Anyone have remission of Obstructive Sleep Apnea with weight loss???

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WLBLD said:
Has anyone also stopped snoring? After being on for a while or reaching goal?
I had mild sleep apnea when I was 150lbs overweight. I lost 125 and it's gone. No snoring, no apnea, no CPAP, I sleep like a baby now. The wife used to snore like a motorbike. I had ear plugs handy it was so bad. She's lost a similar percentage of weight as me and she almost never snores now... Thank you Jesus!
 
Lost 100 pounds on tirz and had a new sleep study. Zero apneas, zero snoring. OSA diagnosis officially resolved. Faithful CPAP (10 year old Resmed Airsense 10) into the dust bin of history. Hallelujah!

Edit: to clarify, my latest sleep study was a 4 day at home affair with sensors on the chest, stomach, oximeter on finger, and nasal cannula.
 
QueenMuntha said:
I ran an experiment with my Wellue O2 ring-wearing it continuously for the entire night-morning.
This is the answer you're looking for OP. A sleep study only captures one night under one set of conditions. It's useful for catching and setting up treatment for moderate to severe apnea (where your result is unambiguous). It's not great for evaluating borderline cases where a dozen random variables could affect your airways and may deviate between where the study is conducted VS your own bed VS a hotel bed.

Plus with your own ring you can evaluate if side sleeping might be necessary or if you can even get away with back sleeping without your machine and how the two positions might compare.

If you still suffer from mild OSA, you could also consider trying a dental appliance (either custom from your dentist or self-fit from a cheap Amazon kit) to see if that might be sufficient to resolve your OSA. There are some minor jaw issues that can come with that, but it's possible you could use the CPAP at home and take the dental appliance with you on trips (since it's much more portable), if it's sufficient to resolve your current degree of sleep apnea.

Lastly, there are some people who have perfected stomach sleeping positions and found their own custom stomach positions are sufficient to resolve their current degree of OSA. That's a little more complex than I care to explain here, but if you search a bit on OSA forums you'll likely find what I'm talking about described more thoroughly.

And, obviously, regardless of what the pulse oximeter says, how you feel the next morning is a critical variable too, but I wouldn't base my decision on how you feel alone, since one can often cope with mild sleep apnea and still be experiencing negative health effects from it without "feeling" it the next day.
 
latviantower said:
Lost 100 pounds on tirz and had a new sleep study. Zero apneas, zero snoring. OSA diagnosis officially resolved. Faithful CPAP (10 year old Resmed Airsense 10) into the dust bin of history. Hallelujah!

Edit: to clarify, my latest sleep study was a 4 day at home affair with sensors on the chest, stomach, oximeter on finger, and nasal cannula.
Dude! That is crazy - after 10 years you probably thought it would be for life. Nice.
 
Technically Tirz cured my moderate OSA, but :

attachments-1777365371080-webp.21421.webp

First half is me falling asleep without putting the CPAP mask on, 2nd half is after waking up and putting it on.

The data is from a Ringconn Gen2, which is kind of a sleep apnea-focused ring.
 

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tubby said:
This is the answer you're looking for OP. A sleep study only captures one night under one set of conditions. It's useful for catching and setting up treatment for moderate to severe apnea (where your result is unambiguous). It's not great for evaluating borderline cases where a dozen random variables could affect your airways and may deviate between where the study is conducted VS your own bed VS a hotel bed.

Plus with your own ring you can evaluate if side sleeping might be necessary or if you can even get away with back sleeping without your machine and how the two positions might compare.

If you still suffer from mild OSA, you could also consider trying a dental appliance (either custom from your dentist or self-fit from a cheap Amazon kit) to see if that might be sufficient to resolve your OSA. There are some minor jaw issues that can come with that, but it's possible you could use the CPAP at home and take the dental appliance with you on trips (since it's much more portable), if it's sufficient to resolve your current degree of sleep apnea.

Lastly, there are some people who have perfected stomach sleeping positions and found their own custom stomach positions are sufficient to resolve their current degree of OSA. That's a little more complex than I care to explain here, but if you search a bit on OSA forums you'll likely find what I'm talking about described more thoroughly.

And, obviously, regardless of what the pulse oximeter says, how you feel the next morning is a critical variable too, but I wouldn't base my decision on how you feel alone, since one can often cope with mild sleep apnea and still be experiencing negative health effects from it without "feeling" it the next day.
That is interesting, the bit about sleeping positions.

I have developed a odd sleeping position over years lying face down/left sided and slightly propped up with about 5 pillows, mainly so I would not wake up with a horribly sore dry throat from snoring. The logic was that that position would make my jaw fall forwards rather than back while sleeping and help with the snoring and the resultant sore throat. It sounds very like what you are describing, never occurred to me to look it up and see if it was something other people did. Probably makes it all the more likely I really did have sleep apnea, but now I have no snoring at all and my samsung watch says I do not have sleep apnea, probably not necessary to check it out now, unless I am stupid enough to put a lot of weight back on. Still sleep in that position out of habit mostly.
 
lessthanhalf said:
That is interesting, the bit about sleeping positions.

I have developed a odd sleeping position over years lying face down/left sided and slightly propped up with about 5 pillows, mainly so I would not wake up with a horribly sore dry throat from snoring. The logic was that that position would make my jaw fall forwards rather than back while sleeping and help with the snoring and the resultant sore throat. It sounds very like what you are describing, never occurred to me to look it up and see if it was something other people did. Probably makes it all the more likely I really did have sleep apnea, but now I have no snoring at all and my samsung watch says I do not have sleep apnea, probably not necessary to check it out now, unless I am stupid enough to put a lot of weight back on. Still sleep in that position out of habit mostly.
That's exactly the idea. I couldn't find the post I was talking about so I asked my chatbot buddy to hunt it down for me and it was successful:

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

I didn't put in the effort to test the position myself, but your thinking is pretty much what they were thinking too. And sleep apnea itself is very relative. Just as a snorer will get trained over time (by a pissed off partner) to sleep in a certain position, a mild OSA sufferer will figure out that they seem to sleep better in a certain position, causing it to become habit.

I know that I personally had to sleep on my side before getting a CPAP and really enjoyed being able to go back to being a back sleeper, which for me feels more comfortable, but doesn't lend itself to clear airways.

I'll also add that OSA is often an underappreciate concern in our space (fat people who aren't successful at getting and staying skinny). We all like to fixate on "calories," but good luck getting that to work if you're someone with severe untreated OSA who is getting a jolt of cortisol every minute of pseudo-sleep to enable you to start breathing again, getting up "to pee" every 20 minutes, and seeking whatever action you think might be able to help you sleep a little longer for that next stretch. Not impossible, but definitely adds a much greater difficulty level to maintaining such a behavior, not to mention the metabolic implications of the cortisol spikes. LOL
 
Never officially diagnosed, but my wife couldn't sleep without ear plugs and said I stopped breathing all the time. My watch also said I had sleep apnea.

Lost 75 pounds, got in great shape and now I might, very lightly snore for 5 minutes a night according to the samsung watch.

I also wake up rested and ready to go these days. The tirz was a huge contributing factor, along with literally changing everything about how I take care of myself.
 
Chatgpt, is highly suspicious based on my bloods that I have OSA. My family tells me that i stop breathing in my sleep sometimes 20-30 seconds. I am clinically obese 265, 6'2" Currently 250lbs, so 15lbs down in 6 weeks of Reta. In the past i've lost a bunch of weight and snoring pretty much stopped. My question is this. Would Tesamorelin help? I ask because Im theorizing that small deposits of visceral fat (like in your sinus) can possibly get reduced by Tesamorelin and relieve some cases of apnea? Maybe complimentary to someone already in fat loss. lmk what you think. I also have an appt to discus other treatments/tests regarding OSA with my doc next week.
 
TacoLifter420 said:
Never officially diagnosed, but my wife couldn't sleep without ear plugs and said I stopped breathing all the time. My watch also said I had sleep apnea.

Lost 75 pounds, got in great shape and now I might, very lightly snore for 5 minutes a night according to the samsung watch.

I also wake up rested and ready to go these days. The tirz was a huge contributing factor, along with literally changing everything about how I take care of myself.
So many of us on this exact same journey its great to see you out here soldiering on. Cheers to your health, your goals and your progress!
 
I had severe weight related OSA....was on a cpap for years.

Happy to say the cpap has been collecting dust since Feb. No longer needed and very happy about that.

Now I have a very expensive cpap machine and a supply of over the head nose and mouth pillows I'm looking to find a good home.
 
FarmgirlRebel said:
I had severe weight related OSA....was on a cpap for years.

Happy to say the cpap has been collecting dust since Feb. No longer needed and very happy about that.

Now I have a very expensive cpap machine and a supply of over the head nose and mouth pillows I'm looking to find a good home.
I know this doesn't help you now, but for what it's worth, CPAP therapy doesn't have to be super expensive if you're willing to put in a little legwork and learn it yourself.

For example, right now I can find a refurb Resmed Airsense 10 Autoset for under $400 (shipped). New headgear can be had for $100 to $150.

Granted, it's kind of a pain to program your own CPAP, but not too hard if you're internet savvy and know how to use Youtube/Google and put maybe an hour into learning how. These aren't exactly pacemakers so unless you advance well past your run of the mill moderate to severe case (where you might need a bilevel rather than a CPAP), it's going to be hard to do any real damage if it takes you a while to get setup right.

Then from there, most of the parts that "need" to be changed every 3 months don't actually need to be replaced that often. For reference I typically get 2-3 years out of the pillows/cushions (with some washing along the way). At $30 to $50 to replace them it's not so much to avoid cost, so much as I have the replacement on hand and just don't bother to swap it in until something goes wrong with the old part, since it seems silly to change it before there's a reason to do so.
 
Ragnar said:
I started this thread because my dream and ultimate goal is to no longer sound like Darth Vader while I sleep. I also want the freedom to not carry the damn machine with me on airplanes and argue with flight attendants that it doesn’t count towards my carry on. The ability to go camping in a tent or sleep under the stars would also be nice but still seems like a distant goal that is still so far away. These goals are the original reasons that I began my Tirz weight loss journey.

The last time I had a sleep study I weighed the most I’ve ever weighed (290lbs) with a BMI of 39.3. This sleep study revealed my AHI was 55.5/hr and my 90% pressure to keep airway open was 17.2 cmH20. When I started my glp1 journey in September I weighed 260 lbs and CPAP pressure to open airways was around 12 cmH2O.

Research suggests that weight loss of 10-15% can lead to remission in about 40% of individuals. In the Surmount OSA trial nearly 42-50% of people on Tirz met criteria for remission or mild OSA. The average weight lost in these studies was 18-20% over 52 weeks.

Currently my weight is 222 lbs and CPAP pressure is around 6.5 cmH2O. I have no idea what my AHI score is but treatment keeps it around 1.3. All I know is that if I don’t sleep with my machine that I still feel like shit the next day. I know I should be happy that my OSA is likely “mild” but I wanted it in remission by now. This experience is making me think I will need to loose another 30 lbs of fat for a peaceful machine free night of sleep.

What are other people’s experience with OSA remission and weight loss? Has anyone else been able to sleep without the giant elephant trunk attached to their face??
I've seen a lot of info that strengthening throat muscles makes a huge impact on sleep apnea
 
quoted said:
“It’s possible that tirzepatide is doing something unique structurally to where the fat loss occurs, for example, in the tongue, but right now all we know is that when people lose weight, they have improved sleep apnea and that these medications lead to weight loss,” said Francavilla.

Some Sleep Apnea Patients Benefit the Most From Tirzepatide

The weight-loss drug is approved to treat obstructive sleep apnea, but some types of patients seem to benefit the most.

www.medscape.com
 
Ragnar said:
I started this thread because my dream and ultimate goal is to no longer sound like Darth Vader while I sleep. I also want the freedom to not carry the damn machine with me on airplanes and argue with flight attendants that it doesn’t count towards my carry on. The ability to go camping in a tent or sleep under the stars would also be nice but still seems like a distant goal that is still so far away. These goals are the original reasons that I began my Tirz weight loss journey.

The last time I had a sleep study I weighed the most I’ve ever weighed (290lbs) with a BMI of 39.3. This sleep study revealed my AHI was 55.5/hr and my 90% pressure to keep airway open was 17.2 cmH20. When I started my glp1 journey in September I weighed 260 lbs and CPAP pressure to open airways was around 12 cmH2O.

Research suggests that weight loss of 10-15% can lead to remission in about 40% of individuals. In the Surmount OSA trial nearly 42-50% of people on Tirz met criteria for remission or mild OSA. The average weight lost in these studies was 18-20% over 52 weeks.

Currently my weight is 222 lbs and CPAP pressure is around 6.5 cmH2O. I have no idea what my AHI score is but treatment keeps it around 1.3. All I know is that if I don’t sleep with my machine that I still feel like shit the next day. I know I should be happy that my OSA is likely “mild” but I wanted it in remission by now. This experience is making me think I will need to loose another 30 lbs of fat for a peaceful machine free night of sleep.

What are other people’s experience with OSA remission and weight loss? Has anyone else been able to sleep without the giant elephant trunk attached to their face??
I dont snore crazy anymore after losing 25lb or so. It was a vicious cycle until I started retatrutide
 
FarmgirlRebel said:
I had severe weight related OSA....was on a cpap for years.

Happy to say the cpap has been collecting dust since Feb. No longer needed and very happy about that.

Now I have a very expensive cpap machine and a supply of over the head nose and mouth pillows I'm looking to find a good home.
My doctor wouldn't even make an assessment before I lost weight and now I have and at least my girlfriend says I don't stop breathing when I sleep and I don't snore as much anymore so I guess the doctor had a point.
 
QueenMuntha said:
Some Sleep Apnea Patients Benefit the Most From Tirzepatide

The weight-loss drug is approved to treat obstructive sleep apnea, but some types of patients seem to benefit the most.

www.medscape.com
I'm sorry but this makes me laugh. Weight loss - through any means - potentially lessens or eliminates OSA. It's not specific to Tirz or any other pepper.

I mean not to contradict a reputable medical journal (if Medscape is one) but WLS took care of my OSA. Gone before I ever winked at a pepper.
 
Tug Speedman said:
Chatgpt, is highly suspicious based on my bloods that I have OSA. My family tells me that i stop breathing in my sleep sometimes 20-30 seconds. I am clinically obese 265, 6'2" Currently 250lbs, so 15lbs down in 6 weeks of Reta. In the past i've lost a bunch of weight and snoring pretty much stopped. My question is this. Would Tesamorelin help? I ask because Im theorizing that small deposits of visceral fat (like in your sinus) can possibly get reduced by Tesamorelin and relieve some cases of apnea? Maybe complimentary to someone already in fat loss. lmk what you think. I also have an appt to discus other treatments/tests regarding OSA with my doc next week.
reta highly targets visceral fat also. IMHO if you have a bunch of weight to lose and that is your main goal, and you are already on reta, tesa is like bring a knife to the fight when you already have the bazooka.

personally as far as OP, I have moderate OSA (22AHI tested when 250 pounds or so) and am now down to 195 and closing in on goal weight of 175-180ish, I am going to get retested again to see what the deal is and cautiously optimistic. The couple of times I have fallen asleep lately without the mask on or when the tube pulled out at some point during the night, I did not wake up feeling like total dogshit like I used to.
 
Husband lost weight and can sleep without his CPAP now. I don’t hear him stop breathing now. He sleeps better with it, so continues to.

There’s grey for CPAP and DME is a racket. I appreciated them for figuring out my mask (and 30d exchanges) but their prices are a little crazy. Husband replaced his via gray after checking it plane side. 🤦‍♀️ My machine is 20y old and I didn’t know how yellow the plastic had turned until recently. We don’t smoke and have air filters; it’s pure age. Yikes.
 
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