hypoglossal nerve stimulator

two Dental devices

CPAP

if you've got atrial fibrillation which is an irregular heartbeat highly recommend testing for obstructive sleep apnea

when you have sleep apnea this is something that is called dipping and non-dipping people who have no apnea in the blue notice 00:07:11 what happens their blood pressures go down at nights here in the 3 A.M to 6 a.m goes down at night they're systolic and diastolic but the people who have apnea they don't get the benefit of that dipping they're not getting the benefit 00:07:25 of rest at night it's because of sympathetic nervous system activity

in a normal person this is what their sympathetic nervous 00:06:45 system activity looks like and people with sleep apnea who are having these difficulties at night this is what their sympathetic nervous system looks like during the day when they're actually not having apnea it's because it's ramped up 00:06:57 and this is a problem that causes their blood pressure to not be able to relax

when we're looking here at sleep apnea we're looking at these bars here and you can see that people with 00:06:21 sleep apnea the most likely time for them to die is between midnight and six o'clock in the morning and you can imagine why that would be

let's take a look at everything here before the purple line

sometimes this 00:04:37 can happen up to a hundred times in an hour that means at least once a minute or more maybe even twice a minute that this is happening you can expect that people are not going to get very good sleep with this

polysomnography

they wake up in 00:02:31 the morning with headaches they don't feel well rested they fall asleep very easily while not really being engaged or it could be very subtle things like fibromyalgia body aches low energy

typically men more than women when they gain weight tend to store fat in their tongue and so 00:01:55 their tongues will swell you can see that really nicely on MRI actually because fat shows up as basically white tissue on MRI the other thing is that men's Airways are larger and so because of the law of Laplace which we don't 00:02:07 have time to get into larger Airways are more collapsible and so they're easier to close off with pressure placed on the outside so that's why men are typically more at risk for obstructive sleep apnea 00:02:18 but women are also at risk for sleep apnea especially after menopause

every person who got apnea got to be on vitamin d vitamin d makes a tremendous change for so many different 00:24:20 chemical changes in our entire body uh it affects you not only our immune system because you know we look at covet they you know they found like eight over eighty percent of every covert case had deficiency of vitamin d so you think about if your immune system 00:24:33 is weakened that means other systems are weakened which what does the immune system do it keeps away inflammation you see it's all tied together it's so important so now you say why do i need vitamin d well how much are you in the 00:24:46 sun as we get older we're just not in the sun all that much and oh i eat healthy you're not getting it from you're not from your food you need to supplement

for people who have this sleep apnea you may want to start taking a little more magnesium because magnesium what does it do it relaxes it causes the vessel to relax cause the muscles to relax causes all the tissues 00:21:22 to relax and basically when you're getting that apnea things are closing okay so magnesium has been a huge huge change in the research right now so uh you know my favorite magnesiums you know 00:21:34 you have the citrate you have you have the the glycinates those are the best that absorb so i would it was me that's what i would get on uh and try the magnesium because you know sometimes when we just make a little bitty change 00:21:47 it can go a long way because you know unfortunately in the medical field they're not really tuned into nutrition

as you start taking weight off number one the weight because as you lose weight you lose 00:16:50 weight in here too i promise you if you are overweight anyone is over 15 pounds overweight you will see a tremendous difference in your sleep apnea it will start getting better and better and better

for those people who have sleep apnea try gargling with salt water before you 00:14:31 go to bed you may be amazed 40 50 percent of you may say the next morning i don't know what the heck happened but guess what salt water 00:14:42 reduces inflammation so gargling with salt water can be a cure for many of those conditions

if you have those symptoms like you're always clearing your throat or you're getting that tickle in your 00:11:47 throat or you're getting that post nasal drip it's not science it's not your sinus most of the time if you're having sleep apnea because that acid if you just tuned in with us that acid is making its way up while you're sleeping 00:11:59 most of the time these symptoms happen at night okay and you can get the residual during the day and you're waking up like you're always doing that i can guarantee that the majority of you you're going to have silent reflex that silent reflex is 00:12:13 affecting your breathing

the ringo pharyngeal reflux

ProPublica recently reported that breathing machines purchased by people with sleep apnea are secretly sending usage data to health insurers, where the information can be used to justify reduced insurance payments.

22.3 per cent (−10.7; 95% CI, −15.6 to −5.7) in the diet group

Sleepiness and neck circumference were significantly reduced only in the diet group (p = .007 and p < .001 for the time × group interactions, respectively).

The sodium-restricted diet group received a regimen aiming a maximum intake of 3 g of sodium per day (equivalent to 7.5 g of sodium chloride).

ConclusionsThese findings suggest that in patients with HF, sodium intake plays a role in the pathogenesis of SA.

CONCLUSIONS: These findings suggest that pharyngeal edema contributes to sleep-disordered breathing in obese patients with severe OSA, hypertension, and diastolic heart failure. Upper airway edema may contribute to the frequent occurrence of OSA in patients with heart disease.

50 mg naltrexone at bed-time.

Low BP was more prevalent in subjects with upper airway resistance syndrome (UARS) (23%) than in subjects with obstructive sleep apnea syndrome (OSAS) (0.06%), parasomnia (0.7%), restless leg syndrome (0.9%), or psychological insomnia (0.9%).