Obstructive sleep apnea affects up to 70% of people with obesity. GLP-1 medications are showing remarkable benefits for sleep apnea—Eli Lilly's tirzepatide recently became the first drug ever approved specifically to treat obstructive sleep apnea in adults with obesity.
Key Research Findings
- • Tirzepatide reduced sleep apnea severity by up to 63%
- • Many participants no longer needed CPAP machines
- • Improvements seen as early as 12 weeks
- • Benefits extended beyond what weight loss alone would explain
How Weight Loss Improves Sleep Apnea
Excess weight—especially around the neck and upper airway—contributes to airway collapse during sleep. Weight loss from GLP-1 medications helps in several ways:
Reduced Neck Circumference
Fat deposits around the neck decrease, reducing pressure on the airway during sleep.
Less Abdominal Fat
Reduced belly fat improves lung capacity and breathing mechanics.
Decreased Inflammation
GLP-1 medications reduce systemic inflammation, which can contribute to airway narrowing.
What This Means for CPAP Users
Many people on GLP-1 medications find they can reduce or eliminate CPAP use as their sleep apnea improves. However, always work with your sleep doctor—don't stop CPAP without a follow-up sleep study confirming improvement.
The Bottom Line
GLP-1 medications can dramatically improve sleep apnea—tirzepatide is now FDA-approved specifically for this purpose. Many patients see significant improvement in their sleep quality and may reduce reliance on CPAP therapy.