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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)

In response to an oral glucose load, plasma GLP-1 concentration was increased in post-gastrectomy patients, when compared to controls with unaltered intestinal anatomy

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Prado CM, Phillips SM, Gonzalez MC, Heymsfield SB

2 CKD screening programs in Australia have been simplified to include three essential tests: blood pressure (BP), estimated glomerular filtration rate (eGFR) and spot urine albumin to creatinine ratio (uACR)