u/CautiousRun7860

I (43M) had inspire implanted ~20 months ago, and had Inspire on for 8 months (1.2-1.8v). It didn't work well for me, even combined with CPAP, so I didn't activate it in the most recent ~12 months. I don't have issue with the nerve stimuli or it's often inaccurate breath prediction. Just the tongue movement was not large enough for me, expecially in later half of the sleep.

Recently I noticed one side (the side of hyperglossal nerve stimulation, as Inspire is one-sided stimulation only) of tongue base is clearly larger than the other side.

I suspect repeated stimulation of the tongue muscles promoted muscle growth, at least in my case. Any other adult male have similar issues with long term Inspire usage?

Pics below:

https://preview.redd.it/9l5jy9gl142h1.png?width=1043&format=png&auto=webp&s=b29a4a38bd4c136b44274ec02bd6374bdc304756

We are flat-faced apes, with more bone development resources allocated to house a larger brain, and less resources (such as stem cells for bone formation) allocated for jaws -this is definitely not the whole story of why modern human skull formed this way.

As SDB is very common in those flat-faced dog breeds:

"Flat-faced (brachycephalic) breeds are prone to a condition called Brachycephalic Obstructive Airway Syndrome (BOAS), which can make breathing a constant struggle and can escalate rapidly into a life-threatening emergency."

I recently got my sleep study results back. I do not technically have apnea (hypopnea index was 3.2, so not high enough for apnea, but my SpO2 dropped as low as 78% and I had about a half hour with 88% or lower).

My provider prescribed oxygen for overnight usage. I guess I'm just wondering what to expect. Any tips for adjusting? Will it help me feel better during the day?

This is NOT asking for medical advice. Just advice for sleep. He’s always had a small bladder but at night it’s especially bad and these past few weeks is some of the worst it’s ever been. He gets up to pee anywhere from 3-6 times a night and still gets up for work at 6:45 and drives an hour to/from work and is exhausted and miserable because he never hits REM at night because he’s peeing every other hour. He takes all sorts of vitamins or sleep assistance gummies to help him sleep but they don’t really work. His retired pharmacist parents try to give him stuff, not sure what, but that doesn’t help either. Sometimes he’ll stop drinking water hours before bed and that doesn’t help.

He and I know both he needs to go to the doctor. He just started a job about a month and a half ago and the boss is pretty terrible and fires people left and right. For context, This week was someone’s birthday who’s been there 4 years, after his assistant reminded him about the birthday, he said he doesn’t celebrate birthdays, especially at work. And that he wouldn’t even celebrate his son’s birthday if his wife wouldn’t force him. It’s a small blue collar workplace. He works in a sales position as the only salesman and is expected to make 100 calls a day (I don’t think that’s even possible. Boss said he just threw a number out there and stuck with it) and is being tracked on company software to make sure he stays busy. We all know he needs a better job, but after applying to dozens, his friend got him a job at this place and she herself is constantly overworked and stressed out.

We’re about to move in a few weeks and we can’t afford for him to quit right now. So even when he’s working remotely, I don’t know how he’ll manage to find time to do an interview nevertheless go to a doctors appointment when there’s such a risk of getting fired which we really can’t afford right now. It affects both of us as I wake up every time he gets up and I work a full time job as well. He last got up around 5:15 and is up again as I type this at 6:35am. Please help me think of what to do

As title, shoot me a msg if you would like to sell the tools, and are located in the US (easier shipping).