Excellent input Babba and it couldnt be stressed enough on the importance of weight loss in managing OSA; a great majority of which, obesity is the culprit. No amount of CPAP time will help cure OSA, it will only allow more restful sleep-time, and hence affords the patient a greater capacity to assume more active lifestyles in the hope that this will contribute to better weight; on getting better rest and then proceeding to the nearest food-stalls will beat the entire argument. MAD helps but if tolerated. I have never prescribed TAD. A friend's husband got (what sounded like a) UPPP and a fellow doctor friend got a UPPP and of course these were curative (atho the former almost died from secondary haemorrhage ha ha no worries this is rare). Depending on overall weight, the amount of tissue that ''collapses'' so to speak, in the laryngeal area during sleep is actually so great that in some people, it is a miracle that their hypoxic (brain) time does not contribute to neurologically discernible brain injuries. Well laid-out answer Babba.

I dont work or live in Malaysia but a Sleep Study needs lab and the data generated is big, even for medical standards, and best read by experts in that field only; so is there a big General hospital there near Pochong? If there is, then thats your best bet