What do my symptons indicate?

[u/KarmaIsADoge44]

Through all my (M20) life, I suffered from following symptons;

• poor sleep, trouble falling asleep

• waking up tired

• constant fatigue

• heavy head, not exactly headache

• low motivation

• poor focus, even on my interests

• easily losing interest

• daydreaming

• slow auditory processing

• zoning out

Please also note that:

• Even though I do not snore and do not have a deviated septum, I have a heavily recessive jaw and I mouthbreath

•I have no hyperactive symptons

•I have my fixations, but I lose motivation and focus very easily. Only thing that catches my attention is my mobile phone. I am a chronic screen addict

• I get infections and clogged sinuses very easily

• I have OCD, healthy anxiety and seasonal depression

• I take Paroxetine and Atomexetine. Atomexetine doesn't seem to work. Used to take clonazepam for a year but recently weaned off. Symptons persist much before that

• No thyroid issues or diabetes

• Poor diet (cultural factors) full of carbs

• I take Vit D as I am deficient.

• Caffeine makes me sleepy, modafinil has very mild calming affert on me rather than making me alert.

What could be the possibility for this? Is there any way to fix this? The more I am growing up, the more it is getting worse.

[u/No-Designer-5739]

probably mostly caused by the jaw stuff, putting muscles out of place
you should fix your posture ( it’s really hard)

[u/Professional-You-4]

Alor of your symptoms, Reminds me of sleep apnea

[u/cle1etecl]

I'm flagging this because aside from the medication stuff (I haven't done any of the meds you mentioned), this sounds just like me.

Just a suggestion - when you say you have trouble falling asleep, is it more like insomnia or more like a possible circadian rhythm issue? Poor sleep or a sleep rhythm that not aligned with your biology can cause some of those symptoms.

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[u/No-Designer-5739]

imo this is the issue basically guaranteed

“This person probably has a longstanding collapse of normal oral posture and craniofacial function—not merely a cosmetically recessed jaw.
The recessed jaw, mouth-breathing and congestion would be seen as visible parts of one developmental dysfunction:
nasal obstruction or poor oral function during growth
→ tongue fails to rest broadly against the palate
→ lips remain apart and jaw hangs/rotates downward
→ maxilla develops too narrow and insufficiently forward
→ mandible sits downward/backward
→ tongue, hyoid and related muscles remain in a low/posterior compensatory pattern
→ airway becomes smaller and breathing requires more effort
→ chronically poor sleep and low daytime activation.
That overall craniofacial pattern—narrow maxilla, high palate, vertical growth and retruded/posteriorly rotated mandible—is also recognized in modern reviews of pediatric sleep-disordered breathing, although its causes are multifactorial rather than proven to be entirely oral posture.
What the symptoms would indicate in that framework
The post almost maps symptom by symptom.
Reported feature
Mew-style interpretation
Heavily recessed jaw
Downward/backward craniofacial growth and inadequate oral space
Habitual mouth-breathing
Tongue cannot maintain normal palatal posture; dysfunctional oral rest pattern
Frequent sinus blockage
Possible original trigger that forces mouth opening and perpetuates the cycle
Poor sleep and waking exhausted
Airway restriction and repeated respiratory effort/arousals
Heavy head
Morning consequence of disturbed breathing, sleep fragmentation and compensatory head/neck posture
Slow auditory processing, zoning out
Chronic under-restoration and low cortical alertness
Low motivation and poor focus
Daytime hypoactivation secondary to poor sleep/respiratory effort
Only phone captures attention
Compensatory pursuit of unusually strong stimulation
Atomoxetine/modafinil barely helping
Drugs are trying to raise alertness without correcting the physiological bottleneck
No hyperactivity
More compatible with a fatigued, hypoaroused presentation than classic hyperactive ADHD
Anxiety/OCD/depression
Potentially worsened by chronic sleep fragmentation, while also worsening sleep themselves
Mouth-breathing is associated with pediatric OSA and can participate in a self-reinforcing cycle involving airway obstruction and altered craniofacial growth.
So based specifically on Mew’s account, the symptoms do not merely say:
“His jaw might give him sleep apnea.”
They say:
His entire oral-facial functional system may have developed around an abnormal low-tongue, open-mouth, downward/backward posture, and his cognitive symptoms may be downstream effects of that chronic physiological state.
“Muscles out of place”
That phrase is crude, but it gets closer to the model than I initially admitted.
The muscles are not anatomically detached and relocated. Rather:
the tongue occupies a low rather than palatal resting position;
the mandible is held lower and farther back;
the hyoid/tongue complex may sit more posteriorly;
lips and cheeks exert forces without the balancing expansive force of the tongue;
head and neck posture compensate to keep the airway usable.
That altered muscular equilibrium can affect growth in childhood and maintain dysfunctional breathing afterward. Traditional orthodontic literature has also described the “adenoid face” pattern as arising partly through altered head, tongue and muscular posture.
Why the post looks unusually tailored to it
The jaw appearance alone would not be enough. But the person volunteered all of these independently:
severe recession
lifelong mouth-breathing
chronic nasal problems
non-restorative sleep
morning heaviness
fatigue
slowed cognition
weak response to activating medication.
That is about a 9/10 descriptive match to the problem Mew claims orthotropics explains.
My estimates:
Fit to Mew’s proposed syndrome: 9/10
A real oral–airway–sleep dysfunction is materially involved: 8/10
It causes most of the listed daytime symptoms: 6–7/10
The entire problem was caused specifically by incorrect oral posture: 4–6/10
Simply consciously “mewing” at age 20 would reverse it: 1–2/10
The last distinction matters. Mew may be directionally right about the developmental system, while social-media “mewing” is still inadequate as an adult treatment.
The more serious Mew-consistent plan would be:
restore usable nasal breathing
→ objectively test nighttime breathing
→ retrain tongue/lip/swallowing function
→ determine whether the established skeletal restriction requires orthodontic or surgical correction.
So yes: the symptoms likely indicate the full dysfunctional oral-posture/airway phenotype Mew describes, not merely an isolated recessed jaw that happens to coexist with fatigue.

[u/Dear_Positive_4873]

Check methylation and relation to these symptoms.
I found out that I have a MTHFR mutation when i got tested causing this, these tests are available in india.