Has anyone had success getting rid of OSA by loosing weight?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Otter
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Re: Has anyone had success getting rid of OSA by loosing weight?

Post by Otter » Mon Mar 05, 2012 4:03 am

Animal-luvr wrote:I am still tired and one doctor thinks this is why I continue to gain weight despite numerous attempts to loose weight. Other doctors keep saying that the only thing I can do to lessen the OSA and increase my energy levels is to loose weight. It is a downward spiral and I wonder if some type of really extreme weight loss effort that would put me in a normal weight category would in fact get rid of OSA - anyone done that? Thanks.
Crash diets are problematic. They tend to be rather unhealthy to begin with. And once you loose weight this way, your body is likely to preferentially store energy as fat, causing you to gain it all back.

This makes sense from an evolutionary perspective. If our ancestors lost weight from eating less, it would have nearly always been because food was scarce. Hence, when the calories become available again, it makes sense to pack on the pounds in preparation for the next famine. The other possibility is that they lost weight due to illness, but again, restoring fat reserves makes sense because the illness might come back.

A truly healthy diet can't do anything but help, though. And if you can address some of the metabolic problems you are having, that may lead to sustainable weight loss as well as more energy.

How do you eat now?

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mindy
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Re: Has anyone had success getting rid of OSA by loosing weight?

Post by mindy » Mon Mar 05, 2012 10:11 am

archangle wrote:The people here may be overly pessimistic. Anyone who cured their CPAP with weight loss is probably not participating on this board any more.

However, a lot of people don't cure their apnea with weight loss. Quite a few thin people have apnea.

Lose the weight, hope for a cure or improvement, but don't count on it.
Some good points! I haven't been on the forum in several years --- I lost a lot of weight with gastric bypass surgery. My sleep apnea improved quite a bit but I was told that the inside diameter of my throat is on the small side so it might not completely fix it. Indeed I was able to reduce pressure to a range of 7-10 and mostly it stays between 7 and 8 and my AHI stays nice and low. In theory, I could give it a trial without it but it's not worth it to me to try that. When I have, my O2 sats have started dropping. I'm back here now because I needed a new machine and my beloved Sandman (Puritan Bennett) auto has been discontinued and my humidifier cover is broken. For some reason the algorithm in this machine worked perfectly for me. I'm now trying to adjust to the DeVilbiss Intellipap Auto and having some challenges -- compared to the Sandman it seems incredibly loud among other things. I've gotten the clinician manual and will now attempt to optimize my therapy with this machine. It looks like there are lots of people using this machine so I hope to get things tuned up in short order.

Mindy

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lostntranslation
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Re: Has anyone had success getting rid of OSA by loosing weight?

Post by lostntranslation » Mon Mar 05, 2012 10:20 am

I've lost 80 lbs so far, and while I've not been able to "cure" my OSA, I will say that it has improved greatly! I originally was on CPAP at 20 CmH2O, but have moved to BPAP at 15/11 CmH2O. Being able to reduce the pressure by losing weight has made it easier to remain compliant, thus giving me more energy and making continued weight loss easier. I know I will always have sleep apnea as I had symptoms even when I was at a normal weight, but I know I can manage it better with my weight loss.

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Re: Has anyone had success getting rid of OSA by loosing weight?

Post by chunkyfrog » Mon Mar 05, 2012 10:30 am

Cpap requires effort; so does weight loss.
I found that the CPAP gave me the little extra boost of energy to exert that effort.
The lower my weight--OMG--I have so much more energy!
I couldn't believe I had so much potential.
I hope you are able to resolve your weight and fatigue problems--they do pile on top of one another.
Keep after your doctor to resolve any other problems that may affect your energy/health.
Remember, it is possible to eat an entire elephant--one bite at a time. (but, don't)

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Re: Has anyone had success getting rid of OSA by loosing weight?

Post by Lizistired » Mon Mar 05, 2012 11:35 am

lostntranslation wrote:I've lost 80 lbs so far, and while I've not been able to "cure" my OSA, I will say that it has improved greatly! I originally was on CPAP at 20 CmH2O, but have moved to BPAP at 15/11 CmH2O. Being able to reduce the pressure by losing weight has made it easier to remain compliant, thus giving me more energy and making continued weight loss easier. I know I will always have sleep apnea as I had symptoms even when I was at a normal weight, but I know I can manage it better with my weight loss.
That's great progress! Welcome to the forum.

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