All very good advice. But I want to point out the oximeter is something that you may want to sleep with every night. Even with a CPAP. I do so and it’s been very valuable to have information. I use a wellue O2 ring. It fits on my thumb. It has an app that works with my iPhone. It’s absolutely fantastic.
My 85 year old mother has some form of Dementia ,most likely Vascular, and after 60 years of smoking she has COPD ,which lowers her blood oxygen to about 88-92 % She leeps soundly through the night for 10 to 12 hrs. After getting her up in the morning wash and breakfast ,maybe skimming through the paper/watching a bit of TV her head drops to her chest,eyes close and pretty much goes back into a deep sleep. I put her back to bed about 1pm and she naps to about 4pm. Even after getting her up then,after walking her about her flat to get some exercise and wake her up and get the blood going, after her afternoon tea she closes her eyes on and off till I help her to bed for the night at 9 to 10pm. I noticed he started sleeping in back in 2019 before I moved in and started looking after her full time. I suspect it's a combination of the Dementia and COPD which is to blame for her overwhelming fatigue. It's distressing to witness as she was very independent and energetic before these problems and now she is completely dependent on me and some visiting carers. Look after yourself.
Great video. I started drinking stabilized oxygen before I sleep and breath very deeply. 25% Sodium Chlorite (NaClO2) drops in water. Best oxygen distribution
@@JeanPierreWhite of course you do. But when CLO2 gets into you blood stream and lands in the mitochondria Krebs cycle, you get an aerobic work out and produce more ATP. That is why.
This is a great video I have sleep apnea. I've been using my CPAP for about 6 months now I'm extremely exhausted extremely light-headed terrible memory problems feel like I'm drunk all day long. They did a sleep study and checked my oxygen and said it was normal
@@randomname4726 I'm so very sorry that you are also suffering from these life limiting conditions. There seem to be more of us now than ever before. 🥺
My sleep test showed I no longer have apnea, but severe periodic limb movement. My blood oxygen gets low, the lowest recorded is 81%, but because all my lows are less than 5 minutes, they are considered normal. Is that accurate? My average blood oxygen was considered 93%.
Even in a sleep machine we need to still check our own oxygen during the night with a cpap can still drop and cause same issue but most sleep doctors just look at the quick results and not dive in deep.
Yes. I have signed up for SleepHQ online. You upload CPAP data to them and also Oxygen data from a separate O2 Ring and it combines he sleep data and oxygen data so you can see the oxygen drops and what sleep disturbances are causing them, OSA, Hypopnea, CSA, UARS.
This is one of the best video's I've seen on fatigue and fibro in a decade of research. So clear, practical and likely to result in significant improvements for some people
I resolved my sleep apnea after a year on a machine after learning and practising Buteyko breathing. It is a practice that takes some dedication but it worked. I still practice it every day. I am calmer and healthier than ever before. I am 74.
Thank you for these segments! Also, the alternative tips are invaluable - our for-profit health care system (i.e. Big Insurance) discourages our doctors from testing and even referring to specialists, and forces us to fight for care while having no energy to even take a shower!
Thank you for letting me know. I'll continue with those suggestions. I'll be doing videos soon on the botanicals we have been testing that can help some individuals with chronic pain and fatigue. - Jarred Younger
Clearly and calmly explained at a rather eventful time in my life. My sleep apnea test is only days away now and I feel less frightened. Well done and thank you
Glad I found your channel. I'm not sure how to go about consulting with an ongoing chronic situation after a heart stenting procedure 6 months ago. Here is what what's going on and hopefully you may maybe able to provide some insights. The person's oxygen saturation is fine with the oximeter but blood work showed low level of p02 (v), POC i.e. 25 mmHg (low) in a ref. range normal of 80 - 105 mmHg, and high 58 mmHg (high) in carbon dioxide or pC02 (v) POC in ref. range of 41 - 51 mmHg? The person is experiencing congested/pressurized head under pressure/stress, mild SOB (shortness of breath), and importantly weakness in the body with light activities like walking (resting helped)? Heart Cath lab, echo, nuclear stress tests rulled out the heart issues after stents were implanted 6 months ago (also a full head MRI scan was clear per neurologist). Cardiologists suggested to go get a lung function test. The person is taking Plavix blood thinner, some low dose of statin and aspirin daily. We're not sure if it's the blood thinner Plavix causing respiratory problem or not. Trips to ER with chest x-ray and troponin level were always clear. We were hoping that a doctor or a hospital would have recommneded to have more better tests for the lung, or even an ABG (arterial blood gas) test etc. but no one has recommended anything as of yet but that lung function test. Would we have any better options to check out that low level of Oxygen recorded in recent blood work? Seems like which may be the causes of all the weakness in the body extremities maybe due to lack of oxygen the cell tissues need . Same thing for the congested head or head pressure if not relaxing under intense pressure or stress or even with light activities.
I Have been using a C • PAP for Over 10 Years. Even with the C • Pap I can wake up not rested the best. C • PAP is one of "The" most "Helpful" Invention created. This machine took a while to get acclimated to. I knew it was very helpful. My sleep apnea was not as severe as first. I had a friend who got his in 1999, about. It was a noisy Machine then. Now days it is so much better & user friendly. One young man was stating in a video the many masks are different, meaning a different comfort level. I snored as a child. I wish it had been like invented 60 years ago. I recall walking by myself up from snoring as a little child. Not often. I strongly suggest to get a test or what this man is talking about, how to get the test so you can find out if you need a C • PAP Machine. They 💬 nk my Uncle died too early because he needed a C • PAP machine. His son, my cousin nor was my uncle heavy. It's not always all of the reason why a person snores is because they are heavy. I am sure now the studies have come up with more scientific data to help more people.
This reminded me of a little trick how to oxygenate your brain while it's in recovery mode. When you wake up in the morning, with your eyes still closed, your body is actually still in sleep recovery mode. Only after you open your eyes you snap out of that. So start consciously breathing with eyes closed for at least 20 minutes, ideally in darkened room, just like when meditating. This will triple the amount of oxygen your brain is getting from normal sleep, and the key being, this all goes into recovery, even though you are awake, unlike a meditation during the day. You'll feel your face tightening, oxygen getting into your eyes, during this. I keep forgetting to do this because it is 'paying my pound of flesh' to the body of letting time tick by. If you're meditating anyway, I recommend doing it during this time. You can be in any position (in bed) that's comfortable, even yoga, as long as you keep your eyes closed and just concentrate on breathing like your were trying to fall asleep.
That is an excellent plan, Jarred! To systematically go through all possible reasons to fatigue that are not caused by ME, so those could be ruled out before arriving at an ME-diagnosis. Thanks for all that you do to help ME-patients. 🙏❤
Hi there Jarred. I’m an 18 year old with an ME diagnosis since 13 after a severe viral infection. Your work is the best I’ve found. Particularly on brain Inflammation and I’ve noticed your thought processes on it are similar to mine ( obviously you are an expert I am not). I was wondering if there was a way to contact you directly like on a media platform? No worries if not, thanks so much for all your work and please never stop mate
Hi I have only just in the last. 3 months started wearing the Cap. I did not understand the connection between my breathing problems and fatigue. And I do now understand after your little program. John , South West Wales UK
Yep. Classic chronic fatigue/ fibromyalgia here - since neck trauma 25 years. Several years back spent 5 nights in Vegas - at big hotel. Woke up feeling great ! What ? ! Found out that some hotels enrich A/C with oxygen . Hey - Keeping C1/C2 aligned also helps.
My sleep study showed 36.4 events per hour with no breath from 28 to 145 seconds with sats dropping to 68%. With cpap machine my sats run in the 80's. Still more tweaking to do.
You really think "the big treatment" is around the corner? I want to believe you so badly! I love this video and how pragmatic you are, and your goal to help us out right NOW. I'm the last case, no partner, so it's great you covered all of us 😅 Every word you said in this video was pure gold and it clearly shows you are a top fatigue specialist. Also, you speak so clearly! ❤️ Looking forward to more!
I didn't have something specific in mind when I mentioned a highly effective treatment coming. Just that several potential treatments are in testing pipelines and one of them may turn out to be what everyone is waiting for. - Jarred Younger
You can do at home studies now, it won't track as much information but its SO much easier for a CFS patient to do the home study, they can track enough to see if you need an in lab study or in my case, with oxygen dropping so low, they Rx'd the cpap machine from the at home study results. Its really hard to sleep at the sleep lab with wires all over your head (none of that in the home study), being away from home and they wake you at 5:30 to go home, I rarely get to sleep before 1am so that was a miserable night in the lab. If you take drugs to sleep it can affect your breathing and results.
This was very informative! I could only find one follow-on video that seemed to be related to fatigue (maybe two). Are you still planning on doing the series you talked about for less common fatigue reasons to consider? Or are there resources you'd recommend to look at that are clinically relevant? Thanks!
I watched the whole video to get the list of medical reasons that can cause fatigue, but it never came. Your videos will of course not be less interesting providing this list in every video. So here is a list of the most common medical reasons that can cause fatigue, starting with the most likely: 1. Anemia (iron deficiency anemia or other types) 2. Sleep disorders like insomnia, sleep apnea, or narcolepsy 3. Thyroid disorders (hypothyroidism or hyperthyroidism) 4. Chronic fatigue syndrome 5. Depression or other mental health issues like anxiety 6. Diabetes 7. Infections like flu, mononucleosis, hepatitis, tuberculosis, etc. 8. Autoimmune diseases like lupus, rheumatoid arthritis, fibromyalgia 9. Cancer 10. Heart disease like heart failure 11. Kidney disease 12. Liver disease 13. Lung diseases like COPD, emphysema 14. Addison's disease (adrenal gland disorder) 15. Eating disorders like anorexia 16. Multiple sclerosis (MS) 17. Parkinson's disease 18. Myasthenia gravis (neuromuscular disorder) 19. Sarcoidosis (inflammatory disease) 20. Lyme disease 21. HIV/AIDS 22. Tuberculosis 23. Mononucleosis (Epstein-Barr virus) 24. Hepatitis B or C 25. Sleep apnea 26. Restless leg syndrome 27. Chronic pain conditions like migraines, arthritis 28. Addison's disease (adrenal insufficiency) 29. Hemochromatosis (iron overload) 30. Polymyalgia rheumatica (inflammatory disorder) 31. Sjögren's syndrome (autoimmune disorder) 32. Guillain-Barré syndrome (autoimmune nerve disorder) 33. Amyotrophic lateral sclerosis (ALS) 34. Crohn's disease or ulcerative colitis 35. Chronic obstructive pulmonary disease (COPD 36. Addison's disease (adrenal insufficiency) 37. Chronic inflammatory demyelinating polyneuropathy (CIDP) 38. Lambert-Eaton myasthenic syndrome (neuromuscular disorder) 39. Mitochondrial diseases 40. Porphyria (group of metabolic disorders) As you can see, fatigue can be a symptom of many different medical conditions affecting various systems in the body, including neurological, autoimmune, infectious, endocrine, muscular, and respiratory disorders. Some rare causes like ALS, Guillain-Barré, hemochromatosis and mitochondrial diseases are also listed.
Good explanation, very thorough. You can see all these possible causes could discourage doctors from investigating th'e problem. I was going to say, when I went to the nursing home to visit, the halls are filled with old folks sleeping in their chairs. It's very sad. Nurses/attendants get them up, feed them and then put them in the chairs where they just sleep until mealtime again.
A friend I used to know was to get her rest for sleep apnea. She cancelled the rest. Her sleep is not great, I suggested she go have it done. I just let her know how important it was for me & the C • PAP saved my life. The rest is not great fun. It is one of the most important tests to do. It will make your waking life much more enjoyable when you get rested well.
I did a pulse oximetry test and my oxygen dipped to 83. My insurance will not cover a sleep apnea test (in hospital or at home). I don't think I have sleep apnea however since my husband said I don't stop breathing nor do I gasp for air when I'm sleeping. All of this started happening after severe stress after a car accident so I don't know if stress can cause it. I seem to have other stress related health issues since the accident. My bloodwork is normal and I've never had any problems prior to the car accident. They put me on nighttime oxygen. The machine is fairly big, it's noisy and my neck sometimes gets tangled in the tubing as I toss and turn throughout the night. I think this is the doctor's permanent solution but I would like to find out the root cause so I can hopefully correct it and not have to use nighttime oxygen. I don't smoke, drink or do drugs....I don't even like to take synthetic vitamins and prior to the accident, I would not even take aspirin (generic term) unless it was absolutely necessary (the bottle is still halfway full when it expires), but I have used a lot of pain medication and medication to try to help me sleep better and relax since the accident so I don't know if that could be part of the cause. I am starting to have stomach pain and kidney problems now and for the last week since I went to the doctor, I have stopped all medications and have been trying to figure out a specialized diet for kidney issues since I am a month away from getting an ultrasound. The only thing I can't do is lower my stress so if that is the cause, I am in trouble.
I've had ME for around 10 years. I was diagnosed with mild sleep apnoea in 2013 and 2015, and moderate sleep apnoea in 2019. I've been using a CPAP machine since mid 2019. My sleep lab results have improved radically, but I don't feel any better. My sleep physician doesn't seem to believe I don't feel any better. He also doesn't believe in ME...
I'm in the same boat, CFS 42 yrs, FINALLY sleep tested over a year ago, moderate apnea but oyxgen was dropping to 75, below 90 over and hour and 1/2 (for how many years? who knows). Took a LONG time to get the cpap machine,, but that didn't fix it, months later had an in lab sleep test, then got the bipap machine, finally on the best settings but am still dropping oxygen , just not as much, but now below 90 about 10 to 20 mins most nights, when I get into REM sleep it drops. Drs don't believe me either that it hasn't put much of a dent in my fatigue or function. HUGE disappointment as its been such a hard road getting the equipment (tried 8 masks, most at my expense to get one that seals the best). Managing the equipment and using it takes more of my energy. I have the oxygen ring you mention and track it most nights, one physician trusts it, the other does not, but dropping below 90 for 20 mins a night doesn't bother them. My apnea itself is under good control, but oxygen still goes up/down all night. My average oxy for the night is 92 to 94 depending on the night. If I don't get deep stages of sleep my oxygen is average 94. I am thankful I am no longer dropping into the 70's at night, and only briefly into mid 80's every night but so disappointed it did not take away much of the fatigue.
I have been tested for sleep apnea and but I don't believe them because my fatigue is so bad and I was not tested for other possibilities. I'm trying to use the CPAP and the dental thing but with great difficulty. I wonder what else it could be.
Yup I am in the same boat. Tried oral appliance and CPAP. Neither helped. Doctors simply run basic blood tests and tell me I’m perfectly fine. I can barely function most days.
Thanks for sharing that. Good point. True cases of ME/CFS should not involve sleep apnea (though people can certainly have both conditions simultaneously). The majority of ME/CFS sufferers will not get a significant benefit from using a CPAP. But because sleep apnea (independent of ME/CFS) increases the risk of so many medical conditions, I hope individuals can have it checked out and treated even if it doesn't resolve their chronic fatigue condition). - Jarred Younger
Wow thats so kind! Thank you for these series! I want to mention that there is a thing called 'upper airways resistance syndrome' and can only be found within the sleep study at the hospital. There is NO oxygen drop because the brain awakes before that. And you can have it along with ME/CFS. (Or you have it because of it? Would be interesting) There you see the brainwaves and can see that the brain is awake. It's combined by the docs with "most likely" lower airflow. But when I look at Dysautonomia it could also be a neurological problem.
Thanks for mentioning that. Right, you need electroencephalography to know if the brain sleep waves are being disrupted, which could be due to reasons other than oxygen deprivation. And that pretty much requires an overnight visit. Most home sleep studies unfortunately do not include EEG, unless a tech comes to the house to hook it all up. I've heard of a couple self-test home sleep studies that involve a couple of EEG leads, but I don't know if that is acceptable for the sleep med doc. Sleep studies typically use quite a few more leads than that. - Jarred Younger
I just had a home sleep study because of insomnia. It shows that I have nocturnal hypoxemia. I’m confused as I do not have daytime fatigue. Just chronic insomnia.
Thanks. That is consistent with the experiences I have heard. It is unlikely correcting breathing issues at night will benefit proper ME/CFS. - Jarred Younger
You might wanna try a CPAP. That has more effect. No snoring doesn't automatically mean no apnea. I had a mandibular advancement device but it didn't help with the apnea. The CPAP did. I got a lot better.
I have one too. It helps my apneas. I track my oxygen and have noted that when I dont use my device and I snore, my oxygen level stays higher. The less I snore, the more my oxygen drops. Regardless, the difference of using the device or not, i am nonfunctional without and moderately functional with it. It takes away my grogginess for sure when i do use it. But not my fatigue. I suspect i have a connective tissue syndrome but no diagnosis. Not severe enough for a doctor to look into it. But I also cant work a full time job or be a good enough mother because of it. 😢
I do too. I think it may be because of not moving in the night, in my case. My arthritis causes the joints to stiffen up if I don't exercise them enough. Just my theory.
Do you know of a good doctor in Colorado? I am extremely disabled! They said my apnea was mild and not bad enough to create the amount of fatigue I have. HELP!
Great video. 2024 here: Apple have just released a Sleep Apnea Notification on their Apple Watches / Apple Health. It's like an at home sleep study every night. If the Apple Watch detects sleep apnea you can show the results to your Primary Care Doctor and they can determine if a sleep study is warranted.
Tell me about your hyperbaric chamber. I would love to have access to one. When my pain is the worst it gets( usually last 25-40 days, (from extreme physical output for me) several MD.s have responded “ What your body is going through is very similar to the “ bends”. I don’t understand anything about this except “ Why can’t I use a hyperbaric chamber to aid me through the crippling pain I suffer for the next 3- 4 weeks?” Appreciate your help.
Blood saturation is not as high in your sleep as when you're awake. So it's not really true that your oxigen should be above 95 at night. Between 90 and 95 is a reason to be alert on sleep apnea and do a proper test, but it's not necesarry too low.
@@GustavBoye-cs9vz Sorry, I don't know. 94 in your sleep is not a worrying low number though. You should consult a doctor if you have 94 on average when awake, though.
In the UK a sleep test is done at home. One of the big problems with having sleep apnea is the cpap machines are not always sensitive enough to react a person's need. I have been on a cpap for 20 years and only recently I have become aware I regularly have low oxygen levels. Now what?
Obstructive sleep apneoa. causation, a benign growth in my throat from thyroid. Surgeon won't operate because I can't keep medication down and high blood pressure. White coat syndrome elevates my blood pressure as soon as I enter a hospital.. past trauma that involved the death of my baby son.. waking up more tired than when I went to bed.. wild oregano oil in warm water as helped no end. Sleep is definately a blind spot!🎉
This sounds crazy but I put a piece in chewing gum in my mouth and chew for a few secs. Then I shape the gum to go between my gums and my teeth…😊 push it down real good so it stays there. Works great.
Hi Jared. I'd be interested in your thoughts about an issue that up to 1/3 of ppl with treated OSA have: Excessive Daytime Sleepiness. It is a major contributor to fatigue, brain fog, memory issues and more. Strangely, I found out about this by accident when reading my sleep doctor's clinical notes after a video appt. She referred to my "EDS" and off I went to look up what it was. Yikes. More ppl should know this source of crushing fatigue is a THING... and for your purposes, something else to rule out as sources of fatigue that are not directly related to ME/CFS. This paper's conclusions are sobering: "Experimental risk factors include chronic intermittent hypoxia and sleep fragmentation, which lead to oxidative injury and changes in neurons and brain circuit connectedness involving noradrenergic and dopaminergic neurotransmission in wake-promoting regions of the brain. In addition, neuroimaging studies have shown alterations in the brain’s white matter and gray matter in patients with OSA and EDS." "Excessive Daytime Sleepiness in Obstructive Sleep Apnea" PubMed PMC8086534 I have ME/CFS for 5 years, been treated for OSA via CPAP for 7 years. My OSA scores are low now but I have never felt rested, and sag early on in the day. I think both maladies are why I have unrelenting fog brain, fatigue and an overall puny state. So far stimulants are the only treatment for this. (Which, even at low doses, can backfire when the need to sleep is calling.) It would seem EDS is yet another factor in diagnosing causes of fatigue. And for sure affects far more ppl with treated OSA than most patients know. Would appreciate any thoughts from you on this. Thank you!
Could be UARS which is typically missed in sleep studies. They only look for apneas and hypopneas. Restricted regular breathing will fly under the radar.
I choke and snore terribly all night plus my wife says i stop breathing all the time. My smartwatch says i have huge dips in my oxygen going down into the low 70's. My doctor says im probably fine and that he doesnt trust finger/wrist oximetry and im probably just cutting off blood to my arm while moving. I disagree. What do you think?
I told doctor my oxy. levels seem to drop a lot and he said "don't worry about it". He doesn't like my home finger oximeter either. I checked it with the one the doctor's assistant uses and it reads the same.
My recording pulse oximeter shows a drop in oxygen to 80% constantly with 60 seconds between breaths for hours, yet I have no fatigue, headaches, or other symptoms. etc. What is wrong?
Pulse oximeter is measuring blood oxygen levels in circulation to your finger. It does not measure how much oxygen is actually reaching your central nervous system. ?
Ideally it would be helpful if there was another person around who could put the oximeter on your finger while you are asleep. I find that the action of moving around and putting the thing on my finger raises the 02 level. I have the same concern as you. I suspect my 02 level drops a lot when I'm sleeping. I've told the doctors about it many times. But they don't seem to be interested. I'm already on a cpap.
That doesn't tell you what your oxygen was at say 3am when you stopped breathing. Oxygen in the blood varies rapidly like the doc said in this video. you need something that will record oxygen every second. O2 rings are just over $100 and sends data to you phone. That's what you need.
My ex gf used to get a myoclonic jerk every time I delayed my breath in bed. Her body would jerk and then I would be startled and start breathing again.
That's an important question. I haven't seen any evidence that apnea directly causes post-exertional malaise. I also haven't seen anything to suggest resolving apnea can help PEM. But most people with a chronic fatigue syndrome diagnosis (R53.82 in the new ICD-10-CM) are not properly assessed for PEM. I think exploring apnea is most helpful for those who might have been diagnosed with CFS too quickly, before all the other possibilities were ruled out. But that is less likely to have happened for those with access to one of the few clinicians truly knowledgeable about CFS and ME. - Jarred Younger
For anyone interested in a sleep study. I did the lofta at home sleep study for $189 using the Watch Pat One device. My Dr. Wanted to charge $600 for an at home study. lol. What a joke.
Doctors charge "insurance rates" for home sleep studies. The fee they submit to insurance will get cut down to just over $100. If you don't have insurance you can buy the study yourself as you pointed out.
All very good advice. But I want to point out the oximeter is something that you may want to sleep with every night. Even with a CPAP. I do so and it’s been very valuable to have information.
I use a wellue O2 ring. It fits on my thumb. It has an app that works with my iPhone. It’s absolutely fantastic.
My 85 year old mother has some form of Dementia ,most likely Vascular, and after 60 years of smoking she has COPD ,which lowers her blood oxygen to about 88-92 %
She leeps soundly through the night for 10 to 12 hrs.
After getting her up in the morning wash and breakfast ,maybe skimming through the paper/watching a bit of TV her head drops to her chest,eyes close and pretty much goes back into a deep sleep.
I put her back to bed about 1pm and she naps to about 4pm.
Even after getting her up then,after walking her about her flat to get some exercise and wake her up and get the blood going, after her afternoon tea she closes her eyes on and off till I help her to bed for the night at 9 to 10pm.
I noticed he started sleeping in back in 2019 before I moved in and started looking after her full time.
I suspect it's a combination of the Dementia and COPD which is to blame for her overwhelming fatigue.
It's distressing to witness as she was very independent and energetic before these problems and now she is completely dependent on me and some visiting carers.
Look after yourself.
Please kill me when I get like that😢
Is she v'd?
Great video. I started drinking stabilized oxygen before I sleep and breath very deeply. 25% Sodium Chlorite (NaClO2) drops in water. Best oxygen distribution
You breathe oxygen, you don't drink it.
@@JeanPierreWhite of course you do. But when CLO2 gets into you blood stream and lands in the mitochondria Krebs cycle, you get an aerobic work out and produce more ATP. That is why.
ME 24 yrs, just started using CPAP. It makes a big difference. Thank you Dr. Younger
Does it help.pain symptoms 27 years me fybromyalgia symptoms finally getting tested
This is a great video I have sleep apnea. I've been using my CPAP for about 6 months now I'm extremely exhausted extremely light-headed terrible memory problems feel like I'm drunk all day long. They did a sleep study and checked my oxygen and said it was normal
Possible dysautonomia? It seems I have POTS and now feel like you do.
@DanielleRadicanin POTS is horrible. I have EDS which comes with POTS usually.
@@randomname4726 I'm so very sorry that you are also suffering from these life limiting conditions. There seem to be more of us now than ever before. 🥺
@DanielleRadicanin Thanks, I think Doctors have just become better at seeing us and realizing that something is actually wrong.
My sleep test showed I no longer have apnea, but severe periodic limb movement. My blood oxygen gets low, the lowest recorded is 81%, but because all my lows are less than 5 minutes, they are considered normal. Is that accurate? My average blood oxygen was considered 93%.
Even in a sleep machine we need to still check our own oxygen during the night with a cpap can still drop and cause same issue but most sleep doctors just look at the quick results and not dive in deep.
Yes. I have signed up for SleepHQ online. You upload CPAP data to them and also Oxygen data from a separate O2 Ring and it combines he sleep data and oxygen data so you can see the oxygen drops and what sleep disturbances are causing them, OSA, Hypopnea, CSA, UARS.
This is one of the best video's I've seen on fatigue and fibro in a decade of research. So clear, practical and likely to result in significant improvements for some people
Had to push to get tested after 27 years CFS fybromyalgia even though my father and both of his sister's have it to
You covered all options and all levels of economic classes. Insightful.
This is the only doctor who explained all about sleep apnea. Please have a video about how naturally resolve sleep apnea. Thank you so much!
Not possible if you do not know the cause of the apnea.
@@allinaday9882highly related to ADHD autism
I resolved my sleep apnea after a year on a machine after learning and practising Buteyko breathing. It is a practice that takes some dedication but it worked. I still practice it every day. I am calmer and healthier than ever before. I am 74.
nice sensitivity for all financial and social situations thank you
Thank you for these segments!
Also, the alternative tips are invaluable - our for-profit health care system (i.e. Big Insurance) discourages our doctors from testing and even referring to specialists, and forces us to fight for care while having no energy to even take a shower!
Thank you for letting me know. I'll continue with those suggestions. I'll be doing videos soon on the botanicals we have been testing that can help some individuals with chronic pain and fatigue. - Jarred Younger
My testing and lab work isn't even covered by insurance but my docs seem to be reluctant to test anyway 😆
Clearly and calmly explained at a rather eventful time in my life. My sleep apnea test is only days away now and I feel less frightened. Well done and thank you
May I ask you what results did you get?
Dr Young
It’s great to see you again having watched a video of you presenting about chronic fatigue long time ago.
Glad I found your channel. I'm not sure how to go about consulting with an ongoing chronic situation after a heart stenting procedure 6 months ago. Here is what what's going on and hopefully you may maybe able to provide some insights. The person's oxygen saturation is fine with the oximeter but blood work showed low level of p02 (v), POC i.e. 25 mmHg (low) in a ref. range normal of 80 - 105 mmHg, and high 58 mmHg (high) in carbon dioxide or pC02 (v) POC in ref. range of 41 - 51 mmHg? The person is experiencing congested/pressurized head under pressure/stress, mild SOB (shortness of breath), and importantly weakness in the body with light activities like walking (resting helped)? Heart Cath lab, echo, nuclear stress tests rulled out the heart issues after stents were implanted 6 months ago (also a full head MRI scan was clear per neurologist). Cardiologists suggested to go get a lung function test. The person is taking Plavix blood thinner, some low dose of statin and aspirin daily. We're not sure if it's the blood thinner Plavix causing respiratory problem or not. Trips to ER with chest x-ray and troponin level were always clear. We were hoping that a doctor or a hospital would have recommneded to have more better tests for the lung, or even an ABG (arterial blood gas) test etc. but no one has recommended anything as of yet but that lung function test. Would we have any better options to check out that low level of Oxygen recorded in recent blood work? Seems like which may be the causes of all the weakness in the body extremities maybe due to lack of oxygen the cell tissues need . Same thing for the congested head or head pressure if not relaxing under intense pressure or stress or even with light activities.
I Have been using a C • PAP for Over 10 Years. Even with the C • Pap I can wake up not rested the best. C • PAP is one of "The" most "Helpful" Invention created. This machine took a while to get acclimated to. I knew it was very helpful. My sleep apnea was not as severe as first. I had a friend who got his in 1999, about. It was a noisy Machine then. Now days it is so much better & user friendly. One young man was stating in a video the many masks are different, meaning a different comfort level. I snored as a child. I wish it had been like invented 60 years ago. I recall walking by myself up from snoring as a little child. Not often. I strongly suggest to get a test or what this man is talking about, how to get the test so you can find out if you need a C • PAP Machine.
They 💬 nk my Uncle died too early because he needed a C • PAP machine. His son, my cousin nor was my uncle heavy. It's not always all of the reason why a person snores is because they are heavy. I am sure now the studies have come up with more scientific data to help more people.
This reminded me of a little trick how to oxygenate your brain while it's in recovery mode. When you wake up in the morning, with your eyes still closed, your body is actually still in sleep recovery mode. Only after you open your eyes you snap out of that. So start consciously breathing with eyes closed for at least 20 minutes, ideally in darkened room, just like when meditating. This will triple the amount of oxygen your brain is getting from normal sleep, and the key being, this all goes into recovery, even though you are awake, unlike a meditation during the day. You'll feel your face tightening, oxygen getting into your eyes, during this. I keep forgetting to do this because it is 'paying my pound of flesh' to the body of letting time tick by. If you're meditating anyway, I recommend doing it during this time. You can be in any position (in bed) that's comfortable, even yoga, as long as you keep your eyes closed and just concentrate on breathing like your were trying to fall asleep.
Where did you hear about this?
That is an excellent plan, Jarred! To systematically go through all possible reasons to fatigue that are not caused by ME, so those could be ruled out before arriving at an ME-diagnosis. Thanks for all that you do to help ME-patients. 🙏❤
Hi there Jarred. I’m an 18 year old with an ME diagnosis since 13 after a severe viral infection. Your work is the best I’ve found. Particularly on brain Inflammation and I’ve noticed your thought processes on it are similar to mine ( obviously you are an expert I am not). I was wondering if there was a way to contact you directly like on a media platform? No worries if not, thanks so much for all your work and please never stop mate
Hi I have only just in the last. 3 months started wearing the Cap. I did not understand the connection between my breathing problems and fatigue. And I do now understand after your little program. John , South West Wales UK
Yep. Classic chronic fatigue/ fibromyalgia here - since neck trauma 25 years. Several years back spent 5 nights in Vegas - at big hotel. Woke up feeling great ! What ? ! Found out that some hotels enrich A/C with oxygen . Hey - Keeping C1/C2 aligned also helps.
Very well presented...clear and concise
My sleep study showed 36.4 events per hour with no breath from 28 to 145 seconds with sats dropping to 68%. With cpap machine my sats run in the 80's. Still more tweaking to do.
You really think "the big treatment" is around the corner? I want to believe you so badly!
I love this video and how pragmatic you are, and your goal to help us out right NOW. I'm the last case, no partner, so it's great you covered all of us 😅
Every word you said in this video was pure gold and it clearly shows you are a top fatigue specialist. Also, you speak so clearly! ❤️
Looking forward to more!
I really appreciate you saying that. I'm glad it was helpful, and I will keep them coming! - Jarred Younger
I didn't have something specific in mind when I mentioned a highly effective treatment coming. Just that several potential treatments are in testing pipelines and one of them may turn out to be what everyone is waiting for. - Jarred Younger
@@youngerlab Thank you very much for coming back to answer this part 🙂 I hope there will be a breakthrough soon, so we can go back to having a life!
you're so great for doing this, I'll try to convince my GP for a study
You're welcome. Good luck! - Jarred Younger
You can do at home studies now, it won't track as much information but its SO much easier for a CFS patient to do the home study, they can track enough to see if you need an in lab study or in my case, with oxygen dropping so low, they Rx'd the cpap machine from the at home study results. Its really hard to sleep at the sleep lab with wires all over your head (none of that in the home study), being away from home and they wake you at 5:30 to go home, I rarely get to sleep before 1am so that was a miserable night in the lab. If you take drugs to sleep it can affect your breathing and results.
@@marciagrahn982did it help your pain
This was very informative! I could only find one follow-on video that seemed to be related to fatigue (maybe two). Are you still planning on doing the series you talked about for less common fatigue reasons to consider? Or are there resources you'd recommend to look at that are clinically relevant? Thanks!
Thank you,
I was lucky to have been tested and a cpap was suggested ,
But I'm not convinced that this will help with my severe central apnea
Hasn't it helped
There are two types of sleep machines for central sleep apnea. Bipap and ASV. A sleep doctor can determine which is appropriate.
I watched the whole video to get the list of medical reasons that can cause fatigue, but it never came. Your videos will of course not be less interesting providing this list in every video. So here is a list of the most common medical reasons that can cause fatigue, starting with the most likely:
1. Anemia (iron deficiency anemia or other types)
2. Sleep disorders like insomnia, sleep apnea, or narcolepsy
3. Thyroid disorders (hypothyroidism or hyperthyroidism)
4. Chronic fatigue syndrome
5. Depression or other mental health issues like anxiety
6. Diabetes
7. Infections like flu, mononucleosis, hepatitis, tuberculosis, etc.
8. Autoimmune diseases like lupus, rheumatoid arthritis, fibromyalgia
9. Cancer
10. Heart disease like heart failure
11. Kidney disease
12. Liver disease
13. Lung diseases like COPD, emphysema
14. Addison's disease (adrenal gland disorder)
15. Eating disorders like anorexia
16. Multiple sclerosis (MS)
17. Parkinson's disease
18. Myasthenia gravis (neuromuscular disorder)
19. Sarcoidosis (inflammatory disease)
20. Lyme disease
21. HIV/AIDS
22. Tuberculosis
23. Mononucleosis (Epstein-Barr virus)
24. Hepatitis B or C
25. Sleep apnea
26. Restless leg syndrome
27. Chronic pain conditions like migraines, arthritis
28. Addison's disease (adrenal insufficiency)
29. Hemochromatosis (iron overload)
30. Polymyalgia rheumatica (inflammatory disorder)
31. Sjögren's syndrome (autoimmune disorder)
32. Guillain-Barré syndrome (autoimmune nerve disorder)
33. Amyotrophic lateral sclerosis (ALS)
34. Crohn's disease or ulcerative colitis
35. Chronic obstructive pulmonary disease (COPD
36. Addison's disease (adrenal insufficiency)
37. Chronic inflammatory demyelinating polyneuropathy (CIDP)
38. Lambert-Eaton myasthenic syndrome (neuromuscular disorder)
39. Mitochondrial diseases
40. Porphyria (group of metabolic disorders)
As you can see, fatigue can be a symptom of many different medical conditions affecting various systems in the body, including neurological, autoimmune, infectious, endocrine, muscular, and respiratory disorders. Some rare causes like ALS, Guillain-Barré, hemochromatosis and mitochondrial diseases are also listed.
Good explanation, very thorough. You can see all these possible causes could discourage doctors from investigating th'e problem. I was going to say, when I went to the nursing home to visit, the halls are filled with old folks sleeping in their chairs. It's very sad. Nurses/attendants get them up, feed them and then put them in the chairs where they just sleep until mealtime again.
PCP don’t care at least in my case it is the case.
A friend I used to know was to get her rest for sleep apnea. She cancelled the rest. Her sleep is not great, I suggested she go have it done. I just let her know how important it was for me & the C • PAP saved my life. The rest is not great fun. It is one of the most important tests to do. It will make your waking life much more enjoyable when you get rested well.
I've been using a cpap machine for 18 years and my sleep problems haven't been cured yet.
I did a pulse oximetry test and my oxygen dipped to 83. My insurance will not cover a sleep apnea test (in hospital or at home). I don't think I have sleep apnea however since my husband said I don't stop breathing nor do I gasp for air when I'm sleeping. All of this started happening after severe stress after a car accident so I don't know if stress can cause it. I seem to have other stress related health issues since the accident. My bloodwork is normal and I've never had any problems prior to the car accident. They put me on nighttime oxygen. The machine is fairly big, it's noisy and my neck sometimes gets tangled in the tubing as I toss and turn throughout the night. I think this is the doctor's permanent solution but I would like to find out the root cause so I can hopefully correct it and not have to use nighttime oxygen. I don't smoke, drink or do drugs....I don't even like to take synthetic vitamins and prior to the accident, I would not even take aspirin (generic term) unless it was absolutely necessary (the bottle is still halfway full when it expires), but I have used a lot of pain medication and medication to try to help me sleep better and relax since the accident so I don't know if that could be part of the cause. I am starting to have stomach pain and kidney problems now and for the last week since I went to the doctor, I have stopped all medications and have been trying to figure out a specialized diet for kidney issues since I am a month away from getting an ultrasound. The only thing I can't do is lower my stress so if that is the cause, I am in trouble.
How do you feel now?
I've had ME for around 10 years. I was diagnosed with mild sleep apnoea in 2013 and 2015, and moderate sleep apnoea in 2019.
I've been using a CPAP machine since mid 2019. My sleep lab results have improved radically, but I don't feel any better.
My sleep physician doesn't seem to believe I don't feel any better. He also doesn't believe in ME...
I'm in the same boat, CFS 42 yrs, FINALLY sleep tested over a year ago, moderate apnea but oyxgen was dropping to 75, below 90 over and hour and 1/2 (for how many years? who knows). Took a LONG time to get the cpap machine,, but that didn't fix it, months later had an in lab sleep test, then got the bipap machine, finally on the best settings but am still dropping oxygen , just not as much, but now below 90 about 10 to 20 mins most nights, when I get into REM sleep it drops. Drs don't believe me either that it hasn't put much of a dent in my fatigue or function. HUGE disappointment as its been such a hard road getting the equipment (tried 8 masks, most at my expense to get one that seals the best). Managing the equipment and using it takes more of my energy. I have the oxygen ring you mention and track it most nights, one physician trusts it, the other does not, but dropping below 90 for 20 mins a night doesn't bother them. My apnea itself is under good control, but oxygen still goes up/down all night. My average oxy for the night is 92 to 94 depending on the night. If I don't get deep stages of sleep my oxygen is average 94. I am thankful I am no longer dropping into the 70's at night, and only briefly into mid 80's every night but so disappointed it did not take away much of the fatigue.
I agree. Each time at night or during the Day after I use a CPAP machine I still feel The Chronic Fatigue all Day
Thank you. Have been wondering how what % ME-CFS sufferers have their sx disappear after successful tx. of sleep apnea. You answered my question.😊
I have been tested for sleep apnea and but I don't believe them because my fatigue is so bad and I was not tested for other possibilities. I'm trying to use the CPAP and the dental thing but with great difficulty. I wonder what else it could be.
Yup I am in the same boat. Tried oral appliance and CPAP. Neither helped. Doctors simply run basic blood tests and tell me I’m perfectly fine. I can barely function most days.
Thank you again.
I have Empty Nose Syndrome and can't breathe, can't sleep, no energy, my life is ruined. How can I improve my symptoms so I can breathe better?
Hey - do you have neck issues ? Read about SacroOcciptal chiropractics and NUCCA Chiropractic . Also acupuncture.
CPAP with a full face mask should do the trick. You can breathe through your mouth while getting therapy at the same time while you sleep.
Being diagnosed with sleep apnea and then using a cpap machine did ZERO for my ME/CFS.
Thanks for sharing that. Good point. True cases of ME/CFS should not involve sleep apnea (though people can certainly have both conditions simultaneously). The majority of ME/CFS sufferers will not get a significant benefit from using a CPAP. But because sleep apnea (independent of ME/CFS) increases the risk of so many medical conditions, I hope individuals can have it checked out and treated even if it doesn't resolve their chronic fatigue condition). - Jarred Younger
Wow thats so kind! Thank you for these series! I want to mention that there is a thing called 'upper airways resistance syndrome' and can only be found within the sleep study at the hospital. There is NO oxygen drop because the brain awakes before that. And you can have it along with ME/CFS. (Or you have it because of it? Would be interesting) There you see the brainwaves and can see that the brain is awake. It's combined by the docs with "most likely" lower airflow. But when I look at Dysautonomia it could also be a neurological problem.
Thanks for mentioning that. Right, you need electroencephalography to know if the brain sleep waves are being disrupted, which could be due to reasons other than oxygen deprivation. And that pretty much requires an overnight visit. Most home sleep studies unfortunately do not include EEG, unless a tech comes to the house to hook it all up. I've heard of a couple self-test home sleep studies that involve a couple of EEG leads, but I don't know if that is acceptable for the sleep med doc. Sleep studies typically use quite a few more leads than that. - Jarred Younger
@@youngerlab wow! Well that's good to know! Thank you!
Is that part of dysautonomia
@@Truerealism747 could be right? I want to know the answer too 🤓
I just had a home sleep study because of insomnia. It shows that I have nocturnal hypoxemia. I’m confused as I do not have daytime fatigue. Just chronic insomnia.
I wish someone would discuss the effects of years of untreated sleep apnea.
i snore a lot while sleeping on my side and have has CFS for years
I have a mandibular advancement splint for sleep apnoea. It stops me snoring but has no effect on my ME/CFS.
Thanks. That is consistent with the experiences I have heard. It is unlikely correcting breathing issues at night will benefit proper ME/CFS. - Jarred Younger
You might wanna try a CPAP. That has more effect. No snoring doesn't automatically mean no apnea. I had a mandibular advancement device but it didn't help with the apnea. The CPAP did. I got a lot better.
I have one too. It helps my apneas. I track my oxygen and have noted that when I dont use my device and I snore, my oxygen level stays higher. The less I snore, the more my oxygen drops. Regardless, the difference of using the device or not, i am nonfunctional without and moderately functional with it. It takes away my grogginess for sure when i do use it. But not my fatigue.
I suspect i have a connective tissue syndrome but no diagnosis. Not severe enough for a doctor to look into it. But I also cant work a full time job or be a good enough mother because of it. 😢
I wake up numb every morning. Head neck and arms. Sometimes it goes away sometimes no. Had and 02 test at night. I was 85.
I do too. I think it may be because of not moving in the night, in my case. My arthritis causes the joints to stiffen up if I don't exercise them enough. Just my theory.
My breathing is VERY SHALLOW while in bed and the fan must to always be blowing towards my head for me to be able to breath better.
Do you know of a good doctor in Colorado? I am extremely disabled! They said my apnea was mild and not bad enough to create the amount of fatigue I have. HELP!
I did a home sleep study and I have mild sleep apnea and some heart flutter
I wear my CPAP every night, my AHI is low, and I still have oxygen drops every night. The CPAP doesn't work.
Then what you do please help
@@preetimittal2123 I have no idea. The sleep clinic is useless. They don't answer phone calls and it takes months to get an appointment
My head is always heavy dizzy depression not as tired but dont sleep well.
Can you link overnight pulse ox monitor you like
Great video.
2024 here: Apple have just released a Sleep Apnea Notification on their Apple Watches / Apple Health. It's like an at home sleep study every night.
If the Apple Watch detects sleep apnea you can show the results to your Primary Care Doctor and they can determine if a sleep study is warranted.
How long before a cpap will show positive signs?Thanks Doc
i use a hyperbaric chamber to add oxygen and get body flooded with oxygen also use a cpap thought about adding oxygen concentrator to cpap
Tell me about your hyperbaric chamber. I would love to have access to one. When my pain is the worst it gets( usually last 25-40 days, (from extreme physical output for me) several MD.s have responded “ What your body is going through is very similar to the “ bends”. I don’t understand anything about this except “ Why can’t I use a hyperbaric chamber to aid me through the crippling pain I suffer for the next 3- 4 weeks?” Appreciate your help.
Blood saturation is not as high in your sleep as when you're awake. So it's not really true that your oxigen should be above 95 at night. Between 90 and 95 is a reason to be alert on sleep apnea and do a proper test, but it's not necesarry too low.
Mine is at 94% - I wonder if there's a way to improve it
@@GustavBoye-cs9vz Sorry, I don't know. 94 in your sleep is not a worrying low number though. You should consult a doctor if you have 94 on average when awake, though.
@@Grymt hey thanks for you message I appreciate it! - Is around 94-98 when awake. Mostly 97.
@@GustavBoye-cs9vz Im no doctor! But that seems fine to me.
In the UK a sleep test is done at home. One of the big problems with having sleep apnea is the cpap machines are not always sensitive enough to react a person's need. I have been on a cpap for 20 years and only recently I have become aware I regularly have low oxygen levels. Now what?
I use a cpap and still feel like I’m dying. I’m in Alabama, is there any way you guys could check me out?
Obstructive sleep apneoa. causation, a benign growth in my throat from thyroid. Surgeon won't operate because I can't keep medication down and high blood pressure. White coat syndrome elevates my blood pressure as soon as I enter a hospital.. past trauma that involved the death of my baby son.. waking up more tired than when I went to bed.. wild oregano oil in warm water as helped no end. Sleep is definately a blind spot!🎉
I’m a mouth breather and when I awake in the morning my mouth is really dry.
Gee I have the Dry Mouth problems all night and I can't sleep.
That's not good... it will cause dental problems. I tape my mouth and wear a cpap mask. The tape helps tremendously
This sounds crazy but I put a piece in chewing gum in my mouth and chew for a few secs. Then I shape the gum to go between my gums and my teeth…😊 push it down real good so it stays there. Works great.
Should go above your front teeth
CPAP with a humidifier and heated tubing will resolve that. Works like a charm for me. You get warm moist air all night, stops you drying out.
I feel like sleeping all day and all night. No one has addressed it and it has gone on for years.
Had it from.birth.now 44 diagnosed CFS fybromyalgia heds autism ADHD now awaiting sleep apnea my father has CFS sleep apnea and both his sister's
@@Truerealism747 - I don't think the medical community knows much about it.
@@grandmajane2593 that's for sure mainstream anyway has it cured your pain or are you still waiting test
Ive had fatigue from birth as a baby i slept 23 hrs a day
Hi Jared. I'd be interested in your thoughts about an issue that up to 1/3 of ppl with treated OSA have: Excessive Daytime Sleepiness. It is a major contributor to fatigue, brain fog, memory issues and more. Strangely, I found out about this by accident when reading my sleep doctor's clinical notes after a video appt. She referred to my "EDS" and off I went to look up what it was. Yikes. More ppl should know this source of crushing fatigue is a THING... and for your purposes, something else to rule out as sources of fatigue that are not directly related to ME/CFS.
This paper's conclusions are sobering: "Experimental risk factors include chronic intermittent hypoxia and sleep fragmentation, which lead to oxidative injury and changes in neurons and brain circuit connectedness involving noradrenergic and dopaminergic neurotransmission in wake-promoting regions of the brain. In addition, neuroimaging studies have shown alterations in the brain’s white matter and gray matter in patients with OSA and EDS." "Excessive Daytime Sleepiness in Obstructive Sleep Apnea" PubMed PMC8086534
I have ME/CFS for 5 years, been treated for OSA via CPAP for 7 years. My OSA scores are low now but I have never felt rested, and sag early on in the day. I think both maladies are why I have unrelenting fog brain, fatigue and an overall puny state. So far stimulants are the only treatment for this. (Which, even at low doses, can backfire when the need to sleep is calling.)
It would seem EDS is yet another factor in diagnosing causes of fatigue. And for sure affects far more ppl with treated OSA than most patients know. Would appreciate any thoughts from you on this. Thank you!
Does sleep apnea and asthma correlate to similar low brain oxygen findings?
Yes
I'm experiencing this. Its debilitating
Do you know what to investigate if oxygen drops to around the 85 area but sleep study shows no apnea?
Could be UARS which is typically missed in sleep studies. They only look for apneas and hypopneas. Restricted regular breathing will fly under the radar.
I choke and snore terribly all night plus my wife says i stop breathing all the time. My smartwatch says i have huge dips in my oxygen going down into the low 70's. My doctor says im probably fine and that he doesnt trust finger/wrist oximetry and im probably just cutting off blood to my arm while moving. I disagree. What do you think?
I told doctor my oxy. levels seem to drop a lot and he said "don't worry about it". He doesn't like my home finger oximeter either. I checked it with the one the doctor's assistant uses and it reads the same.
Holy sht you're in trouble
You need to find another doctor soon.
They now resort to at home test instead of an overnight sleep study.
What about severe hyperactivity due to adhd or anxiety?
Linked to sleep apnea
My recording pulse oximeter shows a drop in oxygen to 80% constantly with 60 seconds between breaths for hours, yet I have no fatigue, headaches, or other symptoms. etc. What is wrong?
Pulse oximeter is measuring blood oxygen levels in circulation to your finger. It does not measure how much oxygen is actually reaching your central nervous system. ?
what if we wake and stick the oxygen thingy on our finger before we even get up
Ideally it would be helpful if there was another person around who could put the oximeter on your finger while you are asleep. I find that the action of moving around and putting the thing on my finger raises the 02 level. I have the same concern as you. I suspect my 02 level drops a lot when I'm sleeping. I've told the doctors about it many times. But they don't seem to be interested. I'm already on a cpap.
That doesn't tell you what your oxygen was at say 3am when you stopped breathing. Oxygen in the blood varies rapidly like the doc said in this video. you need something that will record oxygen every second. O2 rings are just over $100 and sends data to you phone. That's what you need.
or just use the recorder in the phone lying next to you all night, it will give you the answer
My spo2 drops to 86% at night. Oh boy
My ex gf used to get a myoclonic jerk every time I delayed my breath in bed. Her body would jerk and then I would be startled and start breathing again.
👍
But can apnea cause PEM?
That's an important question. I haven't seen any evidence that apnea directly causes post-exertional malaise. I also haven't seen anything to suggest resolving apnea can help PEM. But most people with a chronic fatigue syndrome diagnosis (R53.82 in the new ICD-10-CM) are not properly assessed for PEM. I think exploring apnea is most helpful for those who might have been diagnosed with CFS too quickly, before all the other possibilities were ruled out. But that is less likely to have happened for those with access to one of the few clinicians truly knowledgeable about CFS and ME. - Jarred Younger
For anyone interested in a sleep study. I did the lofta at home sleep study for $189 using the Watch Pat One device.
My Dr. Wanted to charge $600 for an at home study. lol. What a joke.
Doctors charge "insurance rates" for home sleep studies. The fee they submit to insurance will get cut down to just over $100.
If you don't have insurance you can buy the study yourself as you pointed out.
That sleep apnea description is simplicity, misleading and wrong.
In what way
I need you. Where are you.
He is not a patient doctor. He is a researcher doctor. He works for everyone with ME- CFS. We are so fortunate to have a mind like his working for us!
can fatigue come from fapping to much
Now buy the most recent apple watch and it will let you know if you have sleep apnea.
3 months...ha try years
Hypopneas equally detrimental and way more insidious, no need to stop breathing to feel like shit :P
Correct. Same can be said for UARS.