Omegamint [comrade/them, doe/deer]

I will never kowtow to big ortho

Yeah it’s hard to say. There are, at least, a couple of things you can do to mitigate the problem without any professional help

Sleep apnea is also a potential

If your diet isn’t particularly great I would make a serious consideration to changing your diet, especially if you’re getting into your 30s. Lower your carb intake. Get lots of fiber and protein in you consistently.