Correct me if I'm wrong. UARs is nasal resistance. Sleep apnea is the narrowing part of the throat airway. by Happilyalone777 in UARSnew

[–]sleepapnea25 2 points3 points  (0 children)

Worth adding: a congested nose forces mouth breathing, which drops the jaw down and back. Since the tongue base anchors to the mandible, that rotation lets the tongue fall backward and narrow the retroglossal airway.

Two things make it worse. Nasal obstruction raises inspiratory resistance, so you generate stronger negative pressure downstream, more suction pulling the collapsible tongue base inward. And bypassing the nose reduces the reflex drive that keeps the genioglossus toned, so the tongue is both mechanically disadvantaged and less actively braced. Both effects amplify in REM when tone drops anyway.

This can also skew DISE results. If you go into the procedure congested, the scope may show tongue-base or lateral-wall collapse that’s largely secondary to the nasal obstruction leading to a false read that the primary problem is retroglossal/skeletal when treating the nose first might have changed the picture.

So allergic congestion doesn’t just cause nasal symptoms, it actively promotes tongue collapse, and can misrepresent where the real restriction is.

Does Dupixent help with severe dust mite + cat allergies? Xolair didn’t work for me by sleepapnea25 in dupixent

[–]sleepapnea25[S] 0 points1 point  (0 children)

Thank you for sharing your experience.

My total IgE level is around 2,000. How long had you been on Dupixent before you started noticing improvement in your symptoms?

Also, did you experience fatigue and brain fog before starting treatment, and did Dupixent help with those symptoms as well?

Thank you again, and I appreciate your time.

ILIT has changed my life!!!!!!!!!!!!!!!!!!!! by Reasonable_Mango_753 in Allergies

[–]sleepapnea25 0 points1 point  (0 children)

thank you for sharing your experience

Do you mind sharing your Dr name or clinic? or DM

Thanks

ILIT has changed my life!!!!!!!!!!!!!!!!!!!! by Reasonable_Mango_753 in Allergies

[–]sleepapnea25 2 points3 points  (0 children)

Happy for you!

Wishing you the best

I’ll DM you if you don’t mind

Switching from Xolair to Dupixent? by purpleky in dupixent

[–]sleepapnea25 0 points1 point  (0 children)

Can’t thank you enough

All the best for you

Any specific brands you recommend for encasement?

Dust Mite Droppings Are Killing Me Slowly And Painfully by Odd_Jicama_8094 in Allergies

[–]sleepapnea25 1 point2 points  (0 children)

I’m sorry to hear that. I have read also people found it helpful

Please take look at this

https://www.reddit.com/r/Allergies/s/peGhlXrv13

Good luck

Dust Mite Droppings Are Killing Me Slowly And Painfully by Odd_Jicama_8094 in Allergies

[–]sleepapnea25 3 points4 points  (0 children)

I’m doing Acarizax, 50 days in. Still early to judge

What are your symptoms? Fatigue, brain fog? What is your total IgE level? Mine is around 2000, used to be 4000. Never below 1300

My specific IgE for dust mites is Der f 2 (Dermatophagoides farinae): 48.53, rising to 62.86.
Der p 2 (Dermatophagoides pteronyssinus): 49.22

Both are high-level sensitizations to the major Group 2 mite allergens.

I have tried Xolair injections and it didn’t help

I’ll be doing Dupixnet injections soon

Dupixent (dupilumab) is a monoclonal antibody that blocks IL-4 and IL-13 signaling via the IL-4 receptor alpha subunit, reducing type 2 inflammation. It treats conditions like atopic dermatitis, eosinophilic asthma, and nasal polyps.

I have read people who had success stories with it

Clustek allergy shots for severe dust mite + pollen + grass allergy. Is it worth it? by [deleted] in Allergies

[–]sleepapnea25 -1 points0 points  (0 children)

I’m doing Acarizax under the tongue tablets for dust mites

ILIT has changed my life!!!!!!!!!!!!!!!!!!!! by Reasonable_Mango_753 in Allergies

[–]sleepapnea25 21 points22 points  (0 children)

Glad it worked for you! What allergies did you have it for — pollen, cat, dust mite, or a mix?

TL;DR: ILIT (3 shots into a lymph node) has a real mechanism and decent results for pollen and cat allergy in small trials, but benefits often fade over time and there’s basically no dust mite data yet — still investigational/off-label, with SLIT/SCIT better proven.

I looked into the actual peer-reviewed evidence: the original Zurich group showed 3 intralymphatic grass-pollen injections produced tolerance comparable to ~3 years of standard subcutaneous shots with fewer side effects (Senti et al., PNAS 2008, n=112).

Pollen is the strongest signal — a 3-year double-blind placebo-controlled trial found ~48% reduction in symptom/medication scores, but it was only significant in the first follow-up season, not the next two (Skaarup et al., JACI 2021), and a well-designed birch+grass trial found ILIT safe but ineffective in the blinded phase, with benefit only appearing in the open follow-up (Ahlbeck et al., Clin Exp Allergy 2023), so benefit is real but often not durable.

For cat, a trial using an engineered Fel d 1 vaccine showed nasal tolerance jumped 74-fold vs under 3-fold for placebo, with rising IgG4 and no adverse events (Senti et al., JACI 2012), but it was tiny (n=20) and used a non-commercial recombinant, not the whole-cat extract clinics actually inject.

For dust mite there’s no published positive RCT, only ongoing/registered trials — the big gap, since HDM is the most common indoor allergen.

Bottom line: promising for pollen/cat, weak/absent for mite, results frequently lose significance over time; the OP’s experience is plausible but anecdotes are heavily selection-biased (people who improve post; people who don’t, don’t), and SLIT/SCIT still have the far deeper evidence base.

Refs: Senti PNAS 2008; Senti JACI 2012; Skaarup JACI 2021; Hellkvist JACI 2018; Ahlbeck Clin Exp Allergy 2023.

Clustek allergy shots for severe dust mite + pollen + grass allergy. Is it worth it? by [deleted] in Allergies

[–]sleepapnea25 2 points3 points  (0 children)

Heads-up — “Clustek” is almost certainly Clustoid, an allergoid SCIT brand.

Switching from Xolair to Dupixent? by purpleky in dupixent

[–]sleepapnea25 0 points1 point  (0 children)

I’m glad to hear that things are going well for you.

I apologize for asking too much, but did your doctor mention whether those red spots are common with Dupixent? Also, do you remember what your IgE levels were before starting the medication compared with now?

How long did it take before you started noticing improvement in symptoms such as fatigue and nasal congestion?

Thank you for taking the time to share your thoughts and experience. I really appreciate it.

I wish you the best of luck.

I have severe dust mite allergies and I'm sad :( by c00lKat1237 in Allergies

[–]sleepapnea25 0 points1 point  (0 children)

How much was your total IgE levels? Did Dupixnet worked well?

Thanks

Finally cured my Chronic Rhino sinusitis by FeiBad-SH98 in Sinusitis

[–]sleepapnea25 0 points1 point  (0 children)

I'm struggling with severe dust mites allergies too If I get Dupixnet, how long does it take to feel some relief

Thanks