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ForumsSide Effects & ManagementAcid reflux/GERD worsening on GLP-1 — PPI interaction data Page 2

Acid reflux/GERD worsening on GLP-1 — PPI interaction data

Dr.GastroMayo Wed, May 27, 2026 at 7:16 PM 20 replies 733 viewsPage 2 of 4
Dr.NateNeph
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May 27, 2026 at 10:52 PM#6

One concrete data point for the thread. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

Last edited: May 28, 2026 at 12:52 AM
49 19JakeSmashed95, NauseaFreeNow, SteveThurs and 46 others
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tane_welly
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May 28, 2026 at 12:16 AM#7

One thing that is still open after NurseAsh_DET’s answer:

Whether holding at a lower dose for longer actually reduces total side-effect burden or just spreads it out?

48 18carl_compliance, DanielChem_CHI, marco_milano and 45 others
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Dr.RaviCardio
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May 28, 2026 at 1:40 AM#8
Dr.NateNeph said:
For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine.

There is a second half to this that has not been said yet. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

47 17mark_tokyo, hans_munich, jason_sac26 and 44 others
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Dr.GastroMayo
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May 28, 2026 at 3:04 AM#9

OP back with an update, since a thread like this is useless without one.

Follow-up: smaller meals, less fat in the two days after dosing, and not lying down afterwards. Unglamorous, and it worked within a fortnight.

46 16MikeFit_NJ, InsuranceTom, WendyG_ATL and 43 others
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Dr.LipidDallas
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May 28, 2026 at 9:47 AM#10
Dr.RaviCardio said:
The mechanism and the magnitude are separate questions.

Agreeing with Dr.RaviCardio, and the qualification matters more than the agreement. The meal advice is right and incomplete without the hydration point. People stop drinking because drinking makes them feel full, then attribute dehydration symptoms to the drug.

30 3Dr.PulmRoch, maya_sedona, stefan_berlin and 27 others
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