No More CPAP? Stop using your CPAP Mask and Machine? The Cure for Obstructive Sleep Apnea.
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- เผยแพร่เมื่อ 12 ก.ย. 2024
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Just how easy or realistic is it to get off of CPAP? Can you cure your sleep apnea or do you need to treat it for the rest of your life? Is there are cure for sleep apnea?
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My pulmonologist/sleep apnea doctor said the worst case of sleep apnea that he has ever seen in his medical career was actually in a long distance marathon runner. That alone shows it's not always weight or laziness.
and thats a very very small percentage compared to unhealthy people
How do you know said runner wasn't 400lbs?
@@deetee6103 its shown most people are normal to slightly overweight. Your chances of having sleep apnea are higher if you weigh more, but it affects people of all weights.
@@jorisbonson386 have you seen a 400 pound person run marathons?
@@deetee6103 actually it appears that many people who are overweight and have sleep apnea, that they probably had the sleep apnea before they gained weight, and it may have contributed to the weight gain.
I was diagnosed with sleep apnea by my bariatric surgeon. He ordered my sleep study on my initial visit, my ahi was 17 on my sleep study but had many very low desaturations. Got on CPAP immediately, felt so much better, no more headaches or brain fog in the morning and had a ton more energy. That was back when I weighed 300lbs. I now fat forward 3 years, I now weigh 170. I have recently followed up with a sleep medicine doctor. Had another sleep study, I still have apnea. Although it is much reduced, I still feel terrible when I don't wear my cpap... Sleep doctor told my my anatomy is just such that I likely will never be off of CPAP, probably referring to my tongue and size of neck... So yes even after losing 140lbs and going from 50% body fat to 17% body fat, I still have sleep apnea and I still use my CPAP
Just wanted to say congrats on your weight loss. That is amazing! Is it possible that your original untreated sleep apnea might have contributed to the original weight gain? Unfortunately some people’s anatomy results in sleep apnea even if they’re thin, but the resulting fatigue and health issues could lead to weight gain, I think.
My ability was 31
@@400_billion_suns thank you, very possibly yes, but as my bariatric Dr told me, in his experience, once you get 75 lbs over weight, it is damn near impossible to get it to come back off permanently... I know that getting on CPAP for the first time was like a light switch... I could not believe how much better I felt... I have become a large advocate of it, even got both of my parents to get tested and they both had severe sleep apnea... After treatment they both had to reduce and even eliminate some of their hypertension medicine.... So I love my machine and I don't like not having it 🤣
@@sherpa219877 That’s interesting! Really glad that it has had such a helpful benefit for you! Both of my parents also have severe sleep apnea. In my dad’s case, he ended up with a heart arrhythmia from untreated apnea, and in my mom’s, she had dangerously high blood pressure and oxygen desaturations from her apnea. For my dad and I, it seems to be completely based on anatomy, as we are both lean and active people. Anyway, wishing you the best, and I hope you continue to feel even better in your progress forward.
Use vitamin b1 and mega dosing vitamin plus rna supplement will cure it
Good info. I’ve lost 23# and find CPAP has provide me with more mental clarity and energy which resulted in more determination to exercise and get healthy. I look forward to my exercise sessions more so than any other time in my life. Made huge diet changes too. Sleep NP told me I may be able to stop down the road but honestly, I don’t want to since CPAP has changed my life in a big way. Also, my stepdaughter who is extremely physically fit (marathon runner) has had OSA for over 10 years. Thanks Jason!
Losing 36 lbs made a huge difference in using my cpap. I now can sleep naps without my cpap. I also got rid of sore throat and some allergies I used to have even during cpap therapy. After this great experience I'm very excited and I am going to loose more weight to achieve a better results.
Thank you dude! 🌹
Still you didnt use cpap machine
@@preetimittal2123
I unfortunately gained some more weight 😅 and I am still using it. However, I am pretty sure that losing weight is very helpful for therapy.
@@osoalwaohhh ...i want to ask you one thing your Ahi number ???
What i find interesting is a few people have said "oh just lose weight and you won't have apnea anymore. The amount of misinformation being spread by many is pretty scary.
The misinformation doesn't stop here either.
@@Freecpapadvice luckily we have awesome folk like you to rip all that misinformation to shreads, yay!
I have a HUGE tongue in an incredibly TINY mouth (doctor says it's the smallest mouth in an adult female she's ever seen) and she said the airway opening is really small. I am obese but with these anatomical issues I'd probably still need CPAP if I lost weight. I haven't always been obese - off and on since young adulthood - but my doctor said I'd probably had OSA for YEARS. I was having 30/hour at the beginning of therapy (about two years ago) and now it's 0.8 events per hour. Great video - and we could ALL be healthier.
No such thing as a huge tongue, only recessed jaws.
It is always possible you had the sleep apnea before you gained weight, and the sleep apnea helped cause weight gain.
I was in my 40s and had severe sleep apnea. I lost 116 lb and it went away. Actually during that time my CPAP machine was having a lot of trouble keeping up with my weight loss so I failed therapy. Unfortunately I'm in my fifties now and gained a lot of weight back. My sleep apnea is back and after 2 months I'm still not tolerating my machine but I am losing weight. My goal is to drop 40 lb of which I've lost 10. Once I lose that weight I would like to get retested to see if I can benefit with other therapies such as inspire. The eventual goal is to get back to a category of not being overweight and hopefully my apnea will be gone or it's something that could be treated with minor surgery. I am never going back to being obese again as I've seen how destructive it is to my life. I look at it as I'm literally fighting for my life. In the meantime I keep trying to use my CPAP. I usually only get an hour or two a night but I keep trying
I’ve snored like I have sleep apnea since I was a small child (I’m 22 now). My dad also has it and has since at least his 30’s. As I got older, I did gain weight, but I am extremely pear shaped so there’s not mechanical pressure on my airway. I’ve actually struggled with an eating disorder and used my sleep apnea as a justification for why I should keep going. I know it’s not a fair comparison to loosing weight “healthily”, but my sleep became so much worse. I wasn’t on CPAP at the time so I don’t have data. I always stayed in the “overweight” BMI, never over and never under. Granted, the BMI is literally a garbage measure and I could go on and on about it. Anyways, don’t let your weight become your only measure of health, because that can become so bad so fast.
First sleep study I had 93 AHI, twenty four years ago. I lost 100 lbs since. Last sleep study 2020=23 AHI but lost more weight since. Currently under 3 AHI from OSCAR. I do not think I will ever get off of it but feel a lot better anyway. No more clunky masks, just ResMed P10.
My first sleep study 25 years ago was "severe" at 84 events per hour. With CPAP it's barely 1. However Mine was so extreme, losing weight was never going to cure it. Those who lose weight and can stop CPAP only have mild to moderate apneas
I have central sleep apnea. My Dr. told me that have to use the CPAP forever, because my brain doesn't sent the proper signal to keep breathing when I asleep, so I guess this video is for a different target.
Correct.
Sis had surgery for deviated septum. After 6 months, she had a sleep test and no longer needed a cpap. She was in her late 30s at the time. Doc told her before surgery that it was unlikely that she would be cpap free, so happy that it turned out better than expected. I have a machine because of a slow heart and using cpap to delay getting a pacemaker. I presume that when I get the pacemaker, I will no longer need cpap. AHI was below 5, but O2 was in 80s. With treatment, AHI is always below 1 and O2 is 95-97.
I had my deviated septum fixed and I still snore…I’m slightly overweight but not obese
My dreamwear mask is comfortable enough that needing to use a CPAP device doesn’t bother me anymore. Having a personal air filter / heater / humidifier is actually kind of nice, especially in winter.
After having weight-loss surgery, and losing roughly 140 lbs., I went ahead and returned my BiPap machine because I ASSumed that I no longer had OSA, and guess what?!? Not only did my severe OSA not magically go away, I also ended up with severe CSA, which was caused from opioids usage.
My mistake was not getting a follow-up sleep study. It would have also been helpful to have told my PCP that I took the liberty of returning my PAP device all on my own. (Oops!) 😬
Once I began communicating with my Physician's, thing's have started to change for the better.
Getting a sleep study has changed my life, I'm beyond 🙏 😷🙌
Btw... Jason, I really dig the tree scenery in the backyard and great vid!
I don’t get it did you or did not cure sleep apnea after weight loss
Did not ☹️
@@SleepApneaMan I know that sucks I’m bátteling this thing too and man it’s hard to find a cure I thought a lot of people cured them selfs by looseing weight and yours wasn’t weight related then ?
YOU CAN'T HAVE SLEEP APNEA IF YOU'RE NOT ASLEEP.
Finally, after watching TheLankyLefty27 videos, I think I finally got the right combination of equipment and settings.
At first I had a really hard time with PAP. For instance: leaking mask drying my eyes, open mouth getting dry even with a full face mask, vibrating "motorboating" mask leaks, nostrils burning with a nasal mask, chin straps cutting off my circulation, a feeling of suffocation. In the middle of the night the PAP machine would gut off when I had a long apnea event. I thought my sleep apnea was gone only because I never slept.
Getting the pressure and humidity adjusted according to Lefty really helped a lot. Also the RedMed masks don't seem to work for me - not enough air unless the pressure is so high that the mask leaks.
I was abducted by aliens and taken up to their spaceship for “testing”. Unfortunately they didn’t bother curing my apnea. How rude.
You *may* be able to get off of CPAP by weight loss, *only* under the supervision of your sleep doctor and other doctors, such as a Family Practice, Internal Medicine, Bariatric, etc. Remember, there's no shame on being on CPAP!
"Remember, there's no shame on being on CPAP!" Well said!
@@Freecpapadvice absolutely! I've been on CPAP for just over 2 years now and, at this point, if someone showed up and tried to take it away from me, I'd have to cut them. Plain and simple. It has made such a difference in my sleep quality and overall energy levels during the day. If I have to be on it forever then so be it. I won't be the one nodding off at the most inopportune times.
Good Day Monica : If you live in the Province of Ontario in Canada and start with Cpap and soon get better and stop using Cpap ; you will find your fuckin Doctor will send a shit letter or Email to the Dept of transport and your Drivers will revoked . No other Canadian province does this , nor have I ever heard of any US states doing that . Ontario is very bad with subject . It's bloody rediculous !
I was prescribed cpap with an AHI of 70. Tried it, said he’ll no. Lost 120 pounds. Now I had a sleep study and I don’t need cpap anymore.
“No shame” ? No one looks sexy on cpap. I feel as if I am sleeping with a vacuum cleaner hose stuck to my face. Can’t someone make CPAP and its masks sexier looking so I can sleep with it ?
Of course, weight loss would be the most critical part of reducing sleep apnea for most of us. However, I know two people who are skinny that require cpap. Both are guys are relatively tall/athletic and require really high pressures that would give me aerophagia. Some people don't snore, and don't have any blockage - just something that seems to be cpap-regulatable centrals, so they don't require fancier machines dedicated to central apnea. The airway is clearly open during apnea since you can see the heart rhythm in the flow on Oscar during apnea, yet sleep is not well-regulated _without_ cpap. I'd love to be able to go trail hiking for several weeks without power again. Luck of the draw. Stay safe out there!
First sleep test resulted in 48 events per hour. Lost 30 lbs (would like to lose 10 more). Second sleep study I dropped down to 15 events per hour.
You think your going to cure it then and how much do you weigh
@@gallo4796 I am 6' 1" at 190 lbs (now) Will I ever cure my sleep apnea, not sure. Right now I am between CPAP machines courtesy of "Foamgate". Borrowing an AirSense 10 from my local sleep clinic. Not really loving it - The humidifier is a pain to clean. Truth be told, until the recall I loved my Dream Station. It really helped. What the AirSense does do is clear the fog. Still find myself tired when I wake up though. So maybe I won't be able to kick the machine permanently. I would at least like to not wake up tied.
@@RevWes oh how tall are you a lot of people I know have gotten sleep apnea when they started to weigh 190 try to get to 160
@@gallo4796 just over 6 ft
@@RevWes I’m sure you will cure it suppedly it has fundo with your bmi being normal
I am an anomaly. I have a 15 inch neck and weigh 164lbs. I have had surgery on my nose to open the nasel passages, tonsils and adnoids removed and several other surgeries to reduce my sleep apnea. The only thing that has been long lasting is the use of my cpap machine.
Yes, there are substantial numbers of skinny people that have narrow airways prone to collapsing. The notion that apnea only happens to the fat is false. It can frequently happen to the other extreme too.
I have hypermobile Ehlers Danlos Syndrome, among a slew of other disorders, and get “lose weight” thrown at me frequently. All the glue that holds my tissues together is sh*t. I appreciate this video as something to show my doctor should they suggest that weight loss is going to budge my 38.3 AHI. Many other people with EDS have been told to lose weight and then actually did, and experienced much worse subluxations, dislocations, and tendonopathy because they removed the weight that was literally helping to hold them together. I have no doubt that if I do manage to lose weight (heck, I already am thanks to medication side effects of nausea and appetite suppression and severe food allergies), my soft tissues are just going to be flappier and droopier than ever.
I have sleep Apnea, I got the machine a year ago, could not get the frigging mask to stay with out leaking air everywhere, other then my mouth (I sleep with my mouth open, so I had full face mask)
I worked on it for 7 months, not sleeping because of the mask, not the Apnea. That is where I packed the machine, put it away, and I sleep really well since. I might be waking up at night for the reason I needed that damn machine, but I sleep real good these days. I am 70 years old and have no weight troubles (140 LB), my Doctor say I am doing fine, I am a cancer survivor, and with out the f....g machine I might live to 120 .
Lol, good for you, sir! Hoping you have many more happy, healthy years!
At first I had a really hard time with PAP. For instance: leaking mask drying my eyes, open mouth getting dry even with a full face mask, vibrating "motorboating" mask leaks, nostrils burning with a nasal mask, chin straps cutting off my circulation, a feeling of suffocation. In the middle of the night the PAP machine would gut off when I had a long apnea event.
I thought my sleep apnea was gone only because I never slept. YOU CAN'T HAVE SLEEP APNEA IF YOU'RE NOT ASLEEP.
Finally, after watching TheLankyLefty27 videos, I think I finally got the right combination of equipment and settings. But I am still tired when I wake up, even though I'm sleeping 7 hours a night average.
@@sandrajones2926 what is your AHI index? That, and the amount of time you sleep, are the two most important criteria for people like us who have apnea. It sounds like you're doing well at getting sleep, but is it quality sleep? The AHI index should help tell you. Good luck.
@@kebo57 My AHI Index runs about 1.4 average for the month, but about 1.8 lately. For average hours of sleep I get a reading of 6.7 hours, but a lot of that is only dozing with the PAP running, hoping to fall asleep. I have to go to the bathroom 2-3 times a night. I'm always sleepy in the morning. Since I started PAP 2-1/2 months ago, I don't get so sleepy in the afternoon.
@@kebo57 He doesn't know - he isn't using a machine.
I’m one of those lucky thin people who have it just due to tongue and jaw anatomy, along with two other people in my immediate family. For people like us, your weight makes no difference, unfortunately
I have been on CPAP for more than 25 years with severe OSA AHI=75. (My first CPAP was Sullivan IV with passover humidifier). I had gastric sleeve for weight loss 3 years ago and BMI dropped from 44 to 29. Pressures needed on BIPAP dropped from 22/18 to current pressures 18/14. I am over 65 and given the many years I was on CPAP, I didn't think weight loss would cure my OSA. I had bariatric surgery to stop pre-diabetes from progressing to T2DM. In that goal, my A1C has been below 5.2 since weight loss. Have been 100% compliant on BIPAP for decades.
When I was younger, I snored like there was a running lawnmower in the bed with me. If I loose weight, I will probably not be cured of sleep apnea. I guess I am screwed! I better become friends with Mr. CPAP.
Calling his grandma a known liar had me howling!😆
Yes you can. Pay $40k for the Inspire surgery and have "mild sleep apnea" (instead of severe sleep apnea) for the rest of your life. Then imagine how many CPAPs you could have bought for $40k, lol. Kind of expensive and not an ideal outcome. Hopefully the tech gets better. Oh, it's also like $17k to change the battery in the device every few years. (No idea why they haven't made it inductive.)
I have really bad asthma and my pulmonologist told me that everyone with asthma is likely to have sleep apnea. When I went to have my sleep study done the sleep tech told me that so far he is correct, that people with asthma tend to have sleep apnea. I am on a bipap autosv, so I guess my sleep apnea is pretty bad.
I really appreciate your videos though. They've been really helpful.
I'm asthmatic and I have severe OSA
Play the didgeridoo 20 min a day and learn circular breathing. Im currently on cpap and just started blowing on a digeridoo to see if I can fix it. Which is harder? The didgeridoo is harder for me. So I still wear cpap because it makes me human during the day. There is a ted talk about playing the didg and hes awesome I tend to sound like something between a sick whale and motor boat. I imagine (in my head) if I actually get to where I can play it well it will get fun and I'll have a daily jam session and sleep like a baby. More likely ill put my cpap on and sleep like a balloon. But at least I'm sleeping now.
My late BIL did this and it worked for him, however, he had very mild sleep apnea and he had to play the didgeridoo daily. Living in a rural area, didn't have to deal with neighbors. He was at the low end of BMI for his height, so age and flabbiness were likely the cause of his apnea.
There are Swiss scientific white papers that say that one must play 45 minutes per day, daily. However if you stop practicing, your apnea will return. So it’s not curative. However it does work. I suspect other instruments may work as well such as clarinet and sax.
I have sleep apnea and sleep with a CPAP machine. I am 5'7 and 133 lbs. Never been overweight and have had a healthy lifestyle all my life. Why the sleep apnea problem?
I rather hope that in the future technology will improve so I don't wake up bloated every morning like I do since I started using CPAP.
I've been following some discussions on the internet and what I often hear is that after undergoing some other intervention for sleep disordered breathing, the patient continues using CPAP, but everything works so much better than it did with CPAP alone.
Thanks, this is a fundamental question. I asked my sleep physician this, saying that I had heard that the magic bullet is not CPAP, but instead weight loss. His reply, 'good luck, it's not easy'. Sure, it might not even be 100% effective, but like you say it can't hurt (if done right). What does the medical research say, anyway? Is there hard data?
For me, the bigger question is (sorry), "are sleep apnea and CPAP therapy scams?" There, I said it. I mean this in the sense of...
- geezers like me have been snoring for centuries, so what's the big deal?
- isn't this really a condition primarily of fat old men?
- isn't CPAP a luxury treatment available only in first developed countries?
- for which severities of OSA are surgery and mouth-guards effective?
And the clincher...
- *if* OSA is a seriously debilitating condition then why doesn't insurance cover treatment?
It doesn't all add up socially, medically and financially - at least to this low-income 20 lbs overweight retiree. I was diagnosed in 2018 with severe OSA, but I am skeptical of everything. I know of multiple persons diagnosed with mild to moderate sleep apnea who plain can't afford the machines or failed to adapt to using a CPAP and they are leading productive lives. I feel more energetic and happier when I am using my PAP, but for this traveller it is hugely inconvenient and not always even comfortable. It's also expensive and bulky. I went for four months without when I stashed my device overseas and I didn't drop dead. So, I am experimenting to see if losing 20 lbs reduces the need for CPAP.
I am a thin younger woman and my insurance is covering my OSA treatment. Other thin women in my family also have OSA, so it’s apparently genetic for us.
In the times and places without access to CPAP, it’s likely that other things kill(ed) people before the long term effects of OSA manifested in old age. Now that people in wealthier nations can extend our lifespans to great lengths, the negative effects of OSA have time to appear. (I wonder how many dementia cases come from people with untreated OSA?) But I agree the cpap industry acts really scammy, and American health insurance generally is just the pits.
I know your videos are for a specific audience, but even your "serious" videos are still entertaining and funny. You should definitely have more subs. Now that I say that, I'm not sure if that's a backhanded compliment or not.
I appreciate that. I'm just happy when people watch to be honest!!! 😂
Losing weight doesn’t necessarily cure sleep apnea. There are different kinds of sleep apnea like Central sleep apnea. Central sleep apnea means your brain doesn’t get the signal to breathe after you stop during the night.
I resigned myself that I'll be using cpap forever. However, I'll still keep at losing weight and hopefully I don't have to use cpap as strongly as before.
Never been overweight, still have sleep apnea. Never really got used to the CPAP and don't feel any different on nights I wear it the whole night.
I did not get noticeable sleep apnea after getting above 270 pounds, but my dad was a skinny man and snored badly for decades before getting diagnosed with sleep apnea. I still use although I just dropped down to 260 pounds after gastric bypass surgery 3 months ago.
I have never had a problem sleeping, always falling asleep in less than 5 min. I also do not wake up during the night before morning. My neurologist recommended that I have a sleep study which showed I have moderate obstructive sleep apnea. I have been using CPAP for about 18 months. I can honestly say that I feel no benefit from this. In fact, I wake up frequently during the night because my mask is leaking. I am in fact getting poorer sleep now than before CPAP. I am ready to scrap my air sense 11. Should I?
I would. I have spent a lot of time and $$ on doctors visits, sleep studies, checking rechecking settings only to end up where I started. I have accepted my fate of sleeping restless 3-4 hours a night waking up gasping for oxygen. I had very high hopes this machine would improve my sleep quality. It has done nothing but cost me time and $$.
I’m a 70 year old female. My snorin is still loud and hurts my throat. So I’ll be buried in it. I was skinny and still had sleep apnea. -OMG HUGE TONGUE AND UVALA- how attractive 😂
I lost over 9 stone, main motivation was to get off cpap. Didn't work. Resigned to it, it's a none negotiable ( to myself) necessity. I could, however see my feet again 😆 every cloud...
126 pounds for our American peeps
My Airsense 10 machine seems to blow a constant pressure thru the night. When I first got my machine it didn't do that. I go to my sleep doctor once a year. I've also noticed my mouth is very dry at night for over three or four months. Using my Cpap sucks.
Sounds like you have mask leakage. Get a proper fit. Spend money trying other popular masks. You definitely have to work to get the right setup. Also double check all of the clinical settings on your machine. It sounds like something may have gotten changed.
It's supposed to blow a constant air pressure. Dry mouth is usually from not getting enough humidity, a heated hose helps cure that!
I was diagnosed with sleep Apnea due to some kind of complications? I did see a specialist. I tried the C-pap machine and it was very uncomfortable. I got rid of the machine and returned it. I tried numerous things to make me comfortable to sleep. Sleeping a certain way for me and a good diet and excercise. Finding the right bed and way to sleep. Helped alot more but for me i think it's because of my allergies. Doc also said it was because of some kind of injury? I don't really know? I'm doing ok not having perfect sleep. I can sleep alot better. If anyone has any questions? I will try to answer them as best as I can? I am not a doctor but I do get info from experts. I know my self or atleast try too
After seeing some videos related to the treatment of the sleep apnea, I still haven’t see any explaining the problems and the meaning and difference of the different apneas reported for example in the DreamMapper, can you please explain what’s the difference in the report of AHI, clear airway apneas, obstructive apneas, and total hypopneas, which is the most important to reduce? Is it by adjusting the set-ups?
I appreciate your frank approach to this video it was refreshing yet the comical voice overs were interesting
My friend lost a lot of weight after 25 years on CPAP, she doesn't need to use the CPAP but she continues to use it because she won't feel she has sleeping without wearing it. Wearing CPAP mask becomes her second nature.
I would take Elizabeth's word for sure. Good sense, I'm cpap for life . Thanks for me
Autophagy may help with some of the sag after weight loss. But my mother had sleep apnea pretty bad and she was never really overweight. Not at all.
I'm skinny but I cut off gluten, dairy, sugar, and refined foods in order to cure my sleep apnea, alergy rhinitis, and stop using cpap. Then after one month of the new diet I didn't use my cpap and have recorded my snoring and found it almost 0 snoring and now I'm not using the cpap for 1 month.
Fr did you loose weight ??
@@gallo4796 She said she is skinny so weight wasn't an issue
@@ronfarmer9250 I know a couple people
That are over weight and they have it… it’s weight related or tonsils or both
My sleep apnea is largely positional. 7.8 AHI sleeping on my back and 1 AHI sleeping on my side. So this was during the home sleep study. I still feel like my quality of sleep is improved with the CPAP. Would sleeping on the side totally avoid it? Not sure. My spouse said the snoring has gone and I have more energy. I am already at a healthy weight, but struggle sleeping on my back even with CPAP. Curious if anyone is able to sleep on their back with or without CPAP?
mine is non positional, or at least it is so bad on my side that it couldn't get any worse on my back.
Over $90k spent on a 7hr surgery, still apnea. Maybe 3-4hrs of sleep per night.
What surgery was it and how much do you weigh these guys aren’t telling us the truth even this guy use to say there was no cure and now says there might be
Seven years ago, my Sleep Test showed a pressure of 16. I was 182 lbs, now I am 152 lbs and the latest Sleep Test showed a pressure of 12. I was expecting a much lower pressure to normal results.
Thanks to The Ridge Wallet for sponsoring this video. Here is their site: ridge.com/lanky
Use code "LANKY" to save 10% off your order.
Love you videos. I lost 35 LBS in the past 18 months and still on my cpap but the good news is my pressure has been reduced from 10 and I have my cpap range set at 5 to 7 and my APH is around 0.1 to 0.3 the odd night I might see an 0.8 to 1.0 but that is rare. It just feels better to lose the weight and have less pressure on the cpap machine.
You know a lot of people don’t feel rested even on the machine and the machine lies right
So what are you saying ? It really doesn’t matter how other people feel It’s about how I feel when I use it. The machine lies is a funny one LoL.
My sleep doctor told me my tongue is too big for my mouth. Explains why I can hit flies from across the room, but sucks for sleeping and breathing.
Sure, but who needs sleep when you're hitting flies from across the room? That's the lords work!
@@Freecpapadvice It's great for insomnia!
Do people call you "froggy "? :)
Your mouth is too small for your tongue.
@@kebo57 They will now! 😂
My BIPAP machine gives me the info on how many hours I slept and the overnight average of apnea events/hour. I find I get the best readings when I do about 10-15 minutes of deep, slow breathing before I go to bed.
I'm going to try that. Thanks!
I’m 185cm and 120 kg.
Had my first study around 10 years ago that was around 30AHI, being a lot younger, dumber and stubborn I opted for the UPPP, after the nightmare of a recovery this worked.
Fast forward 10 years, after struggling with the symptoms for 6 months went and got retested, low ahi of 15.6. On machine now pressure of 13cm/h2o, over night heat rate has dropped 20 bpm ahi is now 4 average.
Id prefer to stay alive even though I do wake still feeling like rubbish( assume pressure related) and oh god the aerophagia is bad.
Quattro air . 13cm/h2o fixed.
Ps ahi goes from 2.1 to 7 depending on how bad my sciatica is playing up
When you mention re-testing, do you mean a full-blown overnight sleep study with all the wire connections and the technicians?
p.s. I enjoy your videos. They are helpful.
My last sleep study was 10+ years ago. I'm 71 now and exercise daily. #1 highpoint for me: 16,052 steps yesterday with #2 highpoint for me: 7 hr 32 minutes sleep (10:16pm to 7:05am).
Yes thats what he is referring to
I have lost 35 lbs in last year and I still have sleep apnea. AHI stays the same 4-7. Weight is 173 now.
Maybe I'm just weird, well I know I am, but I took to CPAP the first night. Besides some of the tracks on the side of my noggin from the straps at times, I actually love it. I feel it's making me healthier. I used to drop what felt like a gallon of pee with an average of 3 to 4 bathroom trips a night before CPAP. Now, most nights I'm not getting up at all. I've never been overweight. So I'm a lifer.
Sleeping on my side with a taped mouth tends to give the same results on my O2 sensor as using a CPAP, for me. However I still use my CPAP on average of 4-5 hours a night. Some all night and some none. If my nose is stuffed up, I need it.
taped mouth?
My doctors told me mine is specifically due to weight, a former roommate had bariatric surgery and he didn't need his CPAP anymore afterwards, so it's no guarantee as he said, but it's a possibility for some people. I've been a candidate for laser surgery for my uvula due to chronic infections, so I don't think I'd be cured by weightloss, but it's something I'd still want to do.
Have you had sleep apnea your hole life or was it when you got obese that you got it
Successful use of CPAP makes exercising/losing weight easier.
Sadly weight wasn't a factor for me. Army 6ft 165. Always ran 5 plus miles. On the hunt for more answers
Hi I have a question. I just started using a cpap and haven’t been able to actually sleep yet. But I was wondering if using one can actually lead to muscles weakening and making you even more reliant on a machine to breath?
I honestly don't know the answer to this....so I'm talking out of my butt right now. Seems to me that it wouldn't make you more reliant. Your muscles in the upper airway should be relaxed during sleep anyway, so using something to hold them open shouldn't make them flaccid, just like sleeping doesn't make weightlifters lose muscle tone.
Have you ever heard of helping reduce sleep apnea by doing throat exercises at all?
Also-Does the inside of a cpap machine ever get dirty? My machine is still working well, but it’s been 5 years of using it and part of that time was being around someone that smoked heavily. Just wondering about your thoughts. Thanks!
Evidently there's a flock of five geese. When I was diagnosed 5 years ago, I was in good shape and relatively young. Had been suffering for years before that too. My Dr. said congrats, I should thank my parents for giving me a horrible anatomical throat.
Maybe try removeing your tonsils
@@gallo4796 Ha, I wish it were that simple.
Just came back here to check analytics and answer come comments and thought that VERY same thing. "How come in analytics it doesn't say 75% male, 24% female, 1% geese?"
Really just happy that geese are regular viewers.
Your situation is one that this video was really for. There is nothing that you can do to get rid of OSA realistically. I don't even say that to be mean or pessimistic. It's just the reality of it after having seen the outcomes of surgical "fixes" in the short and long term. CPAP (or some PAP modality) have a pretty high success rate.
@@Freecpapadvice They multiply evidently. Do geese suffer from apnea too? Yep I don't take it as mean/pessimistic, I've resigned myself to that fact. Dr. also said surgery would be painful and not a guaranteed success or permanent. My apnea is BAD (90-110 AHI) Aside from my CPAP machine trying to kill me by cancer, I've taken to the therapy well and I feel so much better now in my daily life. There's a lot worse things one could deal with than strapping on a face tube at night.
I'm sure weight is a "contributing" factor, but anatomy is a determining factor. I only weigh 105 lbs., but my TMJ specialist tells me I'm a prime candidate for sleep apnea, and sure enough, X-ray shows my trachea is a lot smaller than that of an "average" person, and my jaw bite also contributes to my problem. I don't need a lot of pressure, but the APAP machine does help me sleep better.
Correct. Some examples of this are discussed at 1:52 in the video.
Getting my CPAP machine made a huge difference. I use the nose thing, rather than the full mask, which is easy for me, as I've never been a mouth breather while sleeping.
In other words, I tolerate it well.
But it annoys me to have to make provision for it while camping.
I did go camping for three nights without my CPAP and was fine--no symptoms. I did do all kinds of breathing exercises before sleeping, and attempted to use self hypnosis to keep me deep breathing while asleep. Did it work? Was I lucky?
I've tried the same thing off and on since with possible positive results. Not certain. I have lost weight.
The thing is--I suspect myself of slipping into very, very shallow breathing while awake and sedentary. Am I stopping breathing occasionally during these periods? I'm not sure. But I do find myself hyperventilating (slightly) afterwards--which is what I'd be doing when woken during the night before my CPAP.
My sleep apnea was moderately severe. People told me that I was making poor decisions while driving. I was not aware of it, of course--but neither are older people who get to the point that they should no longer drive. I volunteered to go with an older friend to assess his driving. He was really unaware of his multiple errors and I had to give him the bad news.
Anyway--I'm wondering if my problem IS obstructive?
Can hypnosis work if the problem is not obstructive? And why is obstructive not a problem when you are awake?
Would love to get your input.
My wife was doomed from the start. Her dad has bad sleep apnea and it was bad even when he was thin as a rail! So even with weight loss she still needed the machine because it's a family affair with her. :)
Anatomy has a lot to do with OSA. Often times it is very much a family affair!
So true
I know someone who is thin and she has sleep apnea
It’s very frustrating to know that they say you need the CPAP but they don’t have enough Replacement parts to keep you supplied. They’re having problems now with hoses filters etc. Why are they continuing to sell new machines if they know they can’t give you what you need to continue using them?
I don't know where you shop but I have never had problems with my supply company and I always have what I need, That was 6 years ago, No problems. I had a sleep study that says I need a CPAP machine, I coordinated with my doctor and my supplier and never I am in need of parts. I don't know what you mean "that they say you need a CPAP. Who is they? You need to have a sleep study to begin with. I am completely lost by your problem.
It hasn’t helped me at all. I am not overweight and I am in good shape. It’s been a total waste.
I had obstructive sleep apnea. After using the cpap for a year I now also have central and complex apnea which I am told is the result of treatment with the cpap. Now i have a "special " Airsence 10. Not a cpap and not a regular bipap. Medicare requires 60 days of compliance with this one. I know My Air is "useless", but after 61 days I still had an AHI of 25ish during the four hours I was able to use it before my RLS kicked me out of bed. About the only times I have less than 5 is when I have been awake all night.
Saw a guy showing negative air pressure during the day, to improve tone. So, won't need cpap at night.
I was slim and it started !
I've been using CPAP for 17 days now the first three days seem to be slightly better but since then it's been terrible and each day got worse and worse now to the point where I feel like I'm so sleep deprived I'm just waiting to have a stroke but if I return the CPAP I have to pay the full price. So I just don't know what to do should I save my life and return it or am I paranoid?
I wear a full mask and was still having average apnea events in the high teens per hour. Then I heard you suggest using a cervical collar, now I average under 3 apnea events per hour. Thanks for the tip.
Statistically speaking, significant lasting weight loss just isn’t very attainable or sustainable. It also doesn’t reliably “cure” sleep apnea. And people who have always been thin, have sleep apnea, too.
So why are we even discussing it at any length, when it just sends people into a spiral of shame and disordered eating and hopelessness, and it’s not a very attainable goal, anyway?
Let’s focus less on weight loss, and more on helping people see their health care providers and follow their treatments, move their bodies in sustainable ways during the day, add nutrient-rich foods into their meals and practice better sleep hygiene.
Lost around 60 pounds. Been off cpap for 4 days now.
Now whats the update ...did you again start using of cpap or not
@@preetimittal2123 Been off for 5 months.
@@preetimittal2123 My pineal gland was eradicated with radiation in 1993 when I had cancer. They thought it did nothing. Turns out it regulates your sleep and deep sleep by emitting melatonin.
This was real, for real!!! Ty
Only thing that will help me would be a MAD, as I think that's what caused/worsened my symptoms when I had a mixture of invisilign/elastics for an under bite. I've been told by my dentist my tongue is too large at the very least, so I'm probably stuck with it even though I lost a person's worth of weight.
I'm not fat but since being told I have severe sleep apnea, I've decided I'm going to eat more pizza and ice cream. There's no way I'm letting fat people have all the fun when someone skinny like me is on the machine as well.
Maybe yours is central sleep apnea
A great explanation that is pretty much what I tell my pts. when I set them up on Cpap.
I think jaw surgery is the most common way for people to no longer need CPAP.
For a surgical solution, maxillomandibular advancement is the best option. Still though, that's only going to address tongue and small airway. Uvula and soft palate are still potential sources for obstruction.
@@Freecpapadvice Moving the maxilla forward also moves the soft palate forward. The downsides are probably as you mentioned; it might not work if there's enlarged soft tissues, it's not a guaranteed cure, there isn't standardised surgical treatment, cost, risks of surgery and movement of the mandible is limited by the maxilla - so it'd work a lot better on Class 2 --> Class 1 --> Class 3 malocclusions.
Appreciate the honesty Jason
I lost 90 lbs AHI 51 … cmh2o 18 decreased to 14 …
I would love to hear your opinion on sleep apnea in kids. My 10 year old was recently diagnosed with severe osa, he is very thin and has no other underlying health conditions. (Already had his massive tonsils removed) The changes in him have been amazing since getting his cpap. We wish we would have done it sooner. I’m guessing he will be on cpap for the rest of his life which I hate for him but he doesn’t seem to mind his machine.
What mask is he using? The main concern in youngsters is the mask being on their face while growing can cause facial deformations.
Make sure the mask is not strapped on too tight or has very minimal headgear. (something like the Bleep Dreamway would be perfect...but it's likely too large.) Think P10, or N30 headgear. Very minimal.
@@Freecpapadvice he is in the wisp, he’s in the headgear for kids but in a large mask. But I will look into the ones you suggested as well. Thank you!
@@FreecpapadviceI tried a good CPAP machine 3 years ago. From what I understand it was set 4-16. It was suppose to ramp up after I fell asleep as I needed it. I tried several different nose and full mask. All felt as if I was on a ventilator even when just resting trying to go to sleep. I never slept over two hours with it on. Most unnatural breathing I ever felt? Got any idea why. From what the machine showed in two hours it never went over 8 but I couldn’t stand 4 much less 8. Help I still need it. Feel worse after sleeping.
Thank you lanky,always interesting stuff.
A great realistic break down. Very insightful. Thank you very much. 🙂 You could have the goose brawl in though... kill joy... 😑
I can get off CPAP because I was never compliant in the first place...
After nasal surgery to correct my turbinates I was able to breathe better through the evening and had a bunch of weight loss followed. I’m currently at about 18% body fat with a low AHI and couldn’t meet the threshold for sleep apnea in a titration study. I continue to have low o2 saturation and high co2 through the evening leading to morning headaches when I’m not using CPAP. So I’m on the hook for using CPAP, sleep OK but without a clue as to what’s actually going on. Perhaps I should hit you up to take a look under the hood as so far I’m putting a lot more effort into figure things out than my Doctor.
This is a case for RERAs vs. CO2 retention. If CO2 retention were occurring you'd see more central apneas or central hypopneas later in the night.
@@Freecpapadvice that’s exactly it, about 5 hours into an evening sleep is when I’m woken up with a pounding headache, dry mouth from gasping for air and burning up because my heart rate was elevated once my o2 dropped.
Hey man I see a lot of videos where people had large tonsils and apnea stopped in most cases when these where removed. Is this something you’ve heard about?
I think if the apnea is because of weight gain then yes of course you could potentially not need it if you lose weight.
Positional , stay off your back left side is best but it might not work for everyone , ask a doctor first
Hello LL, I discovered I had sleep apnea approx 2 yrs before I retired I was 196 lbs. I have been able to trim the weight down to 155 lbs and unfortunately I still have it. So for me I will be using this terrible device forever.
Did it get better by looseing weight and did you remove tonsils
@@gallo4796 Hello, Tonsils gone at age 6. No change after losing weight. Best I can say is it has been 10 plus years since retirement and my condition is no worse.
What's your take on surgery or implants as a "cure"? Soft palate reduction can cure OSA but the odds aren't amazing and the recovery is painful. Then there's those weird implants that jolt your tongue muscles all night. Sounds awful to me and it's also got less than great odds
I'll do another video on this subject. It's a solid topic.
What about Central Sleep Apnea? Is it a forever diagnosis and ASV forever?
What about if you have a bunch of strong allergies and you are already skinny ?
Thank you for the info. I thought so, but it’s good to have confirmation from pro :-)
What did you think loseing weight is the cure
I love the laugh for answer# 1. Good info, thanks
What about apnoea caused by jaw position issues or the brain stopping you breathing? Any hope for those?
My apnea isn't because I'm fat. But I'm fat too 😒