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If you sleep on your back and you start snoring and wake yourself up, you're probably having a sleep apnea episode. The EXACT same thing happens to me, but I can feel my airway close off for that split second I snore and then I wake up.

(FWIW, you're supposed to get a new mattress every 10 years. So a couple of decades of sag, you're WELL beyond overdue. (I'm about 355 myself and I wore through my store brand memory foam in about 7 years.))

There ARE mattresses made specifically for plus-size people. Big Fig Mattresses makes not only mattresses but also foundations w/ more support, etc. https://www.bigfigmattress.com/ When I get a new one, I'll probably get a Big Fig.

There's also the Helix Sleep Plus https://helixsleep.com/products/plus and the 2 Titans https://titanmattress.com/

(Fwiw, I'm not paid to push these, I'm just a fat person who wants to pass on the info.)

The 2 people I know who got hearing aids, the one thing they commented on afterward that they didn't realize they weren't hearing was the birds singing. :)

I grew up watching sprinters, sportsmen, etc. at Williams Grove in PA. 1/2 mile banked dirt. It was always a treat when the WoO came to town. "The best run four-abreast." :D

I swear I'm not trying to be prurient, but what do you do to test the bed to get the "sex" rating? You can be as frank or vague as makes you comfortable.