Hello, I recently started using APAP (about 6 weeks ago) and have not been having much success. Long story short, I felt daytime fatigue and brain fog and got an at home sleep study. It showed that I had about 15 obstructive events per hour, most of which were central. I have been using the APAP trial and on a normal day my AHI is anywhere between 4-10, usually in the ~7 range.

I don’t feel any improvement, and am worried about the fact that most of my events are central (90% or more). I did some digging, and it appears that my centrals are “post arousal” or “sleep wake junk”. Here is an example of what most look like

https://imgur.com/a/ZdKWZ5L

Does anyone have any insight or advice into what may be the case here? I’m a healthy young male (low BMI) who doesn’t have any neurological or cardiovascular issues. My clinician has stated that my average indices are quite low and there isn’t a need for bipap/ASV.

Thanks!

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