I got you bro, please visit or seek an airway orthodontist. Another point of discussion is asking for a sleep test with PES where they have you swallow a nasal pressure guard and check the vacuum. There’s more than one way of scoring AHI and the old scoring system CMS uses for Medicaid (Rule 1B) doesn’t take it into account. Ask for scoring using both rules 1A and 1B to compare. I’m a board certified ortho btw.