First, I see I mistyped before. Lethargy is a common side effect to drugs in general. I don't know about Reglan in particular.
I would do some basic blood work WHILE she is in the middle of an episode to see if anything looks off. This way you'll know if it is likely HGE, pancreas, infection, etc.
The high lipase from a few days ago is in the back of my mind too. Wouldn't hurt to do the cPL.
I'd ask the vet what their thoughts are on going a bit farther with testing to see if this can be prevented in the future.
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