Uneven flow rate with spikes? [UARS]

[Too Sleepy]

Hello,

I had a previous thread where some helpful people gave me advice to adjust my minimum pressure up to 7cm with an EPR of 3. For reference, my original sleep study AHI was 11 overall (with 50 AHI in REM) which was comprised of purely hypopneas without significant oxygen desaturation. Effectively you could say that I have UARS.

However, after nearly 8 weeks I still feel tired and I'm getting worse. My eyes have dark circles under them that are actually getting darker.

I looked at my flow rate and the flow graph doesn't ever really look uniform. There are some periods of uniform flow but there's a lot of spikes and 'weird' moments that aren't flagged as events (at least to my eyes). These spikes occur all throughout the night.

Does anybody know what's going on?

I'll attach screenshots below

[zonker]

for those playing along at home-
viewtopic/t185991/I-have-been-using-APA ... tings.html

[Too Sleepy]

Hm?

[Too Sleepy]

Does anybody have any ideas?

[Okie bipap]

It could be where you are changing positions while you sleep.