My b. friend has severe sleep apnea along with irregular heart. He is also over-weight.
He uses a c-pap machine. It takes a little getting use to but it WORKS!
I have a co-worker who had a severe sleep apnea, he did not like the C-pap machine and opted for the surgery. He is also very over-weight.
If you are over-weight loose the weight. Give the machine a chance, it
might take some getting use to. My B-in-law never liked it.
The surgery for sleep apnea is an option for a last resort.
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