard dosing in itself can be confusing for a patient but it also presents providers at Poison Control or other acute care settings with the problem of trying to figure out what the correct dose was and exactly how much excess medication the patient received

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All patients complete an online health questionnaire, reviewed by a licensed provider to determine eligibility