Breath training can alleviate or eliminate sleep apnea. Reading a book called "breath" by James Nestor and its incredible how our actual skulls have changed as a result of improper breathing and chewing soft food. Something to look into if you struggle with any pulmonary disorder.

Mine is obstructive, not central. There are different phenotypes within OSA.

Low arousal threshold is often missed precisely because people assume that snoring is a cardinal symptom.

How many adolescents have sleep apnea? If they do it’s likely correlated with a host of other risk factors for neurological changes which I hope were controlled for. I can’t access the whole article. I’m guessing with a random sample of 100 adolescents you’re not gonna find many with sleep apnea.

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Wouldn’t a pap machine be considered treatment? Excuse my ignorance.

Hmmm. So I’ve been told I snore, and always have. I do apparently stop breathing at times. I got an Apple watch to monitor my oxygen levels and they don’t go below 90 when I sleep. But it may be high co2 that is the worry? Which the watch doesn’t test obviously. Great. I’m doomed. Also; breath holding as in swimming or diving, that could be doing brain damage?

Not to mention all the methane that is trapped in the permafrost.

I’m talking about people who spent a great deal pushing for the right science, only to follow pseudo science in other areas of their lives

If you look at the comment history of some of these people, they will argue basic physics

I really need to get a cpap

I moved to Germany and had the surgery here. I only paid a bit for the hospital stay and a bit for the medicine from the pharmacy. Maybe €30-50 total. Everything else was covered by insurance because it was prescribed as "curative" treatment by my ENT.

No doubt it is under diagnosed. It has long been viewed as a thing obese people and elderly people have, so single people who don't have someone in bed with them telling them "hey you snore but you also like stopped breathing for a bit" are likely to attribute their fatigue and brain fog to anything but sleep apnea.

I had a deviated septum corrected and they removed some tissue in my frontal sinus to open space. My OSA was partially caused by a chronic sinus inflammation due to low airflow in some areas.

There's also nonobstructive sleep apnea but regular OSA with snoring is the most common type.

> the outer brain tissue

how to do that?

Brutal. I have both of them and have had a surgery for the nose. It's not the worst recovery, and I still breathe much better through my nose than I ever did before.

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I would expect it to be high CO2 levels in the blood. Your SpO2 gets back to normal after not too long once you're awake and breathing normally, but CO2 levels remain elevated and reach a steady state level that is abnormally high.

I remember seeing a post here about room ventilation in schools and students performing better with a window open because of CO2 levels as well.

This article specifically talks about allergic rhinitis, which is rhinitis, or nose inflammation, specifically caused by allergies. It's real talk, I have it myself sadly and have done sleep studies thinking it was sleep apnea, but apparently sleep apnea only counts for airway obstructions in your throat, not your nose. So there's no treatment for me besides surgery and hoping for the best.

Are you describing a lack of internal self consistency in individual people, and not the cacophonous dissonance you inevitably get when you lump a large number of very, very different people together into one group?

I would not be surprised to discover that the inability to sleep is the likely reason for the inflammation, and not the other way around. And that anxiety, post traumatic stress, or other psychological issues are the reason for the lack of sleep.

But of course these things sound horribly cyclical. I can't imagine that having trouble learning or remembering things will help you pull out of whatever situation is ailing you.

30 per hour is on the lower end of the moderate scale, believe it or not. I was at about 120 before getting a CPAP

Could be. Your brain also goes through a ["wash cycle"](https://www.health.harvard.edu/mind-and-mood/are-toxins-flushed-out-of-the-brain-during-sleep#:~:text=The%20waste%20management%20system%20(called,occurs%20primarily%20during%20deep%20sleep.) while you sleep that gets rid of toxins and waste products. But only during deep sleep, so it's possible not having access to consistent deep sleep would lead to inflammation and either degradation or slower development of the outer brain tissue that's mostly in contact with the fluids being "cleaned". There was a really cool video/gif of a scan that captured this process, so I'll see if I can find it.

Edit: I found it! Attached to an article from NIH - "Discovering the Brain’s Nightly “Rinse Cycle”".

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The problem is that most comments are skeptical of the wrong things, like critiquing assumed structural problems with how a research study is designed even though their assumptions aren't true or are already discussed in the article linked. A lot of criticism comes down to "I don't like what I believe is the conclusion of this study, so I will find some sort of technicality to discredit it". All said with no understanding of what the research question in the study is, the methodology used, or what limitations the researchers have already pointed out. That's not good critique and it's definitely not useful. It's freshmen intro to research methods level discourse

Yeah, a lot of critical comments boil down to reading the abstract (at best) then not understanding the methodology section of a paper or being even aware of what limitations are or what the research question is and just saying something reductive and irrelevant about sample sizes or correlation fallacies.