Loud snoring punctuated by choking, according to an ex-girlfriend. I was not overweight at the time.

I remember being tired all the time and occasionally losing entire afternoons or evenings because I’d just zonk out on the couch, but then I’d jolt awake after a couple of hours, completely disoriented, and with my heart racing. I eventually figured out that I was bouncing in and out of REM3 sleep because things happening around me were bleeding into my dreams, which were also getting weirdly violent.

What finally triggered the “oh, shit, this is sleep apnea” realization was when I was recovering from surgery and my blood oxygen level would crash every time I fell asleep while not on oxygen. Tube up my nose? No problem. As soon as they took it out, though? I was fine until I started to doze, and then, like a jilted hair metal fan, my saturated O2 level would dive into the 80s. When I had my sleep study, they had me at about 45 apnea-hypopnea events per hour. I also remember being PISSED when they took the CPAP mask away at the end of the study, because that was the first time I’d had two consecutive hours of sleep presumably since I was in my early teens.

TL;DR: Yes, you need a sleep study. Get on your CPAP-pilled Rip Van Winklemaxxing arc ASAP.