{"id":11026,"date":"2025-12-30T17:34:30","date_gmt":"2025-12-30T09:34:30","guid":{"rendered":"https:\/\/nutritional-humility.me\/oxystaging\/?p=11026"},"modified":"2026-02-07T13:33:33","modified_gmt":"2026-02-07T05:33:33","slug":"a-word-about-gastroparesis-distension-and-bloating-part-2","status":"publish","type":"post","link":"https:\/\/nutritional-humility.me\/oxystaging\/a-word-about-gastroparesis-distension-and-bloating-part-2\/","title":{"rendered":"A word about: Gastroparesis, Distension and Bloating (Part 2)"},"content":{"rendered":"<p><strong>***UPDATE 7th February 2026 = GLP 1 agonist and gastroparesis (please read further in Other Food For Thoughts)***<\/strong><\/p>\n<p>Following from part 1 here continues my share of thoughts.<\/p>\n<h6><em><strong>***December 2025 delay apology Notice***<br \/>\n<\/strong>I solemnly apologise for this delay of writing this feature writeup. I have been inundated lately with the obligate <strong>ten years anniversary.\u00a0<\/strong>Nonetheless I aim to to finish and wrap up this write up as succinctly and deservedly as possible. ~ AW.\u00a0<\/em><\/h6>\n<h3>Environment, Temperature and Season<\/h3>\n<p>Colder seasons tend to bring worse(r) outcomes, at least for my case. Intuitively this makes sense given the body's own effort to maintain thermal stasis. <strong>Generating heat after all tends to require more <\/strong>energy.\u00a0Cold - quite the opposite.<\/p>\n<p>Apart from mainstream media articles (<a href=\"https:\/\/www.mirror.co.uk\/news\/health\/how-cold-weather-can-cause-31919036\">here<\/a>), The literature examining seasonal variabilities on gut distress or levels \u00a0is sadly far and few from what I can gather.<\/p>\n<p>Bit off tangent, but in case anyone asks me whether or not cold exposures is \"good\" for fat loss - I don't quite subscribe to this. Because it'd be too stressful. \u00a0I do not however, for one second disagree with the mechanism (just for mechanism sake, not withstanding repercussions - psychometrics, stress over prolonged periods, for instance). <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38203217\/\">This <\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38203217\/\">research review<\/a> did not posit convincing enough of difference from metabolic standpoint even <strong>when<\/strong> <strong>combining both types stress response - that is - both cold exposure AND training energy expenditure.<\/strong>\u00a0 Likewise <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9273773\/\">to this meta analysis<\/a> that looked at papers over nearing <strong>two decades<\/strong>\u00a0 between 1990-2021.*<\/p>\n<h6>Indeed it all seems to point to \u00a0\"BAT\" \u00a0or browning of adipose upon cold exposure. But in terms of overall appetite and hunger? <a href=\"https:\/\/www.cambridge.org\/core\/journals\/british-journal-of-nutrition\/article\/acute-exposure-to-a-hot-ambient-temperature-reduces-energy-intake-but-does-not-affect-gut-hormones-in-men-during-rest\/47C8E5A6C6C10D011FC840898D1CF0CA\">This study generally finds that people tends to inc\u00a0<\/a>rease calorie intakes during cold exposure.<\/h6>\n<h3><b><i>\u201cCoke\/Diet Coke helps? For real?<\/i><\/b><\/h3>\n<p>This actually got a lot of scientific coverage as recently as of <a href=\"https:\/\/www.researchgate.net\/publication\/23997705_Coca-cola_A_new_therapy_for_reflux\">February this year<\/a>. There is a\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3966177\/\"> case study<\/a> here. Also, how often do you get see the word <a href=\"https:\/\/journals.lww.com\/ajg\/fulltext\/2017\/10001\/magic_of_coca_cola__a_case_presentation_and.2549.aspx\">\u201cMagic\u201d <\/a>in a research paper?<\/p>\n<p><a href=\"https:\/\/journals.lww.com\/ajg\/fulltext\/2017\/10001\/magic_of_coca_cola__a_case_presentation_and.2549.aspx\">This case study found<\/a> that over FOUR (4) litres of Coke throughout <b>12 hours <\/b>was required to \u201ccompletely\u201d dissolve the plant based bezoars. That\u2019s a lot in my opinion. But if it is indeed proclaimed as \u201ccomplete\u201d removal, then it\u2019s certainly thought provoking.<\/p>\n<p>It appears that <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3966177\/\">Phosphoric Acid<\/a> is responsible for the mechanism.<\/p>\n<p>For context, the pH \/ acidity in Colas has a narrow range between 2.6-2.7. \u00a0A range between <a href=\"https:\/\/www.google.com\/url?sa=t&amp;source=web&amp;rct=j&amp;opi=89978449&amp;url=https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537005\/%23:~:text%3DPepsin%2520is%2520a%2520stomach%2520enzyme,1.5%2520to%25202)%2520activates%2520pepsin.&amp;ved=2ahUKEwir-uGlvNaNAxXMoK8BHWUGMscQFnoECBcQAw&amp;usg=AOvVaw0OPASnyvhfw6gKY_9RQiQM\">1.5-2.0 is required to activate <strong>pepsin ~ <\/strong>necessary for protein digestion.<\/a><\/p>\n<p>Putting myself to the test a couple of weeks close to a month and quarter as I'm typing this, having tried out bunch of different <strong>cola brands. Coles, Woolworths, \"Ice Cola\" <\/strong>(an alternative brand as seen in Woolies and Spushed), and including Coke and Pepsimax ~ <strong>all turned out<\/strong> <strong>rather<\/strong> <strong>ambivalent<\/strong>. AMbigiuos. Difficult to discern if any, differences. Keeping in mind that my overall net intake of fizzy drinks are very mild, to say the least (&lt;500ML total).<\/p>\n<blockquote><p>Apart of mild orogenic workout \/ training aid (from its small caffeine content, speculatively) - I am yet to find anything of a <strong>drastic\u00a0<\/strong> or significant improvement per se to the distension. However without it, certainly does make my gut slightly worse.<\/p><\/blockquote>\n<h6>\u201cThe most commonly reported substance used is dark soda (i.e. Coca-Cola, RC Cola, Pepsi), where the acidity from carbonic and phosphoric acid allows for fiber digestion, the sodium bicarbonate act as a mucolytic, and carbon dioxide bubbles penetrate between fibers to increase the surface area for interaction with acid.\u201d ~ <a href=\"https:\/\/med.virginia.edu\/ginutrition\/wp-content\/uploads\/sites\/199\/2021\/03\/Bezoars-Mrach-2021.pdf\">Palchaudhuri S. 2021<\/a><\/h6>\n<h6>\u201c\u00a0Given the promising outcomes of the Coca-Cola treatment observed in this study, which demonstrated a 100% success rate in dissolving phytobezoars and showed reduced costs and occurrence of gastric ulcers, it is recommended as a primary treatment option for phytobezoars.\u201c <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11130549\/\">Galan DM &amp; Rabago RL (2024)<\/a><\/h6>\n<p><em><b>(The known)<\/b> <b>gut irritants so far. <\/b><\/em><b><\/b><\/p>\n<p>Both from food derived or industrial additives. \u00a0Here are my suspects so far both old (and new, as indicated) ~<\/p>\n<ul>\n<li><strong>(Many years suspected) <\/strong>excess intake of tannins - both coffees and tea. <a href=\"http:\/\/ommunity.ycode.com\/c\/ask-for-help\/\">Coffees in general appears to be 1\/3 less concentrated than tea<\/a>).<br \/>\n<em>Occasionally in the past where, I apologetically may have confused readers that I have changing views on green tea. But as of this year I am increasingly convinced once again that for whatever reason I am sensitive to tea as being more prone to distension response compared to coffees. But by no means coffee are benign as they too, elicit likewise response, <strong>but not as bad.<\/strong><br \/>\n<\/em><\/li>\n<li><strong>(Many years suspected) -<\/strong> guar gums.<br \/>\n<em>Sadly appearing in many coconut cream products, I'm not sure why but among thickened creams likewise to that of carrageenan - these creams tend to go off \/ goes rancid \/ autooxidise MUCH QUICKER than their dairy full fat counterparts.\u00a0<\/em><\/li>\n<li><strong>(Many years suspected) <\/strong>xylitol, sugar alcohols including erythritols ~ all of which which are definite no-no for me.<\/li>\n<\/ul>\n<p><b><i>Chewing - it matters more than we think.<\/i><\/b><\/p>\n<p>Interesting trivia about gastro anatomy. In order for the bolus to enter pylorus (beginnings of the small intestine) <a href=\"https:\/\/www.gutnliver.org\/journal\/view.html?pn=ahead&amp;uid=2268&amp;vmd=Full\">the space allowance for this is so small. VERY small<span class=\"Apple-converted-space\">\u00a0 <\/span>- think about less than<span class=\"Apple-converted-space\">\u00a0 <\/span>1mm worth opening for food to enter through. <\/a><span class=\"Apple-converted-space\">\u00a0 <\/span>(<a href=\"https:\/\/bionumbers.hms.harvard.edu\/bionumber.aspx?s=n&amp;v=2&amp;id=109068\">2<\/a>) Very small particles at a time.<\/p>\n<div id=\"attachment_11198\" style=\"width: 650px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11198\" class=\"wp-image-11198 size-full\" src=\"https:\/\/nutritional-humility.me\/oxystaging\/wp-content\/uploads\/2025\/12\/diego-molina-iO7w4xdcTtM-unsplash.jpg\" alt=\"Diego Moina @ Unsplash\" width=\"640\" height=\"480\" srcset=\"https:\/\/nutritional-humility.me\/oxystaging\/wp-content\/uploads\/2025\/12\/diego-molina-iO7w4xdcTtM-unsplash.jpg 640w, https:\/\/nutritional-humility.me\/oxystaging\/wp-content\/uploads\/2025\/12\/diego-molina-iO7w4xdcTtM-unsplash-300x225.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><p id=\"caption-attachment-11198\" class=\"wp-caption-text\">Diego Moina @ Unsplash<\/p><\/div>\n<h3><b><i>\u201cJust add water. Just eat more fibre.\u201d<\/i><\/b><\/h3>\n<p>I lost count how many times I shared my love and hate relationship on this topic. But if that is simply the case I would have felt better.<\/p>\n<blockquote><p><i>But there\u2019s plain water. This - in my experience thus far believe it or not = tends to be best workaround at quelling, or a least, \u00a0keeping the gas down. \u00a0<\/i><\/p><\/blockquote>\n<p>Just plain, filtered or perhaps better fluoride-reduced very warm but not boiling water.<\/p>\n<p>Fibre however, comes with an act of balance. Because there are pros and cons I find, which appears to be very dependent <strong>whether it is coming from food or supplement (psyllium husk).\u00a0<\/strong>I tend to find psyllium husk is a bit more tolerable.<\/p>\n<blockquote><p>\"Food\" sources however, tend to be complicated to assess. This is where I'd be more inclined to say I am probably more <strong>cautious<\/strong>\u00a0 than if I were to use supplement ~ say, psyllium husk.<\/p><\/blockquote>\n<p>I am saying complicated because - with <strong>food ~ I am referring to those generally accepted as low carbohydrates ~ <\/strong><em>Brussel sprouts, carrots, pumpkins, green beans<\/em> \u00a0- tends to also carry other enzyme inhibitors. \u00a0<em>(Queue the anti plant eating crowd) -<\/em> Anti nutrients, in other words.<\/p>\n<blockquote><p>Unsurprisingly, to many in the very low to zero carb community ~ there is something about beef, eggs and salt that ~ for whatever reason, I am more inclined to feel more fine. Early speculation for sure. But this has been a gradual pattern for me.<\/p><\/blockquote>\n<p><b><i>Magnesium -it\u2019s complicated. <\/i><\/b><b><i><\/i><\/b><\/p>\n<p>Magnesium in my opinion (also years of observation) is among the most glorified, touted \u201cdarling\u201d in the health wellness circle. Now, I must admit - I did on many occasions advocate them as a non-negotiable. I still<span class=\"Apple-converted-space\"> however do \u00a0<\/span>take them to this day<strong>. But definitely not as compulsive as I was back then at betting my life on it.<\/strong><\/p>\n<p>The reason why I suspect this being an potential trigger to distension, is due to the interestingly mixed \u00a0research out there. This to me, posits one thing. Magnesium exerts a largely individual response based on individual setting, circumstance and contexts.<\/p>\n<h6><i>\u201cIt has been known for a long time that subcutaneous or intravenous injection of magnesium salts in rabbits abolishes or considerably diminishes peristalsis.\u201c ~ Beleslin DB \u201c<\/i><i>Nature of the Peristaltic Block produced by Magnesium<\/i><i>\u201d<\/i><\/h6>\n<h6><i>\u201cHypermagnesemia reduces colonic peristalsis and interferes with magnesium equilibrium, prolonging its effects. There are rare case reports in the literature discussing this phenomenon, but should be further evaluated for specific patient susceptibility and effects on morbidity and mortality.\u201d <\/i><a href=\"https:\/\/journal.chestnet.org\/article\/S0012-3692(22)01994-8\/fulltext\"><i>Upson SM &amp; Abbasi AA 2022.<\/i><i><\/i><\/a><\/h6>\n<h2><b>Vitamin B1 - interesting and helpful (only in the transit)<\/b><\/h2>\n<p>I discovered this in \u201924 as part of my own ongoing research with AS. In addition also<span class=\"Apple-converted-space\">\u00a0 <\/span>~<a href=\"https:\/\/lowtoxinforum.com\/threads\/severe-stomach-problems-impossible-to-eat-enough.51277\/\"> Ray Peat Forums where reportedly a <\/a>number of individuals felt marked improvements with overall digestion. Anecdotal experiences have also been noted <a href=\"https:\/\/www.reddit.com\/r\/Gastroparesis\/comments\/1j2rcme\/instant_relief_from_vitamin_b1\/\">here<\/a> and <a href=\"https:\/\/www.reddit.com\/r\/Gastroparesis\/comments\/1176ovr\/thiamine_deficiency_implications\/\">here<\/a>.<\/p>\n<p>For context Thiamine was used to treat \u201cBeri Beri\u201d, coming a two types - Dry and Wet; each referring to a cluster of symptoms<span class=\"Apple-converted-space\">\u00a0 <\/span>usually associated with weakness, muscle wasting, tingling and loss of touch sensation on hands and feet. This is also known as Dysautonomia where the ANS \/ autonomic nervous system is compromised thereby affecting blood pressure, heart rate, digestion and thermal regulation.<span class=\"Apple-converted-space\">\u00a0 <\/span><a href=\"ahttps:\/\/www.youtube.com\/watch?v=CmRSsUtxbTc&amp;ab_channel=EONutrition\">EONutrition did<\/a> a very helpful presentation outlining all of these.<\/p>\n<p><i>Having read all the above explains led me to find, coincidentally, for many many years - Betaine HCL supplementation is part of recognised protocol that helps manage all digestive worries. Namely - low stomach acid = poor digestion = compromised nutritional status = compromised QOL. <\/i><i><\/i><\/p>\n<blockquote><p>So far I have experimented only on very low dosages. The reason being that these B1 supplements are<strong> humongous huge in their concentration.\u00a0<\/strong> \"44,000%\". That's right. <b>Forty four thousand PERCENT over the RDA).<\/b><\/p><\/blockquote>\n<p>So, how do I feel? gut distension wise perhaps not much (at least not yet). <strong>But I do and can correlate with noticeably <\/strong>higher rates of bowel movements \/ transit. So in that respect, is helpful. Apart from that however I do not think I can note any effects, least thus far this year (2025) at affecting other usual important markers - namely glucose levels, quality of sleep, fitness training, etc.<\/p>\n<p>Perhaps the dosages are not high enough for me to note anything else, I am not sure. I have taken B1 between meals, both LCIF and on refeed days, as well as during fasting windows. I am yet however, to take this as training ergogenic as I would expect\u00a0<strong>with NR \/ Niacinamide.\u00a0<\/strong>But I speculate it would have at best a minor adjunct effect.<\/p>\n<h1>Other food for thoughts<\/h1>\n<p><strong>UPDATE February 7th 2026<\/strong><\/p>\n<p>As more and more are \"desperate\" on weight loss and turning to drugs mainly injectable GLP-1 agonists (aka Ozempiqe), Chubby Emu made a good cautionary upload I thought worth sharing.<\/p>\n<h2>GLP -1 drugs and gastroparesis - probably worth reading about.<\/h2>\n<p><iframe loading=\"lazy\" title=\"A woman took a friend&#039;s Ozempic and her entire gut was cooked\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/91WBBlGtNdg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>But how or why <strong>GLP1 Agonists <\/strong>can cause gastroparesis? Quite a few things I've learned in just one 40 minute video on <strong>high level view on (almost) everything it impacts <\/strong>- it's <strong>very<\/strong> impressive.<\/p>\n<p><a href=\"https:\/\/www.google.com\/search?q=does+GLP-1+agonist+inhibit+excitatory+signalling+in+the+stomach+that+cause+paresis%3F&amp;rlz=1C5CHFA_enAU1015AU1015&amp;gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIHCAEQIRiPAjIHCAIQIRiPAtIBCTIzMjE2ajBqN6gCALACAA&amp;sourceid=chrome&amp;ie=UTF-8&amp;udm=50&amp;fbs=ADc_l-aN0CWEZBOHjofHoaMMDiKpV6Bbbmx4QVaoKkiRQ2jlwvMg54BMciw6zYi-UcSdrQDlIehXE-YL2Qo2JeeNUu_ruFvJaKRd_tIKJ63F0LVyM-HUHw98cuuoSunDVrmFD3oCUKvGWrSQgCKCf-QA6JTQ9lnChOqBiRvFQIraG9zCxCMRnZSGowVcWhcs3foxyZCS_rkp2_AnDXTOZMo3RTrSqUh4oQ&amp;ved=2ahUKEwjAytiryMaSAxU_TGwGHcpWKyYQ0NsOegQIAxAA&amp;aep=10&amp;ntc=1\">So I did bit more reading myself.<\/a> Apparently - nervous system signalling changes at downregulating many things involved in peristalsis (the opposite of gastroparesis). Acetylcholine activity reduces. That stomach acid producton greatly reduces. Phlyoric spincter (the very tiny entry way to the small intestine) becomes tightened. Undigested bolus remain and.... we have <strong>bezoars.<\/strong><\/p>\n<p>Other things that happens here include multiple organ failure(s). Kidneys, liver and interestingly pancreatitis. How? multi-factorial, but the latter (pancreatic) implications is interesting. Apparently, auto-immune <strong>might<\/strong> be involved, according in this one <a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12933-025-02986-0#:~:text=GLP%2D1%20RA%20use%20was%20associated%20with%20substantially%20reduced%20all,RAs%20in%20high%2Drisk%20individuals.\">all cause mortality research among GLP-1 agonist users.<\/a> There is some observational studies that the GLP-1 agonists may cause pancreatic <a href=\"https:\/\/www.ccjm.org\/content\/92\/8\/483\">hypertrophy or overgrowth.<\/a> As the pancreas enlarges, the\u00a0 tiny ducts within it that transports <strong>Lipase ,<\/strong> the enzyme needed for fat digestion, cannot flow out to the common bile duct, where mixing with the incoming flow of food happens, thus hypothesizing the increase of organ mass.\u00a0 Before then - the inflammation potentially triggers, when Lipase, remaining stuck within pancreatic own ducts, potentially <strong>self-digests.<\/strong><\/p>\n<h2>Other Things....<\/h2>\n<p>Here are other things I found along the way which may sound overly trivial but in effect, and at least through my own experience - is anything \"<em><strong>but\"<\/strong><\/em>.<\/p>\n<ol>\n<li><strong>Some dry form supplements, tablets \u00a0<\/strong><strong>might be a bad idea.<br \/>\n<\/strong><em>Sounds redundant for sure but it is interesting to me that certain dry tablet forms, both water solubles, (for example - Zinc, B6, manganese combinations you see in cheap off-the-shelves) \u00a0and fat solubles (tablet \/ powdered version of Vitamin K2 with Vitamin D) - tends to be a trigger. I am saying \"might be\" here as a grain of salt, because obviously these are still non-negotiably important. <\/em><\/li>\n<li><em><strong>(A bit) of alcohol helps. <\/strong><br \/>\n<\/em><em>Alcohol is an interesting topic. No matter where you look~ always something bad about it. For context I am not a drinker (just two or three standard drinks is enough me for an entire week). But <strong>when the bad distension starts? Sipping a little bit of:\u00a0<\/strong>Cointreau (very expensive though), Irish Cream (worth it for the taste, but needs carbohydrate monitoring) or even just bit of red ( Cab Sav - $7 worth of Wolf Blass as I am writing this segment) \u00a0~ tends to warm , sooth the \u00a0stomach and just settles everything down that much easier. I don't know \u00a0about pure ethanol \/ spirits though, maybe because its lack of distinct flavour. \u00a0 \u00a0<\/em><\/li>\n<\/ol>\n<p>A controversial but based from what I'm feeling - is that <strong>Aspirin could be used as last resort <\/strong>to help get things moving.<\/p>\n<p>Aspirin being a contentious topic on its obvious effects on the gut, nonetheless <strong>did help with the\u00a0<\/strong>general motility. Or at least, just \"keep things\" slightly moving. Research on this seems sparse at best.<a href=\"https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2017.02.074#:~:text=I%20have%20read%20with%20great,Recently%2C%20Saito%20et%20al.\"> A scientific letter correspondence here suggests that <strong>enteric coated\u00a0<\/strong>aspirin<\/a> seem to be absorbed poorly among those with Diabetic Gastroparesis.<\/p>\n<blockquote><p>What about auto immune conditions? There is apparently such a thing as \"<a href=\"https:\/\/journals.lww.com\/ajg\/fulltext\/2024\/10001\/s2276_response_of_autoimmune_gastroparesis_to.2277.aspx#:~:text=Gastroparesis%20is%20a%20chronic%20digestive,in%20symptoms%20and%20gastric%20emptying.\">Autoimmune Gastroparesis<\/a>\". <a href=\"https:\/\/my.clevelandclinic.org\/podcasts\/butts-and-guts\/gastroparesis-and-the-impact-of-autoimmune-diseases#:~:text=There%20may%20or%20may%20not,know%20a%20disease%20called%20myasthenia.\">Type -1 Diabetics appear to be affected as acccordingly to this correspondence discussion.<\/a><\/p><\/blockquote>\n<p>Another perhaps related reading, though it can be quite too technical at least, for my understanding is that this interesting case study looks at <strong><a href=\"https:\/\/www.thieme-connect.com\/products\/ejournals\/abstract\/10.1055\/a-1233-2190\">brain inflammation or \"encephalitis\"<\/a> <\/strong><strong>as plausible link <\/strong>with auto-immune gastroparesis. \u00a0If I have to make an educated guess, would be that it does make sense, given that anything affecting the brain, and\/or the spine, \u00a0(the vagus nerve included obviously) could all be interrelated to motility function.<\/p>\n<p>Other than that it's hard to find any reading material on these. At least from what I can observe \/ search from my end.<\/p>\n<div id=\"attachment_11274\" style=\"width: 1167px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11274\" class=\" wp-image-11274\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2025\/05\/Jacek-Dylag-Unsplash.webp\" alt=\"Jacek Dylag Unsplash\" width=\"1157\" height=\"723\" \/><p id=\"caption-attachment-11274\" class=\"wp-caption-text\">Jacek Dylag Unsplash<\/p><\/div>\n<h1>Conclusion<\/h1>\n<p>I apologise for cutting this feature write up very short.<\/p>\n<p>If there is anything logical I could (or would) ever take away is what I would do if I \"were\" in a traffic jam. Keeping things moving is probably the most important imperative.<\/p>\n<p>I think when it comes to <strong>fibre<\/strong> being holy grail to anything to do with health is, mechanically ~ a false haven. It is trickery at best, at delaying everything.<\/p>\n<blockquote><p>As for Plain hot water may be the panacea for the time being, at least on a daily basis.<\/p><\/blockquote>\n<p>There are certainly more reading and research I feel that could be done. However sadly, in the interest of time I could not coordinate these to sufficiently and may need to return \/ revise this writings at another date.<\/p>\n<p>Live-It-Forward,<\/p>\n<p>AW.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>***UPDATE 7th February 2026 = GLP 1 agonist and gastroparesis (please read further in Other Food For Thoughts)*** Following from part 1 here continues my share of thoughts. ***December 2025 delay apology Notice*** I solemnly apologise for this delay of writing this feature writeup. I have been inundated lately with the obligate ten years anniversary.\u00a0Nonetheless [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[3,10,4],"tags":[],"class_list":["post-11026","post","type-post","status-publish","format-standard","hentry","category-insights","category-methods","category-thoughts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A word about: Gastroparesis, Distension and Bloating (Part 2) - fair-enough.me<\/title>\n<meta name=\"description\" content=\"This Is\u2122 Humility Manuscript Version 1.6 (May - August 2018)\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A word about: Gastroparesis, Distension and Bloating (Part 2) - 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