ULPT Request: How to fail a sleep apnea test
Posted by WetPaperStraw@reddit | UnethicalLifeProTips | View on Reddit | 304 comments
Hi everyone! So, I have a sleep apnea test and I want to fail it, big time.
Some backstory, I got really sick last year and had to be on a high dose of prednisone for a long time. I gained a bunch of weight! Insurance will only cover weight loss drugs if you have heart failure, diabetes, or sleep apnea. I don’t have heart failure or diabetes, but I could maybe have sleep apnea. I have an at-home sleep apnea test tonight and I would like to fail it so that way insurance will cover weight loss drugs. Please help a girl out! How can I fail this test? My doctor said they want to see moderate to severe sleep apnea, not mild.
Diamonddan73@reddit
I have sleep apnea. I’ve had 2 at home sleep test and both of them showed I did not have sleep apnea. I asked to have a sleep study done at the medical facility and they all came back with sleep apnea.
So if you fail the home test, ask for an in person test.
DrHutchisonsHook@reddit
Respiratory therapist here. The at home tests don't measure much so they miss a lot and the sensors aren't amazing--that's why you didn't qualify initially. The in person tests measure everything and would be impossible to trick. You literally have someone watching you breathe all night with electrodes measuring your brain waves on a computer.
Get an at home sleep study and find someone with sleep apnea to put the finger probe on for a night without their CPAP/BiPAP/O2. Easy failure.
enidokla@reddit
Is it weird that I would LOVE to know what’s happening to me when I sleep even if that means someone is watching me sleep?
brelywi@reddit
My husband has severe sleep apnea (shown by his at-home test) and HATES his CPAP machine, he’d happily take it for ya if it got him out of wearing it for a night haha
…though now that I think about it, he’s been on a GLP for about a month and his apnea is much much better so might not work
ThroatFun478@reddit
Samesies! Severe sleep apnea in the hospital test. Don't use my CPAP because I fucking hate it. Wake up with a headache every morning from oxygen deprivation 🙃
StardustedDaisies@reddit
...You can get a headache from oxygen depravation in your sleep...? I can get some killer headaches when waking up and now I'm wondering...
ThroatFun478@reddit
Headache upon waking that resolves after a little while was one of the symptoms the doctors (my gp and the sleep specialist) told me indicated sleep apnea, and that it was caused by oxygen deprivation.
seascribbler@reddit
Yep. I get severe headaches upon waking. I’ve been living with undiagnosed sleep apnea until recently, and I’m still fighting to get used to my CPAP machine. That and my TMJ causing me to lock my jaw so tight at night, which apparently can also be exacerbated by TMJ since some people clench when they’re not getting enough oxygen.
Cultural-Afternoon72@reddit
For what it’s worth, I’m not sure what your husband has tried, but I started out the same way. Everyone told me that I just needed to force myself to use it for a few months to get used to it. I wore it every night religiously for 18 months, and at no point did it improve for me. I constantly felt like I was being suffocated. As soon as the pump would turn on, I was struggling to breathe. That was before taking into account the discomfort of the mask and hose. It got so bad that I finally just gave up and went without a CPAP until I literally couldn’t anymore.
I ended up changing machines and masks, and it was night and day. The machine I went to auto-adjusted its pressure instead of just using the pressure set by the doctor, and slowly ramps up as you sleep, so at no point are you having to try to breathe through the pressure. The first night after that change I slept like a baby without any issues at all.
From the mask side, I found two that cover the mouth but just rest against the nose, so I can breathe through both but don’t have any kind of irritation. They’re significantly more comfortable and most nights I can’t feel them at all. One even connects the hose at the top of the head so you don’t feel the hose or get wrapped in it if you toss and turn.
I’d strongly recommend him looking into other machines and trying other masks. It can be a game changer from a quality of life standpoint.
I use the Resmed Airsense 11, and my previous model was the Philips Dreamstation, both had the new features that made all the difference. From the mask side, I use the Philips Amara View and the Philips DreamWear. I can’t say enough good things about either mask or machine.
brelywi@reddit
I have strenuously encouraged him to reach out to his doctor about other options, but unfortunately he has a lot of medical (and other) trauma from his dad so honestly just getting it in the first place is a HUGE step for him. We’re working on the rest, haha.
I do really appreciate you sharing your experience though! He has the ResMed AirSense 11 now, but still hates th mask part. He has the partial which just goes over the nose, and it causes a zit to form it a painful place.
Do the Philips parts fit your airsense? I bought one part off amazon once and it didn’t fit the machine, we don’t really have money to experiment so I’m worried about trying something else new.
Cultural-Afternoon72@reddit
I definitely understand that. I dealt with something similar, and it’s really hard to break through it. Even then, it only takes one bad doctor to set you back all over again.
It’s also worth noting that there are a few settings (related to his pressure) that are locked out and only his doctor can change (though, with the Airsense 11 they can do it remotely without him having to go in… I just message my doctors when that happens). Outside that, there are TONS of settings he can adjust for his own comfort. I’d definitely recommend looking up some videos in the machine so he can at least dial it in to his own preferences.
The Philips masks 100% do fit, but they require an adapter. That’s likely the issue you ran into. If you just order the mask itself, it will come with the mask frame, the cushion, and the headband, but no adapter. If you order the kit in a specific size, or the fit kit that comes with each size cushion, it should include the adapter. I only have the Amara View on hand right now, but I’ll throw the model numbers I use/order below. Once you have the adapter, it’ll fit all of the Philips masks and can be cleaned like the hose, so you don’t have to replace the whole kit. I typically get one kit every year, I’ll buy one or two extra headbands, and then enough cushions to replace them every 2-3 months. Significantly cheaper that way if you have to cover any of it out of pocket. I also do two heated hoses per year. If he isn’t using a heated hose, the change is dramatic. The biggest difference between the Amara View and the Dreamwear is that the Amara is a rigid plastic mask with silicone seal that sits over the mouth and under the nose (nothing on the bridge of the nose), and the hose attaches at the chin. The Dreamwear is almost fully silicone, only one small section of hard plastic, fits the same way over the mouth and under the nose, but the hair channel travels up both cheeks and the hose connects at the top of the head. The Dreamwear is a bit more comfortable and I prefer the hose placement considerably more, but with how I sleep it tends to rub a spot where my lip meets my nose and causes it to be sore. That seems to be more of an uncommon issue though. The Amara gives me zero discomfort at all, the hose placement is just less ideal.
Resmed Heated Hose: ClimatelineAir 11 model 39102
Amara View Kit (large size): Philips model 1090624
Amara View Replacement Cushion (large size): Philips model 1090694
Amara View Headband (large size): Philips model 1090696
You’ll want to lookup the right sizes for him. That said, the headband only comes in standard or large. So, if you buy any kit with the right headband, you can just buy the cushion in the other sizes instead of having to buy a bunch of full kits. Also worth noting, I have a full beard and have zero issues with either mask system as far as getting a good seal goes, so he shouldn’t need any of the liners or anything like that some masks require.
If you think of any other questions, feel free to reply or shoot me a message. I’m happy to help if I can.
Chare1155@reddit
I tripped rushing to the comments to say this lol. I volunteer as tribute! My sleep Apnea is absolutely horrendous 😬
CarouselOnFire@reddit
Sleep doc told me that there’s an 80% false negative rate for the at home tests.
I’m waiting on an in person.
paremiamoutza@reddit
I also have sleep apnea, and have been jumping up breathless in my bed since my 20s. The private sleep study showed that I don't have apnea...
Blenderx06@reddit
You might have to pay out of pocket though. The home test is what qualifies you with insurance for the much more expensive lab test.
Bindle-@reddit
Oooooh, I did this!
Do you drink alcohol? If so, get decently drunk before bed.
Do you smoke weed or cigarettes? If so, throw them bad boys in there too.
I had to take two apnea tests. My first one showed that it was not severe enough to treat. My wife heavily disagreed with this.
For my second one, I had a weeknight Party by myself. Had two or three beers, smoked a bowl, and finished it off with a cigarette. Boom! apnea
I have been a happy CPAP user for over 10 years now. I cannot overstate how big of a positive impact it's had in my life. The first few days of CPAP sleep I felt like I was high in the morning. I'd never actually gotten a good night's rest before.
Good luck! You got this.
foxiez@reddit
Alcohol + sleeping on your back is a ticket to apnea town for sure
Lazy_Anxiety_6688@reddit
Sleeping on your back?
Sharhino@reddit
Yes. I am heavy set. Haven't always been but am the heaviest I've ever been. My back is normally the most comfortable as I feel sore/pressure spots when I'm on my sides and feel pain in my back when I'm on my stomach. I'm working on losing weight, though!!!
Blenderx06@reddit
Throat closes causing apneas. It's very common.
portgasdaceofbase@reddit
Reminds me of that time i woke up from the blood curdling sound of myself gasping for air. Oh wait...
Sharhino@reddit
I literally almost died the other night and am a CPAP user. Haha
Bindle-@reddit
Get those snores!!
Farmerj0hn@reddit
Wow I do these every night, I’m an expert!
jenethith@reddit
I used to have sleep apnea and it’s now gone as I lost a but of weight.
I miss my CPAP :( , my favourite thing was being able to fully go under the covers and sleep like I’m in a cocoon.
omegafivethreefive@reddit
Can't you use a CPAP even if you don't have sleep apnea?
jenethith@reddit
I’ve heard it’s not good to use it if you don’t have sleep apnea.
omegafivethreefive@reddit
Huh yeah apparently it can "cause" sleep apnea.
TIL
Ok-Calligrapher-8028@reddit
Yes, your body becomes dependent on the machine after a while. So I’ve heard
revivemorrison@reddit
I started recently on a CPAP. Can confirm, without it now feels like negative negative sleep. Sore throat, tired, abrupt wake up. Hopefully some day I can move on. Ice got like a decade of sleep to catch up to
Lepardopterra@reddit
Try a Riccola Lemon Mint lozenge just before bed. Let the juice trickle down your throat, and rub it around inside your mouth. It is not harsh or menthol. It lubricates and protects from the dryness that comes from a wind blowing down your throat all night. It’s good for about 6 hours, and my lips are no longer glued to my teeth in the morning. 21 years cpap user. (The Lemon Riccolas come in sugar free too.)
Bindle-@reddit
If it helps, just roll with it.
It's a bit of a pain, but it's been OK to travel with, including some camping where I used a battery to power it.
Bindle-@reddit
Oh yeah, that makes sense.
So it's great for me, whose shit never worked right. But not great for someone who doesn't have the issue.
syneater@reddit
Mine felt like it was choking me whenever I tried to use it after getting rid of my apnea. Like there was to much air being forced down my throat, I absolutely hated it and stopped using it.
octopusbay1970@reddit
I love doing this. I call this bed snorkeling.
-DoctorSpaceman-@reddit
lol I love doing that, especially when it’s cold. My wife is always jelly
Rephlanca@reddit
God I wish I could do this, but I haaaaate the sound of the air output from my mask hitting the covers and making that Darth Vader “shhhh shhhhh” sound, it wakes me right up.
PsycBunny@reddit
I make a little tunnel or gap for the air to go out of.
southdakotagirl@reddit
That sounds amazing.
Jaeydee@reddit
Oh my gosh, why have I never thought to do this!? I have never been able to sleep under the covers but I want to so bad!
lightning__@reddit
Exact same story here. My first test I measured as 4.9 apnea events per hour. You need 5+ to qualify as mild sleep apnea (10+ for severe I think). Doctor said there’s no way I have sleep apnea…
Did a second test with a different doctor, had a few beers and a some fried chicken for dinner and clocked in at 8.5. CPAP has significantly improved my quality of sleep so I guess I do legitimately have sleep apnea.
MadGriZ@reddit
I hit over 80. I done the study at the sleep center 3 times.
WetPaperStraw@reddit (OP)
Thank you so much for the suggestions!! I’m definitely going to have a few adult beverages tonight before bed!
I’ve heard so many positive things from people that use a CPAP, it truly seems like such a game changer!
Bindle-@reddit
You're welcome!
I'm kind of a CPAP evangelist. Whenever it comes up, I can't help but talk about how great it's been for me.
Good luck! And remember, if the first study shows that you don't qualify, you can contest it and retest.
I'll see you in CPAP land 🫡
PrivilegeCheckmate@reddit
So I failed my CPAP because it woke me up, and they gave me an APAP, but the problem is every time I fall asleep with it on, it senses me sleeping and kicks into a higher mode and I immediately wake up. I can't adjust my own settings and the sleep clinic refuses to lower the setting that wakes me. Evangelist, WTF do I do?
Bindle-@reddit
I've heard about issues like this.
I haven't used it, but there's some free software developed for people with issues their doctors are unwilling to work with.
https://www.apneaboard.com/wiki/index.php/Beginner%27s_Guide_to_SleepyHead
PrivilegeCheckmate@reddit
I'm not quite ready to jailbreak my machine, I'm going to give them another chance later this year, but thank you, I'm bookmarking your link for possible future use.
Bindle-@reddit
You're welcome!
FreudianSlipperyNipp@reddit
I’m confused. I thought OP was wanting to fail the test for weight loss drugs, not a CPAP?
Bindle-@reddit
Oh, I reread it. Yes, that's the outcome OP was looking for.
Same advice tho. OP wants to fail the same test I wanted to fail.
riotousviscera@reddit
i’m jealous of and proud of you who get benefit out of CPAP :’)
Bindle-@reddit
Thanks ☺️ Ugh, sorry it didn't work for you! I've seen some alternatives out there, hopefully something will help
KrisCole9884@reddit
If it doesn't get you a "fail", then ask them to redo the test one more time. Then, on the night of your next test have a friend, family member, (random person w/ apnea you found online 😆) come over and have a fun filled eve with whatever and when its time for bed hook the sensor to them and there ya go!😉🤪
It too bad you dont know anyone that could do that for you tonight.
I wish you the best of luck! Insurance can b such a bitch, but im not gonna get started on that because I could go on forever.
Kelly_HRperson@reddit
It is. If you actually have sleep apnea
birigogos@reddit
A big Pizza will top everything up🍕🍕🍕
Bindle-@reddit
Awww, hell yeah! A big, greasy meal will put you in zone to snore 😴
eatingganesha@reddit
oh they can and will stop you if you’re at a clinic. Hospital campuses are no smoking and if they smell, see, or find alcohol on you they will make you reschedule.
PrivilegeCheckmate@reddit
Nyquil is not so easily detectable, tho.
scienceizfake@reddit
You go outside…
useribarelynoher@reddit
after smoking a cigarette or joint, anyone could smell it on you. smokers are not as slick as they think.
slit-wrist-syndrome@reddit
Edibles exist.
Tyzorg@reddit
Unless you can play it off 1000%, they wake you up several times through the night to ask you questions etc I wouldn't want to do this and have them dq your test and insurance make you pay full amount out of pocket. That would be brutal
Mary10123@reddit
Huh…Wasn’t woken up once during my test
Tyzorg@reddit
they never woke you up to check your pressure or adjust your pressure? ask you how you were breathing? I'm talking about the in-clinic test after one fails the home test.
Mary10123@reddit
For my in clinic test, after failing at home, yeah. Maybe they didn’t need to because I had what felt like 100 sensors on me (in reality prob closer to 10-29) or because per my doctor I danced the line of an office diagnosis (stopped breathing 18-19times when the parameter is 20 or so) and per google (ai so take with grain so salt ) they don’t necessarily wake you if there are no extreme risks or a sensor doesn’t come lose
Tyzorg@reddit
If you were that minor I can see it being possible you responded to the minimal level pressure they applied to you with so "few" events. I had 3 adjustments in one of mine. It was quick, nurse came in.. fiddled with the cpap.. asked how I was feeling and let me go back to sleep. its not like they shake you awake every 10 minutes like the other poster is trying to imply I was saying.
I had a ton of sensors as well and this big block with all the ports plugged into it. as mentioned having to go to the bathroom was annoying because I had to get the nurse to disconnect the unit partially, put a sling over my neck and shuffle into the bathroom with 10 pounds of gear on. Go back to the bed and have her plug it in. Of course everyones results may vary but not having a single adjustment is surprising to me.. but I envy your (minor) level that you have to deal with! Best of luck.
kilopeter@reddit
Why would technicians repeatedly wake you during a study specifically designed to observe typical sleep patterns? What's your source for this claim?
From https://www.med.unc.edu/neurology/divisions/sleep-1/frequently-asked-questions/what-to-expect-at-your-sleep-study/:
Tyzorg@reddit
My source? I went through two of them. I already explained. They adjust your pressure and monitor how many events you have and how you react to said pressure.
Been through it. Twice. Said that 3 times now.
God damn some of yall argue over ANYTHING on here.
Blenderx06@reddit
You're allowed to take any meds or supplements you would normally take before sleep. They don't care. I also wasn't woken several times. Just got set up and slept and left.
scienceizfake@reddit
The tech definitely knew and it ain’t his job to care. Legal state and they tell you to be as close as possible to your normal sleep habits…
Blenderx06@reddit
Yeah and you're allowed to take any meds or supplements you normally take before sleep.
Tyzorg@reddit
Once you're in for a sleep test you're stuck in til morning next day.
I've taken two of them now 😆
scienceizfake@reddit
I checked in, got my room, got settled, then told dude I had to run to my car for something… he definitely knew and it ain’t his job to care.
dell_55@reddit
They didn't care if I took a smoke break. I brought wine with me and got more doordashed to the clinic when I was out.
They didn't care.
Blenderx06@reddit
I'm sure the tech tells that story!
The_Silent_Bang_103@reddit
If you want to drink and smell the least like alcohol, go for vodka. Other liquors smell more post-drinking
Bindle-@reddit
Maybe some do, but for an apnea study that would be kind of odd. They want to replicate a normal night of sleep as much as possible.
Many people are heavy drinkers or smokers and have sleep issues. It would be utterly bizarre to tell them not to engage in their typical behaviors before a sleep study.
I'm not saying this wouldn't happen, just that it would be a fucked sleep study if that was the case.
dell_55@reddit
I probably would have had a seizure if I didn't drink any alcohol that evening. It was BAD. But I got my CPAP. Not that I used it often. You can't put it on if you black out every night. Boo
CorrectPanic694@reddit
I only know that to untrue because of all the times I’ve snuck out of the hospital to smoke a cigarette.
TaylorsVersion4Ever@reddit
America is so sad that you guys have to resort to this.
CrowdyPooster@reddit
What do you do to get GLP1? Seriously question
fishnugget1@reddit
I said hey, I'm still not losing this weight and my GP said here, try this script for Mounjaro.
Free GP visit, but the Mounjaro is $380 a month. Hopefully it will be on the PBS soon so the price will be significantly reduced.
peachrose@reddit
that’s crazy, i would’ve thought it would be much lower. i pay $12/month for my mounjaro in the US. luckily i have insurance because i don’t even want to know what it is without it.
fishnugget1@reddit
I don't have health insurance. This is my only health outgoing. Some people get theirs rebated from their private health but that's an extra cost you don't have to have.
Bindle-@reddit
Hard agree, things are fucked over here's right now.
Lopsided-Poem5936@reddit
So you have to sleep with that machine mask all hooked up every night? How do you do that? It would drive me nuts and no way fall asleep.
Bindle-@reddit
Yup. All night, every night.
I've heard that's a common problem with them. The whole setup is a bit weird.
Honestly, it was fine for me from the very first night.
I'm used to wearing heavy PPE for hours at a time during the day. Like a respirator mask for 4-8 hours at a time, plus some other uncomfortable stuff.
For me, the mask felt pretty unobtrusive. It's very light and all the straps are nicely padded for comfort. It feels kinda like sweatshirt material on your face.
I fell asleep like usual with the weird mask thing and woke up feeling better than I usually do.
Ok-Calligrapher-8028@reddit
Definition of unethical life pro tip. Love it ❤️
Bindle-@reddit
Thanks 😂 I felt like my moment had come when I saw the post
Bacongrease83@reddit
Take a couple Benadryl as well.
Bindle-@reddit
OOOOOOOOH
I was trying to think of another OTC drug that would be helpful.
fattrackstar@reddit
I tried the same thing. Had a personal party but it didn't work. They tested me for 2 days and I never went to sleep. I should have done it your way instead of snorting coke for 2 days. /S
Thuggish_Coffee@reddit
OP...triple these numbers if you're from WI and you will be good to go. Triple at minimum btw
Bindle-@reddit
💯
I drink less than the average WI child
dell_55@reddit
This! I was a very heavy drinker when I did my sleep study. So, not drinking would have been very unusual for my lifestyle at the time. I had severe apnea and awful REM cycles.
Got sober in July 2024 and no issues since then. It definitely made a difference when I started weight loss injections. They were covered due to apnea despite me not having it anymore.
Imaginary-Angle-42@reddit
Congratulations on stopping drinking!
dell_55@reddit
Thanks! It's crazy how great I feel now compared to a couple of years ago.
comeintravis@reddit
Sir, you are the hero we need.
Bindle-@reddit
🫡
Zeddith@reddit
no coffee or similar drinks either
iH8MotherTeresa@reddit
Ideally, medical professionals lol. This is not a rebuke; people should mimic their normal routine, including whatever substances, food, or drink they normally would. I think you did it right.
ShaunaOfTheDead@reddit
Amazing lol
LostFaithlessness485@reddit
Has anyone tried the surgical option for sleep apnea?
electricsnowflake@reddit
Heads up, I have sleep apnea, have been using a cpap for about a year now and insurance just denied my prescription for a GLP-1.
Apparently things have become more strict since January. My doc says he hasn't had a single GLP-1 prescription approved for apnea this year. We're trying another type, but at this point I'm preparing for private pay.
Good luck!
seascribbler@reddit
I’m not actually sure about the test, so I don’t actually have much advice to offer. I only know that my at home test was negative for it, but it was also that it was inconclusive because of some weird readings. It was hard to keep the equipment on me and a couple times throughout the night they essentially read my vitals as dead. In the study report, it said “heart rate not detected during this time, but we believe this is artifact.” Like, yeah it was because I’m alive. Point being, those things are finicky. That could mean it’s easier to show as positive for it instead of opposite like me. I had to follow up with an in-lab one that gave me confirmed diagnosis of sleep apnea.
rasputin1@reddit
have some benadryl before bed. Will partially collapse your airways
Rhinestone_Cryboy@reddit
So from my own experience (well, my husband’s), even if you have severe sleep apnea, insurance will likely fight you tooth and nail to not cover it.
My husband has severe sleep apnea. He slept so badly that he would fall asleep during the day, sometimes while driving, wake up in the middle of the night and then fall asleep standing up (he hit his head multiple times during this phase). He finally got the sleep study, it confirmed what he already assumed - severe sleep apnea. People at the clinic confirmed they were some of the worst numbers they had ever seen.
He had a surgery to try to correct the issue with his nasal passages that made it harder to breath while he slept, got a cpap, and his doctor prescribed him Zepbound (though he was very overweight, too, the Zepbound was specifically for his sleep apnea).
Things were ok for maybe 6 or so months, though he frequently had to deal with local supply issues, he was able to get Zepbound from Walgreens relatively regularly. Then as he progressed to the higher doses his insurance started to fight him on it. His doctor tried to go to bat for him, he called multiple times, nothing worked. They started to deny it and he could no longer get it through insurance.
He started using compound through a compounding pharmacy instead. It was just easier than trying to fight insurance, and is somewhat affordable (cheaper than out of pocket for name brand at least).
I know that may not be what you want to hear but i just thought I’d share it as a possibility. Sorry I don’t have any good unethical tips.
LabNerd13@reddit
Same my husband has severe apnea (ahi 78) and was obese. Insurance denied. We went the compound route. He has lost 75lbs and I have lost 55lbs in 8 months. Best decision ever.
Bacongrease83@reddit
I have sleep apnea and have worn a cpap for around 15 years. Insurance still refuses to cover weight loss meds for me because it “isn’t medically necessary.”
Plastic-Juggernaut41@reddit
Yeah, this is the same for my sister. We have strong familial issues of heart disease/ failure/ hbp/ thyroid crap/sleep apnea and holding onto weight like it's a joke. Her insurance paid for hers for 3 months. She only lost 20 lbs and just like that they took it away. They literally told her her doctor just needs to perscribe hbp and not weight loss drugs. Asinine.
muso209@reddit
Good grief what a journey! what were the grounds on which insurance was denying your husband’s zepbound? I’ve heard that once folks lose weight, they make you prove why you still need it or some nonsense like that.
Rhinestone_Cryboy@reddit
I asked him and he said he was having to go back and forth between his doctor, some intermediary that his job uses called Sequoia, and the actual insurance. Like, they should be able to talk to each other and actually figure stuff out between them, but things kept getting lost or one would claim their emails were not answered by one of the other parties. My husband calling all 3 multiple times a week to try to figure out who is responsible for what and getting nowhere.
He got tired of the back and forth, the finger pointing, every body claiming it was somebody else’s responsibility. Basically classic insurance bureaucracy. He decided paying a couple hundred out of pocket for compound was worth not having to deal with the nonsense. He says he was ultimately denied because insurance claimed he wasn’t losing weight fast enough.
muso209@reddit
This is literally so god awful. I’m so sorry, what a nightmare and typical US healthcare bs. I hope he’s doing by much better! appreciate you for taking the time to respond :)
Rhinestone_Cryboy@reddit
Thank you for the kind words, I really appreciate that
WetPaperStraw@reddit (OP)
Gosh, insurance should not be this difficult! I’m sorry you and your husband have had to deal with that. Thank you for sharing about his experience going out of pocket with a compounding pharmacy, I’ll definitely keep that in mind as I navigate this!
Rhinestone_Cryboy@reddit
Thanks for the kind words, and good luck. I hope you’re able to find a solution!
Lord412@reddit
Go to the gym and workout.
Chare1155@reddit
I see absolutely nothing unethical about this. I see someone trying to survive. All the haters on here can just get bent. Fuck insurance companies.
forever-salty22@reddit
Do you wake up with a dry mouth? So you snore? If so, you might not need to cheat.
I have severe sleep apnea. The test said I stopped breathing like 90 times an hour or something insane like that. I dont know how the test works, but maybe you could hold your breath 90 times an hour all night long lol
Miff1987@reddit
Get hammered before bed, it will make you snore more
AuroraLiberty@reddit
This isn't unethical. The fact that weight loss drugs are so hard to get is.
FakeAustinite@reddit
You could also eat before a fasted blood sugar test
behind_hazeleyes@reddit
I did a sleep study at the clinic and said I just have insomnia even though I've had trouble feeling since I was about 8. They also said it only took me about 2 hours to fall asleep when I remember looking at my phone about 4 hours after going to bed. Said I slept for 4 hours. Monitored me for 8 hours. So back to not sleeping well I guess.
Dropitlikeitscold555@reddit
Before the test shove broken crayon pieces up your nose
IWantToBuyAVowel@reddit
Just don't go overboard
mattcfo1@reddit
Best of luck! Mine is genuine and I was getting so little oxygen to my brain, my doctor questioned how the hell im still alive lol. That said, if you have any MILD allergies, like cat hair or pollen, consider triggering them somehow
connorisntwrong@reddit
If you are prepared to pull an all nighter, and aren't having to do this in a clinic (at home testing), this is the best thing I can think of.
You are going to want to "fall asleep" at your usual time, but really you are just going to focus on your breathing and meditate enough to get your heart rate to a normal sleep heart rate. Every few minutes, you are going to need to hold your breath (or if you can, exhale and leave air out of your lungs as long as possible) while repeating this cycle as much as you can.
If you are doing this in a monitored setting, this will be difficult to fake, but you can have the added benefit of being able to snore really loudly, gasping for air, and choking at random intervals.
When you "wake up" the next morning (if you are in a clinic), tell them your throat hurts, you have a headache, and that you are very tired. If you need to go back and report to them, tell them the same things.
teachingscience425@reddit
Sleep docs make good money selling cpap machines. It won’t take a lot to convince them to check that box. The problem will be that you are personally liable for the cost if you do not use it. The machine has a cell phone connection and it calls in your data every morning. My insurance requires I use it at least 4 hours a night to pay coverage.
Jacks_Lack_of_Sleep@reddit
Once you have a prescription you can buy one online. No monthly rental fee and you only use as often as you need to. No need to report to insurance.
Your sleep doctor will still want the info from it when you follow up with them but it’s for treatment purposes
This-Cabinet397@reddit
Most folks don’t want to pay $1000+ for a machine that they could get for $200 (typically covered at 80/20)
Jacks_Lack_of_Sleep@reddit
Every insurance plan is different. When I was getting mine, I’d have to pay $150/month with no choice at all in the machine.
I spent about $550 on a low end one that is fine. It’s noisy but not terribly so. It is quieter than the sound machine in my kid’s bedroom.
This-Cabinet397@reddit
Sure they’re all different. That’s why I said “typically”. Some are high deductible plans where you basically have no coverage until you spend thousands of dollars. But a typical plan covers durable medical equipment at 80%.
breathing__tree@reddit
Are you serious???
eatingganesha@reddit
yes. All your data gets sent to your sleep center. They monitor for compliance. They also get all kinds of data that helps in your treatment and can help them determine settings and additional treatment (like an Aspire implant). They even call periodically to ask you to bring the SD card in when it’s full so it can be wiped.
followupquestion@reddit
I’m very surprised your CPAP machine doesn’t just record over the oldest data the way home security cameras use their local storage. Maybe it’s just your particular machine, because I have friends who use a CPAP, including taking it on cruises, and the cellular connection thing has never been an issue.
throwawayyyyygay@reddit
Black Mirror
floofienewfie@reddit
Yes, this is true.
spaceporter@reddit
American dystopia right there.
OkeyDokey654@reddit
I had to turn in the SD card after a certain amount of time to prove I’d been using the machine.
meest@reddit
Luckily my Insurance doesn't require it. I turned off the cellular right away. There was no information on where and who saw that data. Working in IT I was like hell no, not until I understand where my information is going.
They didn't want to discuss further. So it stays off
ApolloXLII@reddit
They’re not just watching and listening to you sleep , they hook a bunch of sensors up to your head and monitor what sleep cycles you’re in, too. I laid in bed for 3 hours with my eyes closed laying still before I fell asleep, they knew the exact moment. The next morning they were like “does it typically take you that long to sleep or was it just uncomfortable?”
You can’t fake it.
say592@reddit
Depends on the test. I had one at home test that was literally just a pulse oximeter. That's it. I had another that had various sensors.
For diagnosing sleep apnea, at home tests are becoming more common than in person.
PrivilegeCheckmate@reddit
If they put a bunch of electrodes on your scalp, they'll know.
pellakins33@reddit
My at home test said I slept for three times longer than I actually did and that I slept on my side, which is physically impossible for me. So yeah, pretty easy to fool, lol
OkeyDokey654@reddit
Yes, a home test will be much easier to fool.
MmmmMorphine@reddit
Noooo.... Not only do they monitor brainwaves and more for sleep stages, but you think you can meditate or whatever this long? Without years of practice I mean.
There is no way
texasgolftraveler@reddit
You can get compound tirzepitide for around $150/mo. Look for that subreddit…. No need for games. Insurance will probably deny it either way. I’ve been on compound 3 months and down 40#
pennylane_9@reddit
I second this. I’m down 40lbs in 3 months as well and paid $450 for a three-month supply through my online provider… just re-ordered a higher dosage for the same price, too.
variousnewbie@reddit
Is that 3 month total cost using an online Dr? A friend of mine is on a glpt but having trouble with coverage. I don't know which one he's taking though.
pennylane_9@reddit
Yep! $450 total cost.
noseatbeltsong@reddit
can i DM you? i’m on zepbound but im still paying $450 a month with insurance and it’s so unsustainable. i’m in the subs but there’s so much conflicting info about providers and who is still shipping out vs stopping production etc
pennylane_9@reddit
Yeah absolutely
WetPaperStraw@reddit (OP)
Yeah I’m definitely open to just paying for it out of pocket! My PCP and my specialty doc both recommended doing the sleep test just in case though. I’m glad to hear you’re having success with tirzepitide! My PCP gave me a month sample of wegovy pills, but it’s a pretty low dose and I’ve only been on it for like a week so I haven’t really experienced anything yet
say592@reddit
Wegovy pill starts at $149/month. Not even a compound, name brand. Full dose is $299/month.
Similar_Ruin_2821@reddit
Mind if I ask your dose? I keep hearing these crazy numbers in 90 days but I only lost 6 in the first month. And eating like once a day…
texasgolftraveler@reddit
6 in the first month is totally normal… keep up the good work! If you start getting hungry titrate up slowly every 4 weeks. Goal should be to stay on the lowest effective dose. 1-2lbs per week is the goal faster than that and you will lose all your hair. I have had a little hair loss
Similar_Ruin_2821@reddit
Thank you so much for the thoughtful advice. I’m on 2.5/wk. I notice I get hungry toward the end of the week. Doc just refilled and said she didn’t wanna go up to 5/wk.
I have 💩 gallbladders in my family and have had my own act up. She said no side effects was good and didn’t wanna go up.
Idk. I feel like end of the week appetite is a bit of a struggle. Does that make sense?
texasgolftraveler@reddit
If you do compound instead of Zep from Lilly you can go up in smaller increments
Similar_Ruin_2821@reddit
Tysm. I was concerned compounds or maybe less effective? I’m just waiting on my new pen so I guess I’ll be at 2 1/2 for another month at least.
eatingganesha@reddit
some people are super responders. It’s just very individual. Losing 1-2 lbs a week is the average. If you’re not losing at that level, and if you aren’t having side effects, up your dose.
texasgolftraveler@reddit
Started at 2.5… currently at 4.5mg/wk. I’ve basically quit drinking and eat (choke down) 1 small healthy meal a day and 2 protein shakes.
eatingganesha@reddit
$150 per month here since Thanksgiving. Same price regardless of dose (I’m at 15). Down 40lbs and goal weight in sight. Metabolic Disease Ass officially kicked.
OrganicMix3499@reddit
Home tests are WORTHLESS!!! I did two that came back negative and very mild. Then did one at the sleep clinic and the actual results..........very bad apnea (>100 disruptions). That led to surgery and relief.
Tip for clinic test - take an ambien. It doesn’t effect the results and let's you sleep. Did one w/o ambien and tossed & turned all night.
BH-NaFF@reddit
Jfc just do the work. Everyone these days relying on GLPs makes me sick. Fix your diet and go to the gym. Seems like you’re off the steroids now so your hormones should be back to normal and you should have no problem maintaining/losing weight.
pennylane_9@reddit
My dude, fuck off. Save your myopic, preachy bullshit for someone who actually asked your opinion, k?
BH-NaFF@reddit
No. People are lazy. GLPs aren’t the answer.
PrivilegeCheckmate@reddit
Fuck all the way off with your attitude and go sacrifice a chicken to Steve Jobs or something.
deleted_by_reddit@reddit
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FourCheeseDoritos@reddit
How ableist of you.
BH-NaFF@reddit
Just say you’re lazy. If you have a hormonal imbalance it is kind of different, but you don’t need GLPs to fix yourself and it should be a last resort after diet, exercise, and lifestyle changes. My levels were all out of whack and I never touched a GLP while losing weight. This person is off steroids and are back to normal hormonal levels. If you think this is ableist you’re slow. Safe that talk for people with real disabilities. Being obese is not a real disability.
FourCheeseDoritos@reddit
Just say I’m disabled with intractable, chronic pain, dickhead.
banshithread@reddit
Congrats on doing it the hard way, dude. Bet you built a lot of good habits on that journey that will keep you going strong in the future.
Blackwatch007@reddit
You really need to put the phone down and touch some ol fashion grass, casper. You’re getting way too excited behind that keyboard. You’re only doing yourself a disservice by lashing out like a gremlin.
RealMcGonzo@reddit
It's a fuckton easier to lose weight when you get a solid night's rest first.
penywisexx@reddit
GLP-1 meds have a ton of other benefits other than weight loss. I lost 30 pounds through diet and exercise before I started my GLP-1 treatment and my weight loss pace has not changed (about 10 pounds a month since I started in December). However I have less inflammation and my blood work is a lot better and I have been able to quit several medications, I have a lot fewer migraines and my post concussion syndrome from a TBI that I had almost 20 years ago is a lot better. I goto the gym everyday, I diet and I take Zepbound. I am a disabled veteran and I feel that I can finally go back to work soon for the first time since I was medically retired as my “brain fog” has gone.
BH-NaFF@reddit
Yeah true, this person however isn’t even trying to do anything. They’re just going right to insurance fraud to try and be prescribed GLPs without even so much as mentioning diet or exercise.
WetPaperStraw@reddit (OP)
Whoa, you’re making a lot of assumptions about me based on one post in unethical life pro tips.
BH-NaFF@reddit
Don’t need to make many when you’re asking about how to commit insurance fraud to get a GLP drug paid for you😂😂 go to the gym fatty
penywisexx@reddit
Well this is UnethicalLifeProTips that they’re asking for advice in.
KNugget7@reddit
lmfao, this happeed to me just today. I had 14.3 sleep interruptions and my insurances requires 15 or more to cover ozempic or wegovy
manchesterguy33@reddit
Honestly the fact that your doctors gave you the wink wink says everything about how broken this system is. You're not doing anything wrong. You're just playing by their stupid rules. Hope the party method works out for you. Get that CPAP and then get those meds. Insurance can kick rocks.
iamacelticsenjoyer@reddit
Failing this test is easy so long as you follow these steps
In the morning when you wake up, go outside and walk 2 miles
Repeat this every morning until you build up to a jog. It’s ok to walk part of the way
Eventually build up so you are running the entire 2 miles every day
Keep doing this at least 5 days a week for one year and you will for sure fail your sleep apnea test.
Good luck!
babsley78@reddit
Sleep doctors are very often corrupt. No one leaves their clinics without a sleep apnea machine which they either get kick backs from or they sell themselves. So don’t worry you’ll end up with sleep apnea whether you have it or not.
Ol_stinkler@reddit
Whatever you do, definitely don't slam a bunch of hard alcohol, take a Benadryl and force yourself to sleep on your back. ;)
WishPsychological303@reddit
Fun fact, one of the "optional" measures of a polysomnography (sleep study) is Penile Tumescence. I don't exactly know WHY this would be measured, but it's on the list.
No_Boysenberry4825@reddit
Why ?
WetPaperStraw@reddit (OP)
That’s interesting! If only I had a penis lol
Specialist-Device920@reddit
Never met anyone who passed it.
RavishingRedRN@reddit
I did lol. Passed the home and the facility sleep test.
Specialist-Device920@reddit
Then why did you take it again?
RavishingRedRN@reddit
Because first, I’m a nurse and I’ve worked for health insurance companies and hospitals/doctors offices and read hundreds of sleep studies and the office notes that go along with them.
I know how the doctor and insurance side works.
I’m a light sleeper in general so having all those wires and testing equipment on me made it difficult to fall asleep. As a result, I didn’t sleep deeply enough to get into REM sleep and I tossed and turned all night. If you don’t get into REM sleep, that’s when the sleep apnea occurs, then the home testing won’t pick it up.
The home test is very limited to what it can detect. One loose wire and it won’t capture anything all night. BUT they are cheaper than sleep tests done in facilities, and they CAN detect obstructive sleep apnea. So insurance companies have patients try the home sleep test first. If that captures your sleep apnea, then case closed, you get treated.
If your home sleep test (HST) was nondiagnostic (either didn’t detect anything or didn’t get enough data) but you are still having the sleep apnea symptoms, then a facility-based sleep test is warranted.
You have sleep specialist who put on all the gear; you’re monitored through the entire night.
Additionally, if sleep apnea is detected in real time while you are there at the facility, they can immediately trial CPAP (the most common and effective treatment for obstructive sleep apnea) in the middle of the sleep. They wake up you, put the CPAP mask on and in real time they can observe and record if the CPAP masks corrects the OSA.
Untreated sleep apnea can cause health problems, including heart arrhythmias, strokes, memory loss, etc.
So long story short, because I failed the home sleep test, had continued symptoms, have 2 family members with known OSA on CPA, and I wanted confirmation as to whether I had it or not, I then took the facility based sleep study after failing my home sleep test.
I slept just as terribly at the facility and didn’t get into REM sleep so the test only detected snoring.
If I wanted to pursue it further, I’d have to get a sleep medication from my doctor to put me into REM sleep for that night just to get an accurate reading. I just haven’t gotten to that point and I’ve made some lifestyle changes that seem to have improved my symptoms.
Hope this helps.
PrivilegeCheckmate@reddit
I am the lightest of sleepers so I had an all-protein meal before bed that night (so I would be less likely to have to urinate) and drank a full dose of Nyquil right before the test. Sailed through. Turns out I am like 99th percentile for my time in REM so I needn't have bothered.
heeero__@reddit
The sleep doctors make money when they diagnose sleep apnea. I've never met anyone that "passed" a sleep apnea test. It's one of those things where you're set up to fail.
SergeantCookie@reddit
I live in austria, I did my second one and "failed", went from heavy to light sleep apnea - even tho I doubt that... Now I'm supposed to get a brace that didn't help much the first time I had it again instead of a CPAP or the throat surgery they promised me. Everything is covered, apart from the brace they are proposing - but the doctors that are proposing it have absolutely no benefit in me paying it...
PrivilegeCheckmate@reddit
This worked for my old buddy but they tell me they don't do these surgeries anymore.
PM_ME_SAD_STUFF_PLZ@reddit
Not really, you can wear an oximeter to bed and check the readings in the morning if you think they're fucking you.
SirDouglasMouf@reddit
If you can induce an allergic reaction that swells your tongue and throat without killing yourself, then you could trigger sleep apnea from snoring.
Or somehow push your lower jaw backwards, which will make breathing more difficult.
They also need at least 3 hours of data, so that may also be helpful.... sleep less, so less data to use.
PrivilegeCheckmate@reddit
This is a terrible and dangerous idea. At most eating foods that cause phlegm formation might be an option.
went_with_the_flow@reddit
Respectfully, you should not do this. Not only is this a shamelful way to illegally aquire a weight loss drug, its absolutely baffling that so many people will take extra steps just to avoid the actual steps to maintaining a healthy body.
Let me know if I got this right. Meds made you gain weight and you want to commit insurance fraud to get free or discounted prescription meds to lose that weight. Have you tried anything else, yet?
Unethical yes, life tip I hardly think so. I know I'm not going to change your mind with this comment, but I hope maybe it resonates someday.
PrivilegeCheckmate@reddit
The motherfuckers should be grateful they're not getting Luigi'd. Fuck insurance companies.
Koumadin@reddit
r/lostreddtor perhaps?
jon080984@reddit
I did a similar thing then they told the DVLA and I nearly lost my driving license as I didnt want the cpap
SneakiBurrito@reddit
Anyone supporting insurance companies are so wildly out of touch from reality. Get the boot off your tongue and go read their policies and tell me they aren’t the ones scamming us!?
Freshouttapatience@reddit
Ty II have to set a ton of alarms all through the night. Hood your breath for as long as you can when it goes off, choke and slowly allow your body to reoxygenate. This will only work if you’re wearing a monitor at home. For my insurance to qualify as a comorbidity, I needed to have like 30 instances or something like that. Find out what yours is and exceed it. I screwed up and didn’t have enough instances to use that to qualify.
CharlesAvlnchGreen@reddit
Yeah I would research the criteria, and also try to find a video or audio of what it sounds like.
Freshouttapatience@reddit
It’s not recording sound. It’s recording your heart beat and oxygen.
CharlesAvlnchGreen@reddit
Ah, so it does! I had a sleep apnea diagnosing app on my phone that recorded you throughout the night so you could see decibel patterns. (Not a medical test, just something to give you an idea whether you had it or not.)
Freshouttapatience@reddit
I mean, that’s kinda diagnostic if you snore, it’ll record that but not everyone with sleep apnea snores.
CharlesAvlnchGreen@reddit
The snoring/noises follow a pattern, at least with severe OSA. Silence for awhile, except maybe a tiny bit of air trying to squeak through. Then gasps and snorts as the patient wakes up briefly to catch their breath. Then silence again.
God knows I've listened to thousands of hours of it at this point. The squeaking through is actually terrifying; like someone letting a tiny bit of air out of a balloon.
Freshouttapatience@reddit
My husband hated that part, when he could tell I wasn’t breathing.
ShadNuke@reddit
With all the serious issues coming from these weight loss drugs, I would never take them. Go exercise. As someone that is barely able to get around due to rheumatoid arthritis, I would never want any of the issues that come from using these new weight loss medications. My step daughter has a couple long term issues with her kidneys, and a friend of my wife has bone density issues and nutrient absorption issues now. Neither one of them had been on the stuff for very long.
thejustducky1@reddit
Don't let it get under your skin, there will always be munching little redditors just waiting to pole-vault at the chance to judge you and be hyper-offended about everything -- laugh at them the same as you would a 6yr old having a tantrum.
EastCoastRose@reddit
You’re going to need at least 5 ‘apneic’ events per hour.
MarquisDeVice@reddit
Just source your own peptides (which is what these weight loss meds are) online. You can get a year's supply for $50-150.
AlienGaze@reddit
Can you explain this a little more please? I am interested and ignorant
5c044@reddit
taking methylene blue will mess with optical spo2 sensors and they will read a lower oxygen count measured. IDK what criteria at home tests use to pass a threshold for apnea. When I checked last it was 12 or so "desaturation events" per night. Maybe if your spo2 is low to begin with using methylene blue you may cross the threshold more?
HommeMusical@reddit
Damn right!
Hope things look up for you. I'm rooting for you from here in Europe.
robsmalls178@reddit
I got you all you do is during the sleep study hold your breath different times during the study wala! You will fail the test.
JoinedReddit@reddit
The drug you're pursuing with a s.apnea Dx mostly works through reducing hunger pangs and giving an artificial nausea feeling. The weight loss is calorie deficit in nature, which is future rebound defined. Whether you get approved or not, go find a daily dog walk and an evening activity and use your breaks to actually just make it happen. I see hundreds of "oh, drug, I can sit around and eat whatever!" patients. The end result years later is not good. AND lots of plans are dropping coverage. So, take care of your actual habits of health.
iMakestuffz@reddit
JoinedReddit@reddit
Oh, well aware.
pellakins33@reddit
I also have a broken immune system and got wrecked by prednisone, it’s the worst. If you’re thinking about trying this, there are a few things to keep in mind:
1- Zepboubd is the only GLP1 approved to treat OSA. That doesn’t mean it’ll be covered, be sure to check your plan.
2- if it’s covered, you’ll almost definitely need prior authorization. That’ll mean step therapy, so you’ll have to try and fail conventional treatments first. Find out what steps you’ll be required try, and what potential issues the treatments might cause for someone who doesn’t have apnea.
3- I’m sure you know this, but most people regain the weight if they stop taking the medication. Make sure you understand the side effects and be prepared to commit to taking it indefinitely.
4- There are other options, like Wellbutrin, Vyvanse or phentermine. These drugs also have side effects, I’m not saying they’re the better option, just that you should know your options.
5- Even you get it covered, GLP1s are crazy expensive, find out what your copay would be.
As far as how to make sure you fail- find out what kind of test they use. Tests like WatchPAT have a fingertip sensor that measures oxygen saturation and heart rate, and sometimes motion. There’s also a chest sensor- tell them you couldn’t get it to stick, or wear it for a bit and then it “falls off”.
DaturaToloache@reddit
Take it while you’re sick. Literally plug your nose some with bandaids or wax. You need a moderate diagnosis for most insurance to bother covering anything
Frosty_Bluebird_2707@reddit
Eat very spicy food. Sleep on your back. Make sure you neck is at an angle that isn’t ideal for breathing. Sneak a Benadryl during your last bathroom trip before bed.
justaskchatgpt@reddit
I seriously hope you fail this test so bad!! MOUNJARO CHANGED MY LIFE
and the only way I got it approved was because I literally just made the a1c diabetes cut off. I’ve been hovering pre diabetes for a while. Although unintentional, my results showed my a1c went from 6.2 (not approved) to 6.5 (approved). Crazy that such a small difference made insurance approve me. People say they would rather not get approved than have diabetes but I say the opposite lol. 7 months in and 60 pounds down PLUS no longer diabetic or even pre diabetic!
Primary-Strawberry-5@reddit
Cross your fingers for me: I have a checkup tomorrow. Got the type 2 diagnosis in January and I’ve been taking all the meds AND using my CPAP and I gained 8 pounds
justaskchatgpt@reddit
t2d diagnosis is by far the easiest way to get (and stay) approved for mounjaro. wishing u the best.
Primary-Strawberry-5@reddit
I’m basically ALL the comorbidities at this point
WetPaperStraw@reddit (OP)
That’s awesome! I’m glad you’re doing better!! It’s kind of wild how you have to be “sick enough” to qualify for something that would help you not get so sick in the first place!
extra_legendary@reddit
Just buy your weight loss drugs through the grey market like everyone else. Cheaper, and you decide the dose.
TheRealATab@reddit
1) Eat a lot of sodium right before bed. 2) practice mouth breathing 3) increase use of antihistamines 4) alcohol and weed like others mentioned 5) sleep on your back and with a lot of pillows so your chin is tucked
Creative_Cat_322@reddit
My wife is a sleep lab RT, she says anything that relaxes you will make apnea worse. So alcohol, sleep on your back, pain medications or muscle relaxers, sleep aids, all of these things will make you snore and get high events per hour. Just don't die.
darknus823@reddit
OTC sleep meds, salty and fried food eaten before sleeping, supine/back sleeping position, and being very sleep deprived (try a whole 24 hours without sleeping before doing the test)
Doodadsumpnrother@reddit
I can’t believe they didn’t sell your insurance a CPAP.
Ok-Equivalent8260@reddit
🥴🥴
Imaginary-Angle-42@reddit
I’m the outlier here I guess. I use a CPAP because I don’t want my husband to find me dead. After quite a few years using it I’m still fighting the hose. But it also mostly helps me not snore so that’s good.
justgwyn@reddit
As a CPAP user with sleep apnea . . . weed, alcohol (wine always was the worst) and sleep as flat as possible on your back.
DZbornak630@reddit
Check out grey market peptides.
InfoCruncha@reddit
Literally just finished a sleep study at home. My doctor told me even a fan or a dog making a noise in the room can be registered as snoring. So I suggest getting a loud fan and cranking it up midway through the night.
60sStratLover@reddit
An at home sleep study does not listen for snoring.
InfoCruncha@reddit
Literally just had my results and the doctor said it does.
swordgeo@reddit
My at home sleep test was bad enough that they called me in to do an in-lab sleep study where an attendant watched me throughout the night and to pinpoint exactly what I needed (I was not faking it and my apnea is real bad)
I don’t know where the line is drawn but if they decide to do that to you, you may struggle to fail on purpose when actively monitored
WetPaperStraw@reddit (OP)
Good to know! Thank you!!
2600sysop@reddit
I hate that shit. Makes me all twitchy
WetPaperStraw@reddit (OP)
Same! I’m glad for it because it literally saved my life, but it’s so hard on the body. Prednisone also gave me wicked hot flashes. I feel like I got a little glimpse into menopause lol
2600sysop@reddit
I like your username.
I just finished a 9-day round of prednisone last week. Asthmatic and had a respiratory infection. 40mg for three days, then 20mg for three days, then 10mg for three days.
Saturday was my last one and I'm just today starting to feel halfway normal again
WetPaperStraw@reddit (OP)
I’m glad you’re starting to feel better! Prednisone has some nasty side effects. I kept getting pneumonia last year and I had to be on prednisone for several months. I started at 60 mg and tapered very, very slowly.
My username still makes me giggle to this day because it’s basically one of the worst things in the world that is also incredibly benign lol
Primary-Strawberry-5@reddit
Makes my blood pressure spike and I’ll sweat like a maniac.
eatingganesha@reddit
search the sub. This question gets asked frequently.
Short answer - you CANNOT fake it past dozens of electrodes. If they smell alcohol on you, they will make you reschedule so don’t bother. At your size, you likely have sleep apnea so just roll with it and see what they find.
And girl, not only do they need to see sleep apnea, you need to also flunk out of a year of cpap treatment.
Join us over on r/tirzepatidecompound when you’re ready to buy direct. It’s about $150/mo to go the compounded route these days.
WetPaperStraw@reddit (OP)
Yeah I’m definitely open to just paying for a GLP out of pocket, but my PCP and Pulmonologist both recommended I at least try to get it covered by insurance. I know insurance is a bitch though so I am trying to keep my expectations low.
penywisexx@reddit
They are doing an at home sleep test, so there’s no worry about alcohol. A lot of insurance won’t require a year of CPAP treatment, they just need a diagnosis of severe OSA (an AHI over 30 typically) and a current sleep study. Easiest way to guarantee a fail of an at home sleep study is have a friend that you know has sleep apnea take the sleep study for you.
TrustMeIaLawyer@reddit
Have someone you know that has sleep apnea take the at home test instead of you without their cpap.
WetPaperStraw@reddit (OP)
I would totally do this if it were an option!
Sum-Duud@reddit
sleep on your back, that's all I got. I've got it but was diagnosed back when you could only go get a sleep study to get the diagnosis. No idea what its like now. Not sure if someone waking you up would do it or not, maybe they'd have to put their hand over your mouth for a few seconds to wake you, just trust them to take their hand off... (only adding this last bit because of the sub we're in)
Servovestri@reddit
Yea most modern insurances now will tell you to get stuffed or get a CPAP if your apnea is bad. You're better off eating a shitload of sugar and then getting a few blood tests done for that pre-diabetic shit.
ktslaughing@reddit
just so you know, insurance will require usage reports from the cpap. if they don’t see enough episodes where the machine kicked in, they will question everything. they are always watching!
WetPaperStraw@reddit (OP)
Yeah my speciality doc said that I would need to use the CPAP for 6 out of 10 days and I think for at least like 4 hours a night. If it turns out I really do have sleep apnea then I will definitely use it. When I was sick last year, I had to use a BIPAP machine while in the hospital and it was honestly the best sleep I have ever had!
60sStratLover@reddit
You may actually have sleep apnea. Congrats!!
Redsquirreltree@reddit
If your insurance is Medicare, they recently changed the rules on this, look them up because you might qualify.
FourCheeseDoritos@reddit
They were exactly as she described as of one month ago.
Redsquirreltree@reddit
I learned of the new rules yesterday.
They start soon.
ChristSavesForever@reddit
You can also set an alarm to wake you up every few minutes
Arratril@reddit
As an FYI, my insurance required that I use my CPAP machine for a minimum numbers of hours over a minimum times per month for them to pay for my CPAP machine. So it’s a risk if you don’t plan to use it. Super grateful for my CPAP though, as much as I hate needing it.
ThatKaleidoscope8736@reddit
You might just fail it without having to "cheat"
WetPaperStraw@reddit (OP)
It’s certainly a possibility! I guess I was asking because I was curious how I could improve my odds lol
Tiny-Opportunity-369@reddit
I have TERRIBLE sleep apnea. Did the at home and sleep study overnight tests, absolutely have sleep apnea and 35% BMI. Insurance denied GLP1 twice.
WetPaperStraw@reddit (OP)
Insurance truly should not be this difficult! I’m so sorry you experienced that
lo-lux@reddit
Slip the nurse a $20, or tell her your story, she may take pity on you. That way you save $20.
_tater_thot@reddit
Just buy Tirzepatide online cheaper without insurance
WetPaperStraw@reddit (OP)
I’m definitely open to that! I’ve even discussed buying out of pocket through my doctor. He suggested trying the sleep test though just in case so I figure why not
madkins007@reddit
Just FYI, I weighed 470, had sleep apnea for decades, use a CPAP, AND have diabetes and my doctor still had to jump through hoops to get my weight loss meds covered.
But they are helping quite a bit.
WetPaperStraw@reddit (OP)
Wow, I’m sorry that was your experience. That sounds so frustrating! Insurance should really cover a lot more and not be so difficult to use
Fhloston-Paradisio@reddit
Have your partner smother you with a pillow every time you fall asleep!
Fuzzy_Stingray@reddit
Sleep deprived makes apnea worse so stay up the whole night before the test.
Reasonable-Crab4291@reddit
I have severe sleep apnea my insurance agreed to cover it. My co pay is 450.00 a month. I can’t afford it!
CharlesAvlnchGreen@reddit
That's how much I self-pay for Zepbound 10mg through Lilly Direct. But these are the vials, not the autopen.
Did it help your sleep apnea, though? My BF has a diagnosis but his insurance is making him try a CPAP first, and he doesn't want to use it. :(
Reasonable-Crab4291@reddit
I am using a cpap right now. I am going to apply to the zepbound patient assistance program.
watsagoodusername@reddit
Doctor here with a friend who used to work as a sleep study technologist. Sleep apnoea normally has you choking and subsequently not breathing for dozens to hundreds of times a night, sometimes with episodes going up to a minute at a time.
Unless you’re willing to stay up the ENTIRE night and voluntarily deprive your brain of oxygen every few minutes for up to a minute at a time, I reckon this is a bit out of your depth.
AvoirReves@reddit
Good grief, I could fail a sleep apnea test at home for sure if I could do it in my own bed because my cats m-f-g wake me up several times a night by walking on me, meowing in my face, fighting with each other. Do you have an annoying cat?
TheSamurabbi@reddit
I don’t think you need a cpap machine. I think you need a cat murder machine.
its_edamame@reddit
Nooooo
AvoirReves@reddit
Fortunately for me I don't have sleep apnea anymore, I had surgery and it was resolved! So I have had a couple of those tests before. I hated the cpap machine, and you are probably right my cats probably would have wound the tube around my neck thereby cutting off their food source.
ThrowinSm0ke@reddit
If I wake my self up from snoring, it typically means I drank WAY too much and am going to feel like shit the next day.
Thpfkt@reddit
Sleep with someone in the room, have them pinch your nose closed every 15 mins or so.
J_Side@reddit
This seems like the easiest and most reliable solution
cyberdude419@reddit
Drink alcohol right before your test but don’t get shitfaced, and sleeping on your back makes apnea worse, stay on your back during the test.
Leaf-Stars@reddit
Stay awake, watch tv all night and keep holding your breath periodically
bythisriver@reddit
tbh this is the answer
grue2000@reddit
WHAT insurance do you have that covers weight loss drugs if you have sleep apnea?
My insurance is better than most and mine doesn't.
CharlesAvlnchGreen@reddit
Check your policy, because many of them have tightened up rules on GLP-1s. Just last week, after nearly a year of pestering him, my BF finally was convinced to go in for a sleep test -- because he wants Zepbound
Sure enough, he came away with a severe sleep apnea diagnosis. However, his insurance won't cover it until he tries CPAP first. This was a new thing, effective 2026.
LeFreeke@reddit
Can you put something on nose to pinch it shut? Or stuff it.
charliekelly76@reddit
This gets asked a lot, you can search this sub.
Short answer, you can’t, and it doesn’t matter because most US insurance still won’t cover.
MjrGrangerDanger@reddit
I found out that if you take Benadryl or similar drowsy inducing antihistamines (eg Claritin, Zyrtec, etc won't work) you will fail a MSLT. That's the daytime sleep test for Narcolepsy and similar sleep disorders.
DoubleBreastedBerb@reddit
So what you want to do is get kidney failure, then do dialysis, and then get a transplant and suddenly the insurance company is very eager for you to stay healthy and approves the GLP-1.
penywisexx@reddit
Easiest way to fail an at home sleep apnea test is to have a friend with sleep apnea take the test for you, otherwise get drunk, sleep on your back and don’t use pillows
Feeling-Necessary628@reddit
Shove a gummy bear up your nose.
QuarkQuake@reddit
Z
Lifeisaplaceboeffect@reddit
Stay on your back as much as possible
Becaus789@reddit
Prop pillows underneath your arms so you can’t roll over and sleep with a small decline to your head if possible. Like maybe prop some bricks under the foot end bedposts.
Single_Asparagus4793@reddit
If AHI is 5 or over, that’s considered mild OSA and you can still be prescribed a CPAP for it. Being prescribed a PAP device should show that the condition is “clinically significant”. That being said, not hard to achieve an AHI of 5 if you’re overweight, you snore, fragmented sleep, stop breathing, etc.
Unethical tip. Drink alcohol beforehand
BearNorthFab@reddit
I think I'll chime in. I was diagnosed with moderate sleep apnea and actually getting the machine has drastically changed my life. This also qualified me for a glp 1. With that said I would find out what your insurance covers medication wise. It's one thing getting approved, but if they only cover a small percentage until you hit your deductible/ out of pocket phase then it will be expensive come January. I speak from experience. As others have said, there are a lot of good and safe compounding pharmacies out there that can get you on this journey for a fractional cost. I would research them. Failing the sleep apnea test is person specific and what works for some might not work for others. But good luck to you.
palmburntblue@reddit
My insurance’s policy in GLP-1s and sleep apnea requires a severe condition. You will be graded and assessed based on that grade.
My wife has the worst sleeping state of anyone I’ve ever known and she did not make the grade for covered GLP-1s.
RavishingRedRN@reddit
Have you actually looked at the medical policy on the GLP-1 drugs?
I would look at your health plans medical policy page and find it.
I would highly recommend it as there may be more stipulations than just those 3 chronic conditions. If you get to see the policy, you’ll know exactly what the criteria are. That’s half the battle.
Source: worked for health insurance, also a nurse.