At what BMI does OSA disappear?
At what BMI does OSA disappear?
I started out in November of last year at 445 lb. I now weigh 337. I still have another 190 lb. or so to go. According to my calculations, I should reach my goal weight around October of this year. Yes, this is fantastical, but three times in my adult life I have lost 200-280 lb. rapidly (with my spreadhseets to document it), so it is easy to lose weight for me.
I was never able to fall asleep without CPAP. Surprisingly though, last week, I fell asleep three times when I lay down to rest without using it, and dreamed all three times right away. Holy cow! My OSA is getting better with weight loss? Can OSA really disappear?
So when I reach my goal weight, will the use of CPAP become obviated?
Will the doctor order a retest once I reach my goal weight? And would Medicare pay for that?
Also, at what point do I own the CPAP outright if I am paying with Medicare? I got it last July, so I have had it now for about eight months.
I was never able to fall asleep without CPAP. Surprisingly though, last week, I fell asleep three times when I lay down to rest without using it, and dreamed all three times right away. Holy cow! My OSA is getting better with weight loss? Can OSA really disappear?
So when I reach my goal weight, will the use of CPAP become obviated?
Will the doctor order a retest once I reach my goal weight? And would Medicare pay for that?
Also, at what point do I own the CPAP outright if I am paying with Medicare? I got it last July, so I have had it now for about eight months.
- Okie bipap
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Re: At what BMI does OSA disappear?
This is very doubtful. If you are remembering your dreams, that indicates you are waking up right after the dream. The ideal solution is to be able to dream with out remembering them.
This can only be determined by another sleep study.
You will have to discuss the scheduling of another sleep study with your doctor. Medicare will pay for as many sleep studies as your doctor orders. I had four in less than one year and Medicare paid for all of them.
Your machine will be paid off after thirteen months of payments. Presuming you made a payment in July, it will be paid for after the payment this July (the thirteenth payment).
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- Miss Emerita
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Re: At what BMI does OSA disappear?
Congratulations on your weight loss! Here is information about CPAP and Medicare:
https://www.medicare.gov/coverage/conti ... re-devices
There’s no way to tell ahead of time whether reaching a particular weight would mean the end of apnea for you. There are plenty of us who are at our medically recommended weight but have apnea anyhow.
Still, your doctor might well be willing to order a new sleep test if you reach your goal. And for some people, the significant change in weight does solve the apnea problem.
https://www.medicare.gov/coverage/conti ... re-devices
There’s no way to tell ahead of time whether reaching a particular weight would mean the end of apnea for you. There are plenty of us who are at our medically recommended weight but have apnea anyhow.
Still, your doctor might well be willing to order a new sleep test if you reach your goal. And for some people, the significant change in weight does solve the apnea problem.
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Re: At what BMI does OSA disappear?
Zero,and it's all gone! Jim
Use data to optimize your xPAP treatment!
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
- chunkyfrog
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Re: At what BMI does OSA disappear?
This is an example of wishful thinking.
Untreated apnea no doubt contributed to your weight gain.
If you stop using cpap, I promise all the weight will return--plus all their "peeps".
Speaking of peeps--Easter is coming. Those little devils are hard to rebuke.
Untreated apnea no doubt contributed to your weight gain.
If you stop using cpap, I promise all the weight will return--plus all their "peeps".
Speaking of peeps--Easter is coming. Those little devils are hard to rebuke.
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Re: At what BMI does OSA disappear?
But those three times I just lay down without the intention of falling asleep. I just was a little tired (muscle-wise, but not sleepy) and needed to rest my bones. It was still too early to go to sleep though. I was just surprised when I fell asleep without CPAP.Okie bipap wrote: ↑Wed Mar 18, 2020 8:28 pmThis is very doubtful. If you are remembering your dreams, that indicates you are waking up right after the dream. The ideal solution is to be able to dream with out remembering them.
Very nice!Okie bipap wrote: ↑Wed Mar 18, 2020 8:28 pmYou will have to discuss the scheduling of another sleep study with your doctor. Medicare will pay for as many sleep studies as your doctor orders. I had four in less than one year and Medicare paid for all of them.
Looking forward to the date then! Thank you.Okie bipap wrote: ↑Wed Mar 18, 2020 8:28 pmYour machine will be paid off after thirteen months of payments. Presuming you made a payment in July, it will be paid for after the payment this July (the thirteenth payment).
Re: At what BMI does OSA disappear?
Thanks. And thanks for the link. My previous doctor said if I lost weight, there is a good chance I would be free from OSA, or at least have lower pressure settings. We'll see.Miss Emerita wrote: ↑Wed Mar 18, 2020 8:30 pmCongratulations on your weight loss! Here is information about CPAP and Medicare:
https://www.medicare.gov/coverage/conti ... re-devices
There’s no way to tell ahead of time whether reaching a particular weight would mean the end of apnea for you. There are plenty of us who are at our medically recommended weight but have apnea anyhow.
Still, your doctor might well be willing to order a new sleep test if you reach your goal. And for some people, the significant change in weight does solve the apnea problem.
Re: At what BMI does OSA disappear?
You know, I never thought of that. No wonder I was so big. Well, plus I liked to eat, haha.chunkyfrog wrote: ↑Wed Mar 18, 2020 8:36 pmThis is an example of wishful thinking.
Untreated apnea no doubt contributed to your weight gain.
If you stop using cpap, I promise all the weight will return--plus all their "peeps".
Speaking of peeps--Easter is coming. Those little devils are hard to rebuke.
Now peeps are fun. I had forgotten it was almost Easter.
Re: At what BMI does OSA disappear?
In that case he probably has OSA, hope he keeps losing and gets to zero .
Use data to optimize your xPAP treatment!
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
Re: At what BMI does OSA disappear?
LOL again!
[In case anybody is wondering, the person who weighed only 4.7 lb. was a dwarf, at age 17:
https://en.wikipedia.org/wiki/Luc%C3%ADa_Z%C3%A1rate]
Re: At what BMI does OSA disappear?
> At what BMI does OSA disappear?AHI wrote: ↑Wed Mar 18, 2020 8:15 pmI started out in November of last year at 445 lb. I now weigh 337. I still have another 190 lb. or so to go. According to my calculations, I should reach my goal weight around October of this year. Yes, this is fantastical, but three times in my adult life I have lost 200-280 lb. rapidly (with my spreadhseets to document it), so it is easy to lose weight for me.
I was never able to fall asleep without CPAP. Surprisingly though, last week, I fell asleep three times when I lay down to rest without using it, and dreamed all three times right away. Holy cow! My OSA is getting better with weight loss? Can OSA really disappear?
So when I reach my goal weight, will the use of CPAP become obviated?
Will the doctor order a retest once I reach my goal weight? And would Medicare pay for that?
Also, at what point do I own the CPAP outright if I am paying with Medicare? I got it last July, so I have had it now for about eight months.
It doesn't.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
- chunkyfrog
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Re: At what BMI does OSA disappear?
BMI vs OSA is something of a chicken vs egg thing.
Traditional ignorance had us in the "fat causes OSA" rut.
Many of us know better now, but too many are stupidly stuck in that rut.
As Ron White says, "You can't fix stupid."
Obesity can exacerbate the symptoms, but it is rarely the root cause.
Traditional ignorance had us in the "fat causes OSA" rut.
Many of us know better now, but too many are stupidly stuck in that rut.
As Ron White says, "You can't fix stupid."
Obesity can exacerbate the symptoms, but it is rarely the root cause.
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- Lifeisabeach
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Re: At what BMI does OSA disappear?
I can only echo what the others have said... it's no guarantee. Excess weight can cause and complicate sleep apnea, but it's not the only possible factor. Speaking for myself, going by the strength of the symptoms, I've had sleep apnea since my teens at the minimum, which means weight isn't the root of my problem. My own weight is finally coming down, but I have no expectation that I will ever be rid of this disorder.AHI wrote: ↑Wed Mar 18, 2020 8:15 pmI started out in November of last year at 445 lb. I now weigh 337. I still have another 190 lb. or so to go. According to my calculations, I should reach my goal weight around October of this year. Yes, this is fantastical, but three times in my adult life I have lost 200-280 lb. rapidly (with my spreadhseets to document it), so it is easy to lose weight for me.
So when I reach my goal weight, will the use of CPAP become obviated?
You should let your doctor know NOW that you've lost as much weight as you have. They likely will want to re-test you since an adjustment to your settings may be in order.
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Re: At what BMI does OSA disappear?
Better advice is to monitor data from the CPAP.Lifeisabeach wrote: ↑Thu Mar 19, 2020 3:49 amYou should let your doctor know NOW that you've lost as much weight as you have. They likely will want to re-test you since an adjustment to your settings may be in order.
Retests are a waste of money and time.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

