[mordae]

Please also note that ADHD-like symptoms can present from sleep Apnea/UARS-induced sleep deprivation and the probability of having Apnea/UARS rises with age. Smoothly for men and a with a sudden jump after menopause for women.

So if you feel like you are getting more ADHD-like issues, do consider a sleep study. Early tells are easy: you often feel like shit in the morning.

[athorax]

I recently went through this. I was diagnosed with ADHD 15 years ago and have been managing it, but over the last 2-3 years I had been experiencing increased levels of brain fog, fatigue, and by ability to focus had deteriorated to the point I wasn't sure if I would be able to continue working. I had a sleep study done 10 years ago that only found Night Terror Disorder, but no signs of sleep apnea. I did another sleep study about 6 months ago and it turns out while I wasn't having apnea events I had constant and persistent hypopnea. Started using a CPAP and it feels like I've been given a second lease on life. FWIW, I am a very active and in shape individual within a healthy weight range. Don't wait to get tested if you have even the slightest worry you may have it.

[QuercusMax]

Doesn't even need to be a CPAP. I had a sleep study done and it said I basically only had sleep apnea when lying on my back, and my doctor suggested a dental appliance to pull my lower jaw forward.

I got one from my dentist for way too much money, it broke, so instead I got a "snore reducing mouthpiece" from ZQuiet or SnoreRX which is basically the exact same thing but they haven't done a clinical study to show it reduces sleep apnea. I wear one every night along with a nose strip (like Breathe Right, but a different brand that I like better) and my mornings feel like I was hung over are long gone.

[leetrout]

I was prescribed modafinil earlier this year and it worked well when I took it but it was intense at the useful dose so the doctor put in for a sleep study. It was a 3 month wait but I am finally getting it done next week an I'm hopeful it leads to a conclusive diagnosis.

I also noticed my issues were worse after my 3rd bout of covid :-/ I had very high sensitivity to alcohol and caffeine after the 2nd bout and have largely cut both out of my life (I never drank more than 20 drinks / year in my life anyway).

[code_biologist]

What machine and mask do you have? I had a bad CPAP experience 2017ish and navigating sleep apnea treatment with ADHD kinda sucks. I got a recent sleep study done, but the doctor's office seems like a sales farm for a specific CPAP brand/model and they aggressively steered me away from an oral appliance.

[athorax]

I understand your pain. One of the cruel realities of ADHD is how difficult it makes doing the things needed to help you treat it. I honestly just went with whatever my doctor/insurance gave me. Its a Luna G3X and my insurance uses a company called BetterNight. They have been fine so far, but I know there are also companies you can use that don't take insurance that I have generally heard are better to work with if you are okay with not using insurance. Lofta was what was recommended to me by a coworker.

[code_biologist]

Thank you for the report and the empathy! Insurance is a mixed bag. Great if they pay for a $4k oral appliance. Not great if them paying for a CPAP is conditional on hitting the initial usage compliance targets, or they dictate specific machines.

[ajolly]

Resmed 10 series are super hackable. Don't get a 11 The 11 is just a cost saving revision. Masks are very individual but a lot of providers will do free exchanges.

[Der_Einzige]

One of the many reasons why we should air drop GLP-1 over the entire country, like condoms in Bangladesh!

[ChiperSoft]

The satiation effect that GLP-1s cause also affects motivational drive. I've noticed my ability to get work done is hampered when I am at higher doses of my ozempic.

[palmotea]

> I've noticed my ability to get work done is hampered when I am at higher doses of my ozempic.

You should be using LLM agents anyway. It's the solution to every problem.

[yifanl]

Can I have LLMs replace my GLP-1?

[palmotea]

Yes. LLMs are the new zombo.com. You can do anything with LLMs. Anything at all.

The only limit is yourself.

[canibal]

Bruh, you're not using ChatGLP?

[ChiperSoft]

If only an LLM could clean my house

[deterministic]

GLP-1 has negative side effects (loss of lean mass for example) that I most definitely do not want.

[SubmarineClub]

No thanks, don’t need it, don’t want it!

[MrDrMcCoy]

Please, no. GLP1s leave you worse off than when you started if you stop taking them. Weight is also not necessarily the factor that leads to sleep apnea; I got diagnosed while having a healthy weight in my 30s.

[Levitz]

>Please, no. GLP1s leave you worse off than when you started if you stop taking them.

This doesn't seem factual, or at the very least, not that simple?

https://www.epicresearch.org/articles/two-years-after-stoppi...

[0x20cowboy]

Not the OP, but there was a lot of talk that glp1 had a negative effect on bone density and in older people it was especially problematic.

There is evidence that is not the case though https://pmc.ncbi.nlm.nih.gov/articles/PMC8878541/

[Izkata]

Something I'd picked up somewhere a decade or two ago was losing weight too fast can cause problems with bone and muscle density. So it could be related but not a direct effect.

I think they were referring to rebound weight though, something else I'd heard about these drugs that also doesn't affect everyone. A scarier one was one person whose weight got too low so they stopped taking it, but for some reason had a lot of trouble gaining any weight and getting up to a healthy level.

[lukas099]

In old people obesity predicts longer lifespans, so GLP-1 might not be indicated anyway.

[lazide]

Talk about a terrible indictment of western culture if I ever heard of one!