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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Obese, Using Gels For Low Testosterone Levels And C-Pap For Sleep Apnea, Have A Stressful Job. Suggestive Remedy?

My husband uses testosterone gel in the morning after showering. His levels are so low he uses 3 pumps per shoulder of the 1.62% prescription gel. He is 53 years old, causacian, 6 3 and 330#. I try to encourage him to exercise and lose weight but haven t been successful. He complains of being tired ALL the time and is grumpy most of the time. He also has sleep apnea and uses his C- PAP every night. His stress level at work is very high. What can I do to help him? I feel like I m losing MY mind. Thanks
Tue, 12 Feb 2013
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Psychiatrist,  's  Response
Hi there, thank for asking. You are right in your observation, because many people with sleep apnea may find change in the mood and energy level as well. A good strategy is to encourage him to lose weight. It can help for improvement in apnea. it should be at least 15 to 20 pounds to be effective. Honestly his BMI is very high and it makes the effectiveness of the CPAP lower than expected. He should also know that the CPAP pressure should also be adjusted during sleep assessment every one or two years to be effective. I wish him the best health.
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Obese, Using Gels For Low Testosterone Levels And C-Pap For Sleep Apnea, Have A Stressful Job. Suggestive Remedy?

Hi there, thank for asking. You are right in your observation, because many people with sleep apnea may find change in the mood and energy level as well. A good strategy is to encourage him to lose weight. It can help for improvement in apnea. it should be at least 15 to 20 pounds to be effective. Honestly his BMI is very high and it makes the effectiveness of the CPAP lower than expected. He should also know that the CPAP pressure should also be adjusted during sleep assessment every one or two years to be effective. I wish him the best health.