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Common Reflux Triggers on GLP-1s Very spicy foods — chilli-heavy dishes, hot sauce, curry with high capsaicin content Tomato-based sauces — pasta sauce, pizza sauce, tomato soup (particularly on an empty stomach) Citrus fruits and juices — oranges, grapefruit, orange juice Chocolate — relaxes the lower oesophageal sphincter Peppermint — including peppermint tea (also relaxes the LES) Carbonated beverages — even sugar-free ones increase pressure and reflux Coffee, particularly on an empty stomach — combines acid stimulation with LES relaxation Onions and garlic in large quantities — some patients report significant reactions What to eat instead: Mild-flavour proteins, cooked vegetables (steamed, roasted), plain yoghurt, oats, bananas, ginger tea (actually helps reduce nausea)

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However, the neural mechanisms have not been fully elucidated