Our Services
Sleep Apnea Treatments tailored to you
Sleep Studies
For patients with symptoms suggestive of OSA, we offer AASM 1A home sleep studies, the highest level of quality, mailed straight to your door
Advanced PAP Therapy
We treat OSA with CPAP, and BIPAP ASV. More than just prescriptions, our guidance comes from advanced training and personal experience.
Medications
FDA Approved Zepbound for sleep apnea, other GLP-1s including Wegovy, affordable traditional weight loss meds, and airway-stabilizing meds
Surgical Evaluation
Our provider has extensive knowledge on orofacial anatomy and procedural treatments for OSA, and can point you in the right direction
AASM 1A (3%) Sleep Studies
Diagnostic Testing
We offer convenient, mail-order home sleep studies that allow you to complete testing in your own bed rather than spending a night in an unfamiliar sleep lab. Our testing device meets AASM Type 1A criteria (3%) criteria, placing it among the highest sensitivity home sleep tests available—as close as possible to in-lab polysomnography for detecting OSA.
These FDA-approved devices provide accurate diagnosis of OSA severity and can be completed within days rather than waiting months for an in-lab study. For most patients with suspected OSA (without complex comorbidities like central sleep apnea or significant cardiac/pulmonary disease), home sleep testing is reasonably effective and far more accessible.
Already Tried CPAP?
You’re not alone. In the long run over 50% of patients stop using their CPAP, either because the device was too difficult to tolerate, or because it did not produce worthwhile improvement.
Traditionally these patients would have been labeled as failing PAP therapy, but we prefer to think of it as traditional PAP therapy failing them. Proper mask selection, hose selection, and optimization of device settings by the patient and a knowledgable provider working as a team can greatly improve comfort and tolerability. More so, many patients are not offered options beyond CPAP despite more modern versions of PAP therapy existing such as BIPAP based treatments.
Specifically, several sources suggest “BIPAP-ASV” shows overwhelming improvements in tolerability, insomnia, daytime fatigue, and overall quality of life. Unlike CPAP which generates constant pressure, often leading to unpleasant feelings when trying to breath out, BIPAP ASV produces variable pressure that follows a natural breathing curve. In a landmark clinical trial, ASV led to remission of insomnia in 68% of patients with sleep apnea compared to 24% on CPAP.
Already using CPAP with partial improvement? BIPAP-ASV may work with your existing mask and accessories. ASV models are “based off” their manufacturer’s CPAP and very similar apart from the pressure algorithm.
trial in chronic complex insomnia patients with OSA; individual results vary; clinician evaluation required. ASV is contraindicated in patients with symptomatic, chronic heart failure (NYHA 2-4) with reduced left ventricular ejection fraction (LVEF ≤ 45%) and moderate to severe predominant central sleep apnea
Medication Based Treatment
Medical weight loss is a valid alternative to PAP therapy or surgery, and may be curative in many patients. We prescribe Zepbound (tirzepatide). This GLP-1 is the most effective weight loss medication available and is now FDA approved to treat moderate to severe OSA. We also offer Wegovy (semaglutide) and we offer several traditional weight loss medications that are more affordable than GLP-1s.
Beyond weight loss, phase 3 trials for AD109 (aroxybutynin 2.5mg/atomoxetine 75mg) show impressive results in treating OSA with 52% of participants dropping a severity category, and 22% being “cured” of OSA. The average AHI reduction was 55%. Since both ingredients are FDA approved for other indications, we may separately prescribe them off label in select patients after reviewing risks and benifits.
Form Follows Function
Procedural Solutions
When most people think of sleep apnea surgery, they envision the traditional procedures performed by ENT specialists—uvulopalatopharyngoplasty, tonsillectomy, turbinate reduction. These approaches share a common philosophy: removing tissue to open the airway.
Unfortunately, they also share a reputation. Patients hear stories—from doctors and friends alike—of high relapse rates, significant complications, and incomplete results. These concerns aren’t entirely unfounded, and many choose to avoid surgery altogether. For those who can’t tolerate CPAP, this often means going without treatment entirely.
However, over the past decade, a fundamentally different approach has emerged. Rather than removing functional tissue and accepting diminishing returns, these newer procedures focus on expansion—making the airway larger by repositioning the skeletal framework itself.
In our opinion the two most promising procedures for treating OSA are mandibulomaxilary advancement (figure 2) and nasomaxilary expansion (figure 1). Unlike older procedures, which destroy tissue, both create new space, a far more sensible solution than can be compared to moving into a new house rather than throwing away needed possessions.
MMA Maxillomandibular Advancement (MMA) advances both the upper jaw (maxilla) and lower jaw (mandible) forward, expanding the entire airway from the nose through the throat. Beyond curing sleep apnea, MMA often significantly improves facial aesthetics by enhancing jaw projection, improving facial balance, and creating a more youthful appearance.
Nasomaxillary Expansion targets the upper jaw and nasal cavity laterally rather than forward. Multiple techniques exist—EASE, MARPE, MSE, FAME, SARPE, and DOME, among others—with varying degrees of effectiveness. The critical distinction is choosing an approach with skeletal anchorage that truly expands the nasal cavity, not just the dental arch. Expansion not only helps sleep apnea, but also slashes resistant nasal breathing problems (see figure 1)
When combined, these procedures can reduce objective measures of sleep apnea by over 75-90%, resolve persistent nasal obstruction, and produce meaningful functional and aesthetic improvements to facial structure and bite—all without removing any functional tissue from the mouth or throat. However because Sleep Apnea Surgery is a rapidly developing field, outcomes for both procedures are extremely operator dependent. Finding the right match can be challenging, but we can guide you through the process of selecting both the right procedure and the right provider, whether locally or nationally.
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Visit Types
Select an express visit if you have a preferred treatment or a comprehensive visit to review all options
Diagnostic Visit
$29.99
20 minutes
CPAP/BIPAP Management Visit
$29.99
20 minutes
Medical Weight Loss Visit
$29.99
20 minutes
Anatomy Eval and Surgery Option Discussion Visit
$29.99
20 minutes
Comprehensive Visit
$59.99
60 minutes
Contact information
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