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Topic summary

Obstructive sleep apnoea and a hard endpoint in this class

This is a generated summary. It shows the 9 most-liked posts from a topic of 130, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
OB
owen.bradyTL4 Moderator17 Jan 2025#1

On the subject in the title: Obstructive sleep apnoea and a hard endpoint in this class Working notes rather than a conclusion.

I was wrong about obstructive sleep apnoea in a thread last spring and I would like to correct it publicly rather than quietly.

The error was in the units, which changed the conclusion by an order of magnitude. Setting out the corrected version, and the way I now check for that class of mistake.

27 likes 18mo
FA
f.amankwahTL221 Jan 2025#2

Reading back through, this was answered upthread and I missed it. My fault.

29 likes 18mo
TS
taper_shiftTL3Regular4 Mar 2025#26
da.bakker, post #11: The claim about obstructive sleep apnoea upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes". Go to post

Practical note on obstructive sleep apnoea: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

32 likes in reply to #11 17mo
JC
j.cabreraTL212 Mar 2025 · edited#32
h.falk, post #19: Coming back to post #15, because the follow-up matters more than the original answer. Second-hand on obstructive sleep apnoea, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself. Go to post

Careful with the language on obstructive sleep apnoea. "Not detected" and "not present" are different findings and the first is a statement about the method.

29 likes in reply to #19 17mo
LP
l.piresTL222 Mar 2025 · edited#39
da.bakker, post #11: The claim about obstructive sleep apnoea upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes". Go to post

An honest declaration on obstructive sleep apnoea: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it.

30 likes in reply to #11 16mo
LV
l.vukovicTL215 Apr 2025 · edited#59
b.jansen, post #27: Nothing to add on the substance. Thank you for taking the question at face value. Go to post

Where the honest answer is "nobody knows", giving it plainly is more useful than a confident synthesis of mechanism and anecdote.

27 likes in reply to #27 15mo
CK
c.kuuselaTL21 Jun 2025#101
MSaarinen, post #87: A definition problem is doing most of the work in this obstructive sleep apnoea discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small. Go to post

Comorbidity control: if a comorbidity (high blood pressure, high lipids) is not adequately controlled, the decision about adding compounds in this class depends on the current control status, not on the compound alone.

Happy to be corrected if someone holds better data than mine.

30 likes in reply to #87 14mo
ND
n.duarteTL215 Jun 2025#115
cannula_trace, post #12: PCOS and metabolic overlap: polycystic ovary syndrome has metabolic overlap with obesity and insulin resistance. Data on compounds in this class in PCOS specifically is thin; most discussion is by mechanism. Not disagreeing with anyone above, just adding the bit I keep having to look up. Go to post

Narrowing post #114, because the general version has more than one answer.

One caution on obstructive sleep apnoea: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

32 likes in reply to #12 13mo
AV
a.vermeulenTL228 Jun 2025#128
cannula_notes, post #89: Post #86 answers the question as asked. The question underneath it is different. A history of pancreatitis appears in the cautions for this class and the decision around it is one that needs a clinician who knows the history. I have no interest in any supplier named above. Go to post

Obstructive sleep apnoea sits at the boundary between what this community can usefully discuss and what it cannot, and I think it falls on the discussable side, narrowly.

28 likes in reply to #89 13mo

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