# #85 – Jenny Opalinski – The Non-Surgical Fix for Sleep Apnea You Haven’t Tried Page: https://stenobird.com/podcast/jawhacks-7095416/85-jenny-opalinski-the-non-surgical-fix-for-sleep-apnea-you-haven-t-tried Text version: https://stenobird.com/podcast/jawhacks-7095416/85-jenny-opalinski-the-non-surgical-fix-for-sleep-apnea-you-haven-t-tried.md Podcast: [JawHacks](https://stenobird.com/podcast/jawhacks-7095416) Published: 2025-07-16T13:00:00+00:00 Episode link: http://jawhacks.local/episode/85-jenny-opalinski Audio file: https://episodes.captivate.fm/episode/99fe4a3f-38c8-4781-8ad7-769393089124.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/85-jenny-opalinski-the-non-surgical-fix-for-sleep-apnea-you-haven-t-tried Duration seconds: 7180 ## Resource  Ron sits down with sleep medicine specialist Dr. Anil Rama and medical speech therapist Jenny Opalinski from Aspire Respiratory Products. They explore Respiratory Muscle Strength Training (RMST), a non-invasive therapy using the EMST150 device to strengthen airway muscles, improve nasal flow, and potentially reverse sleep apnea. Connect with Dr. Rama https://www.sleepandbrain.com/anil-rama-md EMST150 Expiratory Muscle Trainer (no commission or affiliate relationship) https://emst150.com/product/emst150/ JawHacks Official eBook https://substack.com/@jawhacks 1-on-1 Chat with Ron https://jawhacks.com/chats And More on the Website https://jawhacks.com/ Timestamps 00:00:00 - Introduction 00:04:41 - A Non-Surgical Sleep Apnea Treatment Alternative 00:06:50 - Unboxing & Assembling the EMST150 00:08:10 - The "5x5" Weekly Training Protocol 00:09:10 - Why Pressure Threshold Trainers are Superior 00:11:54 - MEP & MIP: How We Measure Breath Strength 00:15:54 - The Anatomy of a Powerful Breath 00:17:51 - Does Mouthpiece Training Ruin Nasal Breathing? 00:19:52 - Training at 75% vs. 100% of Max Pressure 00:23:33 - Expiratory vs. Inspiratory: AHI Reduction vs. Fatigue 00:27:11 - LIVE DEMO: Mastering the Expiratory Rep 00:34:42 - Finding Ron's Max Expiratory Pressure 00:38:43 - "This Hurts My Neck": Avoiding Muscle Compensation 00:42:52 - Is This Just a High-Tech Didgeridoo? 00:52:16 - Normative Data: How Ron Stacks Up to the Average Male 00:56:43 - Why Study Results Seem Unattainable 01:02:59 - How Long to Train for Lasting Brain Changes (BDNF Study) 01:07:56 - LIVE DEMO: Inspiratory Muscle Strength Training (IMST) 01:13:33 - Endoscopy Reveals Airway Expansion 01:15:40 - Ron's Inspiratory Strength Test: The Diaphragm Burn 01:21:34 - Fast-Twitch vs. Slow-Twitch: Buil… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/85-jenny-opalinski-the-non-surgical-fix-for-sleep-apnea-you-haven-t-tried/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/jawhacks-7095416/85-jenny-opalinski-the-non-surgical-fix-for-sleep-apnea-you-haven-t-tried.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.