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This includes: SSRIs: sertraline, citalopram, fluoxetine, escitalopram, paroxetine SNRIs: venlafaxine, duloxetine Mirtazapine Tricyclic antidepressants: amitriptyline, nortriptyline Gastric emptying and oral medications Mounjaro slows gastric emptying, which means oral medications stay in the stomach longer than usual

The two therapies work in tandem: one purifies at the cellular level, the other clears the pathways that carry waste away

The proposed mechanisms range from well-validated (FDA-approved GLP-1 agonists for weight loss) to highly speculative (epitalon, thymosin alpha-1, MOTS-c) with limited or no human clinical validation

If this valve is already prone to relaxationa common trait in people with reflux historyGLP-1 can amplify the problem