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Thats largely because the injection is the only FDA-approved medication for OSA at the moment

"The significant reduction in risk of composite endpoint of heart attack, stroke, or death seen in the SOUL trial in adults with type 2 diabetes highlights the cardiovascular impact of oral semaglutide in adult patients with cardiometabolic conditions such as type 2 diabetes and atherosclerotic cardiovascular disease and/or chronic kidney disease," said Dr John B Buse, Distinguished Professor of Medicine, Director of UNC Diabetes Care Center, Steering Committee Co-Chair of the SOUL trial

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Results vary by person, training status, and protocol, so it is best viewed as support for your engine, not a shortcut

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However, the true advantage of ALCAR is not its absolute plasma concentration, but its lipophilicity