I wonder if any of you guys have read or know about, and can offer your valued input, on the relationship between TRT and obstructive sleep apnea.
In Nov. 2013, I got started on T injections (supplementing with low-dose hcg a little later). I initially sought out the T therapy due to feeling fatigued during the day, that was the primary reason, with the sexual thing not being as much of an issue but still a bit of a problem sometimes. I'm in my 50s. My first blood tests showed a T level of 211, really low.
Last year (2015), I was diagnosed with moderate sleep apnea. One factor is that I had a deviated septum in the left nostril, and I fixed that just about 6 weeks ago with septoplasty surgery. It seems to have improved the apnea problem, just based on listening to iPhone recordings of myself snoring at night. (Yeah, fun times, listening to that during my commute in the morning instead of cranking the tunes, lol.)
So now I discover articles saying that studies were done that point to testosterone therapy actually CAUSING sleep apnea. The articles say that low T can cause or exacerbate sleep apnea, and in turn sleep apnea can cause low T, because the T isn't allowed to rise at night since it only rises during deep REM sleep and that's what apnea prevents from happening. So, that's a vicious cycle. So, you'd think that going on T therapy would break that cycle. But no, they say that T therapy can cause sleep apnea also. (Drugwatch is one such site that says this.) What's up with that?
Now. I don't actually know if I had apnea before doing T (although I'm gonna say probably). And I'm wondering if the T therapy is making the apnea worse. But then going off of it and having a T level back down at 200-something would make it worse also, apparently. So this is worrying me, because it seems like I'm screwed no matter if I stay on the T therapy or go off of it. What to do? I've yet to talk to a sleep or a T doctor who knows about both subjects and is aware of this relationship between the two.
They gave me a CPAP machine. That thing gave me major sinus problems. I mean, MAJOR sinus weirdness after using it for a while, sneezing, runny nose, congestion, irritation of the inside of the nose, etc. Sounds like cold or flu but it wasn't; it was the damn machine. HATE that thing and simply cannot use it. So am looking for alternatives.
Just throwing this out there to see if anyone has researched TRT and OSA (obstructive sleep apnea) and has any input. Thanks.