I haven't been back to my thread and haven't spoken with my friends on here in a long time.

My sleep-wake cycles are getting more regular thanks to my playing with temperature conditioning, if I may call it so. In the evening, I spend time in the sauna in the clubhouse of our complex (it has been here all along, but only these days I am using it at last). In the morning, I spend 3-4 minutes sitting in a cold bathtub and pouring scoops of water on parts of my upper body which are not submerged. It really helps to energize me for the day ahead.

Of course, it is the effectiveness of the Lybalvi, Naltrexone, Gabapentin combo and the finally comfortable and well-fitting new mask that are major contributors to the recent improvement, but temperature contrasts play their modest role, too, as an adjunct to pharmacological and BiPAP therapy

My sleep study is in mid-June. First, I will stay at the sleep lab for the night and then, I will spend the next day there at the lab, and they will test whether I fall asleep during the day.

Yesterday I fell asleep sitting on the couch, listening to an audiobook, and waiting for Voltaren gel to be absorbed by the skin on my foot where my old stress fracture flares up. I slept sitting upright, on the edge of the couch, and I dreamt. That O start dreaming right away is suggestive of narcolepsy. So, we will see after the study results are in. I am glad that I was allowed not to do a complete wash out without psych meds for two weeks prior to the study, as for me it would have been infeasible - I cannot sleep without meds, period.