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Most clinical pathways look like this: Diagnose OSA with a sleep test (home or in-lab) Start CPAP for immediate symptom relief and cardiovascular protection Concurrently start tirzepatide if the patient qualifies and wants weight loss After 6 to 12 months, repeat the sleep study to measure new AHI If AHI is below 5, consider weaning off CPAP under physician supervision Some patients reach normal AHI on tirzepatide alone and stop CPAP

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The next phase of the field should move from broad claims of stem cell therapy toward mechanism-defined products matched specific metabolic phases of stroke

Because delayed gastric emptying can worsen reflux, the association with GERD has been suspected but not well quantified until now

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