Three people with bicycles giving high-fives on a grassy hilltop at sunset, celebrating overcoming a sleep disorder, with mountains and a bright sun in the background.

Sleep and Metabolic Program

Program for Better Sleep & Weight Loss

Resolve the root causes of poor sleep, fatigue, and weight gain with a medically supervised program, integrated into sleep care. This structured program uses metabolic therapy to help reduce the severity of obstructive sleep apnea (OSA), with objective sleep testing before and after treatment. 

Licensed Nurse Practitioner | Registered Dietitian Support | Virtual Care Across Ontario | No GP Referral Required

Proven Results in Clinical Trials

Up to ~18–20% 

average body weight reduction with Trizepatide

55 to 62.8%

reduction in sleep apnea severity (AHI) reported with tirzepatide

~50%

of patients achieved resolution of sleep apnea symptoms
Diabetes.org - ADA SURMOUNT

What Is Zepbound (Tirzepatide)

Zepbound is a once-weekly injectable medication containing tirzepatide, designed to help with chronic weight management and now also approved for certain patients with obstructive sleep apnea (OSA). It represents a significant advance over older weight-loss medications because it targets two hormone pathways involved in appetite and metabolism simultaneously. 

For people living with obesity-related sleep apnea, losing even 10–15% of body weight can dramatically reduce or even resolve symptoms, without the need for surgery. 

At Resolve Sleep Health, our program is never offered in isolation. It is used only when clinically appropriate and always as part of a structured sleep and metabolic health program led by Nurse Practitioners and dietitians. 

Learn more about Obstructive Sleep Apnea.

What the studies showed 

Patients taking Zepbound experienced: 

  • Significant weight loss 
  • Fewer breathing interruptions during sleep 
  • Improvement in apnea severity 
  • Better daytime symptoms, including reduced fatigue 

In some patients: 

  • OSA improved from moderate/severe to mild 
  • Or symptoms resolved entirely following substantial weight loss 

Study highlights include: 

  • Approximately 25 fewer breathing interruptions per hour 
  • Around 18% average body weight loss after one year 

New England Journal of Medicine (NEJM) – SURMOUNT‑OSA Trial

ClinicalTrials.gov – SURMOUNT‑OSA (NCT05412004)

 

Who This Program Is For

The Sleep and Metabolic Program may be appropriate if you are experiencing one or more of the following.
Have moderate to severe obstructive sleep apnea
Completed a sleep study and still feel exhausted
Difficulty driving long distance
Have gained weight and notice worsening symptoms
Have a BMI ≥ 30kg/m2
Want medical supervision, not a generic prescription
This is not a cosmetic weight-loss clinic. This is structured sleep care.
Check My Eligibility
Two people paddleboarding on calm water at sunset, with one person in the foreground playfully splashing water—an idyllic scene that highlights the importance of relaxation and stress relief in managing a sleep disorder like sleep apnea.

How Obstructive Sleep Apnea & Metabolic Health Are Connected

For some people, weight and metabolic health can contribute to airway collapse during sleep. Excess weight and metabolic imbalance can increase pressure on the airway, making sleep apnea harder to manage – even with treatment. 

GLP-1 medications may help by:  

  • Supporting better energy and sleep quality over time  
  • Supporting gradual, sustainable weight reduction 
  • Improving appetite regulation and cravings 

Important to know: 

GLP-1 therapy is not a replacement for CPAP, but may help: 

  • Reduce symptom severity 
  • Improve CPAP comfort or tolerance 
  • Support long-term sleep health 

How the Sleep & Metabolic Program Works at Resolve Sleep

From your first consultation to ongoing support, our clinical team guides you every step of the way.

Meet virtually with a Nurse Practitioner to review: 

  • Your sleep history and prior sleep studies (or arrange testing if you haven’t had one) 
  • Medical background and symptoms 
  • CPAP tolerance or challenges

Based on your results, your plan may include: 

  • CPAP optimization 
  • Oral appliance or positional therapy referrals 
  • GLP-1 medication if clinically appropriate 

If prescribed, treatment starts at a low dose and adjusted gradually based on: 

  • Tolerability 
  • Energy and daytime alertness 
  • Sleep quality 

Repeat sleep testing may be used to assess: 

  • AHI changes 
  • Oxygen levels  
  • Symptom improvement 

What’s Included in the Program

6‑Month Structured Care Includes:

  • Initial NP consultation 
  • Review of sleep studies 
  • Dietitian support 
  • GLP1 prescribing and monitoring 
  • Monthly followups during titration 
  • Repeat home sleep apnea testing 
  • Outcome-based care adjustments 
  • Ongoing sleepfocused medical support 

Medication cost is separate.

Two people paddleboarding on calm water at sunset, with one person in the foreground playfully splashing water—an idyllic scene that highlights the importance of relaxation and stress relief in managing a sleep disorder like sleep apnea.

Dietitian Support, Integrated Into Your Care

Your Structured Nutrition Plan

Initial Phase (Month 0-1)

  • Comprehensive nutrition assessment

  • Personalized GLP-1 nutrition strategy

  • Focus on protein intake and appetite regulation

Ongoing Support (Months 2–6)

  • Progress review and optimization
  • Adjust calorie intake as needs change
  • Address plateaus and adherence challenges

Long-Term Maintenance

  • Sustainable eating habits
  • Weight maintenance strategies
  • Ongoing nutrition guidance for lasting results

Meet Our Team

Two people paddleboarding on calm water at sunset, with one person in the foreground playfully splashing water—an idyllic scene that highlights the importance of relaxation and stress relief in managing a sleep disorder like sleep apnea.

Mark Reavy, Nurse Practitioner

Two people paddleboarding on calm water at sunset, with one person in the foreground playfully splashing water—an idyllic scene that highlights the importance of relaxation and stress relief in managing a sleep disorder like sleep apnea.

lorem ips, Registered Dietitian

What Makes This Different at Resolve Sleep Health

Most online GLP‑1 clinics focus on rapid weight loss.

We Focus on You, Your Obstructive Sleep Apnea, and Outcomes That Matter.

Our program includes:

✔ Review of prior sleep studies (Home Sleep Apnea Test or In-Lab Study) 
✔ Sleep apnea severity assessment 
✔ Evaluation of CPAP tolerance 
✔ Medical supervision by a Nurse Practitioner

✔Dietitian support 
✔ Conservative, symptom-guided treatment 
✔ Repeat sleep testing to measure real improvement 

Safety & Medical Oversight

This program is supervised by a licensed Nurse Practitioner and dietitian and follows evidence-based guidelines for the management of obstructive sleep apnea and obesity-related risk factors. 

Patients with severe cardiopulmonary conditions or central sleep apnea should follow up with their primary care provider and/or be referred to a specialist. 

HSAT vs. PSG: Quick Comparison

Feature
HSAT
PSG
Location
Home
Sleep clinic or hospital
Signals recorded
Airflow/efford, SpO2 HR; some devices use PAT + actigraphy
Full montage: EEG/EOG/EMG, airflow, effort, SpO2, ECG, snoring, body video
Detects central apneas & complex disorders?
Limited
Yes (preferred for central/complex cases)
Best for
Adults with suspected obstructive sleep apnea and no serious health conditions
Adults with obstructive sleep apnea and serious health conditions, such as heart, lung, or neurological disordedrs; suspected mild OSA; negative HSAT with persistent symptoms
Follow-up if negative/inconclusive
Do PSG
As clinically indicated
Cost & Coverage
Usually covered by provincial health
May have higher costs, coverage varies by province and referral
Comfort & Convenience
Sleep in your own bed
May be less comfortable, clinical setting
Wait Times
Shorter
Longer (due to limited lab availability PSG
Two people paddleboarding on calm water at sunset, with one person in the foreground playfully splashing water—an idyllic scene that highlights the importance of relaxation and stress relief in managing a sleep disorder like sleep apnea.

Why Test for Sleep Apnea?

Untreated sleep apnea can lead to:

  • High blood pressure
  • Heart disease and stroke
  • Diabetes complications
  • Daytime fatigue and poor concentration

Sleep apnea often goes unnoticed, but its effects can be serious. Getting tested early can make a big difference in your long‑term health.
If you’ve been experiencing symptoms, don’t wait—book a Sleep Study with Resolve Sleep Health today and take the first step toward better sleep and better health.

If you’ve been experiencing symptoms, don’t wait—book a Sleep Study with Resolve Sleep Health today and take the first step toward better sleep and better health.

More Than Just Weight Loss

Reduced sleep apnea severity
Non-surgical approach
Improved daytime energy
Integrated sleep care

Ready to Improve Your Sleep at the Source?

Book your consultation to see if you qualify for our GLP-1–Supported Sleep Apnea Program. 

Book a Virtual Consultation

Frequently Asked Questions

No. CPAP remains firstline treatment for moderate to severe OSA. GLP1 therapy is used as an adjunctive treatment to improve outcomes and tolerance, not eliminate evidence-based therapy without reassessment. 

If you’ve completed a Home Sleep Apnea Test or an in-lab study (Level 1), we accept those results. A repeat home sleep apnea test is only performed later to measure progress. 

The only GLP-1 treatment approved for weight management in those with moderate to severe obstructive sleep apnea is Tirzepatide (Zepbound). 

The program itself is private-pay. Medication coverage depends on your insurance plan.  It is recommended you contact your insurer or review the drug coverage in your plan through your insurer’s online portal (if applicable). 

Weight loss varies. Our goal is improvement in sleep apnea severity and metabolic health, not rapid or extreme weight reduction. 

Have a question we didn't answer?

Fill out the form below with your question and contact information, and we’ll be in touch shortly.
This field is for validation purposes and should be left unchanged.