CPAP after weight loss surgery

Has any experience in using their CPAP after weight loss surgery? Did you notice any differences in performance, comfort etc? Did you have to confer with your Sleep Doctor and were any changes necessary from no longer needing the machine to change in pressure on the machine and possibly change in the size or type of mask being used?

I had weight loss surgery at the end of February and since that time I have experienced a significant increase in mask leakage and some discomfort with the nose pillows I use which never bothered me before. I just did a new sleep study last evening and will get the results in about two weeks but I was curious about others experiences.

I don't have any experience myself, but I'll be interested to learn the results of your sleep study. In the meantime, could you say more about the type of surgery? Sometimes surgery is to the digestive tract, with the goal of reducing caloric intake; sometimes it involves removal of fat tissue. And there may be other types I'm not aware of.

I had a Gastric Sleeve surgery done. My understanding is they no longer do lap band surgery due to the amount of post-surgery complications that were becoming more prevalent with it

Promotes
Weight Loss
Restrictive
Limits food intake
Reduces hunger sensations by removing Ghrelin (hormone that plays a key role in regulating body weight

Change
to Stomach
Stomach Size is Reduced
60-80% of the stomach is removed, leaving a vertical narrow pouch 2-3 oz (60-100 cc)

Of the two realistic options I had this had a slightly less success rate but also had very few complications and didn't need the vitamin support required by the other type surgery (though it needs some) that is for the rest of your life. From my highest weight and when I began to participate in a program to prepare for surgery in Nov 19 until my surgery on February 28,2020 until now I am down just under 90 #'s. I have a one year goal which for me means losing on average 5-6# per month going forward until March 1, 2021. There is a learning curve regarding eating, not just what you eat, but how much, how fast and when.

Thanks, and all my best for your success. I hope other forum members can chime in, especially if they've had this same kind of surgery.

babydinosnoreless wrote: ↑

Sat Jul 11, 2020 7:03 pm

BDS has lost some weight, though not through surgery. Other than looking pretty fine, I'm not sure how much it has impacted her CPAP therapy?

BDS, care to comment?
Has there been any change in your AHI, machine pressures, comfort, anything else?

Dog Slobber wrote: ↑

Fri Jul 31, 2020 10:43 am

babydinosnoreless wrote: ↑

Sat Jul 11, 2020 7:03 pm

BDS has lost some weight, though not through surgery. Other than looking pretty fine, I'm not sure how much it has impacted her CPAP therapy?

BDS, care to comment?
Has there been any change in your AHI, machine pressures, comfort, anything else?

I lost 50 lbs after getting my bilevel. (No surgery, just better sleep giving me more energy to do stuff like exercise) It has not changed my therapy at all, other than needing to tighten the straps on my mask. When Pugsy first sent me a N-20 to try, the mask was a game changer for me. Thats when I really started sleeping better and having more energy. Then the leaks started a few months later. I had to go down to the "for her" small size to get the leaks under control. Since I switched to the smaller cushion and mask, I haven't made any changes. Pressure has remained the same throughout. I have it wide open from 10.6 all the way up to the full 25 and I let the machine do its thing. My sleep is worse in REM so some nights the pressure goes way up, other nights it remains at the lower end. That hasn't changed at all. My AHI is consistently under 1. I thank Pugsy and Palerider for helping me get it dialed in. There are good nights and bad nights due to pain from other issues but the good nights now usually outweigh the bad ones and those bad nights are very clear to see it is SWJ (sleep wake junk).

I would post some Oscar charts but I'm away from my computer right now. This kinda shows how consistent things have been.