Panthera titration

UARS phenotype · epiglottic/laryngeal dominant · MAD partial responder

— days into protocol · week —

Current MAD: 2.0 mm · MFT streak: —

Open Daily to set your protocol start date.

TL;DR. Titrate MAD to 3 mm over 4 weeks (Pépin 2025: −2.6% TST REMOV per mm). Add MFT ≥ 30 min/day (Guimarães core, top 5 exercises). Re-assess with formal PSG at week 10 scored for RERAs/RDI. Skip nasal strips unless you have real congestion. Mouth tape only if confirmed mouth breather. Phenotype ceiling is epiglottic — if plateau, escalation is CPAP/BiPAP/Inspire.

Pages

Impact calculator →

Stack picker with predicted deltas in Oura restless, deep sleep, HRV, lowest HR, SnoreLab, v3 UARS proxy. Includes the full grid of intervention combinations with evidence tier.

Use when deciding what to add / remove / titrate next. Testable predictions to falsify against your data.

Daily tracker →

Tickable MFT checklist (5 exercises), morning self-report sliders, last-night Oura + SnoreLab inputs, week compliance grid, protocol milestones. localStorage-backed.

Use every morning. Export CSV weekly for pipeline ingestion.

Analysis review ↗

The full three-source convergence report: v2 CLAP+AST audio clusters, v3 UARS-proxy features, Oura 22/25 nights. Charts, tables, data caveats.

Use when reviewing with Dr Vaghela or Dr Veer. Opens in new tab (docs.acebuddy.quest).

Documentation

Full evidence base with tier 1–4 claim labels, primary-source verification log, grid of combinations, and protocol recommendation: pipelines/panthera-titration/INTERVENTION-STACK.md (local repo).

Generated 2026-04-16 · not medical advice · data in consumer metrics are proxies (Oura restless not PSG-validated) · use as decision support not prescription.