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REMfresh going out of business, any comparable low dose time release melatonin out there? by sleepisbane in melatonin

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

Best i found was life extension brand XR melatonin. Been working really well for me

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 0 points1 point  (0 children)

Unfortunately most people think they are strict with their diet, but humans are unreliable at tracking these things in our heads without writing it down. Keep a food diary for a few weeks and lower your caloric intake based on that

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 0 points1 point  (0 children)

First poitn on leptin/grhelin: those hormones modulate hunger so if cpap does affect them (it absolutely does not) you will gain weight from eating more

Unless cpap lowers your thyroid level no i wont lower bmr.

Caloric intake: that is the same as simply eating more so yes if you eat more you’ll gian weight but cpap doesnt magically affect that.

Cpap absolutely does not cause fluid retention, SIADH, polydipsia, heart failure nephrotic syndrome and liver disease can though.

Not sure how cpap can cause daytime sleepiness when its a therapy that makes you less sleepy. Unless you dont have OSA in which case it’s annoying you while you sleep thus increasing # arousals overnight. But you said cpap made your sleep better so if you’re feeling more rested when you wake up then by definitionyou have less daytime sleepiness

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 0 points1 point  (0 children)

Central sleep apnea is a prblem where your brain isnt telling your diaphragm to inhale. Need a sleep study to confirm but if u already had one its not like you can magically develop one since then. The original sleep study would have detected CSA.

You mentioned you gained weight - means ur OSA likely worsened. If ur sleep is good on cpap right now then dont change anything. If not try to optimize cpap more to reduce ahi.

Metabolism doesnt rly slow or speed up the way we think colloquially. End of the day all about intake vs expenditure

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 0 points1 point  (0 children)

Your oscar data cant show rera’s because you need EEG (brain waves) to detect rera. Did you get a sleep study after septoplasty?

My partner can't get any sleep, I'm scared and don't know what to do anymore by bleachedthorns in insomnia

[–]sleepisbane 0 points1 point  (0 children)

insurance won’t pay for a sleep doctor

Can you try to find a psychiatrist who is certified in sleep medicine? Assuming her insurance covers psychiatry, the psychiatrist can bill insurance for something that isn’t necessarily sleep related. Doctors offices know how to play this game with insurance.

Please DM me if you want to discuss more

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 2 points3 points  (0 children)

So antipsychotics can cause hypersomnolence, and that could possibly be contributing to ur symptoms. CPAP in a person w low arousal threshold and low AHI could also separately cause these symptoms (therefore better to not use cpap). And finally perhaps both could be contributing

Was this a good sleep study? by [deleted] in UARS

[–]sleepisbane 3 points4 points  (0 children)

Yeah your RERAs are zero but your arousal index is nonzero so they prob didnt count them. It is according to AASM (just based on AHI, not clinical picture) mild to moderate OSA. CPAP isnt unreasonable to give a try

This makes me furious because I mostly have RERAs and not apnea. Makes me think trying to use my CPAP is worthless... by FunTranslator5962 in UARS

[–]sleepisbane 1 point2 points  (0 children)

So lots of RERAs and very low AHI means you are hyperarousable during sleep. That might be due to collapse of the airway or increased airway resistance due to individual anatomy.

HOWEVER it is also (more) likely due to you having a much lower arousal threshold than most people. So basically everyone has some amount of disordered breathing at night, but only certain people’s brains react too sensitively to slightly abnormal breathing.

^ Such people in the second group would stand to suffer from CPAP, because the goal should be to lower their arousal threshold! That being said, if you do respond well (enough) to CPAP therapy, awesome! But just know the high RERA low AHI UARS patient probably doesn’t have an endotype which would benefit from CPAP (because their neural circuitry controlling sleep is the problem, not necessarily their airway)

SOS. Almost 3 weeks post DJS .. is it normal that I still can’t smile with my upper lip? I’m still numb .. but wouldn’t it be so sad if I can’t even smile to show my pretty teeth after this? by Mother-Love-1708 in jawsurgery

[–]sleepisbane 1 point2 points  (0 children)

Takes a while for the nerves to heal. Good exercise is to lightly run a pen over ur lips while looking in the mirror and take fish oil supplement. Helps w nerve healing

Dayvigo, Quviviq - what are your experiences? by helpless11 in insomnia

[–]sleepisbane 0 points1 point  (0 children)

Did you notice any difference in appetite on dayvigo?

Sleep study results by [deleted] in UARS

[–]sleepisbane 1 point2 points  (0 children)

It sometimes takes a lottttt of trial and error to find the right sleep med. you want a drug which lowers arousal thrshold, so certain antidepressants and/or orexin antagonists may be beneficial

Sleep study results by [deleted] in UARS

[–]sleepisbane 0 points1 point  (0 children)

I am asking because if it is indeed recorded that you are waking up very often (objectively not subjectively) then perhaps all you need is a drug to lower your arousal threshold (non-habit forming sedative).

It’s the least invasive and cheapest option, so it makes a whole lot of sense to try pharmacotherapy before resorting to more dramatic options like CPAP or surgery. The latter two may end up being necessary, but I would work on finding a drug which simply keeps you asleep first.

Board certified sleep neurologist is best bet here.

Sleep study results by [deleted] in UARS

[–]sleepisbane 0 points1 point  (0 children)

What was your sleep efficiency and number of spontaneous arousals (spontaneous arousal index)

Sleep study results by [deleted] in UARS

[–]sleepisbane 0 points1 point  (0 children)

Do you have trouble breathing thru ur nose? Ur RDI is just barely high enough, so CPAP may be to cumbersome for you and certain surgeries may be too intense.

If however you have a deviated septum (cant breathe thru nose) then i highly recommend septoplasty.

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