Peer-reviewed Research
Validation Publications
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2000 — Lee — A valid, accurate, office based non-radioactive test for gastric emptying of solids — Gut — https://pmc.ncbi.nlm.nih.gov/articles/PMC1756454/
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2001 — Viramontes — Validation of a stable isotope gastric emptying test for normal, accelerated or delayed gastric emptying — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/11903917/
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2008 — Szarka — A Stable Isotope Breath Test With a Standard Meal for Abnormal Gastric Emptying of Solids in the Clinic and in Research — Clinical Gastroenterology and Hepatology — https://pmc.ncbi.nlm.nih.gov/articles/PMC3739971/
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2011 — Odunsi — Optimizing Analysis of Stable Isotope Breath Tests to Estimate Gastric Emptying of Solids — Neurogastroenterology & Motility — https://pmc.ncbi.nlm.nih.gov/articles/PMC2704250/
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2013 — Bharucha — Comprehensive assessment of gastric emptying with a stable isotope breath test — Neurogastroenterology & Motility — https://pmc.ncbi.nlm.nih.gov/articles/PMC3843948/
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2018 — Lopez Nava — Utility of the office-based Gastric Emptying Breath Test (GEBT) in lieu of gastric scintigraphy to measure physiologic response to the single fluid-filled intragastric balloon — AGA Abstracts — https://www.gastrojournal.org/article/S0016-5085(18)33524-8/fulltext
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2025 — Varma — Utility of a ¹³C--Spirulina Stable Isotope Gastric Emptying Breath Test in Diabetes Mellitus — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/39873950/
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2025 — Karrento — ¹³C-Spirulina Gastric Emptying Breath Test Normative Values in Healthy Children: A Multicenter Study with Comparison to Symptomatic Children — The American Journal of Gastroenterology — https://pubmed.ncbi.nlm.nih.gov/40377233/
Clinical Utility Publications
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2015 — Camilleri — Relamorelin A Novel Gastrocolokinetic Synthetic Ghrelin Agonist — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/25545036/
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2015 — Bharucha — Delayed Gastric Emptying is Associated with Early and Long-Term Hyperglycemia in Type 1 Diabetes Mellitus — Gastroenterology — https://www.gastrojournal.org/article/S0016-5085(15)00679-4/fulltext
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2017 — Camilleri — Efficacy and Safety of Relamorelin in diabetes with symptoms of gastroparesis: a randomized placebo controlled study — Gastroenterology — https://www.gastrojournal.org/article/S0016-5085(17)35966-8/pdf
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2020 — Carlin — Efficacy and Safety of Tradipitant in Patients With Diabetic and Idiopathic Gastroparesis — Gastroenterology — https://pubmed.ncbi.nlm.nih.gov/32693185/
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2020 — Kovacic — Gastric emptying in healthy children using the Spirulina breath test: the impact of gender body size and pubertal development — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/33300658/
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2020 — Vargas — Changes in time of GE after surgical and endoscopic bariatric and weight loss — Clinical Gastroenterology and Hepatology — https://pubmed.ncbi.nlm.nih.gov/30954712/
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2021 — Orsagh Yentis — Spirulina breath test indicates differences in gastric emptying based on age, gender, and BMI — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/33484210/
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2021 — Siun — A population pharmacokinetic-pharmacodynamic model of YH12852, a highly selective 5-hydroxytryptamine 4 receptor agonist, in healthy subjects and patients with functional constipation — CPT: Pharmacometrics & Systems Pharmacology — https://rcastoragev2.blob.core.windows.net/79b5f3a4703259c5eb4c577266aaa6aae/PMC8376136.pdf
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2022 — Vargas — Effect of endoscopic sleeve gastroplasty on gastric emptying motility and hormones - a comparative prospective study — Gut — https://mayoclinic.elsevierpure.com/en/publications/effect-of-endoscopic-sleeve-gastroplasty-on-gastric-emptying-moti/
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2022 — Rapaka — Effects on physiologic measures of appetite from intragastric balloon and endoscopic sleeve gastroplasty - results of a prospective study — Chinese Medical Journal — https://pubmed.ncbi.nlm.nih.gov/35788090/
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2023 — Tack — Randomized clinical trial A phase 2b controlled study of the efficacy and safety of trazpiroben (TAK-906) for idiopathic or diabetic gastroparesis — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/37533380/
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2023 — Abell — A randomized, double-blind, placebo-controlled phase 2b study of the efficacy and safety of velusetrag in subjects with diabetic or idiopathic gastroparesis — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/36624727/
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2023 — Karunaratne — Thoracic Spinal Nerve Neuromodulation Therapy for Gastroparesis — Clinical Gastroenterology and Hepatology — https://pubmed.ncbi.nlm.nih.gov/36152902/
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2024 — Carlin — The Efficacy of Tradipitant in Patients with Diabetic and Idiopathic Gastroparesis in Phase III Randomized Placebo-Controlled Clinical Trial — Clinical Gastroenterology and Hepatology — https://pubmed.ncbi.nlm.nih.gov/38237696/
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2025 — Karrento — Little Patients Big Discoveries: Potential Pediatric to Adult Neurogastroenterology Translation — The American Journal of Gastroenterology — https://pubmed.ncbi.nlm.nih.gov/40478271/
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2025 — Milanovic — An open-label study on ulotaronts effects on insulin-glucose regulation in schizophrenia patients with metabolic syndrome and prediabetes: Part I — Diabetes, Obesity Metabolism — https://pubmed.ncbi.nlm.nih.gov/41126393/
Gastroparesis Guidelines and Consensus Documents
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2018 — Keller — Advances in the diagnosis and classification of gastric and intestinal motility disorders — Nature Reviews – Gastroenterology & Hepatology — https://pmc.ncbi.nlm.nih.gov/articles/PMC6646879/
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2021 — Schol — USG and ESNM European Consensus Paper on Gastroparesis — United European Gastroenterology Journal — https://pmc.ncbi.nlm.nih.gov/articles/PMC8259275/
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2021 — Camilleri — A North American Perspective on the ESNM Consensus Statement on Gastroparesis — Neurogastroenterology & Motility — https://pmc.ncbi.nlm.nih.gov/articles/PMC8373778/
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2022 — Camilleri — ACG Clinical Guideline: Gastroparesis — American Journal of Gastroenterology — https://pmc.ncbi.nlm.nih.gov/articles/PMC9373497/
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2022 — Lacy — AGA Clinical Practice Update on Management of Medically Refractory Gastroparesis: Expert Review — Clinical Gastroenterology and Hepatology — https://files.medelement.com/uploads/materials/dd0b56fea7b4aa04a26a4421dacb2a84.pdf
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2023 — Wang — Diagnostic Methods for Evaluation of Gastric Motility—A Mini Review — Diagnostics
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2023 — Camilleri — From the Experts – ACG Issues New Guidance on Gastroparesis — Gastroenterology & Endoscopy News — https://www.gastroendonews.com/From-the-Experts/Article/03-23/ACG-Issues-Updated-Guidance-on-Gastroparesis/69653
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2025 — Schol — Rome Foundation and international neurogastroenterology and motility societies’ consensus on idiopathic gastroparesis — Lancet – Gastroenterology & Hepatology — https://pubmed.ncbi.nlm.nih.gov/39674226/
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2025 — Staller — AGA Clinical Practice Guideline on Management of Gastroparesis — Gastroenterology — https://gastro.org/clinical-guidance/clinical-guidance-on-the-management-of-gastroparesis/
Scintigraphy – National Guidelines and Failure to Conduct Accordingly
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2008 — Abell — Consensus Recommendations for Gastric Emptying Scintigraphy: A Joint Report of the American Neurogastroenterology and Motility Society and the Society of Nuclear Medicine — American Journal of Gastroenterology — https://tech.snmjournals.org/content/36/1/44
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2017 — Farrell — Compliance with Gastric-Emptying Scintigraphy Guidelines: An Analysis of the Intersocietal Accreditation Commission Database — Journal of Nuclear Medicine Technology — https://tech.snmjournals.org/content/early/2017/01/31/jnmt.116.184473
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2021 — Wise — Gastric Emptying Scans: Poor Adherence to National Guidelines — Digestive Diseases & Sciences — https://pubmed.ncbi.nlm.nih.gov/32418002/
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2021 — Gardella — Gastric half emptying time (T½) for 4-h gastric emptying scintigraphy simplifies reporting but reduces detection of gastroparesis — Neurogastroenterology & Motility — https://pubmed.ncbi.nlm.nih.gov/34633719/
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2024 — Maurer — Gastric Emptying Scintigraphy 2024: Still A Need for Compliance with Published Guidelines — Journal of Nuclear Medicine Technology — https://tech.snmjournals.org/content/52/1/24
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2024 — Muskus Vetia — An Evaluation of Gastric Emptying Scintigraphy Protocols in Health Care Institutions When Compared with the Society of Nuclear Medicine and Molecular Imaging Procedure Guidelines — Journal of Nuclear Medicine Technology — https://pubmed.ncbi.nlm.nih.gov/38443111/
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2024 — McKee — Gastric Emptying Solid-Meal Content and Misinformation on Social Media Platforms — Journal of Nuclear Medicine Technology — https://tech.snmjournals.org/content/52/1/55.long
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2024 — Lacy — Gastroparesis: time for a paradigm change — Current Opinions in Gastroenterology — https://pubmed.ncbi.nlm.nih.gov/37678168/
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2025 — Cangemi — Approach to Meal-Related Nausea and Vomiting — Gastroenterology & Hepatology — https://www.gastroenterologyandhepatology.net/archives/january-2025/approach-to-meal-related-nausea-and-vomiting/
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Gastroparesis

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The GEBT should not be used in people with hypersensitivity to Spirulina, egg, milk, or wheat allergens and should not be used in patients with certain lung diseases or small bowel malabsorption. For a complete list of warnings, precautions and contraindications, please see the Package Insert.
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