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GLP1RAs can be effective for the treatment of obstructive sleep apnea, a condition associated with elevated white matter hyperintensity burden, microstructural damage, and cognitive impairment [37]

However, the restrictions around taking oral semaglutide are burdensome

Some people have been forced to switch to nongeneric meds, which are more expensive, and for this reason they remain available when other generic ones are not, says Alex Dimitriu, MD, a psychiatrist in private practice in Menlo Park, California, and a medical reviewer for Everyday Health, who prescribes stimulants for some of his patients with ADHD

Key practice components include: Screening and conversation starters: Opportunistic BMI/waist checks, BP, HbA1c (where services exist), and sensitive language (ie, people living with obesity)

However, the benefit-to-burden ratio varies by individual