I am a bit reluctant to mention the otc product suggested by a GI.
I do have scleroderma related gastroparesis. I had been doing the diet, etc. However, I was still getting the painful symptoms AND finding no relief until I involuntarily vomitted.
That meant that I would lose the calories I had ingested and would lose more and more weight, becoming malnourished. Did you know that one of the symptoms of being malnourished is: LOSS OF APPETITE.