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so do any medications you take by mouth

GLP-1 was shown to manage blood sugar levels by improving insulin function, lowering glucagon levels, and delaying gastric emptying

Compounded by licensed U.S

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This was a recent journal article advocating for the early use of GLP-1 agonists for those with obstructive sleep apnea who also have diabetes and metabolic syndrome: The Case for Early Use of Glucagon-like Peptide-1 Receptor Agonists in Obstructive Sleep Apnea Patients with Comorbid Diabetes and Metabolic Syndrome, published in Life , August 2022

Berberine studies suggest more modest effects, though direct head-to-head comparisons are lacking