<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have loud nose snoring closed mouth. My at home monitor testing results came back reading: suspected pathological breathing disorder, high risk, severe. Can you help me to understand this more? I am a 45yr old female. I have Hypothyroidism, Hormone and stress related Migraines, TMJ, SI Joint Dysfunction and Small Fiber Neuropathy. Thanks  <response>: Thanks for your question on Chat Doctor. By your history and symptoms, I think you are having OSA Obstructive sleep apnea. Risk factors in your case for OSA are1. Hypothyroidism2. Stress and tension3. TMJ joint dysfunction. Hypothyroidism and stress cause excess fat deposition in neck and can obstruct upper air passage especially in supine position. TMJ joint dysfunction can also cause mechanical obstruction in supine position. So when you are in bed in supine position, all these cause more obstruction to the air passages. So snoring is heard in bedtime only. So better to consult ENT specialist and sleep specialist for the treatment. 