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Surgery can also be performed to help people better tolerate CPAP therapy or an oral appliance by addressing physical features that interfere with these other treatments for OSA.

Continuous negative external pressure (cNEP) is an investigational treatment for OSA. Unlike many PAP devices though, cNEP machines do not use a mask and do not cover the nose or mouth.

I am very sorry to hear that you are struggling with your sleep. Unfortunately, this sounds like something you may need to speak with your doctor about since it does not seem like you are struggling with your CPAP therapy.

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I’ve been using CPAP nightly for about six hours for fourteen months. My fatigue is so severe that I’m barely able to function. I am an otherwise healthy person, no heart/lung issues, diabetes or any other serious disease.

You may be asking yourself, “Is it normal to be tired after starting CPAP?” Yes, and many new users find that it takes months to start feeling the benefits of uninterrupted sleep.

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People with OSA have many options to choose from when considering treatment, therapy, or surgery. Consulting your primary physician and sleep specialists should be your first step.

Bilevel positive airway pressure (BiPAP or BPAP) offers two different levels of air pressure depending on whether the sleeper is inhaling or exhaling. Both pressure levels are preset by a doctor based on the results of a sleep study.

Others have difficulties using CPAP consistently or prefer not to use it all. Fortunately, there are numerous CPAP alternatives for people who cannot or do not want to treat OSA with CPAP therapy.

How does CPAP work? CPAP machines work by generating an air stream that keeps the upper airway open during sleep. There are lots of different machines available and modern devices are small, comfortable and easy to use. The air stream is pushed through tubing via a mask to the back of the throat.

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An estimated 18 million Americans live with sleep apnea, often using a continuous positive airway pressure (CPAP) machine to get a better night's sleep.

Overall with your AHI being below 3, it sounds like the therapy is working well for you. Also, keep in mind that it does take time for you to get use to the changes that you are faced with from starting your CPAP therapy.

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