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Wellbeing · Sleep · continued

Second pass at: Sleep apnoea improving and the equipment implications posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

HJ
h.jansenTL2 Moderator17 Jun 2026#61

post #60 is right about the mechanism and I think understates the practical bit.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

9 likes 1mo
EF
erratum_fileTL3Regular18 Jun 2026#62

Worth separating two things that post #58 runs together.

Gastrointestinal effects overnight: nausea or reflux or constipation at night can disrupt sleep. Dosing timing (morning versus evening) might help if nighttime GI symptoms are the problem.

21 likes 1mo
AK
an.kirchnerTL2 Moderator19 Jun 2026 · edited#63

Stimulants and sleep: if supplementing with caffeine or other stimulants for energy during weight loss, timing and dose matter for sleep. Evening stimulant use interferes with sleep.

0 likes 1mo
GC
glossary_checkTL2Member20 Jun 2026#64
m.radich, post #6: Coming back to post #4, because the follow-up matters more than the original answer. Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes. Go to post

Sleep quality versus quantity: some people report changes to sleep duration; others report changes to sleep quality without duration change. Both can matter for recovery and daytime function.

1 like in reply to #6 1mo
AN
a.nascimentoTL2 Moderator21 Jun 2026#65

post #64 answers the question as asked. The question underneath it is different.

Obstructive sleep apnoea: pre-existing OSA can worsen with weight before it improves (apnoea-hypopnoea index goes up as soft tissue inflames before weight is lost). This is self-limited but uncomfortable during active weight loss.

6 likes 1mo
DB
d.bramleyTL3Regular23 Jun 2026#66

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

15 likes 1mo
AK
a.krastevTL2 Moderator24 Jun 2026#67
glossary_check, post #64: Sleep quality versus quantity: some people report changes to sleep duration; others report changes to sleep quality without duration change. Both can matter for recovery and daytime function. Go to post

Energy and sleep needs: rapid weight loss increases real metabolic stress. Sleep needs might increase even though appetite for food has decreased. Prioritising sleep is prudent during active weight loss.

30 likes in reply to #64 1mo
G
GEldridgeTL3Regular25 Jun 2026#68
b.kowalski, post #13: Two things before anyone answers the substance. First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound. Go to post

Coming back to post #66, because the follow-up matters more than the original answer.

Stimulants and sleep: if supplementing with caffeine or other stimulants for energy during weight loss, timing and dose matter for sleep. Evening stimulant use interferes with sleep.

0 likes in reply to #13 1mo
FE
f.espinozaTL2 Moderator26 Jun 2026 · edited#69

Sleep hygiene: basics (cool dark room, consistent sleep time, no screens before bed) matter more during energy deficit because stress and sleep need are higher.

3 likes 1mo
W
WoodhouseTL2Member27 Jun 2026#70

Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes.

10 likes 1mo
CV
c.vermeulenTL228 Jun 2026#71
LF
l.ferreiraTL2 Moderator30 Jun 2026#72
h.oyelowo, post #5: Picking up post #2: that is the part I would want checked first. I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the… Go to post

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

26 likes in reply to #5 28d
G
GDashwoodTL3Regular1 Jul 2026#73

On post #69 — agreed on the reasoning, with one qualification.

Gastrointestinal effects overnight: nausea or reflux or constipation at night can disrupt sleep. Dosing timing (morning versus evening) might help if nighttime GI symptoms are the problem.

13 likes 27d
SS
s.solbergTL2 Moderator2 Jul 2026 · edited#74

post #73 answers the question as asked. The question underneath it is different.

Appetite suppression and nighttime eating: if nighttime eating was a pattern, appetite suppression changes that pattern. Sleep can worsen if nighttime waking is habitual and now there is no appetite-based reason to wake.

4 likes 26d
VK
v.klausenTL3Regular3 Jul 2026#75
o.vogel, post #29: post #28 answers the question as asked. The question underneath it is different. Obstructive sleep apnoea: pre-existing OSA can worsen with weight before it improves (apnoea-hypopnoea index goes up as soft tissue inflames before weight is lost). This is self-limited but uncomfortable during active weight loss. Go to post

Sleep apnoea improvement: as weight is lost, sleep apnoea usually improves. The timeframe is weeks to months, not immediate. Improvement often is gradual rather than sudden.

0 likes in reply to #29 25d
YR
y.ramosTL2 Moderator4 Jul 2026#76
b.kowalski, post #13: Two things before anyone answers the substance. First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound. Go to post

Obstructive sleep apnoea: pre-existing OSA can worsen with weight before it improves (apnoea-hypopnoea index goes up as soft tissue inflames before weight is lost). This is self-limited but uncomfortable during active weight loss.

19 likes in reply to #13 24d
ID
integrator_draftTL3Regular5 Jul 2026#77

Worth separating two things that post #73 runs together.

Appetite suppression and nighttime eating: if nighttime eating was a pattern, appetite suppression changes that pattern. Sleep can worsen if nighttime waking is habitual and now there is no appetite-based reason to wake.

8 likes 23d
PF
p.friskTL2 Moderator6 Jul 2026#78

Gastrointestinal effects overnight: nausea or reflux or constipation at night can disrupt sleep. Dosing timing (morning versus evening) might help if nighttime GI symptoms are the problem.

2 likes 21d
EK
e.kuuselaTL2 Moderator8 Jul 2026#79
m.radich, post #6: Coming back to post #4, because the follow-up matters more than the original answer. Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes. Go to post

Stimulants and sleep: if supplementing with caffeine or other stimulants for energy during weight loss, timing and dose matter for sleep. Evening stimulant use interferes with sleep.

28 likes in reply to #6 20d
JM
j.mwangiTL4 Moderator9 Jul 2026#80

Picking up post #77: that is the part I would want checked first.

Energy and sleep needs: rapid weight loss increases real metabolic stress. Sleep needs might increase even though appetite for food has decreased. Prioritising sleep is prudent during active weight loss.

13 likes 19d
MC
m.coelhoTL2 Moderator10 Jul 2026#81

Sleep hygiene: basics (cool dark room, consistent sleep time, no screens before bed) matter more during energy deficit because stress and sleep need are higher.

15 likes 18d
BS
b.solbergTL2 Moderator11 Jul 2026#82

I read post #80 twice before replying, because I had assumed the opposite.

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

30 likes 17d
B
BGiordanoTL2Member12 Jul 2026#83
sa.rasmussen, post #59: Sleep apnoea improvement: as weight is lost, sleep apnoea usually improves. The timeframe is weeks to months, not immediate. Improvement often is gradual rather than sudden. Go to post

post #82 is right about the mechanism and I think understates the practical bit.

Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes.

1 like in reply to #59 16d
BV
b.vestergaardTL2 Moderator13 Jul 2026#84

When sleep problems need attention: if sleep does not improve as weight loss continues or if it worsens, discussing with a clinician is prudent. Sleep disorders are real and treatable.

6 likes 15d
CD
cannula_driftTL3Regular14 Jul 2026#85

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

22 likes 14d
AM
a.mwangiTL2 Moderator15 Jul 2026#86
r.erdogan, post #24: Sleep apnoea improvement: as weight is lost, sleep apnoea usually improves. The timeframe is weeks to months, not immediate. Improvement often is gradual rather than sudden. Go to post

Sleep quality versus quantity: some people report changes to sleep duration; others report changes to sleep quality without duration change. Both can matter for recovery and daytime function.

0 likes in reply to #24 12d
BR
buffer_reviewTL3Regular17 Jul 2026 · edited#87
c.kuusela, post #53: Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes. Go to post

post #86 answers the question as asked. The question underneath it is different.

Sleep apnoea improvement: as weight is lost, sleep apnoea usually improves. The timeframe is weeks to months, not immediate. Improvement often is gradual rather than sudden.

3 likes in reply to #53 11d
SV
sa.vogelTL2 Moderator18 Jul 2026#88

On post #84 — agreed on the reasoning, with one qualification.

Stimulants and sleep: if supplementing with caffeine or other stimulants for energy during weight loss, timing and dose matter for sleep. Evening stimulant use interferes with sleep.

10 likes 10d
NS
n.silvaTL2 Moderator19 Jul 2026#89

When sleep problems need attention: if sleep does not improve as weight loss continues or if it worsens, discussing with a clinician is prudent. Sleep disorders are real and treatable.

29 likes 9d
MH
ms_hollowayTL4Mass spectrometrist20 Jul 2026#90
c.kuusela, post #53: Apnoea monitoring: if you have diagnosed or suspected sleep apnoea, periodic monitoring (annually) during weight loss is prudent because severity changes. Go to post

Sleep quality versus quantity: some people report changes to sleep duration; others report changes to sleep quality without duration change. Both can matter for recovery and daytime function.

0 likes in reply to #53 8d