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In addition, sleep apnea can worsen obesity, she said, because people who get a terrible nights sleep may use sugary products or caffeinated products to keep themselves awake during the day, which can lead to weight gain. Marijane Hynes, MD, associate clinical professor of medicine at the George Washington University School of Medicine and Health Sciences in Washington, D.C., who was not involved in the new research, said the improvements in sleep apnea symptoms among people who received Zepbound were due to them losing weight