I was first treated in 1992, cpap and all. 145 episodes per night. Tired all the time, high blood pressure, bad marriage and all. That was about 250+ at 6-1. Got down to 215 and was okay, got married again, gained weight again, wife didn't want to try to sleep with the cpap on me. Did the rhinoplasty and upppp. that was in 2004. feel alot better even at 235 after they carved out the back of my throat. Very painful recovery, but worth it. I find it better to lose the weight and keep it off. So, back to working out and keeping the stress down. Hard to do owning a business involved in construction these days, so on the bike when I can, walking, the treadmill, even put the home gym together. it is better to get the sleep in bed and not behind the wheel.