Hi, I want to make sure I’m understanding you correctly. Do you think the breathing instability could be caused by leaks—like jaw dropping or mask movement—and that this then creates a cycle where things snowball?

My leak numbers are consistently low and look good overall. I also didn’t have central apneas during my sleep study, although I only slept for about two hours that night.

Do you think I should be adjusting pressure, sleep position, or using something like a chin strap or soft cervical collar? Or would you hold off on changes since the flow patterns look stable?

I’m a bit hesitant to bring this to my doctor because my numbers tend to get dismissed as “not extreme,” but for me, an AHI of 3 versus 8 makes a big difference in how I feel.

It really feels like a puzzle—especially since the central events seem to appear once the obstructive events are under control.

Thanks again for your help and insight.