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[Diagnosis] AHI ~10 with CPAP. Constant yawning and lack of focus. Tried nearly everything.
AHI ~10 with CPAP. Constant yawning and lack of focus. Tried nearly everything.
Hi everyone,

I desperately need help with my CPAP, and figuring out if my yawning, mental fatigue, and brain fog are even sleep apnea related. My ENT said that after seeing my AHI of ~8 using an oral appliance, he doesn't believe my mental fatigue is still caused by OSA. My AHI from my first sleep test was ~20, before I got a CPAP and oral appliance.

Whatever OSA-treating technique I try does not work for a more than a few days: CPAP (Philips Dreamstation Auto w/ full face mask from F&P), oral appliance for jaw advancement, mouth tape, nasal strip, angled pillow, side sleeping, nasal rinses, Flonase, nothing. I essentially feel the same daily whether I use CPAP, oral appliance, with or without mouth tape, etc. This makes me wonder if it's even an OSA problem.

About me:
I have a deviated septum and enlarged turbinates (considering septoplasty since breathing with Afrin is 10x better than my daily breathing.) I have enlarged tonsils (3/4 on Friedman scale) and have considered tonsillectomy but probably will not do it.
I'm 5'10, 165 lbs, pretty healthy weight and lifestyle.
No other medical conditions or meds.
All normal labs, including thyroid and iron, going to get tested for some vitamin deficiencies.

I've attached last night's OSCAR reading. Usually I've been ~ 7-10 AHI past few weeks. I sleep 8+ hours and still have consistent yawning, mental fatigue and brain fog throughout the day. It hurts my focus & motivation, all I want to do is close my eyes and rest, but I can't nap successfully most times anyways.

Any help or tips are appreciated!!

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