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What is gastroparesis? Gastroparesis, also called delayed gastric emptying, is a disorder that slows or stops the movement of food from the stomach to the small intestine. Normally, the muscles of the stomach, which are controlled by the vagus nerve, contract to break up food and move it through the gastrointestinal (GI) tract.
The reason they say on an empty stomach is that the substance in the capsule or pill is not intended to be digested in the stomach. Stomach acid and digestive enzymes in the stomach will destroy or damage the contents of the pill.