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Absolutely, delayed gastric emptying wreaks havoc with my ADHD meds as well. I have no answers, I can't even link to any good studies on the subject cause it's so under-researched, the only acknowledgment of it I can ever find are anecdotal like this or speculative on the part of doctors with influencer side-hustles. It's so frustrating.

(I will suggest if you're looking for resources on your own and not finding anything, try switching the "semaglutide" keyword with "delayed gastric motility." It's still scant, but it widens the pool of results a little bit.)

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Wowee-zowee! What a sucky ride! I appreciate the detailed backstory. I was "encouraged" to try an injectable when they first came out, in lieu of Metformin which I could not tolerate. I declined and have been through a succession of "Metformin-blend" meds since Jentadueto, Januvia, Janumet...why? B/c insurers insist on changing formularies. And I take 1/4 of the prescribed dose plus an add-on of Jardiance for pretty good (think A1C of btw 6.9 and 7.4) long-term blood glucose control. My reluctance to embrace some of the newer medications stems from a distinct distrust of Big Pharma's love of money over doing no harm. This is also why I've declined statin treatment and still favor aspirin over other NSAIDs and over acetaminophen (except for dental pain). Go figure.

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