Has Anyone Achieved Obstructive Sleep Apnea Remission Through Weight Loss???

WLBLD said:

Anyone else found the snoring stops? Once you have been on it a while, or hit your goal?
When I was carrying 150lbs of extra weight, my sleep apnea was mild. After dropping 125, it disappeared. There's no CPAP, no apnea, and no snoring; these days I sleep soundly, like a baby. My wife's snoring used to sound like a motorbike. It got so bad that I kept earplugs close by. She has shed roughly the same percentage of body weight that I did, and now her snoring is nearly nonexistent... Thank you, Jesus!
 
Dropped 100 pounds using tirz, then underwent a fresh sleep study. No apneas at all, no snoring either. The OSA diagnosis is now formally considered resolved. My trusty CPAP — a Resmed Airsense 10 that had been with me for 10 years — has been tossed into the dust bin of history. Hallelujah!

Edit: just to be clear, that most recent sleep study was a 4 day at-home setup, with sensors placed on the chest and stomach, an oximeter on a finger, and a nasal cannula.
 
QueenMuntha said:

Major Update:

Since Dec 2023, I've been using CPAP for my severe OSA (obstructive sleep apnea) diagnosis, which had an AHI of 49. CPAP treatment has worked wonderfully; I haven't skipped a single night, and my AHI while on CPAP ranges from 0.0 to 0.2. Fantastic.

A week ago, I had two wisdom teeth extracted. They were located deep in the sinus and had bulbous roots, so my oral surgeon instructed me to keep my CPAP (BiLevel) off for Two Weeks. I expected that not using it would cause nightly AFib episodes, but I'm complying with his orders because I've heard a Dry Socket is the absolute worst.

Thus, over the last two nights, I conducted an experiment using my Wellue O2 ring—I wore it nonstop throughout the whole night-morning.

Consider me shocked. My untreated, no-CPAP night showed no oxygen dips under 92%! Holy shit! Since beginning GLP-1s last June, I've dropped 65 pounds, but since I still have 120 pounds left to lose, that's really not a huge amount of weight loss.

I've read that GLP1s fix OSA through more than just weight loss—they lower inflammation in the throat's tissue and reduce adipose tissue, and some people even think it involves brain-stimulated mechanisms for the entire breathing system.

I've booked an at-home Sleep Test to formally verify the results. This is insane!

So, in my case, beginning this class of medications has:

  1. Moved me from Stage 3 Chronic Kidney Disease (CKD), where my eGFR was 49, down to Stage 2, where my eGFR is 78.
  2. Got rid of the agonizing chronic pain from bilateral knee osteoarthritis, which was bone-on-bone (no surgeon would perform a knee replacement due to my starting weight. [thank God now]). The pain was so crippling that I needed a cane full-time, and because of CKD I couldn't take any pain medication other than Tylenol.
  3. Completely cured my Overactive Bladder, so I no longer need fucking adult protection. Like, entirely.
  4. Completely wiped out my IBS.
  5. Halted Gout flares that Allopurinol wasn't fully resolving.
  6. Thus far seems to have sent my sleep apnea (severe obstructive) into remission
  7. Bringing lipedema down to levels I never imagined
  8. Sharply improving PCOS markers
  9. Gave me a new sensation of actually enjoying going out again, since I can now do it without getting breathless or needing a cane.
The weight loss is merely a bonus compared to the many other benefits these drugs are giving me. Although I've found that Reta causes gall bladder issues, Tirzepatide will likely be my lifelong choice, provided my overseas friends keep making it.

AND, don't get me started on what GLOW has done for me--THAT deserves its own separate post. 🤣

My GLP1 doses starting June 25

View attachment 149
OP, this is the response you were after. When you do a sleep study, you're seeing just a single night in one particular set of circumstances. That works well to detect and guide treatment for moderate to severe apnea, since the finding is clear-cut in those cases. Where it falls short is borderline situations: a dozen random variables can influence your airway, and results can shift depending on whether the test happens at the clinic, your own bed, or a hotel bed.

Having your own ring also lets you check whether sleeping on your side is needed, or whether you might manage on your back with no machine, and how those two positions stack up.

If mild OSA remains an issue, another option to explore is a dental appliance — custom-made by your dentist or a self-fit version from an inexpensive Amazon kit — to see whether it's enough to resolve your OSA. It can bring some minor jaw problems, but you might be able to keep CPAP at home and pack the dental appliance for travel, because it's far easier to carry, assuming it controls your current level of sleep apnea.

Finally, certain people have dialed in stomach-sleeping positions and discovered that their personally adjusted stomach placement is enough to resolve their current degree of OSA. That gets more involved than I want to get into here, but a little searching on OSA forums should turn up a fuller description of what I mean.

And clearly, no matter what the pulse oximeter reports, how you're feeling the following morning matters a lot too. Still, I wouldn't make a decision based only on how you feel, because it's common to cope with mild sleep apnea while negative health consequences still occur without "feeling" it when the next day arrives.
 
latviantower said:

Dropped 100 pounds using tirz, then underwent a fresh sleep study. No apneas at all, no snoring either. The OSA diagnosis is now formally considered resolved. My trusty CPAP — a Resmed Airsense 10 that had been with me for 10 years — has been tossed into the dust bin of history. Hallelujah!

Edit: just to be clear, that most recent sleep study was a 4 day at-home setup, with sensors placed on the chest and stomach, an oximeter on a finger, and a nasal cannula.
Man, that's wild — 10 years in, you'd assume it was permanent. That's awesome.
 
In a technical sense, Tirz got rid of my moderate OSA, but:

6161b26461139140a248cc88bbad55311ec498e87accaf0101d53b77f9bbaee4.webp


The first half captures me nodding off before the CPAP mask is in place; the 2nd half shows the stretch after I woke and strapped it on.

These readings come from the Ringconn Gen2, roughly a ring built with sleep apnea in mind.
 
tubby said:

QueenMuntha said:

Major Update:

Since Dec 2023, I've been using CPAP for my severe OSA (obstructive sleep apnea) diagnosis, which had an AHI of 49. CPAP treatment has worked wonderfully; I haven't skipped a single night, and my AHI while on CPAP ranges from 0.0 to 0.2. Fantastic.

A week ago, I had two wisdom teeth extracted. They were located deep in the sinus and had bulbous roots, so my oral surgeon instructed me to keep my CPAP (BiLevel) off for Two Weeks. I expected that not using it would cause nightly AFib episodes, but I'm complying with his orders because I've heard a Dry Socket is the absolute worst.

Thus, over the last two nights, I conducted an experiment using my Wellue O2 ring—I wore it nonstop throughout the whole night-morning.

Consider me shocked. My untreated, no-CPAP night showed no oxygen dips under 92%! Holy shit! Since beginning GLP-1s last June, I've dropped 65 pounds, but since I still have 120 pounds left to lose, that's really not a huge amount of weight loss.

I've read that GLP1s fix OSA through more than just weight loss—they lower inflammation in the throat's tissue and reduce adipose tissue, and some people even think it involves brain-stimulated mechanisms for the entire breathing system.

I've booked an at-home Sleep Test to formally verify the results. This is insane!

So, in my case, beginning this class of medications has:

  1. Moved me from Stage 3 Chronic Kidney Disease (CKD), where my eGFR was 49, down to Stage 2, where my eGFR is 78.
  2. Got rid of the agonizing chronic pain from bilateral knee osteoarthritis, which was bone-on-bone (no surgeon would perform a knee replacement due to my starting weight. [thank God now]). The pain was so crippling that I needed a cane full-time, and because of CKD I couldn't take any pain medication other than Tylenol.
  3. Completely cured my Overactive Bladder, so I no longer need fucking adult protection. Like, entirely.
  4. Completely wiped out my IBS.
  5. Halted Gout flares that Allopurinol wasn't fully resolving.
  6. Thus far seems to have sent my sleep apnea (severe obstructive) into remission
  7. Bringing lipedema down to levels I never imagined
  8. Sharply improving PCOS markers
  9. Gave me a new sensation of actually enjoying going out again, since I can now do it without getting breathless or needing a cane.
The weight loss is merely a bonus compared to the many other benefits these drugs are giving me. Although I've found that Reta causes gall bladder issues, Tirzepatide will likely be my lifelong choice, provided my overseas friends keep making it.

AND, don't get me started on what GLOW has done for me--THAT deserves its own separate post. 🤣

My GLP1 doses starting June 25

View attachment 149
OP, this is the response you were after. When you do a sleep study, you're seeing just a single night in one particular set of circumstances. That works well to detect and guide treatment for moderate to severe apnea, since the finding is clear-cut in those cases. Where it falls short is borderline situations: a dozen random variables can influence your airway, and results can shift depending on whether the test happens at the clinic, your own bed, or a hotel bed.

Having your own ring also lets you check whether sleeping on your side is needed, or whether you might manage on your back with no machine, and how those two positions stack up.

If mild OSA remains an issue, another option to explore is a dental appliance — custom-made by your dentist or a self-fit version from an inexpensive Amazon kit — to see whether it's enough to resolve your OSA. It can bring some minor jaw problems, but you might be able to keep CPAP at home and pack the dental appliance for travel, because it's far easier to carry, assuming it controls your current level of sleep apnea.

Finally, certain people have dialed in stomach-sleeping positions and discovered that their personally adjusted stomach placement is enough to resolve their current degree of OSA. That gets more involved than I want to get into here, but a little searching on OSA forums should turn up a fuller description of what I mean.

And clearly, no matter what the pulse oximeter reports, how you're feeling the following morning matters a lot too. Still, I wouldn't make a decision based only on how you feel, because it's common to cope with mild sleep apnea while negative health consequences still occur without "feeling" it when the next day arrives.
The sleeping-position part is what caught my attention.

Over time, I’ve settled into a peculiar sleeping posture: face down and on my left side, with a slight prop from around 5 pillows. The primary aim was avoiding waking with a terribly dry, painful throat brought on by snoring. My thinking was that, in that pose, my jaw would drop forward instead of backward during sleep, easing both the snoring and the sore throat it caused. That sounds much like your description; it hadn’t crossed my mind to search for it and find out whether others did the same. If anything, this probably strengthens the case that I truly had sleep apnea. At this point, though, I don’t snore at all, and my samsung watch indicates no sleep apnea, so having it checked now is likely unnecessary—unless I’m foolish enough to put back a lot of weight. Mostly out of habit, I still sleep that way.
 
lessthanhalf said:

tubby said:

QueenMuntha said:

Major Update:

Since Dec 2023, I've been using CPAP for my severe OSA (obstructive sleep apnea) diagnosis, which had an AHI of 49. CPAP treatment has worked wonderfully; I haven't skipped a single night, and my AHI while on CPAP ranges from 0.0 to 0.2. Fantastic.

A week ago, I had two wisdom teeth extracted. They were located deep in the sinus and had bulbous roots, so my oral surgeon instructed me to keep my CPAP (BiLevel) off for Two Weeks. I expected that not using it would cause nightly AFib episodes, but I'm complying with his orders because I've heard a Dry Socket is the absolute worst.

Thus, over the last two nights, I conducted an experiment using my Wellue O2 ring—I wore it nonstop throughout the whole night-morning.

Consider me shocked. My untreated, no-CPAP night showed no oxygen dips under 92%! Holy shit! Since beginning GLP-1s last June, I've dropped 65 pounds, but since I still have 120 pounds left to lose, that's really not a huge amount of weight loss.

I've read that GLP1s fix OSA through more than just weight loss—they lower inflammation in the throat's tissue and reduce adipose tissue, and some people even think it involves brain-stimulated mechanisms for the entire breathing system.

I've booked an at-home Sleep Test to formally verify the results. This is insane!

So, in my case, beginning this class of medications has:

  1. Moved me from Stage 3 Chronic Kidney Disease (CKD), where my eGFR was 49, down to Stage 2, where my eGFR is 78.
  2. Got rid of the agonizing chronic pain from bilateral knee osteoarthritis, which was bone-on-bone (no surgeon would perform a knee replacement due to my starting weight. [thank God now]). The pain was so crippling that I needed a cane full-time, and because of CKD I couldn't take any pain medication other than Tylenol.
  3. Completely cured my Overactive Bladder, so I no longer need fucking adult protection. Like, entirely.
  4. Completely wiped out my IBS.
  5. Halted Gout flares that Allopurinol wasn't fully resolving.
  6. Thus far seems to have sent my sleep apnea (severe obstructive) into remission
  7. Bringing lipedema down to levels I never imagined
  8. Sharply improving PCOS markers
  9. Gave me a new sensation of actually enjoying going out again, since I can now do it without getting breathless or needing a cane.
The weight loss is merely a bonus compared to the many other benefits these drugs are giving me. Although I've found that Reta causes gall bladder issues, Tirzepatide will likely be my lifelong choice, provided my overseas friends keep making it.

AND, don't get me started on what GLOW has done for me--THAT deserves its own separate post. 🤣

My GLP1 doses starting June 25

View attachment 149
OP, this is the response you were after. When you do a sleep study, you're seeing just a single night in one particular set of circumstances. That works well to detect and guide treatment for moderate to severe apnea, since the finding is clear-cut in those cases. Where it falls short is borderline situations: a dozen random variables can influence your airway, and results can shift depending on whether the test happens at the clinic, your own bed, or a hotel bed.

Having your own ring also lets you check whether sleeping on your side is needed, or whether you might manage on your back with no machine, and how those two positions stack up.

If mild OSA remains an issue, another option to explore is a dental appliance — custom-made by your dentist or a self-fit version from an inexpensive Amazon kit — to see whether it's enough to resolve your OSA. It can bring some minor jaw problems, but you might be able to keep CPAP at home and pack the dental appliance for travel, because it's far easier to carry, assuming it controls your current level of sleep apnea.

Finally, certain people have dialed in stomach-sleeping positions and discovered that their personally adjusted stomach placement is enough to resolve their current degree of OSA. That gets more involved than I want to get into here, but a little searching on OSA forums should turn up a fuller description of what I mean.

And clearly, no matter what the pulse oximeter reports, how you're feeling the following morning matters a lot too. Still, I wouldn't make a decision based only on how you feel, because it's common to cope with mild sleep apnea while negative health consequences still occur without "feeling" it when the next day arrives.
The sleeping-position part is what caught my attention.

Over time, I’ve settled into a peculiar sleeping posture: face down and on my left side, with a slight prop from around 5 pillows. The primary aim was avoiding waking with a terribly dry, painful throat brought on by snoring. My thinking was that, in that pose, my jaw would drop forward instead of backward during sleep, easing both the snoring and the sore throat it caused. That sounds much like your description; it hadn’t crossed my mind to search for it and find out whether others did the same. If anything, this probably strengthens the case that I truly had sleep apnea. At this point, though, I don’t snore at all, and my samsung watch indicates no sleep apnea, so having it checked now is likely unnecessary—unless I’m foolish enough to put back a lot of weight. Mostly out of habit, I still sleep that way.
Yep, you’ve landed on the same logic. I tried to locate the thread I had in mind and couldn’t, so I had my chatbot pal search it out, and it found the thing:


https://www.cpaptalk.com/viewtopic.php?f=1&t=36738&start=15#p319598


I never bothered to try that sleeping position for myself. Still, what you’re describing matches their line of thinking. OSA is also a highly individual thing. A person who snores can, after enough time, be conditioned by an annoyed bedmate into a particular sleeping posture; in the same way, someone with mild OSA may notice that one position feels easier for sleep and then keep using it until it sticks.

As for me, I had to stay on my side until I got CPAP, and it felt great when I could return to sleeping on my back. Back sleeping suits me better comfort-wise, though it isn’t good for keeping the airway open.

Another point: OSA tends to get too little attention around here—among heavier folks who struggle to lose weight and keep it off. Everyone loves blaming “calories,” but that strategy is going to be rough if you’re dealing with severe untreated OSA: cortisol spikes each minute of sham sleep to get breathing going again, bathroom trips every 20 minutes, and then chasing whatever might buy you a bit more sleep in the next stretch. It’s not impossible, yet it makes maintaining that kind of behavior far harder, and there are also metabolic implications tied to those cortisol spikes. LOL
 
I never received an official diagnosis. Even so, my wife needed ear plugs to sleep, and she told me that I quit breathing repeatedly. My watch likewise indicated that I had sleep apnea.

After dropping 75 pounds and getting into great shape, the samsung watch now suggests that I may snore only very lightly for 5 minutes per night.

These days I also wake up feeling rested and eager to start the day. The tirz played a major role in that, along with the fact that I changed essentially everything about how I care for myself.
 
Chatgpt, my bloodwork has it pretty convinced I’ve got OSA. According to my family, there are moments overnight when my breathing pauses for 20-30 seconds. I’m clinically obese: 265 at 6'2". Right now I’m 250lbs, which means 15lbs lost across 6 weeks on Reta. Before, when I dropped a large amount of weight, my snoring more or less halted. So I’m wondering: could Tesamorelin be useful? My reasoning is that maybe Tesamorelin shrinks tiny visceral fat deposits—say, ones in the sinus—and that might ease apnea in certain cases? Perhaps it could be complimentary for a person already engaged in fat loss. Let me know your take. Also, next week I have an appointment with my doc to discuss other OSA treatments/tests.
 
TacoLifter420 said:

I never received an official diagnosis. Even so, my wife needed ear plugs to sleep, and she told me that I quit breathing repeatedly. My watch likewise indicated that I had sleep apnea.

After dropping 75 pounds and getting into great shape, the samsung watch now suggests that I may snore only very lightly for 5 minutes per night.

These days I also wake up feeling rested and eager to start the day. The tirz played a major role in that, along with the fact that I changed essentially everything about how I care for myself.
It's wonderful to see you out here grinding away, since a lot of us are walking this very same path. Here's to your health, your objectives, and the progress you're making!
 
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