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The VA National Formulary includes certain GLP-1s, but availability varies by facility, and rural or specialty-limited VA sites can have long wait times for endocrinology or weight management clinics

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Most protocols avoid Hexarelin in favor of better-tolerated options

Source: New England Journal of Medicine - SELECT Trial Up to 50% improvement in sleep apnea Studies show significant reduction in apnea-hypopnea index (AHI) with GLP-1 therapy, improving sleep quality and reducing OSA severity

More volume does not help if the throughput is the bottleneck