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Patel, MD, noted that although clinical guidelines have recommended that weight loss strategies be incorporated as part of OSA treatment, "the integration of obesity management into the approaches to care for obstructive sleep apnea has lagged." As many as half of patients abandon CPAP therapy within 3 years, writes Patel, who is professor of medicine and epidemiology at the University of Pittsburgh, and medical director of the UPMC Comprehensive Sleep Disorders program

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People just feel hopeless with the health-care system, he said, and are trying to take matters into their own hands. Yet hes uneasy about where the hype is heading on a recent trip to the Huntington Beach farmers market, he saw someone selling peptides alongside fresh produce