Also, take a look at this paper:
https://europepmc.org/article/pmc/pmc5545964
It says there that it significantly improves gastric emptying. If it is and if this is the mechanism by which it is helping you then it points again to problems with constipation/delayed emptying. And even though the real cause is not addressed by taking mirtazapine it is still helping because that's just the way things are: with faster passage the bacteria profile in gut is better, the absorption is better and many other things are better. And the causes may be practically endless. I've been trying to get tested for many years using X-ray and barium containing contrast in the gut (there is a name for this procedure that is used to find constrictions). It used to be quite a standard procedure because there was nothing else that could be done but not anymore. Now there are so many options (ie. many brands of stomach acid blockers ) that the doctors simply don't know about it anymore.
Anyway, how do we proceed when we see that it may improve gastric emptying? We use other supplements to achieve the same effect. There are so many of them. There was a time when I loved iberogast (before I got sensitive to menthol):
clicks.co.za/iberogast_oral-liquid-50ml/p/130607
You may use equivalent.
You also may use simethicone... (you would think that it can't help you in situations like these but it does)
You may also find useful elm bark powder...
And many other things but... maybe just try these things or rather zinc carnosine first and see if something gets better...
https://europepmc.org/article/pmc/pmc5545964
It says there that it significantly improves gastric emptying. If it is and if this is the mechanism by which it is helping you then it points again to problems with constipation/delayed emptying. And even though the real cause is not addressed by taking mirtazapine it is still helping because that's just the way things are: with faster passage the bacteria profile in gut is better, the absorption is better and many other things are better. And the causes may be practically endless. I've been trying to get tested for many years using X-ray and barium containing contrast in the gut (there is a name for this procedure that is used to find constrictions). It used to be quite a standard procedure because there was nothing else that could be done but not anymore. Now there are so many options (ie. many brands of stomach acid blockers ) that the doctors simply don't know about it anymore.
Anyway, how do we proceed when we see that it may improve gastric emptying? We use other supplements to achieve the same effect. There are so many of them. There was a time when I loved iberogast (before I got sensitive to menthol):
clicks.co.za/iberogast_oral-liquid-50ml/p/130607
You may use equivalent.
You also may use simethicone... (you would think that it can't help you in situations like these but it does)
You may also find useful elm bark powder...
And many other things but... maybe just try these things or rather zinc carnosine first and see if something gets better...