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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

#71

Post by lazyasciiart »

grawprog wrote: post #35
verisimilitude wrote: post #2

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…

You have a friend who will probably die before he changes what he eats and you still call it "easy"?

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

#72

Post by john_moscow »

lazyasciiart wrote: post #69
john_moscow wrote: post #41

Earlier quoted context omitted.

Some bits of personal advice: 1. Try eating more vegetables (tomatoes, cucumbers, coleslaw, but watch for the sauces). They do a wonderful job a filling the stomach, but they would give you like 20x less calories than bacon or fries. 2. The weight you see on the scale is a combination of your fat, liquids retained by the body, food in your pipeline, etc. Based on my personal experience, the non-fat part (that goes aw…

REALLY? You would like to introduce the poster to the concept of "portion control" and "vegetables"? Did you skip reading his comment? You might as well respond to a comment about how long it takes to develop a new feature with a recommendation to learn keyboard shortcuts. How absurdly condescending can you get?

I am advising the poster to avoid extremes and find a trade-off between torturing themselves and having an unhealthy weight. The devil is in the details.

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

#73

Post by forthac »

sdwa wrote: post #43
issa wrote: post #23

Earlier quoted context omitted.

I couldn't agree with this more. It is possible for me to lose and keep off weight if I literally devote all my energy towards it. It's important to remember that everyone is different. Some people would struggle to gain 100 pounds, others could do it easily, and most people understand that. But for some reason when it comes to losing weight instead of gaining, understanding goes out the window.

Losing weight is hard (speaking from experience), but ultimately it's still just a question of physics. Eat less, eat food which will fill you for longer (breakfast: porridge, lunch: fruit, nuts, etc.), and eat a reasonably healthy meal you've cooked each night. Meanwhile, eat smaller portions and do some exercise. Your body can't defy the laws of physics, so you will lose weight. It is that simple. Overthinking it a…

This is the same dismissive, ignorant, platitudinal advice that the parent commentator was directly referring to.

I find it supremely hilarious that you refer to the person's own body as an external factor.

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

#74

Post by lazyasciiart »

DiffEq wrote: post #5
verisimilitude wrote: post #2

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 understand what you are saying but, economically, treating the symptom rather than the cause is expensive; somehow there needs to be some way to create a cost high enough to encourage people to attack the cause of the problem; and shame can be a useful way to increase the cost. So "fat shaming", although politically incorrect these days, should not be thrown out as a way to encourage behavior that benefits society…

Sources for those claims?

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

#75

Post by enraged_camel »

kup0 wrote: post #27
john_moscow wrote: post #8

Earlier quoted context omitted.

>In reaction to that, it is important to understand that for many people weight loss is neither practical nor maintainable and for that reason it is critical that we continue to advance our treatment of things like sleep apnea. Sorry, but I have to call BS on that. Having lost ~50 lbs last year (after my blood pressure started getting scary), I can tell you it's all about planning and self-discipline. You plan a diet…

Is it possible that the amount of planning and self-discipline required is maybe what is sometimes neither practical nor maintainable, depending on the individual? Having lost and gained weight multiple times, it can be a psychological hell when it seems both the body and the mind are doing everything they can to fight against your discipline and planning and keep you where you are instead.

>>Is it possible that the amount of planning and self-discipline required is maybe what is sometimes neither practical nor maintainable, depending on the individual?

In my personal endeavors I've found that the amount of self-discipline something requires is inversely proportional to how motivated I am to achieve the end result. If I'm being required or forced by an external circumstance, I end up needing enormous amounts of self-discipline. But if I really want it (as in, if I'm internally motivated) then all I need to do is resist the occasional temptation to veer off the path, so to speak.

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

#76

Post by axaxs »

sdwa wrote: post #43
issa wrote: post #23

Earlier quoted context omitted.

I couldn't agree with this more. It is possible for me to lose and keep off weight if I literally devote all my energy towards it. It's important to remember that everyone is different. Some people would struggle to gain 100 pounds, others could do it easily, and most people understand that. But for some reason when it comes to losing weight instead of gaining, understanding goes out the window.

Losing weight is hard (speaking from experience), but ultimately it's still just a question of physics. Eat less, eat food which will fill you for longer (breakfast: porridge, lunch: fruit, nuts, etc.), and eat a reasonably healthy meal you've cooked each night. Meanwhile, eat smaller portions and do some exercise. Your body can't defy the laws of physics, so you will lose weight. It is that simple. Overthinking it a…

Not sure why downvoted, maybe a bit harsh...but this is the absolute truth. I'd argue that exercise itself doesn't even play a huge role, though it does help. Eat less calories until you start losing weight. I understand there are mental hurdles to this simple mantra, but its truth is unchanged.

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

#77

Post by lazyasciiart »

john_moscow wrote: post #72
lazyasciiart wrote: post #69

Earlier quoted context omitted.

REALLY? You would like to introduce the poster to the concept of "portion control" and "vegetables"? Did you skip reading his comment? You might as well respond to a comment about how long it takes to develop a new feature with a recommendation to learn keyboard shortcuts. How absurdly condescending can you get?

I am advising the poster to avoid extremes and find a trade-off between torturing themselves and having an unhealthy weight. The devil is in the details.

The devil is in the amazingly unlikely assumption that you have literally anything to offer him on this topic.

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

#78

Post by [deleted] »

john_moscow wrote: post #72
lazyasciiart wrote: post #69

Earlier quoted context omitted.

REALLY? You would like to introduce the poster to the concept of "portion control" and "vegetables"? Did you skip reading his comment? You might as well respond to a comment about how long it takes to develop a new feature with a recommendation to learn keyboard shortcuts. How absurdly condescending can you get?

I am advising the poster to avoid extremes and find a trade-off between torturing themselves and having an unhealthy weight. The devil is in the details.

[deleted]

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

#79

Post by amanaplanacanal »

viro wrote: post #40
panzerboy wrote: post #25

Earlier quoted context omitted.

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.

I will say Weight watchers is pretty effective

What percentage of people lose the weight they want and actually keep it off? Without that data we have no way to know how effective it is.

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

#80

Post by WhompingWindows »

lazyasciiart wrote: post #69
john_moscow wrote: post #41

Earlier quoted context omitted.

Some bits of personal advice: 1. Try eating more vegetables (tomatoes, cucumbers, coleslaw, but watch for the sauces). They do a wonderful job a filling the stomach, but they would give you like 20x less calories than bacon or fries. 2. The weight you see on the scale is a combination of your fat, liquids retained by the body, food in your pipeline, etc. Based on my personal experience, the non-fat part (that goes aw…

REALLY? You would like to introduce the poster to the concept of "portion control" and "vegetables"? Did you skip reading his comment? You might as well respond to a comment about how long it takes to develop a new feature with a recommendation to learn keyboard shortcuts. How absurdly condescending can you get?

The grandparent comment didn't mention vegetables or portion control, which I'm sure the grandparent knew but it's fine to emphasize it. I think the parent comment to yours is fine, just re-emphasizing key points that the parent didn't explicitly state.
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