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Gabriel treats gastroparesis by addressing underlying cause when possible (optimize blood sugar if diabetic, support vagus nerve function), uses prokinetic herbs and supplements, digestive enzymes, smaller frequent meals, addresses nutritional deficiencies from poor intake, vagus nerve stimulation techniques, acupuncture, considers gastric electrical stimulation for severe cases, and uses functional testing to optimize gut motility.
Gabriel treats gastroparesis by addressing underlying cause when possible (optimize blood sugar if diabetic, support vagus nerve function), uses prokinetic herbs and supplements, digestive enzymes, smaller frequent meals, addresses nutritional deficiencies from poor intake, vagus nerve stimulation techniques, acupuncture, considers gastric electrical stimulation for severe cases, and uses functional testing to optimize gut motility. Recognizes severe gastroparesis may require medical intervention (feeding tubes) while supporting with complementary therapies.
Standard Treatment
Dietary modifications (small frequent low-fat low-fiber meals), prokinetic medications (metoclopramide, domperidone, erythromycin), antiemetics for nausea, gastric electrical stimulation device (pacemaker), botox injections to pylorus, feeding tube or TPN for severe malnutrition, treating underlying cause (blood sugar control).
The Problem
Prokinetic medications have significant side effects (metoclopramide causes tardive dyskinesia, depression), medications often lose effectiveness over time, gastric pacemaker doesn't work for everyone, inadequate nutritional support for deficiencies, doesn't use natural prokinetics (ginger, herbs), doesn't address vagus nerve rehabilitation, inadequate focus on blood sugar optimization if diabetic, patients often severely malnourished before aggressive intervention, doesn't support gut microbiome which affects motility.
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Choose the level that's right for your healing journey
What's Included
Available through Fullscript
Practitioner-Grade — Not Available on Amazon
What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Small frequent meals (5-6 per day rather than 3 large), low-fat diet (fat slows emptying further), low-fiber diet during flares (fiber delays emptying), well-cooked soft foods, puree or blend foods if needed, liquid nutrition supplements if solids not tolerated, avoid foods that delay emptying (high-fat, high-fiber, carbonated beverages, alcohol), adequate protein from easy-to-digest sources (eggs, fish, poultry, protein shakes), avoid lying down for 2-3 hours after eating, ginger tea before meals, some benefit from liquid meal replacements or homemade smoothies, if diabetic: blood sugar control critical.
Tight blood sugar control if diabetic (prevents further nerve damage), eat slowly and chew thoroughly, stay upright after meals, gentle walking after eating (stimulates motility), vagus nerve exercises (gargling, humming, singing, cold exposure to neck), acupuncture regularly, stress management (stress slows digestion), adequate hydration between meals (not with meals), avoid tight clothing around abdomen, smoking cessation (delays emptying), review medications (avoid those that slow motility), severe cases may need feeding tube or TPN.
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Coping with fear of eating, social isolation, and lifestyle limitations.
Exercises and techniques to stimulate vagal tone and improve gastric motility.
Acupuncture targeting stomach meridians and motility improvement.
Deep breathing to stimulate vagus nerve and support digestion.
Massage techniques following digestive tract to stimulate motility.
If eating disorder contributed to gastroparesis, psychological support critical.
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Curated for Gastroparesis
Supplements + Chinese herbal medicine via Fullscript
Standard Process + classical TCM formulas
Standard Process + advanced peptide therapy
Find practitioners who can help you through this protocol for Gastroparesis.
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