I had an at- home sleep apnea test 2 months ago, which showed up negative. At least that's what my doctor told me. I recognize that an AHI of 0 and an RDI of 2 is not high enough to warrant treatment, but there are other pieces of data that make me think otherwise. To my understanding, the study says I Woke up 30 times ,of which only two- three I perceive on average. These "awakenings" occur while I'm snoring. However, my doctor said that snoring for 1% of the night is normal. He didn't address the awakenings either. Is it normal to snore this much/ have this number of unperceived awakenings? And are they indicative of a breathing- related sleep disorder? I'll have my results attached to this post
I'm always having to get up to go to the bathroom as well, another symptom that other sleep apnea/UARS patients have.
There was also a study done on people who reported having multiple nighttime awakenings. Even though 10% of the subjects believed that the awakenings were caused by breathing difficulties, about 90% of the subjects' awakenings were preceded by some sort of issue with breathing. The link for that study is below
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490361/
Aside from that I have brain fog. But I'm not sure if that's a primary indicator since that can be a symptom for any type of sleep disorder.
The only other causes could be restless leg syndrome and anxiety/depression. I haven't completely ruled out if it is RLS, but I've been taking medication for it for about a week now and it hasn't had any effect so far. You could say I'm more depressed, anxious, and frustrated than the average person is, considering that I'm low energy and have difficulty concentrating. But I'm inclined to believe I don't have clinically significant anxiety/depression because I never have difficulty falling asleep, or falling back asleep. I am able to recall my dreams prior to my awakenings, and they are usually never anything that would induce severe anxiety/depression. Sure, a good number of them are mildly stressful. But I've been awakened after many pleasant/non-stressful dreams with the urge to go to the bathroom. And the day leading up to one of the few nights I woke up only once, and thus slept very well, was pretty unpleasant (sat and listened to a lecture for about 6 hours and drove for about 3 hours to and from the site of the lecture, and studied at home for the rest of the day). For these reasons, I don't believe depression and anxiety are the principal causes behind these multiple nocturnal awakenings. I'm currently seeing a Cognitive behavioral therapist and she's prescribing me sleep restrictive therapy, sleep hygiene tactics which I've been applying long before I started meeting her and other protocols to deal with my negative thoughts and emotions. But it hasn't been very effective so far. I'm meeting with her just in case though.
It might be a Vitamin D deficiency? My vitamin D levels are 30 ng/ml, which are considered sufficient levels by healthcare standards in the U.S., but there's a lot of controversy surrounding what's deemed sufficient. Stasha Gominak believes Vitamin D levels have to be 60-80 ng/ml for sleep to be optimal. But I'm not sure if the article where she conducted this uncontrolled study on 1500 patients, in which all experience improvements in sleep by reaching a level fo of 60-80 ng/ml, has been peer- reviewed (I read an article on how to find out but it didn't give any concrete examples of a peer- reviewed article so I'm still confused), so I'm somewhat skeptical. She also wants to charge $250 USD for 1 hour long online appointments and requires patients to commit to a year- long contract. I'm currently taking Vitamin D supplements just in case, since a Vitamin D level of 60-80 ng/ml isn't toxic. But it'll take about 2-3 months before I reach a level of 60- 80 ng/ml. Here's some links to her study, website, and an interview which outline her theory behind sleep issues. I think somebody else had posted about her on r/CpAp most were skeptical of what she was saying, but nobody could confirm if she's lying.
https://www.sciencedirect.com/science/article/abs/pii/S0306987712001508
https://drgominak.com/rightsleep-method/
https://www.youtube.com/watch?v=74F22bjBmqE&t=2612s
The reason why I'm asking all this is because I'm debating on whether or not I should just go ahead and buy a CPAP/BiPAP without a prescription. I posted here once about my home sleep study results, and in response someone said there was study done that there were patients with maintenance insomnia, who didn't test positive for sleep apnea/UARS (I think), but slept better with BiPAP.
Sorry if I left out anything, wrote too much, or if my writing is poor. But I'm sick of waiting for an answer from the healthcare system after 5 months of investigation and $1000+ dollars down the drain so far.
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from
https://www.reddit.com/r/SleepApnea/comments/g2v5qn/is_anything_in_my_study_indicative_of_a_breathing/
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