@beansforthepoor .. I've had gastropanesis since 2015.. Mayo MN diagnosed it.. as "post operative" in that it was caused by surgical damage to some of the nerves that make the stomach contract and move the food on into the GI system.. I've not heard of if botox would benefit this condition.. it takes 3 to 4 hours to empty the stomach now.. my biggest problem is that when I am hungry.. I tend to eat too fast.. and some of that comes up shortly after the "gobble ".. even ice cream with strawberries.. in my race to not let the ice cream melt...before eating..chilling the bowl helps.. and amount control is mandatory.. the quandary between how much you want and how much you can keep down is key..