FULL GUIDE TO FAKING SLEEP APNEA AHI INDEX SCORE

zdc54

zdc54

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Hello buddy boyos, some of you guys may know me from the org cord; but I have some stuff to share with the site :feelshmm:

I present to you all:
FULL THREAD GUIDE TO LARPING AN AHI INDEX


Download 10

So why would you want to fake this? muhh what is a AHI score? :feelsuhh:

AHI is short for Apnea-Hypopnea Index, which is typically used to measure sleep apnea. This is commonly used for sleep study test to measure the severity of OSA (Obstructive Sleep Apnea).

This is done through a polysomnography test, which is either monitored nasally or orally (typically nasally).

Polysomnography tests (sleep study) are an overnight exam that records body functions during sleep. small sensors are placed on your scalp, face, chest, and legs to measure brain waves (EEG), eye movements, muscle activity, heart rhythm, and breathing. airflow is tracked through nasal prongs, tubes, or oral sensors, while belts around the chest and abdomen measure effort of inhalation. oxygen levels are checked with a finger probe. the test is painless, done in a sleep lab, and provides detailed data to calculate the ahi score.

Now why exactly would you want to fake this index? Seems pointless; sleeping better is ideal for growth is it not?


one word:

Surgery.



Im going to list THEORETICAL AND REASEARCH HELPING to increasing your AHI Index score on a polysomnography.

<<AFTER YOU ARE DONE READING THIS, READ THE END OF THE THREAD FOR INFO AND SCORING.>>
One of the most effective and least suspicious methods is in fact one of the most simple. This is due to the throat collapse of back sleeping. For those of you who may or may not already have issues, then effectiveness will vary for each person.
Download 11

This diagram shows and demonstrates the palatal collapse caused by OSA. For any user, AHI has been proven to increase the most from back sleeping, due to the risk of temporary airway collapse being determined heavily by your position

This is the first and most recommended method, also impossible to get caught by your provider; since sleeping on your back is already a chronic sleep apnea sufferers' profile for sleep. <<ALSO ATTEMPT TO MAKE YOUR MANDIBLE PUSHED BACK OR TUCKED TO INDUCE MOUTHBREATHING>>

Local anesthetics like lidocaine temporarily reduce sensation in muscle in the upper airway. Reflexes in the throat and pharynx help keep the airway open during sleep; tiny sensory inputs trigger slight muscle contractions that tighten and contract the airway walls. If you blunt those reflexes, the airway is more prone to collapse under negative pressure while breathing in, especially in REM or back-sleeping. That leads to more frequent apneas and hypopneas, which mathematically increases the AHI.

Additionally, numbing the throat can disrupt the normal arousal response. In untreated sleep apnea, partial collapses usually trigger micro-arousals that restore tone and reopen the airway. With dampened sensation, the collapses may last longer or occur more often before the body compensates, raising the recorded AHI score. This effect has actually been observed in research studies where topical anesthetics were used to probe the role of airway reflexes in sleep-disordered breathing.
647f62c40081702e89d53c97 647f4b62459c9dd15a8716d1 Throat20Compressed
This method is possibly detectable/noticeable if being tested by an experienced polysomnographic tester. It is recommended to micro dose the Lidocaine or other topical numbing agents with doses of about <1mg.
Sleep deprivation actually plays a major role in how your airway behaves during a sleep study. When you’re severely deprived of sleep, your brain spends more time in REM rebound once you finally do rest. REM sleep is the stage where your body loses the most muscle tone, including the pharyngeal dilator muscles that normally help keep the throat open. Less tone = more frequent airway collapses.


On top of that, being overtired raises your arousal threshold. In other words, your brain is slower to wake you up when your breathing is obstructed. Instead of a quick gasp or micro-arousal ending a partial collapse, the airway can remain blocked for longer, which increases both the length and number of apneas and hypopneas. This can make the calculated AHI appear higher, because the index reflects both frequency and duration of these events.
This is also another strongly reccomended method, as they cant just deny a tired person jfl :lul::lul:

can possibly increase AHI by 7 points if done correctly

Brainstem depressants can also make AHI scores go up. These substances slow down the nervous system and weaken the signals that normally keep the throat muscles active during sleep. With less tone in the upper airway, it’s much easier for the airway to collapse.


They also blunt the arousal response. Normally, if your breathing stops, the brainstem quickly kicks you into a lighter stage of sleep so the airway reopens. Depressants dull this reflex, meaning apneas can last longer and happen more often before you wake up. The result is an inflated AHI score because both the frequency and duration of events increase.
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GettyImages 1092334754 fd0644493b3148288970e38fd26aead0
This is the least recommended, but most potent and efficient. Could possibly put you in hypoxic state if done too strong, but it is highly unlikely you will get hurt if you're being monitored by people who are responsible for checking your sleep. Micro dosing is recommended, of about 2.75g (Incrementally higher than therapeutic, medical reasons.) <<ALCOHOL IS ALSO A POSSIBLE OPTION, BUT IS NOT RECCOMENDED, AS IT CAN CAUSE A WIDE MARGIN FOR DIFFERENCE IN AHI GRAPHS.

This one is kind of self-explanatory. Clogging or congesting your nasal cavity/passageway can induce mouth breathing for sleep apnea studies. (obvious)
Here are methods ranked G ----> L to induce monitored congestion.
  • standardized allergen challenge (pollen, dust mite, etc.)
  • topical histamine spray
  • topical bradykinin / leukotriene application
  • chemical irritants (capsaicin, acetic acid vapor, smoke exposure)
  • viral infection models (e.g., rhinovirus inoculation)
  • cold dry air provocation
  • hypertonic saline spray / irrigation
  • simple physical factors (supine posture, head-down tilt increasing nasal venous engorgement)

Tissues airway soft palate sleep apnea

Strongly recommended, and would inherently contribute to your AHI Index about 5-6 points if induced properly, and paired with several other methods.




Now that we have covered the methods, I will now go over some proper notes before I conclude this thread.

1. Understanding the AHI Index

AHI Scoring​


  • Normal: <5/hr
  • Mild OSA: 5–14/hr
  • Moderate OSA: 15–29/hr
  • Severe OSA: ≥30/hr


2. Effects on AHI through pharmacological and/or systemic manipulation

Induced sleep deprivation
– Can raise AHI by 10–15/hr
– May shift normal → mild or mild → moderate

Back sleeping (supine)
– Often doubles baseline AHI
– Mild → moderate or moderate → severe

Chin tuck
– Adds 5–10/hr
– Can move mild → moderate

Brainstem depressants
– Raises AHI 5–15/hr
– Mild → moderate or moderate → severe

Induced nasal congestion
– Raises AHI 3–7/hr
– Usually not enough to change category alone

Topical numbing agents
– Small, short-lived increase (1–5/hr)
– Rarely changes severity class

3. Most efficient methods of pairing
Most effective (hardest to distinguish from natural variation)
  • Sleep deprivation (REM rebound)
  • Back sleeping (supine)
  • Chin tuck (neck flexion)
    + Induced nasal congestion
Moderately effective
  • Brainstem depressants (alcohol, sedatives, GHB, etc.)
  • Topical numbing agents
Least effective
  • Equipment tampering (cannula, oximetry, don't even try this jfl, youll get ur sleep study cancelled :feelswah:
  • Exaggerated symptom reporting


Concluding notes

Keep in mind that this is not guaranteed to work, and the possibility of you getting caught still exists (exponentially low, basically ~<3%)
Now its really just a matter of scoring high enough with your AHI test. You can try these methods yourself at home before trying them at an actual sleep study clinic; and see which ones work the best accordingly.

Make sure to put on a good front to a certain group of people (use context clues now, its a separate group from the polysomnographic doctors) about TMJ, trouble chewing, breathing, etc.

Try jutting your mandible back minorly to appear recessed/more recessed (if your reading this, you're probably recessed jfl), speak with an ever so slightly lisp and try to correct yourself a few times on occasion, complain about chronic jaw pain, facia system issues (facial muscles, typically strained from improper skeletal to muscular tension loads)

If all goes well, you may be able to get surgical compensation, IN THEORY


Thanks for reading my research-use only guide bhais
:bigbrain:
 
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High Iq
 
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When i bring this issue up to my ordinal doctor, what to tell him so he sends me to the overnight facility to check it ?
 
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When i bring this issue up to my ordinal doctor, what to tell him so he sends me to the overnight facility to check it ?
Typically if you have preexisting and underlying issues, you can say something like this

I’m concerned I might have sleep apnea. I snore loudly, sometimes wake up gasping, and I’m tired during the day even after a full night of sleep. My family has noticed I sometimes stop breathing at night. Can you refer me for a sleep study?

most insurance providers will refer you, im not sure why they wouldnt. And regardless, they are $600 on average for possibly a free 80k+ surgery in USA.
 
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Typically if you have preexisting and underlying issues, you can say something like this

I’m concerned I might have sleep apnea. I snore loudly, sometimes wake up gasping, and I’m tired during the day even after a full night of sleep. My family has noticed I sometimes stop breathing at night. Can you refer me for a sleep study?

most insurance providers will refer you, im not sure why they wouldnt. And regardless, they are $600 on average for possibly a free 80k+ surgery in USA.
Well, those things dont happen to me tho 😅, i wake up tired, i never sleep good, i snore, and all this but i never wake up or stop breathing.
Also i think its worth mentioning in the thread that, in some countries ig, in mine atleast, you need to be actually recessed to get it insured.
The insurance companies want sometimes both reccomendation for a bimax from orthodontics and from a sleep facility and then they will give u it
And also would be good to say to the guys that they should never mention anything about looks, or ur insurance will not covef you ever.
But yeah high iq post, read every molecule ty🙌🏻
 
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Well, those things dont happen to me tho 😅, i wake up tired, i never sleep good, i snore, and all this but i never wake up or stop breathing.
Also i think its worth mentioning in the thread that, in some countries ig, in mine atleast, you need to be actually recessed to get it insured.
The insurance companies want sometimes both reccomendation for a bimax from orthodontics and from a sleep facility and then they will give u it
And also would be good to say to the guys that they should never mention anything about looks, or ur insurance will not covef you ever.
But yeah high iq post, read every molecule ty🙌🏻
the first part could be figured out with a sleep study, cant do much about the second part, and only time you should ever mention aesthetics is with your surgeon
 
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@keife @Bryce @nestivv @Node May you please bump my friends thread:p
 
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the first part could be figured out with a sleep study, cant do much about the second part, and only time you should ever mention aesthetics is with your surgeon
I agree, but id be careful with it too, dont expect an insured bimax to be same like an aesthetic one, but its like comparing gold to diamond, both ascend so so hard.
 
Hello buddy boyos, some of you guys may know me from the org cord; but I have some stuff to share with the site :feelshmm:

I present to you all:
FULL THREAD GUIDE TO LARPING AN AHI INDEX


View attachment 4036072
So why would you want to fake this? muhh what is a AHI score? :feelsuhh:

AHI is short for Apnea-Hypopnea Index, which is typically used to measure sleep apnea. This is commonly used for sleep study test to measure the severity of OSA (Obstructive Sleep Apnea).

This is done through a polysomnography test, which is either monitored nasally or orally (typically nasally).

Polysomnography tests (sleep study) are an overnight exam that records body functions during sleep. small sensors are placed on your scalp, face, chest, and legs to measure brain waves (EEG), eye movements, muscle activity, heart rhythm, and breathing. airflow is tracked through nasal prongs, tubes, or oral sensors, while belts around the chest and abdomen measure effort of inhalation. oxygen levels are checked with a finger probe. the test is painless, done in a sleep lab, and provides detailed data to calculate the ahi score.

Now why exactly would you want to fake this index? Seems pointless; sleeping better is ideal for growth is it not?


one word:

Surgery.



Im going to list THEORETICAL AND REASEARCH HELPING to increasing your AHI Index score on a polysomnography.

<<AFTER YOU ARE DONE READING THIS, READ THE END OF THE THREAD FOR INFO AND SCORING.>>
One of the most effective and least suspicious methods is in fact one of the most simple. This is due to the throat collapse of back sleeping. For those of you who may or may not already have issues, then effectiveness will vary for each person.
View attachment 4036076
This diagram shows and demonstrates the palatal collapse caused by OSA. For any user, AHI has been proven to increase the most from back sleeping, due to the risk of temporary airway collapse being determined heavily by your position

This is the first and most recommended method, also impossible to get caught by your provider; since sleeping on your back is already a chronic sleep apnea sufferers' profile for sleep. <<ALSO ATTEMPT TO MAKE YOUR MANDIBLE PUSHED BACK OR TUCKED TO INDUCE MOUTHBREATHING>>

Local anesthetics like lidocaine temporarily reduce sensation in muscle in the upper airway. Reflexes in the throat and pharynx help keep the airway open during sleep; tiny sensory inputs trigger slight muscle contractions that tighten and contract the airway walls. If you blunt those reflexes, the airway is more prone to collapse under negative pressure while breathing in, especially in REM or back-sleeping. That leads to more frequent apneas and hypopneas, which mathematically increases the AHI.

Additionally, numbing the throat can disrupt the normal arousal response. In untreated sleep apnea, partial collapses usually trigger micro-arousals that restore tone and reopen the airway. With dampened sensation, the collapses may last longer or occur more often before the body compensates, raising the recorded AHI score. This effect has actually been observed in research studies where topical anesthetics were used to probe the role of airway reflexes in sleep-disordered breathing.
View attachment 4036078
This method is possibly detectable/noticeable if being tested by an experienced polysomnographic tester. It is recommended to micro dose the Lidocaine or other topical numbing agents with doses of about <1mg.
Sleep deprivation actually plays a major role in how your airway behaves during a sleep study. When you’re severely deprived of sleep, your brain spends more time in REM rebound once you finally do rest. REM sleep is the stage where your body loses the most muscle tone, including the pharyngeal dilator muscles that normally help keep the throat open. Less tone = more frequent airway collapses.


On top of that, being overtired raises your arousal threshold. In other words, your brain is slower to wake you up when your breathing is obstructed. Instead of a quick gasp or micro-arousal ending a partial collapse, the airway can remain blocked for longer, which increases both the length and number of apneas and hypopneas. This can make the calculated AHI appear higher, because the index reflects both frequency and duration of these events.
This is also another strongly reccomended method, as they cant just deny a tired person jfl :lul::lul:

can possibly increase AHI by 7 points if done correctly

Brainstem depressants can also make AHI scores go up. These substances slow down the nervous system and weaken the signals that normally keep the throat muscles active during sleep. With less tone in the upper airway, it’s much easier for the airway to collapse.


They also blunt the arousal response. Normally, if your breathing stops, the brainstem quickly kicks you into a lighter stage of sleep so the airway reopens. Depressants dull this reflex, meaning apneas can last longer and happen more often before you wake up. The result is an inflated AHI score because both the frequency and duration of events increase.
View attachment 4036255View attachment 4036254
This is the least recommended, but most potent and efficient. Could possibly put you in hypoxic state if done too strong, but it is highly unlikely you will get hurt if you're being monitored by people who are responsible for checking your sleep. Micro dosing is recommended, of about 2.75g (Incrementally higher than therapeutic, medical reasons.) <<ALCOHOL IS ALSO A POSSIBLE OPTION, BUT IS NOT RECCOMENDED, AS IT CAN CAUSE A WIDE MARGIN FOR DIFFERENCE IN AHI GRAPHS.

This one is kind of self-explanatory. Clogging or congesting your nasal cavity/passageway can induce mouth breathing for sleep apnea studies. (obvious)
Here are methods ranked G ----> L to induce monitored congestion.
  • standardized allergen challenge (pollen, dust mite, etc.)
  • topical histamine spray
  • topical bradykinin / leukotriene application
  • chemical irritants (capsaicin, acetic acid vapor, smoke exposure)
  • viral infection models (e.g., rhinovirus inoculation)
  • cold dry air provocation
  • hypertonic saline spray / irrigation
  • simple physical factors (supine posture, head-down tilt increasing nasal venous engorgement)

View attachment 4036298

Strongly recommended, and would inherently contribute to your AHI Index about 5-6 points if induced properly, and paired with several other methods.




Now that we have covered the methods, I will now go over some proper notes before I conclude this thread.

1. Understanding the AHI Index

AHI Scoring​


  • Normal: <5/hr
  • Mild OSA: 5–14/hr
  • Moderate OSA: 15–29/hr
  • Severe OSA: ≥30/hr


2. Effects on AHI through pharmacological and/or systemic manipulation

Induced sleep deprivation
– Can raise AHI by 10–15/hr
– May shift normal → mild or mild → moderate

Back sleeping (supine)
– Often doubles baseline AHI
– Mild → moderate or moderate → severe

Chin tuck
– Adds 5–10/hr
– Can move mild → moderate

Brainstem depressants
– Raises AHI 5–15/hr
– Mild → moderate or moderate → severe

Induced nasal congestion
– Raises AHI 3–7/hr
– Usually not enough to change category alone

Topical numbing agents
– Small, short-lived increase (1–5/hr)
– Rarely changes severity class

3. Most efficient methods of pairing
Most effective (hardest to distinguish from natural variation)
  • Sleep deprivation (REM rebound)
  • Back sleeping (supine)
  • Chin tuck (neck flexion)
    + Induced nasal congestion
Moderately effective
  • Brainstem depressants (alcohol, sedatives, GHB, etc.)
  • Topical numbing agents
Least effective
  • Equipment tampering (cannula, oximetry, don't even try this jfl, youll get ur sleep study cancelled :feelswah:
  • Exaggerated symptom reporting


Concluding notes

Keep in mind that this is not guaranteed to work, and the possibility of you getting caught still exists (exponentially low, basically ~<3%)
Now its really just a matter of scoring high enough with your AHI test. You can try these methods yourself at home before trying them at an actual sleep study clinic; and see which ones work the best accordingly.

Make sure to put on a good front to a certain group of people (use context clues now, its a separate group from the polysomnographic doctors) about TMJ, trouble chewing, breathing, etc.

Try jutting your mandible back minorly to appear recessed/more recessed (if your reading this, you're probably recessed jfl), speak with an ever so slightly lisp and try to correct yourself a few times on occasion, complain about chronic jaw pain, facia system issues (facial muscles, typically strained from improper skeletal to muscular tension loads)

If all goes well, you may be able to get surgical compensation, IN THEORY


Thanks for reading my research-use only guide bhais:bigbrain:

I'm not even gonna ask, here's a bump.
 
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So free cosmetic surgery basically?
 
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I agree, but id be careful with it too, dont expect an insured bimax to be same like an aesthetic one, but its like comparing gold to diamond, both ascend so so hard.
this is true, but itd give you a good base
 
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bump
 
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Hello buddy boyos, some of you guys may know me from the org cord; but I have some stuff to share with the site :feelshmm:

I present to you all:
FULL THREAD GUIDE TO LARPING AN AHI INDEX


View attachment 4036072
So why would you want to fake this? muhh what is a AHI score? :feelsuhh:

AHI is short for Apnea-Hypopnea Index, which is typically used to measure sleep apnea. This is commonly used for sleep study test to measure the severity of OSA (Obstructive Sleep Apnea).

This is done through a polysomnography test, which is either monitored nasally or orally (typically nasally).

Polysomnography tests (sleep study) are an overnight exam that records body functions during sleep. small sensors are placed on your scalp, face, chest, and legs to measure brain waves (EEG), eye movements, muscle activity, heart rhythm, and breathing. airflow is tracked through nasal prongs, tubes, or oral sensors, while belts around the chest and abdomen measure effort of inhalation. oxygen levels are checked with a finger probe. the test is painless, done in a sleep lab, and provides detailed data to calculate the ahi score.

Now why exactly would you want to fake this index? Seems pointless; sleeping better is ideal for growth is it not?


one word:

Surgery.



Im going to list THEORETICAL AND REASEARCH HELPING to increasing your AHI Index score on a polysomnography.

<<AFTER YOU ARE DONE READING THIS, READ THE END OF THE THREAD FOR INFO AND SCORING.>>
One of the most effective and least suspicious methods is in fact one of the most simple. This is due to the throat collapse of back sleeping. For those of you who may or may not already have issues, then effectiveness will vary for each person.
View attachment 4036076
This diagram shows and demonstrates the palatal collapse caused by OSA. For any user, AHI has been proven to increase the most from back sleeping, due to the risk of temporary airway collapse being determined heavily by your position

This is the first and most recommended method, also impossible to get caught by your provider; since sleeping on your back is already a chronic sleep apnea sufferers' profile for sleep. <<ALSO ATTEMPT TO MAKE YOUR MANDIBLE PUSHED BACK OR TUCKED TO INDUCE MOUTHBREATHING>>

Local anesthetics like lidocaine temporarily reduce sensation in muscle in the upper airway. Reflexes in the throat and pharynx help keep the airway open during sleep; tiny sensory inputs trigger slight muscle contractions that tighten and contract the airway walls. If you blunt those reflexes, the airway is more prone to collapse under negative pressure while breathing in, especially in REM or back-sleeping. That leads to more frequent apneas and hypopneas, which mathematically increases the AHI.

Additionally, numbing the throat can disrupt the normal arousal response. In untreated sleep apnea, partial collapses usually trigger micro-arousals that restore tone and reopen the airway. With dampened sensation, the collapses may last longer or occur more often before the body compensates, raising the recorded AHI score. This effect has actually been observed in research studies where topical anesthetics were used to probe the role of airway reflexes in sleep-disordered breathing.
View attachment 4036078
This method is possibly detectable/noticeable if being tested by an experienced polysomnographic tester. It is recommended to micro dose the Lidocaine or other topical numbing agents with doses of about <1mg.
Sleep deprivation actually plays a major role in how your airway behaves during a sleep study. When you’re severely deprived of sleep, your brain spends more time in REM rebound once you finally do rest. REM sleep is the stage where your body loses the most muscle tone, including the pharyngeal dilator muscles that normally help keep the throat open. Less tone = more frequent airway collapses.


On top of that, being overtired raises your arousal threshold. In other words, your brain is slower to wake you up when your breathing is obstructed. Instead of a quick gasp or micro-arousal ending a partial collapse, the airway can remain blocked for longer, which increases both the length and number of apneas and hypopneas. This can make the calculated AHI appear higher, because the index reflects both frequency and duration of these events.
This is also another strongly reccomended method, as they cant just deny a tired person jfl :lul::lul:

can possibly increase AHI by 7 points if done correctly

Brainstem depressants can also make AHI scores go up. These substances slow down the nervous system and weaken the signals that normally keep the throat muscles active during sleep. With less tone in the upper airway, it’s much easier for the airway to collapse.


They also blunt the arousal response. Normally, if your breathing stops, the brainstem quickly kicks you into a lighter stage of sleep so the airway reopens. Depressants dull this reflex, meaning apneas can last longer and happen more often before you wake up. The result is an inflated AHI score because both the frequency and duration of events increase.
View attachment 4036255View attachment 4036254
This is the least recommended, but most potent and efficient. Could possibly put you in hypoxic state if done too strong, but it is highly unlikely you will get hurt if you're being monitored by people who are responsible for checking your sleep. Micro dosing is recommended, of about 2.75g (Incrementally higher than therapeutic, medical reasons.) <<ALCOHOL IS ALSO A POSSIBLE OPTION, BUT IS NOT RECCOMENDED, AS IT CAN CAUSE A WIDE MARGIN FOR DIFFERENCE IN AHI GRAPHS.

This one is kind of self-explanatory. Clogging or congesting your nasal cavity/passageway can induce mouth breathing for sleep apnea studies. (obvious)
Here are methods ranked G ----> L to induce monitored congestion.
  • standardized allergen challenge (pollen, dust mite, etc.)
  • topical histamine spray
  • topical bradykinin / leukotriene application
  • chemical irritants (capsaicin, acetic acid vapor, smoke exposure)
  • viral infection models (e.g., rhinovirus inoculation)
  • cold dry air provocation
  • hypertonic saline spray / irrigation
  • simple physical factors (supine posture, head-down tilt increasing nasal venous engorgement)

View attachment 4036298

Strongly recommended, and would inherently contribute to your AHI Index about 5-6 points if induced properly, and paired with several other methods.




Now that we have covered the methods, I will now go over some proper notes before I conclude this thread.

1. Understanding the AHI Index

AHI Scoring​


  • Normal: <5/hr
  • Mild OSA: 5–14/hr
  • Moderate OSA: 15–29/hr
  • Severe OSA: ≥30/hr


2. Effects on AHI through pharmacological and/or systemic manipulation

Induced sleep deprivation
– Can raise AHI by 10–15/hr
– May shift normal → mild or mild → moderate

Back sleeping (supine)
– Often doubles baseline AHI
– Mild → moderate or moderate → severe

Chin tuck
– Adds 5–10/hr
– Can move mild → moderate

Brainstem depressants
– Raises AHI 5–15/hr
– Mild → moderate or moderate → severe

Induced nasal congestion
– Raises AHI 3–7/hr
– Usually not enough to change category alone

Topical numbing agents
– Small, short-lived increase (1–5/hr)
– Rarely changes severity class

3. Most efficient methods of pairing
Most effective (hardest to distinguish from natural variation)
  • Sleep deprivation (REM rebound)
  • Back sleeping (supine)
  • Chin tuck (neck flexion)
    + Induced nasal congestion
Moderately effective
  • Brainstem depressants (alcohol, sedatives, GHB, etc.)
  • Topical numbing agents
Least effective
  • Equipment tampering (cannula, oximetry, don't even try this jfl, youll get ur sleep study cancelled :feelswah:
  • Exaggerated symptom reporting


Concluding notes

Keep in mind that this is not guaranteed to work, and the possibility of you getting caught still exists (exponentially low, basically ~<3%)
Now its really just a matter of scoring high enough with your AHI test. You can try these methods yourself at home before trying them at an actual sleep study clinic; and see which ones work the best accordingly.

Make sure to put on a good front to a certain group of people (use context clues now, its a separate group from the polysomnographic doctors) about TMJ, trouble chewing, breathing, etc.

Try jutting your mandible back minorly to appear recessed/more recessed (if your reading this, you're probably recessed jfl), speak with an ever so slightly lisp and try to correct yourself a few times on occasion, complain about chronic jaw pain, facia system issues (facial muscles, typically strained from improper skeletal to muscular tension loads)

If all goes well, you may be able to get surgical compensation, IN THEORY


Thanks for reading my research-use only guide bhais:bigbrain:

Will they not X-ray ur airway and see ur lying
 
Hello buddy boyos, some of you guys may know me from the org cord; but I have some stuff to share with the site :feelshmm:

I present to you all:
FULL THREAD GUIDE TO LARPING AN AHI INDEX


View attachment 4036072
So why would you want to fake this? muhh what is a AHI score? :feelsuhh:

AHI is short for Apnea-Hypopnea Index, which is typically used to measure sleep apnea. This is commonly used for sleep study test to measure the severity of OSA (Obstructive Sleep Apnea).

This is done through a polysomnography test, which is either monitored nasally or orally (typically nasally).

Polysomnography tests (sleep study) are an overnight exam that records body functions during sleep. small sensors are placed on your scalp, face, chest, and legs to measure brain waves (EEG), eye movements, muscle activity, heart rhythm, and breathing. airflow is tracked through nasal prongs, tubes, or oral sensors, while belts around the chest and abdomen measure effort of inhalation. oxygen levels are checked with a finger probe. the test is painless, done in a sleep lab, and provides detailed data to calculate the ahi score.

Now why exactly would you want to fake this index? Seems pointless; sleeping better is ideal for growth is it not?


one word:

Surgery.



Im going to list THEORETICAL AND REASEARCH HELPING to increasing your AHI Index score on a polysomnography.

<<AFTER YOU ARE DONE READING THIS, READ THE END OF THE THREAD FOR INFO AND SCORING.>>
One of the most effective and least suspicious methods is in fact one of the most simple. This is due to the throat collapse of back sleeping. For those of you who may or may not already have issues, then effectiveness will vary for each person.
View attachment 4036076
This diagram shows and demonstrates the palatal collapse caused by OSA. For any user, AHI has been proven to increase the most from back sleeping, due to the risk of temporary airway collapse being determined heavily by your position

This is the first and most recommended method, also impossible to get caught by your provider; since sleeping on your back is already a chronic sleep apnea sufferers' profile for sleep. <<ALSO ATTEMPT TO MAKE YOUR MANDIBLE PUSHED BACK OR TUCKED TO INDUCE MOUTHBREATHING>>

Local anesthetics like lidocaine temporarily reduce sensation in muscle in the upper airway. Reflexes in the throat and pharynx help keep the airway open during sleep; tiny sensory inputs trigger slight muscle contractions that tighten and contract the airway walls. If you blunt those reflexes, the airway is more prone to collapse under negative pressure while breathing in, especially in REM or back-sleeping. That leads to more frequent apneas and hypopneas, which mathematically increases the AHI.

Additionally, numbing the throat can disrupt the normal arousal response. In untreated sleep apnea, partial collapses usually trigger micro-arousals that restore tone and reopen the airway. With dampened sensation, the collapses may last longer or occur more often before the body compensates, raising the recorded AHI score. This effect has actually been observed in research studies where topical anesthetics were used to probe the role of airway reflexes in sleep-disordered breathing.
View attachment 4036078
This method is possibly detectable/noticeable if being tested by an experienced polysomnographic tester. It is recommended to micro dose the Lidocaine or other topical numbing agents with doses of about <1mg.
Sleep deprivation actually plays a major role in how your airway behaves during a sleep study. When you’re severely deprived of sleep, your brain spends more time in REM rebound once you finally do rest. REM sleep is the stage where your body loses the most muscle tone, including the pharyngeal dilator muscles that normally help keep the throat open. Less tone = more frequent airway collapses.


On top of that, being overtired raises your arousal threshold. In other words, your brain is slower to wake you up when your breathing is obstructed. Instead of a quick gasp or micro-arousal ending a partial collapse, the airway can remain blocked for longer, which increases both the length and number of apneas and hypopneas. This can make the calculated AHI appear higher, because the index reflects both frequency and duration of these events.
This is also another strongly reccomended method, as they cant just deny a tired person jfl :lul::lul:

can possibly increase AHI by 7 points if done correctly

Brainstem depressants can also make AHI scores go up. These substances slow down the nervous system and weaken the signals that normally keep the throat muscles active during sleep. With less tone in the upper airway, it’s much easier for the airway to collapse.


They also blunt the arousal response. Normally, if your breathing stops, the brainstem quickly kicks you into a lighter stage of sleep so the airway reopens. Depressants dull this reflex, meaning apneas can last longer and happen more often before you wake up. The result is an inflated AHI score because both the frequency and duration of events increase.
View attachment 4036255View attachment 4036254
This is the least recommended, but most potent and efficient. Could possibly put you in hypoxic state if done too strong, but it is highly unlikely you will get hurt if you're being monitored by people who are responsible for checking your sleep. Micro dosing is recommended, of about 2.75g (Incrementally higher than therapeutic, medical reasons.) <<ALCOHOL IS ALSO A POSSIBLE OPTION, BUT IS NOT RECCOMENDED, AS IT CAN CAUSE A WIDE MARGIN FOR DIFFERENCE IN AHI GRAPHS.

This one is kind of self-explanatory. Clogging or congesting your nasal cavity/passageway can induce mouth breathing for sleep apnea studies. (obvious)
Here are methods ranked G ----> L to induce monitored congestion.
  • standardized allergen challenge (pollen, dust mite, etc.)
  • topical histamine spray
  • topical bradykinin / leukotriene application
  • chemical irritants (capsaicin, acetic acid vapor, smoke exposure)
  • viral infection models (e.g., rhinovirus inoculation)
  • cold dry air provocation
  • hypertonic saline spray / irrigation
  • simple physical factors (supine posture, head-down tilt increasing nasal venous engorgement)

View attachment 4036298

Strongly recommended, and would inherently contribute to your AHI Index about 5-6 points if induced properly, and paired with several other methods.




Now that we have covered the methods, I will now go over some proper notes before I conclude this thread.

1. Understanding the AHI Index

AHI Scoring​


  • Normal: <5/hr
  • Mild OSA: 5–14/hr
  • Moderate OSA: 15–29/hr
  • Severe OSA: ≥30/hr


2. Effects on AHI through pharmacological and/or systemic manipulation

Induced sleep deprivation
– Can raise AHI by 10–15/hr
– May shift normal → mild or mild → moderate

Back sleeping (supine)
– Often doubles baseline AHI
– Mild → moderate or moderate → severe

Chin tuck
– Adds 5–10/hr
– Can move mild → moderate

Brainstem depressants
– Raises AHI 5–15/hr
– Mild → moderate or moderate → severe

Induced nasal congestion
– Raises AHI 3–7/hr
– Usually not enough to change category alone

Topical numbing agents
– Small, short-lived increase (1–5/hr)
– Rarely changes severity class

3. Most efficient methods of pairing
Most effective (hardest to distinguish from natural variation)
  • Sleep deprivation (REM rebound)
  • Back sleeping (supine)
  • Chin tuck (neck flexion)
    + Induced nasal congestion
Moderately effective
  • Brainstem depressants (alcohol, sedatives, GHB, etc.)
  • Topical numbing agents
Least effective
  • Equipment tampering (cannula, oximetry, don't even try this jfl, youll get ur sleep study cancelled :feelswah:
  • Exaggerated symptom reporting


Concluding notes

Keep in mind that this is not guaranteed to work, and the possibility of you getting caught still exists (exponentially low, basically ~<3%)
Now its really just a matter of scoring high enough with your AHI test. You can try these methods yourself at home before trying them at an actual sleep study clinic; and see which ones work the best accordingly.

Make sure to put on a good front to a certain group of people (use context clues now, its a separate group from the polysomnographic doctors) about TMJ, trouble chewing, breathing, etc.

Try jutting your mandible back minorly to appear recessed/more recessed (if your reading this, you're probably recessed jfl), speak with an ever so slightly lisp and try to correct yourself a few times on occasion, complain about chronic jaw pain, facia system issues (facial muscles, typically strained from improper skeletal to muscular tension loads)

If all goes well, you may be able to get surgical compensation, IN THEORY


Thanks for reading my research-use only guide bhais:bigbrain:

High iq but saving for turkey might be better tbh since lots of surgeons in canada/us are bluepilled or sum
 
High iq but saving for turkey might be better tbh since lots of surgeons in canada/us are bluepilled or sum
You haven't a clue what you are talking about
 
High iq but saving for turkey might be better tbh since lots of surgeons in canada/us are bluepilled or sum
bros just typing shit :lul: if you pay a surgeon theyll do the work
 
Hello buddy boyos, some of you guys may know me from the org cord; but I have some stuff to share with the site :feelshmm:

I present to you all:
FULL THREAD GUIDE TO LARPING AN AHI INDEX


View attachment 4036072
So why would you want to fake this? muhh what is a AHI score? :feelsuhh:

AHI is short for Apnea-Hypopnea Index, which is typically used to measure sleep apnea. This is commonly used for sleep study test to measure the severity of OSA (Obstructive Sleep Apnea).

This is done through a polysomnography test, which is either monitored nasally or orally (typically nasally).

Polysomnography tests (sleep study) are an overnight exam that records body functions during sleep. small sensors are placed on your scalp, face, chest, and legs to measure brain waves (EEG), eye movements, muscle activity, heart rhythm, and breathing. airflow is tracked through nasal prongs, tubes, or oral sensors, while belts around the chest and abdomen measure effort of inhalation. oxygen levels are checked with a finger probe. the test is painless, done in a sleep lab, and provides detailed data to calculate the ahi score.

Now why exactly would you want to fake this index? Seems pointless; sleeping better is ideal for growth is it not?


one word:

Surgery.



Im going to list THEORETICAL AND REASEARCH HELPING to increasing your AHI Index score on a polysomnography.

<<AFTER YOU ARE DONE READING THIS, READ THE END OF THE THREAD FOR INFO AND SCORING.>>
One of the most effective and least suspicious methods is in fact one of the most simple. This is due to the throat collapse of back sleeping. For those of you who may or may not already have issues, then effectiveness will vary for each person.
View attachment 4036076
This diagram shows and demonstrates the palatal collapse caused by OSA. For any user, AHI has been proven to increase the most from back sleeping, due to the risk of temporary airway collapse being determined heavily by your position

This is the first and most recommended method, also impossible to get caught by your provider; since sleeping on your back is already a chronic sleep apnea sufferers' profile for sleep. <<ALSO ATTEMPT TO MAKE YOUR MANDIBLE PUSHED BACK OR TUCKED TO INDUCE MOUTHBREATHING>>

Local anesthetics like lidocaine temporarily reduce sensation in muscle in the upper airway. Reflexes in the throat and pharynx help keep the airway open during sleep; tiny sensory inputs trigger slight muscle contractions that tighten and contract the airway walls. If you blunt those reflexes, the airway is more prone to collapse under negative pressure while breathing in, especially in REM or back-sleeping. That leads to more frequent apneas and hypopneas, which mathematically increases the AHI.

Additionally, numbing the throat can disrupt the normal arousal response. In untreated sleep apnea, partial collapses usually trigger micro-arousals that restore tone and reopen the airway. With dampened sensation, the collapses may last longer or occur more often before the body compensates, raising the recorded AHI score. This effect has actually been observed in research studies where topical anesthetics were used to probe the role of airway reflexes in sleep-disordered breathing.
View attachment 4036078
This method is possibly detectable/noticeable if being tested by an experienced polysomnographic tester. It is recommended to micro dose the Lidocaine or other topical numbing agents with doses of about <1mg.
Sleep deprivation actually plays a major role in how your airway behaves during a sleep study. When you’re severely deprived of sleep, your brain spends more time in REM rebound once you finally do rest. REM sleep is the stage where your body loses the most muscle tone, including the pharyngeal dilator muscles that normally help keep the throat open. Less tone = more frequent airway collapses.


On top of that, being overtired raises your arousal threshold. In other words, your brain is slower to wake you up when your breathing is obstructed. Instead of a quick gasp or micro-arousal ending a partial collapse, the airway can remain blocked for longer, which increases both the length and number of apneas and hypopneas. This can make the calculated AHI appear higher, because the index reflects both frequency and duration of these events.
This is also another strongly reccomended method, as they cant just deny a tired person jfl :lul::lul:

can possibly increase AHI by 7 points if done correctly

Brainstem depressants can also make AHI scores go up. These substances slow down the nervous system and weaken the signals that normally keep the throat muscles active during sleep. With less tone in the upper airway, it’s much easier for the airway to collapse.


They also blunt the arousal response. Normally, if your breathing stops, the brainstem quickly kicks you into a lighter stage of sleep so the airway reopens. Depressants dull this reflex, meaning apneas can last longer and happen more often before you wake up. The result is an inflated AHI score because both the frequency and duration of events increase.
View attachment 4036255View attachment 4036254
This is the least recommended, but most potent and efficient. Could possibly put you in hypoxic state if done too strong, but it is highly unlikely you will get hurt if you're being monitored by people who are responsible for checking your sleep. Micro dosing is recommended, of about 2.75g (Incrementally higher than therapeutic, medical reasons.) <<ALCOHOL IS ALSO A POSSIBLE OPTION, BUT IS NOT RECCOMENDED, AS IT CAN CAUSE A WIDE MARGIN FOR DIFFERENCE IN AHI GRAPHS.

This one is kind of self-explanatory. Clogging or congesting your nasal cavity/passageway can induce mouth breathing for sleep apnea studies. (obvious)
Here are methods ranked G ----> L to induce monitored congestion.
  • standardized allergen challenge (pollen, dust mite, etc.)
  • topical histamine spray
  • topical bradykinin / leukotriene application
  • chemical irritants (capsaicin, acetic acid vapor, smoke exposure)
  • viral infection models (e.g., rhinovirus inoculation)
  • cold dry air provocation
  • hypertonic saline spray / irrigation
  • simple physical factors (supine posture, head-down tilt increasing nasal venous engorgement)

View attachment 4036298

Strongly recommended, and would inherently contribute to your AHI Index about 5-6 points if induced properly, and paired with several other methods.




Now that we have covered the methods, I will now go over some proper notes before I conclude this thread.

1. Understanding the AHI Index

AHI Scoring​


  • Normal: <5/hr
  • Mild OSA: 5–14/hr
  • Moderate OSA: 15–29/hr
  • Severe OSA: ≥30/hr


2. Effects on AHI through pharmacological and/or systemic manipulation

Induced sleep deprivation
– Can raise AHI by 10–15/hr
– May shift normal → mild or mild → moderate

Back sleeping (supine)
– Often doubles baseline AHI
– Mild → moderate or moderate → severe

Chin tuck
– Adds 5–10/hr
– Can move mild → moderate

Brainstem depressants
– Raises AHI 5–15/hr
– Mild → moderate or moderate → severe

Induced nasal congestion
– Raises AHI 3–7/hr
– Usually not enough to change category alone

Topical numbing agents
– Small, short-lived increase (1–5/hr)
– Rarely changes severity class

3. Most efficient methods of pairing
Most effective (hardest to distinguish from natural variation)
  • Sleep deprivation (REM rebound)
  • Back sleeping (supine)
  • Chin tuck (neck flexion)
    + Induced nasal congestion
Moderately effective
  • Brainstem depressants (alcohol, sedatives, GHB, etc.)
  • Topical numbing agents
Least effective
  • Equipment tampering (cannula, oximetry, don't even try this jfl, youll get ur sleep study cancelled :feelswah:
  • Exaggerated symptom reporting


Concluding notes

Keep in mind that this is not guaranteed to work, and the possibility of you getting caught still exists (exponentially low, basically ~<3%)
Now its really just a matter of scoring high enough with your AHI test. You can try these methods yourself at home before trying them at an actual sleep study clinic; and see which ones work the best accordingly.

Make sure to put on a good front to a certain group of people (use context clues now, its a separate group from the polysomnographic doctors) about TMJ, trouble chewing, breathing, etc.

Try jutting your mandible back minorly to appear recessed/more recessed (if your reading this, you're probably recessed jfl), speak with an ever so slightly lisp and try to correct yourself a few times on occasion, complain about chronic jaw pain, facia system issues (facial muscles, typically strained from improper skeletal to muscular tension loads)

If all goes well, you may be able to get surgical compensation, IN THEORY


Thanks for reading my research-use only guide bhais:bigbrain:

Very high IQ from a gymcel:forcedsmile:
 
  • JFL
Reactions: UrFavouriteSub3
big brain

if you use ghb,

use it wisely, i OD more times then i enjoyed it and it is only 2 hours the effects

i tried to replace alcohol with ghb but mehh rather stick to max 4 beers and smoke one:smonk:
 
  • +1
Reactions: zdc54
alcohol seems good tbh

i saw another user successfully use it and get a reference for bimax
big brain

if you use ghb,

use it wisely, i OD more times then i enjoyed it and it is only 2 hours the effects

i tried to replace alcohol with ghb but mehh rather stick to max 4 beers and smoke one
 
  • Love it
Reactions: Lars2
Ofc. But i aint got money to cover the rest of it either way haha😭 living in a poor country, life is JFL
a sub5 in the slums of mumbai is just so far behind a sub5 in the suburbs of america in every aspect of potential improvement:feelswhy:
 
a sub5 in the slums of mumbai is just so far behind a sub5 in the suburbs of america in every aspect of potential improvement:feelswhy:
spawnpill is the most brutal, sorry but there is no debate hahaha
 
  • +1
Reactions: UrFavouriteSub3
a sub5 in the slums of mumbai is just so far behind a sub5 in the suburbs of america in every aspect of potential improvement:feelswhy:
Well. The diffrence is, that being a sub5 in a country full of sub3 manlet indians is diffent then being in America
I live in a country full of tall MTN+ teens and im a sub4 realistically. I hope bimax and getting very lean is gonna get me to atleast a HLTN 🥀
 
Good thread but an
bros just typing shit :lul: if you pay a surgeon theyll do the work
Ik someone's alr said this but the results wouldn't be as good as a aesthetic one
 
  • +1
Reactions: zdc54
Also doing all this would be harder but shorter then just getting a job and working for like 1.5-2 years but you would also be getting like small results compared to an aesthetic bimax
 
Also doing all this would be harder but shorter then just getting a job and working for like 1.5-2 years but you would also be getting like small results compared to an aesthetic bimax
i already have this opportunity though, ive had sleep apnea since infancy so my chances are ~95% regardless if i do my own guide or not, just thought id share with yall some tips and tricks

plus itd take off my total time on my hardmaxes

bimax w my insurance for setting a proper base
custom saddle orbital rim, zygos, chin
fat reposition, medial and lateral cantho, and rhino

if it goes perfectly, low chad
 
Well. The diffrence is, that being a sub5 in a country full of sub3 manlet indians is diffent then being in America
I live in a country full of tall MTN+ teens and im a sub4 realistically. I hope bimax and getting very lean is gonna get me to atleast a HLTN 🥀
get orbital rim augumentation. can ascend almost anyone .5 psl if it goes perfect, because most people have shit orbital projection
 

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