Obstructive sleep apnea

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I have just today been diagnosed with "severe" obstructive sleep apnea. The doctor said that during my sleep study I stopped breathing 66 times, for up to 22 to 28 seconds. I thought that meant 66 times during the night, but he said it was severe and my research indicates that means more than 30 times per HOUR, so I guess maybe it was 66 times per hour? I'll have to confirm with him next consult, but in the mean time he did say it was severe and it puts me at risk for a heart attack.
He also said it was so bad that weight loss probably wouldn't cure it, but I am overweight and need to lose I think 45 lbs to be in the healthy range (5' 10" 220 lbs now.) So of course I want to try and lose weight and see if that helps. I am worried about the effect on my health, the doctor seemed quite concerned.
Does anyone have any success stories of curing sleep apnea with weight loss? I'd like to hear how much you lost, and how much it helped. If/when I can lose the weight I guess I will go for another sleep study and see if it has helped.
This is a good motivator to lose the excess weight.
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Replies

  • AnnPT77
    AnnPT77 Posts: 32,221 Member
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    Are you planning to use a CPAP or similar in the mean time, I hope?

    You don't want to hear from me: Weight loss did not cure my sleep apnea. There are other people who've written here on MFP for whom it was curative, though. It may lessen yours, even if it doesn't fully resolve it.
  • ghrmj
    ghrmj Posts: 86 Member
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    AnnPT77 wrote: »
    Are you planning to use a CPAP or similar in the mean time, I hope?

    You don't want to hear from me: Weight loss did not cure my sleep apnea. There are other people who've written here on MFP for whom it was curative, though. It may lessen yours, even if it doesn't fully resolve it.

    Yes he gave me the option of CPAP or a surgery referral, but I don't want surgery so I am going to try the machine. I just spoke to him today so I have to wait to hear back about an appointment for the machine - I guess you have to go in and get fitted for it and learn how to use it. Not sure how that works, I hope they call me soon.
  • AnnPT77
    AnnPT77 Posts: 32,221 Member
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    ghrmj wrote: »
    AnnPT77 wrote: »
    Are you planning to use a CPAP or similar in the mean time, I hope?

    You don't want to hear from me: Weight loss did not cure my sleep apnea. There are other people who've written here on MFP for whom it was curative, though. It may lessen yours, even if it doesn't fully resolve it.

    Yes he gave me the option of CPAP or a surgery referral, but I don't want surgery so I am going to try the machine. I just spoke to him today so I have to wait to hear back about an appointment for the machine - I guess you have to go in and get fitted for it and learn how to use it. Not sure how that works, I hope they call me soon.

    Don't worry, it's easy. It seems a little weird at first, but one risk is sort of talking yourself into being freaked out by it because it's unusual. If you can, keep an open mind, and give yourself some time to get used to it. There are different types, and different headgear types that you may wear, and different ones work better for different people - that's probably part of what they'll go over in the fitting. There may be lots of settings, but most of them you don't have to change once they get set right for you.

    They may not tell you this in the fitting, but there are also special pillows you can get if you find out that the headgear or tubing are awkward for your sleeping position with a standard pillow. Don't be afraid to talk through any issues you encounter later with the equipment supplier. (They have consultants here that I could talk with any time if I were having issues. I haven't much had to use them.)

    People think it's going to be super noisy, but it's not. I grant that the headgear looks a little odd. It can take a few days for the better sleep to sink in, but it should overall be an improvement after that short adjustment period, and it also reduces the risks for your heart, which is obviously worthwhile.
  • DFW_Tom
    DFW_Tom Posts: 218 Member
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    Hard to say what will work for you, but using a C-PAP made for a huge improvement in my sleep apnea and quality of sleep right from the start even though I remained morbidly obese for years. Went through the first sleep study in my late 40's and was told to use a C-PAP, which I did for a couple of years every night. By my mid 50's I was only using the C-PAP when I felt like the sleep apnea was coming back. Early 60's and another study said I had mild sleep apnea even though I was heavier than ever and rarely used the C-PAP. Now, in my mid-60's, 85 lbs lighter (but still obese), I don't believe I have even a hint of sleep apnea and haven't used the C-PAP for a couple of years. Cured? I doubt it. More likely, using the C-PAP help train me to stop holding my breath at night. Much lower stress levels from work, home and kids probably helped too.

    Wearing a contraption over your face at night does take some getting use to but it was worth it for me. The noise never bothered me, nor did it bother my bride of 45 years (who sleeps in the middle of the bed). Dropping the extra pounds we carry doesn't hurt either and has so many other benefits it makes the effort worth it. Good luck.
  • delillolauren
    delillolauren Posts: 35 Member
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    My husband has obstructive sleep apnea, he’s 6 feet tall and around 165. So for him, it’s purely anatomy. He’s used a cpap for 15 years and it’s made a huge difference in his quality of life.
  • ghrmj
    ghrmj Posts: 86 Member
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    AnnPT77 wrote: »
    ghrmj wrote: »
    AnnPT77 wrote: »
    Are you planning to use a CPAP or similar in the mean time, I hope?

    You don't want to hear from me: Weight loss did not cure my sleep apnea. There are other people who've written here on MFP for whom it was curative, though. It may lessen yours, even if it doesn't fully resolve it.

    Yes he gave me the option of CPAP or a surgery referral, but I don't want surgery so I am going to try the machine. I just spoke to him today so I have to wait to hear back about an appointment for the machine - I guess you have to go in and get fitted for it and learn how to use it. Not sure how that works, I hope they call me soon.

    Don't worry, it's easy. It seems a little weird at first, but one risk is sort of talking yourself into being freaked out by it because it's unusual. If you can, keep an open mind, and give yourself some time to get used to it. There are different types, and different headgear types that you may wear, and different ones work better for different people - that's probably part of what they'll go over in the fitting. There may be lots of settings, but most of them you don't have to change once they get set right for you.

    They may not tell you this in the fitting, but there are also special pillows you can get if you find out that the headgear or tubing are awkward for your sleeping position with a standard pillow. Don't be afraid to talk through any issues you encounter later with the equipment supplier. (They have consultants here that I could talk with any time if I were having issues. I haven't much had to use them.)

    People think it's going to be super noisy, but it's not. I grant that the headgear looks a little odd. It can take a few days for the better sleep to sink in, but it should overall be an improvement after that short adjustment period, and it also reduces the risks for your heart, which is obviously worthwhile.

    Thanks I will keep all this in mind. I don't think the noise will bother me, I have tinnitus and use a fan every night for background noise anyway. An acquaintance recently told me that the CPAP helped their tinnitus so maybe that will be a bonus as well.
  • ghrmj
    ghrmj Posts: 86 Member
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    DFW_Tom wrote: »
    Hard to say what will work for you, but using a C-PAP made for a huge improvement in my sleep apnea and quality of sleep right from the start even though I remained morbidly obese for years. Went through the first sleep study in my late 40's and was told to use a C-PAP, which I did for a couple of years every night. By my mid 50's I was only using the C-PAP when I felt like the sleep apnea was coming back. Early 60's and another study said I had mild sleep apnea even though I was heavier than ever and rarely used the C-PAP. Now, in my mid-60's, 85 lbs lighter (but still obese), I don't believe I have even a hint of sleep apnea and haven't used the C-PAP for a couple of years. Cured? I doubt it. More likely, using the C-PAP help train me to stop holding my breath at night. Much lower stress levels from work, home and kids probably helped too.

    Wearing a contraption over your face at night does take some getting use to but it was worth it for me. The noise never bothered me, nor did it bother my bride of 45 years (who sleeps in the middle of the bed). Dropping the extra pounds we carry doesn't hurt either and has so many other benefits it makes the effort worth it. Good luck.

    How did you feel it was coming back? I had no idea that I had it I didn't notice anything weird with my breathing (except my husband said I snore a little bit sometimes.) The reason that I had the sleep study was for what I thought was insomnia. I fall asleep fine but wake up often throughout the night and can't get back to sleep. I thought it was maybe hormonal or something and my doctor said to do a sleep study before anything else.
  • ghrmj
    ghrmj Posts: 86 Member
    edited October 2022
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    My husband was convinced i had sleep apnea when i was overweight and still drank alcohol. He would freak out because he would hear me stop breathing and then gasp back - he said I didn’t snore but he would either wake me up constantly or lie awake freaked out that I was going to die. With all the other things that were going on in our lives I never made an appointment to get a sleep study done to check it out, but I did stop drinking and lose a lot of weight, and I no longer have the issue. Given that you have an actual diagnosis of severe sleep apnea and risk of a heart attack, I would follow doctors orders AND use it as extra motivation to lose weight. Cutting out alcohol, especially before bedtime really helps too, (also helps reduce heart problems and with weight loss) so it was good that I had medical reasons that forced me to quit initially because I never would have done so voluntarily. I complained about it and cheated initially even when I knew I shouldn’t drink, but ultimately now that I don’t drink the sober life has so many things to recommend it - high on the list is good sleep.

    Yeah I'll definitely being following his advice. The doctor told me that my blood oxygen drops by 10% (during the episodes I guess) so I guess that is what causes the heart risk. Pretty frightening.

    I don't really drink much but I do notice that it impacts my sleep when I do.
  • JaysFan82
    JaysFan82 Posts: 851 Member
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    If you dont like thr machine you can look into an Anterior Mandibular Positioner. I know a few people that went that route
  • ghrmj
    ghrmj Posts: 86 Member
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    My husband has obstructive sleep apnea, he’s 6 feet tall and around 165. So for him, it’s purely anatomy. He’s used a cpap for 15 years and it’s made a huge difference in his quality of life.

    That is unfortunate. If losing weight helps for me great, if not then I will have to stick with the machine as well. Hoping it makes a difference for me as well for quality of life and energy level during the day.
  • ghrmj
    ghrmj Posts: 86 Member
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    JaysFan82 wrote: »
    If you dont like thr machine you can look into an Anterior Mandibular Positioner. I know a few people that went that route

    I would be hesitant to try that because I have had tmj issues in the past and wearing the guard actually made my pain a lot worse (which isn't supposed to happen and stumped the dentist.) Now that my jaw pain is better I'm not sure I would want to risk anything that might mess with the alignment.
  • ninerbuff
    ninerbuff Posts: 48,538 Member
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    I'm sure I have it and for awhile I used a mouth piece, but every morning my throat would feel like a desert and swallowing first thing in the morning hurt.
    Hopefully you get it under control. On a lighter note, I saw this on Jo Koy's skit in LA:

    https://www.youtube.com/watch?v=iP1rMGlUCck


    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png
  • DFW_Tom
    DFW_Tom Posts: 218 Member
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    ghrmj wrote: »
    DFW_Tom wrote: »
    ... By my mid 50's I was only using the C-PAP when I felt like the sleep apnea was coming back...

    How did you feel it was coming back? I had no idea that I had it I didn't notice anything weird with my breathing (except my husband said I snore a little bit sometimes.) The reason that I had the sleep study was for what I thought was insomnia. I fall asleep fine but wake up often throughout the night and can't get back to sleep.

    My spouse would let me know if I had been holding my breath, either by telling me in the morning, or jabbing her elbow into my ribs at night. Thinking back on it now, I remember that I liked the feeling of holding my breath for some strange reason. Don't know why. I tended to release the held breath very slowly making a making a long, high pitched wheeze sound that usually earned me a jab in the ribs.

    I too fall asleep way too early in the evenings, especially this time of the year when it's getting dark earlier. I average somewhere between 5.5 and 6.5 hours of deep sleep a night, then supplement with a daytime nap. If I start thinking about what I need or want to do that day, I quickly come wide awake. Otherwise, I'll drift off to a light sleep after a trip to the bathroom. I don't think holding my breath has anything to do with being up for good at 3:AM for me.

  • ghrmj
    ghrmj Posts: 86 Member
    edited October 2022
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    ninerbuff wrote: »
    I'm sure I have it and for awhile I used a mouth piece, but every morning my throat would feel like a desert and swallowing first thing in the morning hurt.
    Hopefully you get it under control. On a lighter note, I saw this on Jo Koy's skit in LA:

    https://www.youtube.com/watch?v=iP1rMGlUCck


    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png

    Video "unavailable in your country". Just fyi.
  • ghrmj
    ghrmj Posts: 86 Member
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    I'm off to a terrible start going 450 over my calorie goal on day one. :/ Mind you I wasn't counting or anything just put in what I ate after the fact, and it wasn't a typical day was running around so had some fast food. Tomorrow I work from home and have pre-counted for 3 meals and a snack coming in at only 2 calories over goal, so hopefully I can stick to that.
  • Bequiaman
    Bequiaman Posts: 10 Member
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    Hi. The choice is sorta made for you. Do not continue without a cpap. The not breathing at night is causing lack of oxygen to your brain. When I was first diagnosed many years ago, I was 73x. Still remember that number as it scared me and my wife. As others have said, it takes getting used too but overtime it will become ok. They have so many options now to make it comfortable. I envision going diving when I put it on (lol). Also weight loss impacting it may help but sleep apnea is more than being overweight. Some of us were born with smaller air passages than others. When you fall asleep, the muscles in the passage relax. If you already have a small passageway, it will close up, Being overweight doesn’t help because fat buildup can make the passage even smaller but losing weight does not change the fact that you were born with a smaller passageway. Talk to your doctor and get these specific details for yourself so you know more about it.
  • ghrmj
    ghrmj Posts: 86 Member
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    Bequiaman wrote: »
    Hi. The choice is sorta made for you. Do not continue without a cpap. The not breathing at night is causing lack of oxygen to your brain. When I was first diagnosed many years ago, I was 73x. Still remember that number as it scared me and my wife. As others have said, it takes getting used too but overtime it will become ok. They have so many options now to make it comfortable. I envision going diving when I put it on (lol). Also weight loss impacting it may help but sleep apnea is more than being overweight. Some of us were born with smaller air passages than others. When you fall asleep, the muscles in the passage relax. If you already have a small passageway, it will close up, Being overweight doesn’t help because fat buildup can make the passage even smaller but losing weight does not change the fact that you were born with a smaller passageway. Talk to your doctor and get these specific details for yourself so you know more about it.

    Thanks for your comment. Yes I am definitely going to get more specific details on my next consult, either with the doctor or the technician. This one was a phone consult with a doctor I had never even spoken to before and he was kind of abrupt; he gave me the basic information and then asked me to decide whether I wanted a CPAP or surgery referral right then and there. Now that the information has sunk in a bit I can always make an appointment with my family doctor to discuss in more detail if need be (specialists here aren't really known for taking a lot of time explaining things.)

    As for weight loss, I did ask the doctor and he did say that given the severity of my issue he didn't think weight loss would "cure" it. But my thinking is that it can't hurt and I will get other benefits as well so will give it a try.

    What you have said about fat buildup around the passage makes a lot of sense. When I went for my sleep study I remember they measured my neck and said that a larger neck measurement was linked to sleep apnea.

  • faithrainbow1
    faithrainbow1 Posts: 54 Member
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    ghrmj wrote: »
    I'm off to a terrible start going 450 over my calorie goal on day one. :/ Mind you I wasn't counting or anything just put in what I ate after the fact, and it wasn't a typical day was running around so had some fast food. Tomorrow I work from home and have pre-counted for 3 meals and a snack coming in at only 2 calories over goal, so hopefully I can stick to that.

    When I started MFP I took about five days to simply track what I ate without making any dietary changes. It was very illuminating! It also made it easier for me to make changes. These days I still have an intense desire to stop tracking on days that I “fall off the diet,” but I find that when I track everything as accurately as I can, even on days when I don’t stick within my goals, it helps tremendously on my overall journey. Sometimes when I enter everything on a “bad” day I discover that I didn’t really go as far over as I had been beating myself up for in my mind.

    Anyway, just wanted to share because you’re not off to a “bad start,” you’re off to an accurate start! You’ve got this!

  • girlwithcurls2
    girlwithcurls2 Posts: 2,263 Member
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    AnnPT77 wrote: »
    Are you planning to use a CPAP or similar in the mean time, I hope?

    You don't want to hear from me: Weight loss did not cure my sleep apnea. There are other people who've written here on MFP for whom it was curative, though. It may lessen yours, even if it doesn't fully resolve it.

    This is me too. Both my partner and I are not impacted by weight. We were diagnosed 6 years ago (within a month of each other) and both given CPAPs. It was a game changer. There are definitely nights when something goes sideways and I take it off in my sleep, but for the most part, it's not an issue.

    Someone mentioned finding a good pillow. I don't sleep on my side often, but sometimes I do, and getting a pillow that works was so helpful. I found one made by Avocado (that's the company's name).

    Do a quick google of what happens if you DON'T treat apnea. It's a scary future. I thought I was just not breathing every now and then, but it was more than that. Also, it's not just about your lungs. Your heart is at a huge risk.

    Sorry you got such a severe diagnosis. But losing weight will probably alleviate it somewhat, if not "cure" it. For what it's worth, the machines now are sooo quiet. I take mine everywhere, and my travel roommates never complain. In fact, they usually say that they didn't hear it. I even took it to Europe a few years ago, with a little converter.

    Good luck!