Sleep Domain

Sleep is not a luxury.
It is a biological necessity !

Yet 1 bil­lion peo­ple world­wide breathe poor­ly while sleep­ing. Most don’t know it. Many who do can’t get care.

We are here to change that.

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The Two Faces of Sleep Apnea

Obstruc­tive Sleep Apnea (OSA)	Cen­tral Sleep Apnea (CSA)
The mechan­i­cal block. Your throat mus­cles relax. Your air­way col­laps­es. Your body wakes up – some­times hun­dreds of times per night – just to breathe.	The sig­nal fail­ure. Your air­way is open. Your lungs are fine. But your brain for­gets to tell your body to breathe. CSA is not a plumb­ing prob­lem. It is a wiring prob­lem.
Who gets OSA: Adults who snore loud­ly, wake up gasp­ing, or feel exhaust­ed despite “sleep­ing” eight hours. Peo­ple with excess weight, a thick neck, or crowd­ed air­way anato­my. Old­er adults, men (though risk ris­es sharply for women after menopause), and any­one with a fam­i­ly his­to­ry of sleep apnea.	Who gets CSA: Peo­ple with heart fail­ure, stroke sur­vivors, opi­oid users, and those liv­ing at high alti­tudes. Some­times, no cause is found.
Why it is over­looked: Most peo­ple think sleep apnea is just “loud snor­ing” or a con­di­tion that only affects over­weight old­er men. Home sleep tests miss mild and posi­tion­al OSA. And patients nor­mal­ize their symp­toms – “every­one is tired, right?” – so they nev­er get screened. Mean­while, 80% of mod­er­ate to severe OSA cas­es remain undi­ag­nosed, and the aver­age patient waits years before any­one offers a sleep test.	Why it is over­looked: Most sleep tests look for OSA. CSA requires dif­fer­ent diag­nos­tics – and dif­fer­ent treat­ments. No CPAP. No mouth­guard. No surgery.
What works: CPAP is the gold stan­dard – but it only works if you wear it. Half of patients stop with­in the first year. The good news: you have options. Oral appli­ances (mandibu­lar advance­ment devices) pull your jaw for­ward to keep the air­way open – cov­ered by Medicare and most insur­ance. Inspire, a sur­gi­cal­ly implant­ed neu­rostim­u­la­tor, acti­vates your air­way mus­cles with every breath. And emerg­ing treat­ments are com­ing: nasal sprays that restore air­way reflex­es (Mosan­na), oral pills that tar­get the neu­ro­mus­cu­lar cause (Apn­imed), and tar­get­ed radiofre­quen­cy abla­tion (XII Med­ical). The old choice used to be “CPAP or noth­ing.” That is no longer true.	What works: Adap­tive ser­vo-ven­ti­la­tion (ASV). Bilevel ther­a­py. Treat­ing the under­ly­ing con­di­tion. But first, you need the right diag­no­sis.

“The biggest bot­tle­neck in health­care isn’t cost. It’s access.”
— Dr. Sonia Szamoc­ki, Founder of 01Health

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Why This Matters To You

	OSA	CSA
What fails	Air­way (mechan­i­cal)	Breath­ing dri­ve (neu­ro­log­i­cal)
Sound	Loud snor­ing, gasp­ing	Qui­et paus­es, then deep breaths
Who is at risk	Over­weight, old­er age, large neck	Heart fail­ure, stroke, opi­oids
Gold stan­dard test	Home sleep test (HSAT)	In-lab polysomnog­ra­phy (PSG)
First-line treat­ment	CPAP, oral appli­ance	ASV, bilevel, treat root cause
Untreat­ed risk	Heart fail­ure, stroke, depres­sion	Wors­en­ing heart fail­ure, death

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The Numbers That Keep Us Awake

Sta­tis­tic	Source
$100 bil­lion	Annu­al cost of undi­ag­nosed sleep apnea in the US alone (Enso­Da­ta)
1 in 3 adults	Strug­gle with inad­e­quate sleep (Ozlo Sleep)
1 sleep doc­tor	For every 43,000 peo­ple in the US (Sleep.ai)
40–50%	CPAP aban­don­ment rate with­in 30 days (GEM HEALTH)
80%	Of pre­scrip­tion sleep aid users expe­ri­ence next-day side effects (Ozlo Sleep)

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What We Advocate For

For patients

• The right to a choice of ther­a­pies – not just “CPAP or noth­ing”
• Access to vir­tu­al care (because the near­est sleep lab is 2 hours away)
• Insur­ance cov­er­age for oral devices, nasal sprays, neu­rostim­u­la­tion, and dig­i­tal ther­a­peu­tics

For providers

• Train­ing to dis­tin­guish OSA from CSA
• Tools to screen every patient with hyper­ten­sion, heart fail­ure, or depres­sion
• Reim­burse­ment for tele­health sleep med­i­cine

For policymakers

• Medicare cov­er­age for all FDA-cleared sleep ther­a­pies (not just CPAP)
• Fund­ing for pub­lic aware­ness cam­paigns
• Invest­ment in the sleep spe­cial­ist pipeline

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Ready to breathe better tonight?

You are not bro­ken. Your body is just fight­ing a bat­tle it was nev­er designed to win alone.

Whether your air­way col­laps­es (OSA) or your brain for­gets to send the sig­nal (CSA) – there is a path for­ward.

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Our Mission

“Sleep was just the begin­ning. We are build­ing a world where every­one breathes well while sleep­ing – no mat­ter where they live, what they can afford, or which type of apnea they have.”

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