Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

What Is This Book About?

This Book Is Revised and Rewritten (more than doubled in size) in 2023.
Added 100 Pages of New Information. New Paperback Is 194 Pages Long!
 

This book “Reversing Sleep Apnea" provides the very practical proof that
sleep apnea can be reversed by losing weight.
The author of this book Dr. RK provides all the real-time data
on how he successfully reversed
his obstructive sleep apnea once and for all.
He reported that his Desaturation Index dropped
from a high-risk 28 events/hour to a stunning 0.6 event/hour

when he lost 40 pounds of his body weight, and when he lowered his body mass index (BMI) to perfectly normal.
When his body resumed normal weight, his sleep apnea amazingly disappeared!
See below an Excel table with all scientific details, and the data he collected and recorded.

    

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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

The Following Excel Table Tells The Whole Story About
How Dr. RK Reveresed His Obstructive Sleep Apnea!
Proof That Sleep Apnea Can Be Reversed By Losing Weight!

              

Date

Desat Index

Highest SpO2

Lowest SpO2

Mean SpO2

Waist

Weight

Weight

BMI (Kg/m 2

Assessment

Normal

0 to 4 Events/hr

96% to 99%

90% to 99%

96% to 99%

< 34"

< 70 Kg

< 155 Lb

18.5 to 24.9

 

 

 

 

 

 

 

 

 

 

     Overnight Pulse Oximetry Test Results Without CPAP by Independent Respiratory Services (IRS), Burnaby, BC, Canada


07-Feb-2015

  First Diagnosed With Moderate Sleep Apnea (Desaturation Index=22.7 Events/hr).

07-Feb-2015

22.7

98%

75%

94.60%

44"

86 Kg

191 Lb

30.5

Obese

19-Feb-2015

17.3

98%

71%

94.10%

44"

86 Kg

191 Lb

30.5

Obese

16-Mar-2015

   CPAP Therapy started seriously!

 

 

 

 

 

 

 

 

 

 

 Overnight Pulse Oximetry Test Results Without CPAP by Mainland Sleep Diagnostics Ltd, Burnaby, BC, Canada

06-Apr-2015

23.6

100%

69%

94.90%

44"

86 Kg

191 Lb

30.5

Obese

07-Apr-2015

28.0

99%

76%

95.10%

44"

86 Kg

191 Lb

30.5

Obese

 Approaching Severe Sleep Apnea (very dangerous)! So I took Action, and started controlling sleep apnea!

 

 

 

 

 

 

 

 

 

28-Dec-2015

6.9

98%

87%

95.90%

37"

78 Kg

173 Lb

27.6

Overweight

When I lost 18 pounds, my Desaturation Index dropped from 28 to 6.9 events/hr (excellent progress!)

 

                 

29-Dec-2015

7.2

100%

84%

96.10%

37"

78 Kg

173 Lb

27.6

Overweight

30-Dec-2015

8.4

99%

83%

95.90%

37"

78 Kg

173 Lb

27.6

Overweight

                 

Overnight Pulse Oximetry Test Results Without CPAP by Mainland Sleep Diagnostics Ltd, Burnaby, BC, Canada

29-Mar-2016

4.8

100%

88%

96.30%

36"

77 Kg

171 Lb

27.3

Overweight

30-Mar-2016

2.9

99%

89%

96.20%

36"

77 Kg

171 Lb

27.3

Overweight

31-Mar-2016

4.6

99%

86%

95.70%

36"

77 Kg

171 Lb

27.3

Overweight

 

 

 

 

 

 

 

 

 

18-Nov-2016

1.2

100%

91%

97.00%

33"

68 Kg

151 Lb

24.1

Normal

19-Nov-2016

1.3

100%

86%

97.00%

33"

68 Kg

151 Lb

24.1

Normal

 

 

 

 

 

 

 

 

 

Overnight Pulse Oximetry Test Results Without CPAP by Clinical Sleep Solutions, Burnaby, BC, Canada

29-Nov-2016

0.6

99%

89%

96.20%

33"

68 Kg

151 Lb

24.1

Normal

       When I lost 40 pounds, my Desaturation Index dropped to 0.6 event/hr (My sleep apnea wiped out!)

 

 

THE END-RESULT
WHEN I LOST 40 POUNDS, MY BODY RESUMED NORMAL WEIGHT.
WHEN MY BODY RESUMED NORMAL WEIGHT, MY SLEEP APNEA DISAPPEARED!

 

 

 

 

 

 

 

 

 

 

 Desaturation Index 

Assessment

 

 

 

BMI (Kg/m 2)  

Assessment

 0 - 4 Events/hr

     Normal (No Sleep Apnea)

 

 

< 18.5

Underweight

 5 - 14 Events/hr

     Mild Sleep Apnea

 

 

 

18.5 to 24.9

Normal

15 - 29 Events/hr

     Moderate Sleep Apnea

 

 

 

25.0 to 29.9

Overweight

 ≥ 30 Events/hr

     Severe Sleep Apnea 

 

 

 

 ≥ 30

Obese



 


                                               Body Mass Index (BMI) Sample Calculation:
   
                                               When I was diagnosed with sleep apnea, My Weight= 86 Kg, My Height = 1.68 m 
   
                                                              BMI = Weight (Kg) / Height (m) 2 = 86 / 1.68 2 =  30.5 Kg/m 2 = Obese
 

                                 P.S.: CPAP discontinued for 1 to 2 weeks prior to all overnight pulse oximetry tests.  
 

 

Synopsis: Reversed Obesity & Sleep Apnea Simultaneously

INTERPRETATION OF THE OVERNIGHT PULSE OXIMETRY TEST RESULTS OF Dr. RK

 

WHEN I LOST 40 POUNDS, MY BODY RESUMED NORMAL WEIGHT.
My Body Mass Index (BMI) dropped to perfectly normal value.
WHEN MY BODY RESUMED NORMAL WEIGHT, MY SLEEP APNEA DISAPPEARED!

As shown in the aforementioned table, when I was first diagnosed with obstructive sleep apnea, my overnight pulse oximtetry test done on 07-Feb-2015 showed that my desaturation index was 22 events/hr. When I repeated the test on 07-Apr-2015, my desaturation index went up to 28 events/hr, which means I would soon be diagnosed with severe sleep apnea (if the desaturation index is ≥ 30 events/hr, that indicates severe sleep apnea).

With severe sleep apnea, I knew that I could suffocate myself due to the blocked airway and could die in my sleep. It could happen any time if I live with negligence. I therefore took action and awakened the giant within myself. My extensive reading and research suggested me that "I need to lose weight fast." I was then committed to losing weight and created my very own weight-loss diet incorporating daily exercise (running on a treadmill every day). It was like an uphill battle. It was exactly like fighting against a devil because sleep apnea prevents weight loss. Even if I went to gym and ran on a treadmill twice a day, the stubborn fat refused to melt away for a long time.

But my further reading and research suggested me that I needed to do some adjustments to my diet and lower the calories being consumed from junk foods. I learned that when calories being burned by my body are more than the calories being consumed, I would lose weight. I then created a new weight-loss diet, by making drastic changes to my diet by incorporating whole foods only, and by removing all processed foods and refined foods. As a result, my weight started melting away day by day right in front of my eyes, and I accomplished my weight loss goal.

After losing 40 pounds of weight and 12 inches around the waist, naturally without ever using drugs or supplements, my weight dropped from 190 pounds to 150 pounds, my Body Mass Index (BMI) dropped from 30.5 (obese) to 24.1 (perfectly normal). The Oxygen Desaturation Index (ODI) from an overnight pulse oximetry test dropped from a high-risk 28 events/hr to a stunning 0.6 event/hr in 22 months, and I completely reversed my obstructive sleep apnea.

The CPAP therapy, being the best treatment available currently, controls sleep apnea and keeps the SpO2 level (percentage saturation of blood oxygen level) and desaturation index perfectly normal only during the time you wear the CPAP machine correctly and use it correctly. It is important to note here that CPAP therapy does not heal, cure or reverse sleep apnea. But weight loss gradually heals, cures and reverses obstructive sleep apnea.
 
However I must watch my weight constantly and prevent it from regaining through caution, care, self-discipline and willpower. As long as I maintain the normal body weight, and maintain normal body mass index (BMI), my obstructive sleep apnea should remain reversed for the rest of my life.
 

WHAT IS CPAP THERAPY?
CPAP means “Continuous Positive Airway Pressure,” which further means that the CPAP machine pumps air into your throat, and helps maintain continuous, positive, very low and comfortable air pressure in the airway of your throat, keeps the airway open all the time, and stops snoring whenever you sleep with it. The CPAP machine has a mini compressor in it, which blows air into the mouth and/or nose at a very low and comfortable pressure, and keeps the airway always open by preventing the soft tissue of the throat muscles from collapsing onto the airway, thereby unblocking, abolishing snoring, shallow breathing and oxygen desaturation events.

As long as you wear the CPAP machine during the night while sleeping, the CPAP machine kills most apneas and hypopneas, and keeps your AHI (Apnea Hypopnea Index) perfectly normal, under 5.

As the airway remains always open, sufficient amount of air passes into the lungs freely, and maintains normal blood oxygen level (SpO2 = 96% to 99%) all the time during sleep. You wake up in the morning fully satisfied with your sleep and completely refreshed. You would not experience any symptoms of obstructive sleep apnea such as tiredness, low energy or lack of breath when you wake up in the morning.

As you sleep all the night with perfectly normal SpO2 leve
ls, your overall health improves. If you take appropriate steps to lose your excess body weight, your obstructive sleep apnea will progressively be healed and even reversed.
 

 

AMAZON REVIEW

Jade
5.0 out of 5 stars  Scientific Proof Exists on Reversing Obstructive Sleep Apnea!

Reviewed in the United States on February 2, 2021

Verified Purchase


This inspirational guidebook provides us with the scientific proof that exists to reverse sleep apnea. There are scientific journal publications revealing the fact that sleep apnea can be reversed by losing weight. Whether you are obese or overweight and diagnosed with sleep apnea, you must refer to this book and I bet you will certainly get inspired and benefited!

Dr. Gary Foster, a clinical psychologist and obesity investigator, the former founder and director of the Center for Obesity Research and Education at Temple University in Philadelphia, Pennsylvania, USA where he was the Professor of Medicine, Public Health and Psychology, published several research papers confirming that the symptoms of obstructive sleep apnea and the desaturation index (defined as the number of sleep apnea events or episodes per hour) can significantly be reduced among obese people by losing at least 10% of the body weight. The more weight a sleep apnea patient loses, the more effective and successful the reversal of obstructive sleep apnea could be.

Dr. Erik Hemmingsson and Dr. Kari Johansson along with their fellow-researchers of the Karolinska Institute, Sweden published a paper in December 2009 in the British Medical Journal, concluding that weight loss can definitely help cure moderate sleep apnea and severe sleep apnea.

Dr. RK in this book “Reversing Sleep Apnea: Proof that sleep Apnea Can be Reversed By Losing Weight” provides us with the real time data of his weight loss results and the procedures he developed and adopted on how to lose weight fast and how to reverse sleep apnea by losing weight. When he lost 40 pounds of his body weight, his body mass index (BMI) was calculated to be perfectly normal. He reported that when his body resumed perfectly normal weight, his obstructive sleep apnea and other health disorders disappeared once and for all.

 

Please visit "Reversing Obesity" website here:
https://www.reversingsleepapnea.com/ebook2.html

 

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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

How To Purchase This Book On This Website?

To Purchase "Reversing Sleep Apnea" On This Website, Click Below:

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This Book Is Also Available on Amazon

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Kindle eBook has 396 pages with 69 Figures & 23 Tables.
Paperback has 194 pages with 69 Figures & 23 Tables.
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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

TESTIMONIALS

 


                                   TO WHOM IT MAY CONCERN

RE: Dr. Rao Konduru’s Publications:
       Reversing Obesity
       Reversing Sleep Apnea
       Reversing Insomnia

     
   Dr. Rao Konduru, PhD is a patient of mine who has suffered from chronic diabetes for most of his life. He also suffered from uncontrollable obesity, sleep apnea and chronic insomnia for the past 3 to 4 years. He has managed to reverse all of these conditions by taking non-pharmacological and science-based natural measures with great success. He has created 3 how-to user guides/books with regard to how he achieved this, and I recommend these books for anyone suffering from these conditions.

Sincerely,

Dr. Ali Ghahary, MD
Brentwood Medical Clinic
4567 Lougheed Hwy

Burnaby, British Columbia, Canada

 

 


Dear Rao,
I read your book this weekend and it is an impressively comprehensive and extremely well-documented review of the broad spectrum of therapies available to treat and help relieve sleep apnea. You are to be heartily congratulated on a finely-researched and very practical work that will be accessible and useful to a wide audience of readers. I wish you every success.

Best regards,

Mr. Martin R. Hoke
President
The Creator and Owner of Navage.com
RhinoSystems, Inc.
Brooklyn Heights, OH-44131
USA

 

 


This book “Reversing Sleep Apnea” is the true story of Dr. RK’s yet another victory, this time over obstructive sleep apnea. We have read the book cover to cover. We were blown away by its extremely impressive contents, the breathtaking performance of Dr. RK and by the successful results he achieved.

Obstructive Sleep Apnea is one of the most difficult sleep disorders that can ever be reversed by anyone in a lifetime. But Dr. RK did it in 22 months with courage, wisdom, diligence and discipline. Perhaps he is the only one in the entire world who did it to this perfection. His extensive scientific research experience and his powerful knowledge have helped him battle and combat this dangerous life challenge, and emerge a winner. This victory came along with his glorious victory over obesity, for which we all should be proud.

This book has all the information about therapies, resources and research that every sleep apnea patient, practicing doctor, nurse or technician would ever need, in a quick glance. Grab your copy sooner rather than later.

 - Prime Publishing Co.
New Westminster, British Columbia, Canada

 

 


If you are suffering from obstructive sleep apnea, this book “Reversing Sleep Apnea” ought to be your go-to guide. After living with this disorder for 22 months, Dr. RK invented a cure for his obstructive sleep apnea by identifying and removing the root cause of it. It is indeed the right way to do it.

I really appreciate the time and effort he has put into explaining the fundamentals of snoring, sleep apnea and various helpful home-based therapies with easy-to-follow and step-by-step instructions. More interestingly, he teaches us how to know if a therapy is working or not.

A must-read book for anyone with sleep apnea!

       - Ms. Muriel D'Souza, Advertising Copywriter, Vancouver, British Columbia, Canada
 

 

 

 

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LOOK INSIDE THE BOOK
Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

TABLE OF CONTENTS
194 Pages, 69 Figures & 23 Tables
 

  CHAPTER 1

 SLEEP APNEA STATISTICS

  CHAPTER 2

 SNORING AND SLEEP APNEA

  CHAPTER 3

 SLEEP APNEA TREATMENT Section I
 The CPAP Therapy & The CPAP Machine

  CHAPTER 4

 SLEEP APNEA TREATMENT Section II
 ORAL APPLIANCES/MOUTHPIECES

  CHAPTER 5

 SLEEP APNEA TREATMENT Section III
 Use of Breathing Strips

  CHAPTER 6

 SLEEP APNEA TREATMENT Section IV
 Use of Nasal Sprays

  CHAPTER 7

 SLEEP APNEA TREATMENT Section V
 POSITIONAL THERAPY

  CHAPTER 8

 SLEEP APNEA TREATMENT Section VI
 NATURAL THERAPY: LifestyleChanges

  CHAPTER 9

 SLEEP APNEA TREATMENT Section VII
 SURGICAL PROCEDURES

  CHAPTER 10

 SLEEP APNEA TREATMENT Section VIII
 WEIGHT LOSS REVERSES OBSTRUCTIVE
 SLEEP APNEA (SCIENTIFIC PROOF EXISTS)

  CHAPTER 11

 RECOMMENDATIONS ON
 How to Reverse Obstructive Sleep Apnea

 

 

 Read the whole book in the eBook format (PDF file) here:

https://www.reversingsleepapnea.com/ebook.html

 

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CHAPTER 1
SLEEP APNEA STATISTICS


TABLE OF CONTENTS
 

 

Page

CHAPTER 1 SLEEP APNEA STATISTICS

11

 Nearly 1 Billion People Worldwide Have Sleep Apnea

13

 Star Wars Actress “Carrie Fisher” Died from Sleep Apnea

13

 Supreme Court Justice “Antonin Scalia” Died in His Sleep

13

 Statistics Posted By ResMed

14

 Statistics Posted By Men’s Health

14

 The University of Wisconsin Statistical Survey

14

 Sleep Apnea Sufferers Caused Car Crashes

14

 Sleep Apnea Sufferers Developed Diabetes

14

 Pregnant Women Developed Gestational Diabetes

14

 A Lot of Women Also Have Sleep Apnea

15

 Archives of PHAC & Statistics Canada

15

 Statistical Survey From 9523 Canadians

15

 Scientific Study: Sleep Apnea Linked to Cancer

16

 The University of California Statistical Survey

16

 Statistics Posted by ENT Medical Center

17

 5 Surprising Facts About Sleep Apnea

17

 Statistics From Randomized Research Studies

17

 Mortality Risk Doubled Among People with Sleep Apnea

18

 REFERENCES

19

 

1. Statistics Reported By NCBI, ResMed and Others [1, 2, 3]
    Nearly 1 Billion People Worldwide Have Sleep Apnea

 Researchers most recently analyzed prevalence studies from 16 countries, together with data from the World Health Organization and United Nations World Population Prospects, and concluded that “Nearly 1 Billion People Worldwide Have Sleep Apnea.” The previous estimation of 100 million by World Health Organization in 2007 was proved to be false. The current analyses included only people aged 30 to 69 years, which obviously means that the real number could be a lot more than 1 billion people.

China had the highest prevalence of obstructive sleep apnea (OSA), followed by the United States, Brazil and India. Pakistan, Russia, Nigeria, Germany, France and Japan were also in the top 10 list. These numbers reflected the population size of each country.
 

2. Star Wars Actress “Carrie Fisher” Died from Sleep Apnea in 2017 [4, 5]
The American Academy of Sleep Medicine (AASM) has issued a warning emphasizing how dangerous sleep apnea is after confirming the cause of death of the 60-year old Star Wars actress Carrie Fisher, who died on December 27, 2017, as “severe sleep apnea.” The doctors determined that the actress Carrie Fisher died after suffering from “Untreated Severe Sleep Apnea,” for a long time.

The word apnea means “breathing stopped.” When a person suffers from obstructive sleep apnea, the airway in the throat is either partly or fully obstructed or blocked several times in an ongoing manner throughout the night, thereby lowering the oxygen concentration in the blood to below normal. This sleep disturbance contributes itself to various health consequences, including but not limited to excessive daytime sleepiness, tiredness, fatigue, heavy snoring, and non-refreshing sleep. Obstructive sleep apnea, when left untreated, increases the risk of atherosclerotic heart disease (coronary artery disease), heart attack, heart failure, high blood pressure, type 2 diabetes, stroke, depression, and other ailments.
 

Star Wars Actress "Carrie Fisher" died from
Untreated Obstructive Sleep Apnea (OSA).

Supreme Court Justice “Honourable Antonin Scalia”
died in his sleep when he forgot to hook himself up
to his CPAP machine and slept without CPAP.


3. Supreme Court Justice “Antonin Scalia” Died in His Sleep in 2016 [6, 7]
At the age of 79 on Feb 13, 2016, supreme court justice “Honourable Antonin Scalia” died in his sleep when he forgot to hook himself up to his CPAP machine and slept without CPAP. Doctors figured out that justice Antonin Scalia has been living with numerous serious health problems such as heart disease, type 2 diabetes and high blood pressure for years as a consequence of obstructive sleep apnea. Justice Antonin Scalia is one of an estimated 22 million Americans who have sleep apnea.

There are very many other actors, athletes and celebrities, around the world, living with and battling sleep apnea.
Millions of men and women with sleep apnea are unaware of the aforementioned serious risk factors, and naively remain undiagnosed and untreated for a long time. Many people don’t realize that with an early diagnosis and appropriate treatment, the risk factors and complications of sleep apnea can be minimized and even reversed.

Obstructive sleep apnea is a common but serious sleep disorder that repeatedly causes a person to stop breathing during the sleep, thereby lowering the oxygen saturation in the blood (SpO2 level) significantly. The stress that sleep apnea causes on heart and brain of a person can be so severe and harmful that long-term health consequences could be fatal, unbearable and dangerous, and could eventually lead to death.

 

 Read the remaining contents of Chapter1 in the eBook (PDF file)

https://www.reversingsleepapnea.com/ebook.html

 

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CHAPTER 2
SNORING AND SLEEP APNEA


TABLE OF CONTENTS
 

 

Page

CHAPTER 2 SNORING AND SLEEP APNEA

21

 SNORING EXPLAINED

23

Causes of Snoring

23

How Snoring Occurs?

23

Treatment of Snoring

24

Difference Between Snoring & Sleep Apnea

24

 SLEEP APNEA EXPLAINED

25

Types of Sleep Apnea

27

Symptoms of Sleep Apnea

28

Causes of Sleep Apnea

28

Risk Factors, Side Effects and Complications

30

Complications of Obesity

30

Sleep Apnea Versus COPD

31

Blood Oxygen Saturation (SpO2)

33

Spot Check Oximeters

34

The Principle of Pulse Oximeter

35

Oxygen Desaturation Index (ODI)

35

Apnea and Hypopnea Index (AHI)

35

Oximeters for Continuous Monitoring

36

Respironics Oximeter & Nonin Oximeter

36

How to Use ResMed ApneaLink™ Air Home Testing Device

38

How to Purchase A Pulse Oximeter from Resellers?

41

List of Resellers to Purchase A Pulse Oximeter?

43

 

 

 VISITING A SLEEP APNEA SPECIALIST

47

Physical Examination & Diagnosis

47

Polysomnogram Test for Sleep Apnea

48

Is Polysomnogram Test Necessary?

49

 REFERENCES

51

 

Snoring Explained [1, 2, 3, 4]
Not all people who snore have sleep apnea, but almost all sleep apnea patients do snore. Snoring affects all people including adults and children. An estimated 10% to 12% of children snore. Habitual snoring affects 24% of adult women and 40% of adult men. The likelihood of snoring increases by unhealthy lifestyles such as the smoking, alcohol, sedatives and muscle relaxants if consumed a few hours before going to bed.

CAUSES OF SNORING: Snoring occurs when the flow of inhaled air through the mouth and/or the nose is physically obstructed. The obstruction of the airflow through the nose and/or the mouth is caused due to several factors such as:
a. Obstructed nasal airway,
b. Poor muscle tone in the throat and tongue,
c. Bulky throat tissue,
d. Long soft palate and/or uvula,
e. Large tonsils,
f. Unusually shaped or small mouth.

HOW SNORING OCCURS?
When you breathe, air is forced into the airway through your nose, mouth and throat. If the airway in your throat is restricted, several tissues such as the soft palate (the back of the roof of the mouth), uvula, tonsils, adenoids and tongue vibrate against each other, emitting the iconic, rather hoarse, harsh, rattling or choking sound, called snoring. In other words, snoring occurs when the upper airway is partially blocked. It was also determined that snoring occurs only during the Non-REM sleep stage, meaning that it is impossible to dream while you are snoring, as dreaming occurs during REM stage of sleep.
 


Figure 2.1  Snoring diagram (upper airway opened & upper airway partially closed).

 

As shown in the figure below, the soft palate is the muscles structure at the back of the roof of the mouth. The uvula is a small, finger-shaped piece of tissue that hangs down from the soft palate in the back of the throat. Tonsils are balls of tissue in the throat. Tonsils play a small role in helping your body defend against and recover from the illnesses from which you suffer. The tongue helps you talk, chew and swallow.

Figure 2.2  The soft palate, uvula, tonsils and tongue vibrate together, emitting snoring.

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Sleep Apnea Explained [5, 6, 7]                               
Obstructive sleep apnea develops due to the airway blockage in your throat, usually when the soft tissue in the rear of the throat relaxes too much and collapses during sleep. When the muscles relax, your airway narrows or closes as you breathe in, interrupting the breathing process for 10 seconds or longer, thereby lowering the blood oxygen level (SpO2 level drops).

Obstructive sleep apnea is a common but serious sleep disorder that repeatedly causes a person to stop breathing during the sleep, thereby lowering the oxygen saturation in the blood (SpO2 level) significantly. The stress that sleep apnea causes on heart and brain of a person can be so severe and harmful that long-term health consequences could be fatal, unbearable and dangerous, and could eventually lead to death.

SYMPTOMS OF SLEEP APNEA
[11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22]

                                                                
Table 2.2 Symptoms of sleep apnea.

 

Sleep apnea develops due to airway blockage in the throat, and causes low blood-oxygen levels while sleeping (SpO2 level falls below normal), and affects the heart and brain function either moderately or severely, leading to cognitive deficits. As a result, a person with sleep apnea feels some or all of the following symptoms:
 

    Loud snoring, sudden gasping or a choking sound during sleep
    Observed episodes of stopped breathing during the sleep

    Abrupt awakenings accompanied by gasping or choking

    Night sweats and frequent urination in the night (Nocturia)

    Waking up suddenly, sometimes with a racing heart and shortness of breath
  
 Waking up with dry mouth
  
 Waking up tired because of insufficient sleep
  
 Tiredness and exhaustion during the day
    Drowsiness and fatigue during the day
    Poor concentration, and impairment of intellectual capacity
    Falling asleep unexpectedly during the day
    Early morning headache
    Disoriented, act grumpy, impatient, forgetful and moody in the day
  
 Difficulty concentrating during the day, poor performance at work

    Sudden mood changes, depression or irritability
    Decreased libido, erectile dysfunction, and/or impotence

    High blood pressure, depression, memory loss, and irritability
  
 Weight gain, obesity or heaviness

    Falling asleep while working, watching television or even while driving a vehicle

      Did you know sleep apnea sufferers caused (and are still causing) car crashes?

 


 

SLEEP APNEA VERSUS COPD [26, 27, 28, 29, 30]

While this book’s purpose is to teach all about sleep apnea, this section talks about COPD.

WHAT IS COPD?
 COPD stands for chronic obstructive pulmonary disease. COPD is closely related to cigarette exposure in those who smoke or those who have secondhand exposure to smoke. Long-term exposure to air pollution (including smoke, dust, fumes and chemicals) also causes COPD, and  directly damages the lungs.

 COPD causes permanent damage to the lungs and worsen breathing day by day, and develops airway obstruction.
A person with advanced COPD may be unable to climb the stairs, and may not even cook. They may need medications and supplementary oxygen.
 

 Obstructive sleep apnea (OSA) occurs when the breathing stops and starts repeatedly throughout the night, thereby creating the episodes of apneas and hypopnes. Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that make breathing difficult by blocking airflow in the lungs as the lungs structure many have been seriously damaged. These two conditions are different, but they may occur together and worsen each other’s symptoms. When OSA and COPD occur simultaneously, overlap syndrome (OS) develops. Many people suffer from overlap syndrome (OS).


COPD STATISTICS

 More than 65 million people around the world have moderate or severe COPD, and experts predict that this number will continue to rise worldwide over the next 50 years.
 In 2015, 3.2 million people died from COPD worldwide, an increase of 11.6% compared with 1990. During that same time period, the prevalence of COPD increased by 44.2% to 174.5 million individuals.

 In the United States alone, at least 16 million adults have COPD. The American Lung Association (ALA) thinks there may be as many as 24 million American adults living with COPD.
 

TYPES OF COPD
COPD is associated with two types (i) Emphysema and (ii) Chronic Bronchitis.

Emphysema damages the air sacs in the lungs and makes them less efficient.

Chronic bronchitis causes inflammation of the airways called bronchial tubes, which can result in a buildup of mucus.


SYMPTOMS OF COPD
 Chronic coughing with or without sputum

 Wheezing: Wheezing is a high-pitched whistling sound made while breathing
   It's often associated with difficulty breathing and painful breathing
 Constant tiredness, fatigue, and lack of energy

 Shortness of breath (an inability to breath easily or take a deep breath)
 Frequent respiratory infections
 Rapid heart beat

 Reduced mental alertness
 

TREATMENT OF COPD
 Stop smoking immediately
 Use CPAP therapy or BiPAP therapy every single night
   Never sleep without hooking up to your CPAP or BiPAP machine
  
See next Chapter for the CPAP or BiPAP therapy.
 Use supplemental oxygen and medications if necessary
 Work out every day in the gym

 Learn and practice how to boost exercise tolerance
 Join a pulmonary rehabilitation course

 Do breathing exercises daily to improve lungs function
 Practice yoga and meditation focussing on breathing

 


 

OXYGEN DESATURATION INDEX (ODI)


Oxygen Desaturation Index (ODI), or simply called Desaturation Index
, is the number of times the SpO2 level drops per hour by at least 4% (recently it was reduced to 3%) and stays like that for at least 10 seconds. [35]  The ODI is also measured in the sleep study laboratories by carefully generating diagnostic polysomnogram, in which a sleep apnea patient is hooked up with many sensors and then the patient is asked to sleep overnight.

Normal/Healthy SpO2 level at sea level should be between 96% and 99%.
The severity of the sleep apnea is determined from the reduction in the SpO2 levels, and the reductions are classified as follows: [37]
                                 
                                   
Table 2.7 Assessment guidelines of sleep apnea using desaturation index.
 

SpO2 Level

Desaturation Index

Assessment

 (%)

(Events/hr)

 

 96% - 99%

0 - 4

  Normal

 90% - 95%

 5 - 14

  Mild Sleep Apnea

 80% - 90%

15 - 29

  Moderate Sleep Apnea

 < 80%

≥ 30

  Severe Sleep Apnea

 

 

SPOT CHECK OXIMETERS
Spot check oximeters are used to monitor SpO2 level and pulse rate instantly.
But they cannot be used to monitor the Desaturation Index for sleep apnea patients.
To monitor Desaturation Index, you need to use an oximeter for continuous monitoring,
and you must do the "overnight pulse oximetry text."

SpO2 = 98%; Pulse Rate = 68

SpO2 = 97%; Pulse Rate = 84

Courtesy of 123CHECKUP.Com

 

FINGER PULSE OXIMETERS FOR CONTINUOUS MONITORING
Pulse oximeters are used to monitor the severity of the sleep apnea (mild, moderate or severe).
 They monitor and record Desaturation Index (events/hour) and the SpO2 level (minimum, mean & maximun).

LIST OF RESELLERS TO PURCHASE A PULSE OXIMETER
This book provides a list of resellers and teaches
how to purchase a pulse oximeter for continuous monitoring, and
how to do the "overnight pulse oximetry test" at home.

If you learn how to do the overnight pulse oximetry test at home on your own,
you will be victorious in improving or even reversing your obstructive sleep apnea.
 

Courtesy of Philips Resipironics
Respironics Pulse Oximeter

Courtesy of Nonin
Nonin Pulse Oximeter

 


WARNING & CAUTION ABOUT Wrist Pulse Oximeters
THE TRUTH ABOUT WRIST PULSE OXIMETERS:
WRIST PULSE OXIMETERS ARE UNTRUSTWORTHY!

There are many Wrist Pulse Oximeters being sold online for continuous monitoring.

Whether you suffer from sleep apnea or COPD, by wearing this kind of device to your wrist, you can do your own “overnight pulse oximetry test” anytime you want without depending on your sleep clinic doctors, therapists, or CPAP vendors who can do the test for you once a year.

It would be wonderful if there is such a comfortable mini device available
for such a low price ($100 to $200).

By self-monitoring frequently, a patient can control and manage in an attempt
to improve or even reverse his/her sleep disorder.
However, before using this kind of Wrist Pulse Oximeter, please test it
by comparing the result with that of a high-precision oximeter, and find out
if the Wrist Pulse Oximeter is reliable or not. It could generate misleading results.


WARNING & CAUTION: We have tested several Wrist Pulse Oximeters by comparing the test result (Desaturation Index) with that of a high-precision Philips Respironics Pulse Oximeter or Nonin Pulse Oximeter, and we have determined that the Wrist Pulse Oximeter gives an error of 50% to 70%,
and therefore it is unreliable and untrustworthy
.

So please be careful, and please always test the device by comparing the Desaturation Index with that of a high-precision oximeter, and make sure that the device is reliable and trustworthy before using it for your sleep apnea test, and for your sleep apnea progress.

 


 

ResMed ApneaLink™ Air Home Sleep Testing Device
MOST RECENT CONTINUOUS MONITORING DEVICE TO DO THE   
OVERNIGHT PULSE OXIMETRY DIAGNOSTIC TEST FOR SLEEP APNEA

                
                 Courtesy of ResMed
                 Figure 2.8 
ResMed ApneaLink™ Air Home Sleep Testing Device.

 

Courtesy of ResMed
  Figure 2.9  A sleep apnea patient is taking the overnight pulse oximetry test at home
      using
“ResMed ApneaLink™ Air” device.
This book will teach you how to use this device correctly

and how to understand the test results!
 


 

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CHAPTER 3
Sleep Apnea Treatment  Section-I
The CPAP Therapy & CPAP Machine


TABLE OF CONTENTS
 

 

Page

CHAPTER 3  SLEEP APNEA TREATMENT Section-I

55

WHAT IS THE CPAP THERAPY?

57

TYPES OF CPAP MACHINES

59

WONDERFUL HEALTH BENEFITS OF THE CPAP THERAPY

60

ADAPING TO THE CPAP THERAPY: AN UPHILL BATTLE!

61

SIDE EFFECTS OF THE CPAP THERAPY

61

DISADVANTAGES OF THE CPAP THERAPY

62

CPAP MACHINES: ResMed, Respironics & Fisher & Paykel

63

CPAP MASKS: Full Face Masks & Nasal Pillows Masks

68

Important Tips On Nasal Pillows Masks

70

HOW TO USE THE CONNECTOR (Swivel Adapter)?

71

REASONS OF AIR LEAKS

72

CPAP AIR PRESSURE & RAMP PRESSURE

72

HOW TO USE THE RESMED CPAP MACHINES

73

   (Everything On How to Use The CPAP Machine & Mask)

 

Overnight CPAP Performance Report & SD Card

85

Drawbacks of the CPAP

85

ResMed's Myair Report

86

Drawback of the ResMed's Myair Report

86

How to Know If the CPAP Machine Is Working or Not?

86

How to Know If the CPAP Therapy Is Working or Not?

87

How to Know If Your Sleep Apnea Is Improved or Worsened?

87

AHI Versus OXYGEN DESATURATION INDEX

88

Important Notes About the CPAP Therapy

88

REFERENCES

89

 

 

WHAT IS THE CPAP THERAPY?
CPAP means “Continuous Positive Airway Pressure,”
which further means that the CPAP machine pumps air into your throat, and helps maintain continuous, positive, very low and comfortable air pressure in the airway of your throat, keeps the airway open all the time, and stops snoring whenever you sleep with it. The CPAP machine has a mini compressor in it, which blows air into the mouth and/or nose at a very low and comfortable pressure, and keeps the airway always open by preventing the soft tissue of the throat muscles from collapsing onto the airway, thereby unblocking, abolishing snoring, shallow breathing and oxygen desaturation events.

As long as you wear the CPAP machine during the night while sleeping, the CPAP machine kills most apneas and hypopneas, and keeps your AHI (Apnea Hypopnea Index) perfectly normal, under 5.

As the airway remains always open, sufficient amount of air passes into the lungs freely, and maintains normal blood oxygen level (SpO2 = 96% to 99%) all the time during sleep. You wake up in the morning fully satisfied with your sleep and completely refreshed. You would not experience any symptoms of obstructive sleep apnea such as tiredness, low energy or lack of breath when you wake up in the morning.


As you sleep all the night with perfectly normal SpO2 leve
ls, your overall health improves. If you take appropriate steps to lose your excess body weight, your obstructive sleep apnea will progressively be healed and even reversed.
 

CPAP was first invented by an “Australian Professor Colin Sullivan” in 1980 when he was a Senior Lecturer in Medicine at the University of Sydney, and Honorary Physician at the Royal Prince Alfred Hospital. Continuous positive airway pressure (CPAP) has since become “gold standard” treatment for patients with obstructive sleep apnea all over the world. [1, 2, 3]

 

 

          Courtesy of ResMed
            Figure 3.1 A sleep apnea patient is sleeping with the ResMed CPAP machine.

 

Courtesy of Philips Respironics
Figure 3.2 A sleep apnea patient is sleeping with the Respironics CPAP machine.

 

 Courtesy of ResMed
Figure 3.3 A sleep apnea patient is sleeping with the ResMed CPAP machine.


 

ADAPTING TO THE CPAP THERAPY WOULD BE AN UPHILL BATTLE!
Adapting and getting accustomed to the CPAP therapy is a daunting and challenging task, as very many people with sleep apnea most commonly do not adhere to the recommended method of the CPAP therapy. Up to 50% of the people discontinue the use of the CPAP machine in the first year, and look for an oral appliance or mouthpiece because the CPAP therapy in the beginning stage requires a lot of patience, high self discipline and high willpower.

PLEASE DO NOT GIVE UP THE CPAP THERAPY
ALWAYS REMEMBER that the CPAP therapy is the best treatment for obstructive sleep apnea. No matter how severe your sleep apnea is, whether it is mild, moderate or severe,  you can protect yourself from the unbearable and yet dangerous symptoms of the obstructive sleep apnea, and can live like a normal person by means of the CPAP therapy. There is no other therapy that comes even close to the CPAP therapy to treat obstructive sleep apnea.

Most importantly, the CPAP therapy maintains your SpO2 level and the oxygen desaturation index (events per hour) perfectly normal throughout the night as long as the CPAP machine is working perfectly. There is no other therapy or mouthpiece that can do you such a wonder.

Broken or defective CPAP machines look like working by blowing air into the mask but generate weird sleep report by the end of the night (some patients do not even notice it). You therefore must be vigilant, wise and knowledgeable, and should check it every day, and make sure that your CPAP machine is working perfectly and generating the sleep report that makes sense.

Never sleep without hooking up to the CPAP machine if you have sleep apnea. Be patient and persistent, and please do not give up the CPAP therapy by being frustrated due to the complexity of using the CPAP machine. Learn how to use it with confidence. With diligence, patience, self-discipline and will power, you can get used to the CPAP therapy. This guide will teach you everything you need to get used to the CPAP therapy and to master the topic.

 


 

Courtesy of ResMed
Figure 3.4 The components of a typical CPAP machine.



 

Courtesy of ResMed
Figure 3.12 The front view of the ResMed AirSense 10 CPAP Machine.


 

Courtesy of ResMed
Figure 3.13 The front view of the ResMed AirCurve 10 CPAP Machine.


 

Courtesy of ResMed
Figure 3.18  How to access the Clinical Menu / Settings Menu.


 

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CHAPTER 4
Sleep Apnea Treatment  Section-II
Oral Appliances (Mouthpieces)


TABLE OF CONTENTS
 

 

Page

CHAPTER 4  SLEEP APNEA TREATMENT Section-II

93

Oral Appliances or Mouthpieces

95

Tongue Retaining Devices (TRDs)

96

Mandibular Advancement Devices (MADs)

96

Difference Between TDRs & MADs

96

A LIST OF 41 ORAL APPLIANCES (FDA Cleared)

97

A LIST OF BEST ANTI-SNORING DIVICES

97

How to Know If This Treatment is Working or not?

98

How to Select An Appropriate Oral Appliance?

98

 REFERENCES

99

 


       There are two types of oral appliances:
a. Tongue Retaining Device (TRD)
             b. Mandibular Advancement Device (MAD)

 

Tongue Retaining Device (TRD)

Mandibular Advancement Device (MAD)


This book provides you with a list of 41 Oral Appliances (FDA Cleared),
and a list of best anti-snoring devices,
and teaches you how to select an appropriate oral appliance.
You can research and find out a device that best suits your sleep disorder.
You will also learn if the device is working or not to improve your sleep disorder.


 

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CHAPTER 5
Sleep Apnea Treatment  Section-III
 Use of Breathing Strips


TABLE OF CONTENTS
 

 

Page

CHAPTER 5  SLEEP APNEA TREATMENT Section-III

101

Nasal Strips to Improve Breathing

103

Breathe Right Strips

103

Sleep Right Strips

104

How to Know If This Treatment is Working or not?

105

 REFERENCES

107


 

   

Courtesy of SleepRight.Com
Figure 5.2 The pictures of sleep right strips to treat mild sleep apnea.


Research proved that nasal strips instantly open and enlarge your nose up to 38% so that
you would breathe in 38% more air, thereby improving your SpO2 level
in order to treat and control mild sleep apnea.

This book teaches how to use those nasal strips to improve your SpO2 level,
and how to know if this treatment is working or not.


 

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CHAPTER 6
Sleep Apnea Treatment  Section-IV
Use of Nasal Sprays


TABLE OF CONTENTS

 

 

Page

CHAPTER 6  SLEEP APNEA TREATMENT Section-IV

109

Nasal Sprays to Improve Breathing

111

Nasal Congestion & Sinus Infection

111

General Treatment with Nasal Sprays

111

Neti Pot

112

Flonase Nasal Spray

113

Obstructive Sleep Apnea in Children & Adolescents

113

Can Sleep Apnea in Children Be Treated

113

   By Using Nasal Sprays to Avoid Surgery?

 

Navage Nose Cleaner

114

MyPurMist Handheld Steam Inhaler

115

Other Nasal Sprays to Improve Breathing

116

How to Know If This Treatment Is Working or Not?

118

 REFERENCES

119



 

Obstructive Sleep Apnea in Children and Adolescents [10]


 
Obstructive sleep apnea  in babies, children and adolescents is actually different than the sleep apnea we find  and experience in adults.

 While adults usually have tiredness and daytime sleepiness, children are affected by allergy symptoms such as noisy breathing, sneezing, runny nose with clear mucus, itchy and watery eyes, nasal congestion & sinus pressure. Eventually some children develop snoring, “Obstructive Sleep Apnea (OSA),”
and
behavioral problems.

Medications such as steroid nasal sprays, saline nasal rinses, and allergy medications, may help relieve mild sleep apnea symptoms. These medications can reduce airway constriction, and poor tongue posture caused by constantly breathing through the mouth.  

      
                               Figure 6.6  Allergy medications (OTCs) may help relieve mild obstructive sleep apnea.



This book teaches how to use those nasal sprays to prevent the nasal congestion,
and to improve the SpO2 level, and how to know if this treatment is working or not.

 

 Read the remaining contents of Chapter 6 in the eBook (PDF file)

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CHAPTER 7
Sleep Apnea Treatment  Section-V
POSITIONAL THERAPY: SIDE SLEEPING WORKS!


TABLE OF CONTENTS

 

 

Page

CHAPTER 7  SLEEP APNEA TREATMENT Section-V

121

POSITIONAL THERAPY

123

Four Sleeping Positions Explained

123

Clinical Study-I

123

Tennis Ball Technique for Side Sleeping

123

Clinical Study-II

124

Pros & Cons of the Positional Therapy

124

Clinical Study-III and Clinical Study-IV

124

Side Sleeping Positions Illustrated

125

Side Sleeping Device-I

127

Side Sleeping Device-II

128

Raise the Head Side of Your Bed

129

How to Know If This Treatment Is Working or Not?

130

  REFERENCES

131



 

Figure 7.9 Pictures showing “raise the head side of your bed.”

This book teaches how to use a variety of sleeping positions to prevent airway blockage,
and to improve the SpO2 level, and how to know if this treatment is working or not.

 

 

 Read the remaining contents of Chapter 7 in the eBook (PDF file)

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CHAPTER 8
Sleep Apnea Treatment  Section-VI
 NATURAL THERAPY: Lifestyle Changes


TABLE OF CONTENTS
 

 

Page

CHAPTER 8  SLEEP APNEA TREATMENT Section-VI

133

NATURAL THERAPY: LIFESTYLE CHANGES

135

Quit Smoking

135

Quit Drinking Alcohol

136

Side-Sleeping

137

Lose Excess Body Weight

137

How to Know If This Treatment Is Working or Not?

137

FURTHER GUIDANCE

138

 REFERENCES

139


 

 Figure 8.1 Smoking is not only harmful to your general health, but also intensifies sleep apnea.

 

 Figure 8.2 Alcohol consumption not only ruins your heart and liver, but also intensifies sleep apnea.



This book teaches that by adopting lifestyle changes, it is possible to treat and control
mild or moderate sleep apnea without using the CPAP therapy. This book also teaches
how to improve the SpO2 level, and how to know if this treatment is working or not.

 

 Read the remaining contents of Chapter 8 in the eBook (PDF file)

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CHAPTER 9
Sleep Apnea Treatment  Section-VII Surgery & Surgical Procedures


TABLE OF CONTENTS
 

 

Page

CHAPTER 9  SLEEP APNEA TREATMENT Section-VII

141

SURGICAL PROCEDURES

141

OBSTRUCTIVE SLEEP APNEA IN CHILDREN

143

Sleep Apnea Symptoms in Children

143

Clinical Diagnosis of Obstructive Sleep Apnea

144

Tonsils, Adenoids, Tonsillectomy and Adenoidectomy

145

UPPP (Uvulopalatopharyngoplasty)

146

The Pillar Procedure

147

IMDO™ for Small Lower Jaw Surgery

148

Hyoid Advancement Surgery

149

Tongue Advancement Surgery

149

Surgical Tracheostomy

150

Inspire Implant Therapy for Sleep Apnea

151

How to Know If Surgery Is Working or Not?

153

 REFERENCES

155

 

 

Sleep Apnea Symptoms in Children and Adolescents

                                       ♦ Noisy breathing, hyperactivity, snoring, mouth breathing, coughing, headaches,
                                       ♦ Upper airway infections, trouble falling asleep at night, cessation of breathin,

                                       ♦ Restlessness, nightmares, strange sleeping positions, sweating in sleep, teeth grinding,
                                       ♦ Obesity, chronic nose running, bedwetting, frequent wakings at night, early rising,
                                       ♦ Poor performance in school, difficulty concentrating, failure to thrive.

 

                                                        Figure 9. 1 Obstructive sleep apnea in children.


SURGICAL TREATMENTS FOR OBSTRUCTIVE SLEEP APNEA

Surgery must be the last resort if the airway blockage is an issue deep in the throat. If the CPAP therapy does not work, and neither do the other alternative treatments, then and only then, a patient may have to undergo an extensive surgical procedure to have the airway opened in the throat in order to re-establish normal SpO2 levels during sleep. A surgical procedure at doctor’s clinic or in a local hospital can be done to remove the excess tissue in the mouth, throat, nose and in the lower jaw. The purpose of this surgery is to remove the excess soft tissue and to shrink or stiffen the soft tissue that is hanging in the mouth, throat and nose obstructing the inhaled and exhaled air.

TONSILS AND ADENOIDS: Surgical removal of tonsils and adenoids is the most commonly used procedure for pediatric obstructive sleep apnea. Removing elongated tonsils and adenoids could also improve the airway in the throat, allowing more air to pass when you inhale and exhale. With simple surgical procedures, it is possible to remove tonsils and adenoids in order to re-establish the normal Mean SpO2 level and the normal Desaturation Index (events/hr) of a pediatric obstructive sleep apnea patient (a child or an adolescent). Outlined below briefly are the most commonly used surgical procedures for obstructive sleep apnea.
                          
                                   
 

 INSPIRE IMPLANTATION SURGERY
Courtesy of Inspiresleep.com

 

Inspire is the only FDA approved obstructive sleep apnea treatment that works
inside your body to treat the root cause of sleep apnea with just the click of a button.
It keeps your airway open with remote control.
 

                     Courtesy of MetroHealth.org [22]
                 Figure 9.6 
Inspire Implantation Surgery (Upper Airway Stimulation).  

 

     

Courtesy of InspireSleep.com
  Figure 9.8  Simply click the remote to turn Inspire on and to keep your airway open.


 

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CHAPTER 10
Sleep Apnea Treatment  Section-VIII
Weight Loss Reverses Obstructive Sleep Apnea
SCIENTIFIC PROOF EXISTS
 


TABLE OF CONTENTS
 

 

Page

 CHAPTER 10 SLEEP APNEA TREATMENT Section VIII
          WEIGHT LOSS REVERSES OBSTRUCTIVE
        SLEEP APNEA (SCIENTIFIC PROOF EXISTS)

157

 

WEIGHT LOSS REVERSES OBSTRUCTIVE SLEEP APNEA

159

IMPORTANT JOURNAL PUBLICATIONS DISCUSSED

159

Study Published by Dr. Gary Fisher, USA 

159

Study Published by Karolinska Instituite, Sweden

160

 

 

HOW DR. RK REVERSED HIS OBSTRUCTIVE SLEEP APNEA?

161

SLEEP APNEA & WEIGHT LOSS JOURNAL OF Dr. RK

162

   Using Weight-Loss Diet Level-I (2000 Calories)

 

SLEEP APNEA & WEIGHT LOSS JOURNAL OF Dr. RK

165

   Using Weight-Loss Diet Level-II (1000 Calories)

 

 

 

PULSE OXIMETRY TEST RESULTS FOR OSA OF Dr. RK

166

INTERPRETATION OF THE OSA RESULTS OF Dr. RK

167

AUTHOR’S UPDATE

168

 REFERENCES

169

 

 

RESEARCH  WITH SEVERAL REAL-LIFE CASES AND RANDOMIZED STUDIES
HAS PROVED THAT
WEIGHT LOSS CURES AND REVERSES OBSTRUCTIVE SLEEP APNEA.
 

A scientific research paper titled “A Randomized Study on the Effect of Weight Loss on obstructive sleep apnea Among Obese Patients With Type 2 Diabetes” is discussed in this book. The randomized study investigated the effect of weight loss on obstructive sleep apnea in 264 obese adults who were previously diagnosed with obstructive sleep apnea and also with type-2 diabetes. The average weight of the people in the study was 224 pounds. They randomly divided the participants into two groups. The first group participated in the weight loss program with portion-controlled diet and exercise. The second group did not participate in the weight loss program, but received diabetes-management assistance. After one year, the participants in the first group lost an average weight of 24 pounds. But the second group maintained almost the same weight. The research showed that there was a significant reduction of sleep apnea symptoms and severity of sleep apnea among the participants of the first group who lost 24 pounds. Their average desaturation index was reduced from 23 events/hr to 13 events/hr. That means that their sleep disorder switched from moderate sleep apnea to mild sleep apnea, which is a significant accomplishment towards curing obstructive sleep apnea. 
 
At the same time, the sleep apnea symptoms worsened among the participants of the second group who did not lose weight.

 

AMAZON REVIEW: Reversing Sleep Apnea

Jade
5.0 out of 5 stars  Scientific Proof Exists on Reversing Obstructive Sleep Apnea!

Reviewed in the United States on February 2, 2021

Verified Purchase


This inspirational guidebook provides us with the scientific proof that exists to reverse sleep apnea. There are scientific journal publications revealing the fact that sleep apnea can be reversed by losing weight. Whether you are obese or overweight and diagnosed with sleep apnea, you must refer to this book and I bet you will certainly get inspired and benefited!

Dr. Gary Foster, a clinical psychologist and obesity investigator, the former founder and director of the Center for Obesity Research and Education at Temple University in Philadelphia, Pennsylvania, USA where he was the Professor of Medicine, Public Health and Psychology, published several research papers confirming that the symptoms of obstructive sleep apnea and the desaturation index (defined as the number of sleep apnea events or episodes per hour) can significantly be reduced among obese people by losing at least 10% of the body weight. The more weight a sleep apnea patient loses, the more effective and successful the reversal of obstructive sleep apnea could be.

Dr. Erik Hemmingsson and Dr. Kari Johansson along with their fellow-researchers of the Karolinska Institute, Sweden published a paper in December 2009 in the British Medical Journal, concluding that weight loss can definitely help cure moderate sleep apnea and severe sleep apnea.

Dr. RK in this book “Reversing Sleep Apnea: Proof that sleep Apnea Can be Reversed By Losing Weight” provides us with the real time data of his weight loss results and the procedures he developed and adopted on how to lose weight fast and how to reverse sleep apnea by losing weight. When he lost 40 pounds of his body weight, his body mass index (BMI) was calculated to be perfectly normal. He reported that when his body resumed perfectly normal weight, his obstructive sleep apnea and other health disorders disappeared once and for all.

 


 

AMAZON REVIEW: Reversing Sleep Apnea

Deanna Maio
5.0 out of 5 stars Impressively Comprehensive Sleep Apnea Book!
Reviewed in the United States on August 27, 2020
Verified Purchase

Scientists from Karolinska Institute, Sweden (a research-led medical university in Solna within the Stockholm urban area of Sweden) published a paper in Dec 2009 in the British Medical Journal, concluding and revealing the scientific fact that weight loss can definitely help cure moderate sleep apnea and severe sleep apnea.

This book “Reversing Sleep Apnea” provides the very practical proof that sleep apnea can be reversed by losing weight. The author of this book Dr. RK provided all the real-time data on how he successfully reversed his obstructive sleep apnea. He reported that his Desaturation Index dropped from 28 events/hr to 0.6 event/hour when he lost 40 pounds of his body weight, and when he lowered his body mass index (BMI) to perfectly normal.

If you have any physical obstruction or blockage in your throat, nose or mouth, it is not possible to fully reverse your sleep apnea. However, depending on how much excess body weight you have, you can always improve your Desaturation Index (number of sleep apnea events/hour) by losing weight, and feel good. If you developed obstruction sleep apnea caused due to excessive weight gain, you can fully reverse your sleep apnea and lower your Desaturation Index to normal by losing all that excess body weight. There are many scientific papers revealing this fact. This book discusses about those scientific publications.

This is the only book that has everything a sleep apnea patient needs to learn and gain concept regarding this dangerous sleep disorder. This book is very resourceful and so every sleep apnea patient should benefit from it by reading and understanding all the therapies so nicely explained.
One of those therapies could suit your disorder and could free you from sleep apnea, or improve your sleep disorder. You need to try and stick to the therapy that suits your body and your sleep disorder.

 


 

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CHAPTER 11
RECOMMENDATIONS ON
HOW TO REVERSE OBSTRUCTIVE SLEEP APNEA


TABLE OF CONTENTS
 

 

Page

CHAPTER 11  RECOMMENDATIONS

171

Short List of Recommendations

173

Master the "Terminology" of the Sleep Apnea

174

Learn How to Purchase & Use An Oximeter Confidently

176

Learn How to Do the "Overnight Pulse Oximetry Test"

176

Learn How to Understand the Test Results Confidently

176

Learn How to Use the CPAP Machine Confidently

176

Learn How to Minimize Wide Fluctuations of SpO2 Level

177

Learn How to Calculate Your Excess Body Weight

178

Learn How to Lose Weight Until Your BMI Is Normal

179

Weight-Loss Tips to Reverse Obstructive Sleep Apnea

181

FURTHER GUIDANCE

182

 

 

 About The Author

183

 

By following the recommendations detailed in this Chapter 11,
you can either improve or even reverse your sleep apnea.

 

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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

REVIEWS
Link to Amazon:

https://www.amazon.com/dp/0973112026

 

AMAZON REVIEW: Reversing Sleep Apnea

 

Steve_M
5.0 out of 5 stars Impressively Comprehensive All-In-One Sleep Apnea Guide!
Reviewed in the United States on June 13, 2021
Verified Purchase

This book is awesome, well-organized, well-written, and filled with interesting facts, anecdotes and worth-reading quotes and paragraphs. Given below is a worth-reading paragraph:

Obesity is the major cause of obstructive sleep apnea. When a person is overweight or obese, the fat cells infiltrate the neck and throat tissues so they lose firmness and are more likely to collapse on to the upper airway of the throat, thereby blocking the airway. At the same time, the neck and chin become enlarged and the airway becomes narrower. Too much weight gain also compresses the chest and makes it difficult to inhale deeply and freely. Sleep apnea statistics indicate that not only can obesity cause obstructive sleep apnea (OSA), obstructive sleep apnea (OSA) can also worsen obesity. Disrupted sleep due to apneas causes the ghrelin level to go up, and leptin level to go down. Leptin produces the feeling of satiety whereas ghrelin has the opposite effect. When this happens, low leptin levels make you eat more and as a result you gain weight. Weight gain and obstructive sleep apnea go hand in hand.

If you are diagnosed with obstructive sleep apnea as a result of severe weight gain, this book can save your life, and help you reverse your obstructive sleep apnea in a matter of months if not years.
Prescribe this book to your sleep apnea doctor, and tell your doctor to read this book before he prescribes you and puts you on CPAP therapy for decades, or until the end of your life.


 

AMAZON REVIEW: Reversing Sleep Apnea

Wellness Books

5.0 out of 5 stars    Principal Guide for Sleep Apnea Sufferers!

Reviewed in Canada on March 4, 2020

Verified Purchase


I recommend this “Reversing Sleep Apnea” book to all sleep apnea patients.

Dr. RK’S BOOKS ARE ALL MUST-READ HEALTH BOOKS: I have read his intriguing book “Drinking Water Guide”. His book “Permanent Diabetes Control” is wonderful. All his health books are extremely impressive, extremely interesting, extremely useful, and directly applicable to current-day health problems that many people face today. I recommend that both medical doctors and naturopathic doctors should read these books, and benefit from the contents. All his books are science-based and practical guides. His extensive scientific research experience is clearly visible in these books.

He teaches everything so nicely step-by-step by dividing the book’s contents into many headings, sub-headings and paragraphs so that a layperson can easily understand his teachings. He always convinces the reader with logic by making simple calculations that make sense. All his teachings are science-based with simple mathematics and attractive tables, showing the innovative experiments he conducted at the comfort of his home on his own body, resolving his own complex health issues with natural methods, without ever using traditional prescription drugs being prescribed by doctors. This book is no different.

I have read and enjoyed his
three well-written and well-organized books “Reversing Obesity, Reversing Sleep Apnea, and Reversing Insomnia.” These books are extremely useful to medical community. All contents are directly applicable to my own health problems I have been facing for years, and extremely useful. I am now using his books and am sure these books will help me controlling my weight gain, my mild sleep apnea and help cure my insomnia (sleeplessness) as well. I offer my hearty congratulations to the author Dr. RK.


 

AMAZON REVIEW: Reversing Sleep Apnea

Rosie B.

5.0 out of 5 stars Lower Your Oxygen Desaturation Index Using This Book!

Reviewed in the United Kingdom on October 13, 2021

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This book has many treatment methods to relieve and reverse obstructive sleep apnea, very beautifully explained in a very convincing way with scientific details. Doctors don’t teach you how to lower your Oxygen Desaturation Index (ODI), but this is the only book that shows you everything about improving and reversing obstructive sleep apnea (OSA).

Many people with type 2 diabetes are also likely to develop sleep apnea, and the sleep apnea disease over time can lead to type 2 diabetes. I have lowered my Oxygen Desaturation Index (ODI) at least by 10 points by losing excess body weight exactly as recommended in this book. This book is packed with colossal sums of information to understand the fundamentals of sleep apnea topic, and is quite accommodating, impressive and enjoyable. I enjoyed the writer's methodology, well-researched and blended with knowledgeable information in every chapter. Everything in this book unquestionably makes sense and I found it useful in all respects. I realized that this book indeed would be helpful in every possible way to improve and reverse sleep apnea.

 

AMAZON REVIEW: Reversing Sleep Apnea

rajinder saini

5.0 out of 5 stars  This book is extremely helpful to cure my sleep apnea!

Reviewed in India on May 18, 2020

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I have been living naively without taking proper care of my sleep apnea. The sleep apnea doctors and CPAP vendors never teach their patients on “how to reverse sleep apnea” but rather keep their patients hooked up to the CPAP machine for the lifetime. My doctor took overnight pulse oximetry test for me many times, and he never discussed with me about the results. I never understood those test results because I have been living naively.

After reading this book, I understood clearly what the Desaturation Index is, and what the percentage oxygen saturation (SpO2) is. As recommended in this book, I purchased the “wrist pulse oximeter for continuous monitoring” online, and started doing my own “overnight pulse oximetry test” once every few months. After doing this test overnight, early in the morning, I upload the data from my wrist pulse oximeter to my computer, and the software installed on my computer displays the test results on my computer such as Desaturation Index, Mean SpO2, Lowest SpO2, Highest SpO2. By comparing the previous test results with the current test results, I can understand my sleep apnea progress.

When I lost close to 20 pounds, my Desaturation Index decreased significantly but it is still not normal (it is not yet under 5). I still have to lose a lot more weight to lower my Desaturation Index to perfectly normal. I am now feeling now a lot better than before. Since I don’t have any blockage in my throat, nose or mouth, and as I have excess body weight, I should be able to fully reverse my obstructive sleep apnea. I am now inspired to fully reverse my sleep apnea, and I will do it. Thanks to this wonderful and extremely useful book “Reversing Sleep Apnea: Proof that Sleep Apnea Can be Reversed by Losing Weight”.
 

 
AMAZON REVIEW: Reversing Sleep Apnea


Radpaikr
5.0 out of 5 stars  Do-It-Yourself Sleep Apnea Guide!
Reviewed in India on June 10, 2021
Verified Purchase

After I read this book, I purchased a wrist pulse oximeter on the Internet, I learned and started doing my own overnight pulse oximeter test independently at home without depending on sleep clinics in hospitals, CPAP vendors, or doctors. By monitoring and record-keeping frequently all by myself, I improved my mean SPO2 level and Desaturation Index significantly simply by losing my excess body weight. Even though I could not reverse my sleep apnea completely, I feel a lot better than ever before. I am certain that this comprehensive guide would help many sleep apnea patients. Thanks to this wonderful Sleep Apnea Guide!

 

AMAZON REVIEW: Reversing Sleep Apnea

Akash

5.0 out of 5 stars  Scientists said it is possible to reverse sleep apnea!

Reviewed in India on February 4, 2021

Verified Purchase
 

Very many people, and very many patients, including very many doctors, think that sleep apnea can never be reversed. But this book provides the valid scientific proof that obstructive sleep apnea can be reversed by losing weight. There are scientific journal publications. I have verified those publications as discussed in Chapter 10. They are true publications. IT IS TRUE that randamized research studies revealed the fact that both severe sleep apnea and moderate sleep apnea can be reverse by losing at least 10% of body weight. This book “Reversing Sleep Apnea: Proof that Sleep Apnea Can be Reversed By Losing Weight” gives us the real data, weight loss results, and reversal of sleep apnea results of a successful sleep apnea patient who completely reversed his obstructive sleep apnea from its root causes.

The recommendations presented in the last chapter of this book are very important for all sleep apnea patients. All sleep apnea patients must refer to this book.

 

AMAZON REVIEW: Reversing Sleep Apnea

Sunil Chandel

5.0 out of 5 stars Covering A to Z of Sleep Apnea Topic!

Reviewed in India on October 10, 2021

Verified Purchase
 

The individual who composed this remarkable book has done a superb job indeed. I can easily imagine as my instinct tells me that the author who composed this book must be a highly educated individual who is trying to help sleep apnea victims. This book could save your life like a miracle. I will most likely refer this book to all my family members and to all my friends who have been suffering from dangerous sleep apnea disease for many years.

Energetic, dynamic and extremely helpful contents covering A to Z of sleep apnea topic are in this guide. There is a unique importance in the book that will assure you an unprecedented cure for all those who suffer from chronic sleep apnea. This guide will abolish and relieve all those underlying vicious sleep apnea symptoms in a timely fashion. Much obliged to the writer for giving the sleep apnea community such a wonderful book.
 

AMAZON REVIEW: Reversing Sleep Apnea

Good quality, Totally satisfied!

5.0 out of 5 stars Extremely Useful Book Indeed!

Reviewed in India on 23 April 2023

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I found this book extremely useful as it is the must-read-book for every sleep apnea patient. What I learned from this book is: “Reversing sleep apnea does not mean that sleep apnea is fully wiped out.” Reversing sleep apnea means that the desaturation index (number of sleep apnea events per hour) lowered significantly when the sleep apnea patient lost his/her excess body weight significantly.

When I lost my excess body weight significantly by using the methods illustrated in this book, my desaturation index (number of sleep apnea events per hour) lowered significantly switching me from moderate sleep apnea to mild sleep apnea. Without this book, I could not have achieved this reversal. If you have sleep apnea, you must read and use this book!

 

 



 

AMAZON REVIEW: Reversing Sleep Apnea

RhinoSystems
5.0 out of 5 stars
EVERYTHING YOU EVER WANTED TO KNOW ABOUT SLEEP APNEA - ALL IN ONE PLACE!

Reviewed in the United States on November 26, 2018

This is an impressively comprehensive and extremely well-documented review of the therapies available to treat and help relieve sleep apnea. It is well-researched and very practical, and it will be accessible and useful to a wide audience of readers.

 

 


 

AMAZON REVIEW: Reversing Sleep Apnea

Carolyn Grigsby

5.0 out of 5 stars   Well Written Book!

Reviewed in the United States on December 13, 2019
Verified Purchase
 

Reversing Sleep Apnea is the book of that kind which am reading for the very first time and this book makes me very clear about this topic.

 

 


 

AMAZON REVIEW: Reversing Sleep Apnea

Pam Barnes

5.0 out of 5 stars  This book is very helpful!

Reviewed in the United States on December 13, 2019
Verified Purchase
 

This book contains a lot of valuable information that is very useful to us. I enjoyed reading the book. The book has many important points that I like a lot.
 

 



 

AMAZON REVIEW: Reversing Sleep Apnea

Elizabeth Wiggins

5.0 out of 5 stars   Great Book !!!

Reviewed in the United States on October 18, 2019

Format: Kindle Edition  
Verified Purchase

Really, this book provides very good guidance about Reversing Sleep Apnea. I express my sincere gratitude to have this book. I learn so many new things from this book. If you have been diagnosed with obstructive sleep apnea, whether severe, moderate or mild, it is a life challenge to deal with and battle with because of the careless and unhealthy living habits you have adopted. You have been eating out way too often, not exercising enough, and have been adding pounds to your weight. Obesity is the major cause of obstructive sleep apnea. It is your responsibility to accept this challenge, and take quick action against this sleep disorder you have developed. If you want to know about all these things then I think this book will be best for you.
I think everyone should read this book, that's why I highly refer this book for everyone..!!!

 

 



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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

 

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Reversing Sleep Apnea
Proof That Sleep Apnea Can Be Reversed By Losing Weight

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Author's Other Publications

 
 1.

   Permanent Diabetes Control (Book)        
   
The Secret to Controlling Type 2 Diabetes (Book)
   https://www.mydiabetescontrol.com

 

 2.

   Drinking Water Guide (Book)            
   https://www.drinkingwaterguide.com/

 

 3.

   Reversing Obesity (Book)
   https://www.reversingsleepapnea.com/ebook2.html
 

 4.

   Reversing Insomnia (Book)
   Reversing Insomnia In 3 Days (Book)

   https://www.ReversingInsomnia.com
 

 5.   Power of Imagination (Inspirational Teachings)
  https://www.Power-of-Imagination.com
 

               

 









 

 

 

 

 

 

Click Here to Visit
Reversing Insomnia

 

Click Here to Visit
Drinking Water Guide

 

Click Here to Visit
Reversing Obesity




 

DISCLAIMER

The author of this book titled “Reversing Sleep Apnea” assumes no liability or responsibility including, without limitation, incidental and consequential damages, personal injury or wrongful death resulting from the use of any treatment method presented in this book. Misusing the sleep apnea treatment procedures with inexperience and carelessness could lead to adverse side effects. For example, the misuse of a fingure-pulse oximeter for the overnight pulse oximetry test at home with carelessness could lead to erroneous and misleading results. The misuse of CPAP machine and mask without appropriate knowledge, caution and care could develop air-leaks during the sleep. A reader should seek appropriate medical advice when using the methods illustrated in this book. All contents of this book are for educational purpose only and do not in any way represent professional medical advice.


 

 

 
 

COPYRIGHT
Copyright 2018-2023 and Beyond © by the Author!
The Book "Reversing Sleep Apnea" Has Been Revised and Rewritten in 2023.
Added 100 Pages of New Information. New Paperback Is 194 Pages Long!
This Book "Reversing Sleep Apnea" Has Been Registered Under
ISBN 9780973112023.
The original manuscript was deposited at Legal Deposits Dept, National Library of Canada Cataloguing in Publication, Ottawa, Canada.
All rights reserved under International and Pan-American Copyright Laws, and Intellectual Property Laws.