10 GLP-1s also reduce visceral fat, the metabolically active fat stored around internal organs that feeds this cycle in the first place
World J Psychiatry
You should work with your FP counsel when making these decisions, as this is a developing area that can potentially trigger various compliance issues, including issues beyond the scope of these FAQs
Weight loss Available in NZ = Liraglutide high dose (Saxenda, daily injection) Self-funding needed ($500-600/month) Not available in NZ = Semaglutide (Ozempic, Wegovy) or Tirzepatide (Mounjaro), as of May 2023 Side effects, particularly upper gastrointestinal, are common with GLP-1 agonist initiation
Main causes: Delayed digestion: Food sits longer in the stomach, leading to pressure, discomfort, and reflux Reduced stomach motility: Less movement means slower transit and more pooling of food and acid Acid disruption: Eating less frequently and in smaller amounts may affect your bodys acid production rhythm Dietary changes: New eating patterns, unfamiliar foods, or eating quickly can all contribute Individual factors: Some people are simply more sensitiveespecially those with a history of GERD, IBS, or reflux Timeline and Patterns Indigestion from GLP-1 medications typically follows these patterns: Week 1-2: Initial symptoms as your digestive system adjusts Weeks 2-4: Symptoms often peak during dose increases Weeks 4-8: Gradual improvement as your body adapts 8+ weeks: Most people experience significant symptom reduction Common triggers for indigestion episodes Starting treatment or increasing doses Eating larger portions than your slowed stomach can handle Consuming fatty, spicy, or acidic foods Lying down soon after eating Drinking large amounts of fluid with meals Eating late in the evening Managing and Preventing Indigestion Smart Eating Habits: Eat smaller, more frequent meals try 46 mini meals a day Stop when comfortably full even if your portion seems small Avoid meals 23 hours before bed to reduce overnight reflux Chew slowly and thoroughly support your bodys digestion Sit upright while eating and for 30 minutes after Food Tips: Choose simple, well-cooked foods lean proteins, rice, steamed veg Avoid or limit fried, spicy, or acidic foods Cut back on fizzy drinks , caffeine, and alcohol Separate food and fluids drink between meals instead of with them Lifestyle Adjustments: Go for gentle walks after meals movement helps digestion Sleep with your head elevated use a wedge or extra pillows Wear loose clothing to reduce pressure on your stomach Manage stress anxiety can worsen digestive symptoms Soothing Options for Relief Natural remedies Ginger tea helps reduce nausea and bloating Chamomile may calm the stomach and nerves Warm compress on your stomach can ease discomfort Over-the-counter support Antacids for quick relief from heartburn or acid reflux H2 blockers or PPIs for ongoing acid symptoms (check with a pharmacist) Simethicone for relief from gas and bloating When to Seek Professional Help Speak to your GP or pharmacist if you experience: Ongoing indigestion that affects your appetite or sleep Persistent nausea or vomiting Unexpected or rapid weight loss Blood in vomit or stools Chest pain or difficulty swallowing They may recommend adjusting your dose, trying acid-reducing medication, or referring you to a gastroenterologist
[5] Steady-state drug levelswhen the medication reaches consistent concentrations in your bodyvary by product: liraglutide reaches steady state in approximately 2-3 days, while weekly formulations like semaglutide take 4-5 weeks and dulaglutide about 2-4 weeks at any given dose
