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Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

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Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#51

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

Got a CPAP about a year ago, changed my life. Weight issues aside I also have a big neck which means I'll probably have OSA even if I achieve a normal BMI. Anyway, highly recommend a sleep study for anyone here who has symptoms like waking up feeling tired, dozing off in the afternoon, etc.

amen is all I have to say to that. Don't hesitate or worry what your significant other will think, just get one.

Best part: You can sleep with a cover over your face and still breathe fresh air.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#52

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

> I track every calorie I eat

Why??

> and weigh myself everyday

Why???? Every week AT MOST. And even then, TRACK THE LONG TERM TREND.

> I can't keep food in my house

Why??????????????????

YOU NEED FOOD TO SURVIVE. You need food in your house to PREPARE MEALS that YOU PLAN. A caloric deficit WILL lower your ENERGY LEVELS ... BUT you are NOT REQUIRED to be HUNGRY because of it.

----

Don't listen to me. I'm not your doctor. I'm not your nutritionist.

When I wake up in the morning, I know I can eat one of a couple different meals. I can have oatmeal, or french toast, or pancakes, or greek yogurt. All of these meals are pre-planned so that I know how many calories I will consume. For a snack I can have almonds or a 100 cal ice cream bar or any one of my other foods. For lunch I'll eat a big salad or greek yogurt or maybe some canned salmon/tuna with blah blah blah.

The point is. I don't track my calories because I have a meal PLAN. I don't just jaunt off to a restaurant, """track""" 1500 calories, and say to myself "Welp guess I'm going hungry for the next 12 hours". That's STUPID.

I have anywhere from 400-600 calories for breakfast. 300-400 for lunch. 400-600 for dinner. 400ish dedicated to snacks. That puts me at about 2000 calories for the day. That's maintenance level (basically, it will vary from person to person). To gain weight I ADD another 150-300 calories meal. To lose, I ease up on snacks or go for the low end numbers on my 3 major meals (400+300+400 == 1200 + 400 snacks == 1600 == caloric deficit).

I'm NEVER hungry. The worst part of a diet is the lower energy levels (drink some coffee). NOT THE HUNGER because there is NONE. Eat a pound a spinach. You will not be hungry!

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#53

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

Nobody who fat shames has shown me research about the efficacy of fat shaming on weight reduction. That's not necessarily because the research doesn't exist, it's because they just don't care.

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Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#54

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

> for many people weight loss is neither practical nor maintainable Hard disagree. As for practicality, weight loss is a function of thermodynamics. Caloric deficit == weight reduction. Doesn't matter your physiology. As for maintainability, well that certainly depends on how a person is taught to diet. If you tell someone they need to eat less to lose weight (which is what almost every diet does) then, yes, it will…

> Caloric deficit == weight reduction. Doesn't matter your physiology.

True. This is the one piece of weight loss advice that multiple scientific disciplines agree on. However, being true does not make it easy.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#55
post #32

Earlier quoted context omitted.

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

> ... your brain thinks you're starving and has all sorts of ways to wear down your will ... I thought losing weight was about willpower and starving as well. But you can only keep that up for so long until your willpower breaks. Then I read this book, Allen Carr's "Good Sugar, Bad Sugar: Eat yourself free of sugar & carb addiction". It changed how I view things and now I no longer worry about how much I eat. The key…

Keto style diets made a huge impact on my life. I will say this though: it's very difficult to eat low-carb in America. While I was overseas in the South Pacific, there were a lot more low carb options and produce was of higher quality. Here in American, everything is loaded with sugar and I've had to cook a lot more of my own food if I want to stay healthy. But I agree, cutting out sugars/starches greatly changed things for me. Have a Steak and Salad instead of a Steak and Fries. For breakfast, just have the bacon and eggs and skip the toast. It makes a massive difference.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#56

Earlier quoted context omitted.

> for many people weight loss is neither practical nor maintainable Hard disagree. As for practicality, weight loss is a function of thermodynamics. Caloric deficit == weight reduction. Doesn't matter your physiology. As for maintainability, well that certainly depends on how a person is taught to diet. If you tell someone they need to eat less to lose weight (which is what almost every diet does) then, yes, it will…

> Caloric deficit == weight reduction. Doesn't matter your physiology. True. This is the one piece of weight loss advice that multiple scientific disciplines agree on. However, being true does not make it easy .

Did you miss the part where I describe how to make it easier? Did you miss the part where I criticize diet culture from preaching starvation as some sort of virtue.

> If you tell someone they need to eat less to lose weight (which is what almost every diet does) then, yes, it will be hard to maintain.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#57

Earlier quoted context omitted.

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

> I track every calorie I eat Why?? > and weigh myself everyday Why???? Every week AT MOST. And even then, TRACK THE LONG TERM TREND. > I can't keep food in my house Why?????????????????? YOU NEED FOOD TO SURVIVE. You need food in your house to PREPARE MEALS that YOU PLAN. A caloric deficit WILL lower your ENERGY LEVELS ... BUT you are NOT REQUIRED to be HUNGRY because of it. ---- Don't listen to me. I'm not your doc…

The person you're replying to has successfully lost a lot of weight and apparently kept it off. Whatever they do works for them.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#58

Earlier quoted context omitted.

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

I have had a lot of success with the Weight Watchers method. I want to lose around 18 kg and I lost already 12 since middle of October.

My job did Weight watchers and I lost 25 lbs and am now not overweight. I am now a WW lifetime member. There really isn't a gimmick to what they do. They provide accountability, emotional support, and decent diet advice by emphasizing healthier choices. Most of the people in our program still failed though. I still go weigh in once a month for free as a lifetime member not to give up my commitment to healthy weight. I feel great, and everyone should give losing weight a try at least.

I think most people fail because they expect immediate results and can't stay consistent because they go too hard for immediate results. On WW when presented with an unhealthy meal option I would consider if it was really worth it giving how well I was doing, and I wanted to crush it on the scale every week. I think for me that was the most important driving force to not making bad decisions like eating a pile of cookies. People think they have to sit there depriving themselves with a pile of lettuce but that is exactly what WW discourages. You can eat whatever but it has a cost. For me I was happy eating lean good food like a small sirloin steak with some broccoli.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#59
post #32

Earlier quoted context omitted.

I'd just like to chime in as someone who has lost and kept off about half his bodyweight, that yeah, losing significant amounts of weight is a very demanding undertaking. It requires a significant lifestyle change, large investments of time, is emotionally and cognitively draining, and to top it all off does not positively impact your quality of life nearly as much as is touted. To be successful at it requires a leve…

> ... your brain thinks you're starving and has all sorts of ways to wear down your will ... I thought losing weight was about willpower and starving as well. But you can only keep that up for so long until your willpower breaks. Then I read this book, Allen Carr's "Good Sugar, Bad Sugar: Eat yourself free of sugar & carb addiction". It changed how I view things and now I no longer worry about how much I eat. The key…

Yeah, I hear this and other fad internet diet stuff all the time. You think in 10 years I never tried this stuff? It did not make a significant difference.

Re: Effect of Weight Loss on Obstructive Sleep Apnea: The Importance of Tongue Fat

#60

I'm a dentist who regularly treats OSA with dental appliances; they work by posturing the mandible forward with a maxillary and mandibular (two-arch) device as a way to increase the cross sectional area of the posterior airway, reducing apneic events -- but it is important to know that the gold standard remains the positive airway pressure (CPAP) device. I would also like to point out that I see an incredible amount…

>it is important to understand that for many people weight loss is neither practical nor maintainable People need to stop eating processed sugar. Losing and keeping off weight is easy. As soon as I stopped eating, candy, baked shit from coffee shops and crap, fast food, and stopped drinking pop, it became hard to gain weight. That shit's poison. It gives your body nothing. Cutting out nearly all processed sugary food…

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