I was diagnosed with GERD and gastroparresis by testing and was told that I would be on Zelnorm forever. Anyway, I found a wonder Traditional Chinese Medicine physician who performs acupuncture, psychiatrist and is an herbalist. I AM CURED and very grateful. I HIGHLY recommend an integrative medicine physician because the reasons for gastroparesis are old age, diabetes, or a virus, none of which I had or fit into. So try what I suggested. I hope it works for you like it worked for me.