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Heartburn on GLP-1 may improve with: Smaller meals Lower-fat meals Avoiding late-night eating Staying upright after meals Reducing carbonated drinks Limiting alcohol Avoiding trigger foods such as spicy meals, fried foods, chocolate, or peppermint if they worsen symptoms Discussing persistent reflux with a clinician Do not assume all upper abdominal discomfort is simple reflux

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Unlike GLP-1 medications that target one or two pathways, surgery resets multiple signaling systems, creating a more comprehensive and permanent effect on weight regulation, says Dr