This ResMed Autoset Feature Is SCARY BAD! Change it now.
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- Опубликовано: 22 мар 2023
- try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results.
3. Custom PDF reports - Detailed therapy reports complete with journal entries.
4. Therapy Trends - Monitor changes to your apnea control over time.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/
Thanks for all the love & support!
Uncle Nicko
#cpaptherapy #sleep #sleepapnea #snoring #cpapmachine #cpapmask #resmed 
Хобби
I’m really appreciating these videos. I’ve just been through the whirlwind of finding out I have OSA, license suspended and adjusting to therapy - all with very little information or education. You’re informative and honest, so thank you!
All I know is; when I put on my mask and go to sleep and wake up the next morning....I'm not dozing off at stop signs/lights nor while driving down the road.
that is the right way to look at it. None of these fancy charts!
@Jay G. yeah no need to worry about all the heart attacks and strokes. As long as there's no car accidents all is well. Like saying to a diabetic, hey don't worry about your blood sugar levels. As long as your Kidneys don't pack up and fail eat as much Cake as you like. Ignorance is BLISS but personally i'd prefer an extra 5 years on earth especially considering it takes about 7 days to get the settings perfect. It also dramatically improves comfort, mask leaks and everything else.
@@CPAPReviews I've been on a CPAP for 15 years and still here. But you are right. Improvement is always the goal.
@@CPAPReviews I tend to agree, my doctor is pretty straight with her responses, and the first thing she said when she read my sleep test results is "I'm very surprised you are not dead". Apparently my AHI was 65 and my O2 was at 70% for most of my sleeping hours. She then told me that I had to leave work right now and head to my local Resmed seller for a CPAP trial. It was an immediate success, but it did take nearly 6 months for me to not take masks off and get my settings right. Without looking at the charts and knowing what the results mean, as well as how to influence them in the right way I doubt I would have got there in the end. And I have this channel, along with other resources to thank for that. Knowing the behind the scenes stuff is crucial for you to make informed decisions instead of blindly changing settings.
@@CPAPReviews I signed up for sleephq and love it! I really wish I had someone to look at my results as my dr isn't very helpful. I've been on cpap for 5 years and never knew anything till I found your channel. When I had my study it was bad..157/hour. Just wish I could get my settings where they need to be.
thank you for all the informative videos you post. your dedication to all these topics is appreciated.
I tried soft response and didn’t like it so I changed it back. Now I know why. Excellent explanation. Thanks Nick
Excellent presentation and information. Thanks Nick. Videos really help in trying to understand the sleephq data.
??? what is good about this? He showed that in soft response, the pressure did not increase in response to a hypopnea. And then he recommended switching to regular response mode. But he never showed that regular response mode increases pressure in response to a hypopnea. So, he missed his own point by failing to make it. And you (and many others) failed to notice that he didn't actually make his point. This is like saying "if Albert isn't the murderer, then it must have been Benjamin" without any further evidence.
Thanks for keeping us up on all things Cpap and BiPAP.👍👍 My machine is set as a BiPAP and the pressure is high though I have no problem with that.🤩
Informative as always great info love it
Thanks Ron, really appreciate the comment mate . Have a good one
Thank you for this interesting information, Nick. I'm going to discuss this with my sleep doctor. Maybe I will even give him a link to this video, or better yet, suggest that he subscribes to your channel! 🙂👍
Nick, this is great information. I will definitely check my settings as I always thought pressure was too high. THANKS Mate!!
Thank you! You are the most helpful on RUclips!
Glad you think so! Thanks for watching
Greta video... Thank you.
So helpful! Thank you.
Great info. Love it. Thanks 😊
Always welcome Craig. Thanks for your comment
Amazing video thank you
Cheers Matt, appreciate the great comment mate. Cheers
Hi Nick, this is really good. I had a question about those missed apnea detections (from the ResMed machine) and hence the effect on AHI. Couldn’t SleepHQ automagically flag those as the data exists? And then provide a ‘more likely’ AHI?
I have an airsense 10 and I've opted to alter several settings and I sleep quite wonderfully and never have an AHI during a "session" if you will higher than 5 (I've been instructed to use my cpap machine anytime I'm laying in bed out of high risk for falling asleep by my sleep medicine provider, neurologist and pain management provider).
Setting changes that I've made are as follows-
Change pressure range from 4 to 20 to 4 to 7.8. I can't go higher than 7.8 because the split second the machine hits a pressure of 8 I wake up with a MASSIVE jolt.
Changed EPR from 2 to 3.
Changed response from standard to soft as I'm easily woken by sudden changes in pressure wakes me up from a deep sleep.
Lastly, I purchased a non humidifier side plate to change out the humidifier chamber. This isn’t to say that I would never use a humidifier chamber but I have an in-line HME device for my humidification needs so use of a humidifier chamber is a bit of a moot point considering the HME device that is in-line on my tubing setup.
Excellent advice Niko
Great explanation of the two settings.
Thanks, trying EPR off and lower Max. Though comfort wise I seem to be one of the lucky ones, over about 10 years cpap has given me almost no issues except for one period of mask leaks that turned out to be may fault, over time the mask becoming to loose.
Hi Nick, great job ! 😊 l just got in the world of apneas and everything that goes with…. Question: How do you obtain the detailed analytics you produce in this video ? Thanks
Thank you! You explain this so well! I have to see about my CPAP. I realized how some of these functions may not keep up. In the middle of the night I might go downstairs for some reason, coming back up the stairs, and going back to bed, my breathing was labored and my heart rate was up. I would put the CPAP back on to try and go back to sleep. The CPAP was so LOW that I take it off and let my body "normalize", then put it back on a bit later. God bless! AL in CT
I have that same problem and I too find it's best to lay in bed for a few moments and let my breathing normalize before putting my mask back on.
Yeah, I have been struggling to breathe! I've been thinking about contacting the doctor again because it's difficult. Thank you for the video and information
You got this!
Oh my. Good examination.
Interestingly, I don’t recall when exactly I changed the setting to soft but I’ve had really bizarre gradual pressure increases when nothing was actually happening and since then switched to constant pressure with EPR at 3. I am excited to try standard with lower EPR
Excelent video and informative content. I wonder how can I get this data points for my own comperison from CPAP?
Thank you. My machine is set to 5-15, and it has been working well for me and my apnea condition.
Glad to hear it mate!
Good info on EPR. Thanks.
Thank you
Its all depending on the algorithm yes. I cannot run cpap, as pressure needs to be constantly to high, and affects sleep too much. I am thankful to have the Löwenstein Prisma Smart Max, which has an algorithm you can trust and makes small increases/decreases - depending on need, but also flow limitation (in dynamic mode). Therefore i run my APAP from 9-13, which is perfect as long my leaks are low and I sleep on right side (13 too high constantly). Thought the Resmed machines were better than the more “unknown” Löwenstein. I was wrong and still awaits uncle Nicko’s review on that matter 😍.
try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results.
3. Custom PDF reports - Detailed therapy reports complete with journal entries.
4. Therapy Trends - Monitor changes to your apnea control over time.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/
Thanks for all the love & support!
Uncle Nicko
Thanks for that uncle, just exactly what I wanted to know. I'm currently using an Airmini as my primary machine but looking to invest in the Lowenstein Prisma 20A re your recent vid. Is this machine compatible with SleepHQ? Or should I just go with an Airsense10, as I'm a FIFO worker and would just rather use the mini as a backup. Your thoughts?
@CPAP Reviews my auto set has been set to the soft response since I got it. my pressure graph looks nothing like the one on here for the soft response mode. mine ramps up very very quickly and then drops off quickly as well. you might be interested in looking at my graph just to see the difference.
Great video! What about ResMed 10 and the for her setting? My wife uses that and no EPR. AHI always looks good. Comments?
The autoset never worked for me. The pressure was all over the place and causing apnea events. Now I have it at a fixed pressure of 5.
Great video except at the end when you were going to give your choice between the lowenstien prisma 20 A or the Fisher paykel Icon your video cut that out! So which one is your top pick? Thank you
I’ve only had it about three weeks and I’m constantly waking up and ripping my mask off in my sleep needing to take a deeper breath than my mask will allow
@@beardedguy8357same using at 19
Exactly the same… have it now for 2 weeks!
Same !
Ditto.
@@Maltese280zxupdate after a year switching from a full face mask to a nasal pillow was a game changer
in this video you go over how the ResMed system is missing events and that the persons reported AHI of ~10 is actualy closer to ~20 AHI.. It is always good to call out these situations where the systems are not properly identifying AHI events but if that is such a common thing SleepHQ could develop your own analisys of data that you import and apply your own analyisis anf flags to the data that is imported OR allow manual flags to be added to the data by the end user to provide a more real view of AHI than the machine is just reporting.
That would be interesting. It could run an algorithm of its own upon import/upload, and have a section dedicated to SleepHQ-labelled flags that the user can toggle on and off.
G'day Mate, i'm loving these videos i have learned soooo much from your videos as to the people in ResMEd shop in Sydney .. They are a joke! I will be going pro next month and I'll have my o2 ring also.
btw do you have a feature that we can pay you for a consultation or for you to look at a person's graph and give recommendations or do you do that free on pro in sleepHQ?
YOU DEFO ARE TEH GODFATHER OF CPAP! LOL
I met with my sleep doctor today. I told him I'm keeping my ResMed s9. You have done videos about replacing the turbine motor. Where can I get one? Thanks
thank you lots
Always welcome Mark. Cheers brother
We just got my husband's CPAP machine, the ResMed AirSense 11, a few days ago.
I think everything i set to Auto. The prescribed pressure is only 5 (by the Dr.).
So where on the AS 11 do you choose Standard or Soft? I'm not seeing that, specifically, in the menus.
Perhaps different firmware in N. America???
Also, that software that you are using there, is it available here in N. America and does it connect directly to the machine via Bluetooth?
Right now, I'm using the ResMed Windows app and the Android app. They are very basic. There's nothing like what I'm seeing on your screen there.
Please let me know if that's available, what it's called and a link where possible. As well, please, where to find this setting that you speak of.
Thanks in advance.
Thanks mate
Cheers Trent
If you mimic that your air is blocked it increases pressure, it tries to match sleep cycle and do high pressure for rem sleep but i get up alot so it restarts to 6. if you hold both menu buttons it lets you change deep settings, i like it starting higher, but i hate the starting pressure at 6. I need like 8-9, and i hate when it pops between breaths when its too humid. I hate that if i swallow it pops my ears though, and my teeth feel wierd in morning from how tight it is against lower front teeth. I set it to CPAP instead kf auto and it started at pressure 18, pretty intense. Also, I hate when it smells like alcohol or if the dog farts in the room its freaking torture!
Thank you so much for this. I'm a newbie and really want to get the airmini because i camp and travel and can't afford to buy two machines...i saw in your video that I don't get the data like you've just demonstrated with....am I essentially going to have to play a guessing game with levels/settings as a result?
I had to switch mode to cpap from automatic as it was always causing air leaks before and waking me at times....now just set at 8 I have no mask leaks and all is well with minimal ahi.
Thanks!
G'day Johnny, thanks for the channel donation mate. Much appreciated. All the best
Uncle Niko can I still use sleep HQ if I'm being monitored by my insurance provider? There's already an SD card in my resmed 11
WOW I did not know a person could chang their own setings. I thought it had to be done by the place i got my machine from.
Yes you can but your insurance may have issues with the setting changes.
In the video, why did you cut out the Blood O2 level at the first big decline? 2:51
Ok let me get this straight. I had a base of seven. I upped it to eight. I changed the easy pressure to three. So what your saying is since I set it to three I need to set my start from seven to ten.
Nick, how do I adjust my machine?
How would I upload data to SleepHQ if my machine doesn't have an SD card? I believe the data is uploaded via a modem to my provider.
Thank you, I had been fighting getting my Resmed to give me the responses that I was getting when I first got the machine. I had even gone in to the settings and set all to default but I'm guessing "Soft" response is the default. I have set mine back to "Standard" and I bet this fixes my issues. I also will play with the max pressures as I have always had 20 as a default and that's probably to high.
Hi Jimmy, here's a little vid i did which shows how to change the response - ruclips.net/user/shorts5xXrxxg8Pqk?feature=share . I recently dropped a video which shows how the AirSense delivers too much pressure - Here's the vid if you want to watch - ruclips.net/video/v6_NHkXgSRU/видео.html . All the best mate
Hi
Wow where can I get that software?
So which is the Autoset ResMed ?
I don't use the Auto set that starts the air flow .. because it switches of if we stop using & that could happen during sleep.
Has resmed confirmed of denied these settings? I just got the airsense 11.
I've been using the Airsense 11 for a little over 3 months and the pressure was way too high in my case. I have the limit at 12 and that seems to be the right spot.
Ok how do I get all of this data? Are there other devices I need besides my CPAP?
I have the Resmed I see on the video, bottom right corner. How do I get the charts you are showing in the video?
What app do you use to interrogate the machine?
Hey my name is layne I’m 22 years old and I have resmed air 11 I have it on auto start so when I breath in it it start up and before I got my Cpap I didn’t sleep as good until got my ressmed air 11 I feel so much better with my cpap
These particular settings that you are discussing in this video do they change based on the firmware you’re using for the machine and if so, does the latest firmware address the issues? I think maybe it would be beneficial to know what firmware version you are on or maybe it doesn’t make a difference but I am curious.
But can we make those changes? I don’t see anything in the settings on my CPAP. 😢
How do I find a knowledgeable person like you to monitor my patterns and dial me in.
This is so confusing. Since the machine has access to all this information, it's the one recording it after all, it seems like it should just handle this itself!
How do I print out a free report from the data from my CPAP machine?
So, if I had a SD card in my machine I would be able to see that data with some kind of app? I dont have a cell, but have PC. what do I need to do to be able to see that kind of data? I have the Airsense 11.
What spo2 sensor is good to use with resmed 11?
I have ResMed 10 that replace my Philips . . what I cant figure out is the setting after where it says how many hours of sleep .. the next setting I am not sure what is means ..
Its states events .. events of what ?
What would be considered the best for the ramp time on the resmed 10. It has the option from 5-45 also off and auto. And i moved the min air from 4 to 5 and the start pressure to 5 so it doesn't feel restricted.
What setting should I change? Thanks
I turned up my lower pressure from 4 to 6 and keep my EPR on at 2 for comfort. Worked great, thanks uncle Nicko!
Nice work!
Finally! I’ve debated these “comfort” features with the Resmed reps and so called specialists for years. These settings are good when first starting on therapy but seems that nobody ever titrates them once you get used to wearing a cpap. Typical response is increase the pressure or change a mask. Can’t wait to see your breakdown of EPR.
Good on ya!
Any recommendation on Hoffrichter Point 3 CPAP?
I have been using a machine for 23 years. My old resmed is 10 years old. It’s set on 10…the same that is has been all these years after several tests. I had a new test…new machine…this Resmed 11… it’s in the closet. I’m using my old machine. That new piece of junk keep using all the water in 6 hours…hard to open with bad hand. Yes…it says motor old…has for years ! I’ll use my old one and try to buy its mate on the internet.
Me too. Now that I have a new machine i appreciate my old one much more. Yes, I don't like it running out of water in the middle of the night either.
I tried the soft response and though it was not better.
Thank you for all the great videos. Soft seems to be okay for me right now. I'm slowly adjusting settings trying to get the best results, but my last few days AHI has been between 0.1 and 0.73.
Question: Has there ever been issues AFTER a new update, that has caused problems, like with incorrect data (or incomplete) being sent to the server?
Our AS11 was updated yesterday morning and this morning, after it sending 2 updates, one at around 2am and the other at 9:05AM, the numbers are wrong.
Perhaps it will send another update and correct everything. I've seen that before, but only where a 2am (or so) update was sent and of course, those numbers are not for the entire night, but later in the day, another update sends the rest of the data and it's correct.
But today, with even both updates, the number on MyAir are not correct. The first update, 2am was of course, way off, but the 9:05am, I would think, should be correct, but it's not.
I'm just curious if this is an issue or well known to work this way (delays, several updates, then finally correct) ???
EPS is generally bad, it can pull CO2 out of your system which is the signal to breath. I did a pressure of 10.2 which wasn't doing it. I turned off EPS and O2 levels went up and events dropped to just shy of normal. The rest was accomplished by turning off ramp. Set the damn thing so that it doesn't leak and sleep, that ramp is just "free apnea event time" and then added a mild boost to the pressure range. As I lost weight, I periodically experiment with lower pressure and see the result and that allows me to step it down as the weight goes off.
I set mine to autoset a few days ago to try it out. I woke up with headaches again and was exhausted all day.
Set it back to the my standard pressure of 12, and I'm back to normal.
It may have been a glitch, but i don't think autoset is for everyone. A little experimentation goes a long way.
Well.. maybe that is why his machine has it set to 20 max? 20-3 = 17 which is where you said the max should be (if EPR wasn't on).... eh?
How do I find this chart
I turned autoset off and I woke up with nonstop headaches and sleep quality went way down. I had to go back. Really scared to mess with it now.
Hello all. I am new to CPAP (Resmed 11) and can't get this thing figured out. I have tried 2 masks now, the resmed f20 and the f30i. I like the f30i much better but I find myself gasping for air in either mask. I am struggling to balance my mask leaks with increased in pressure. At the low pressure of 4, the valves in the mask woosh and pop as I am breathing at a faster rate that the geometry allows. Once the pressure hits the 8 ish range, things get better. The sleep study seemed to show more central apneas than obstructive apneas (to my untrained eye) but the RT says the majority are obstructive. I have been using the machine and the machine is showing 90% or more of the events as central apneas. I can only make it about an hour and a half with the device. Before I fall asleep, I find myself gasping for air and then check my SpO2. Sometimes it is in the 70's. At this point, shut the machine down, remove the mask, and go to sleep.
The program in this video seems cool. The machine does not have a method for checking my SpO2. Is that an add on? Any advice you can provide will be greatly appreciated. I really want to get this thing figured out so I am not ready to throw in the towel yet.
Res med airsense 11. APAP. I have EPR on full time at level 3. Soft response. Range 7-13. Pillows. I have a perfect mask seal every night. AHI is usually less than or equal to 1. When I read the results in the morning, the pressure is usually 9-11. I'm afraid that if I switch to standard response, it will be too aggressive. It seems like because I'm a low pressure patient I can get away with the standard response. Should I still concidered changing it?
seems like your doing great, wouldnt change a thing
People that have UARS is fine to leave it on soft?
9:05 The auto is terrible....manual on 8 with some humidity...nasal pillows mask...on my back....no air leaks ( my air score 100 or close every night,) best sleep in years...wife says I am a new man to sleep with WHAT!!!! Lol
Very interesting. I'm stuffed with my machine, the sleep specialist knows less than you and I feel like I have to accept an AHI between 9-15 everynite and waking with swollen eyes exhausted.
Im at the stage of giving up. With my AHI at those levels is it even worth continuing therapy?
I turned off auto and made it fixed pressure. Changed my life!!! And my machine is a BMC and none of the 3rd party apps work so it was lots of trial and error. I have a airsense 10 so will see if my pressure os set right.
How do I change this??
I did not understand what you meant with standard and software, seems you are referrring to autoset or auto cpap. I heve seen period of obsturction with no reaction. I am checking my data. I am having a lot of problems from change between airsense 10 to 11. Very sleepy and lethargic within couple of weeks wit the 11.
Damn. I appreciate your channel and your expertise.
Thank you very much Dave. All the best. Nicko
@cpapreviews Wondering if you are considering adding a CO2 monitor to your ring. I'm a CO2 retainer and have started BIPAP but they don't know if the pressures are right for me and their methods will take forever to figure that out. I'd like more info and more than spot checks every 6 months or so.
Same for me. I'm lucky to get a check once a year and last time I was retaining so much gas I looked like I was pregnant. I still do.
How do tou get to those charts? I'm using MyAir app and it does not show all of that info, only events per hour, mask seal, and air score.
Sleephq.com mate. It's my platform. Cheers
Why don't they use machine learning to flag the OA marks? Something, that is clearly visible for the naked human eye, should be detectable by a AI algorithm as well.
I am seeing the same issue with my ResMed missing flags, although I find it interesting that I had the same issue with my Philips machine. I believe that it is a programming design decision to make the use of the machines look better by appearing that they are lowering the number of times that the user encountered issues because of the machine use. Just my thoughts
I have a res med with full face mask it has a valve to let air into your lungs if the machine stops working. The machine puts pressure on your lungs I have checked my mask with a tissue while on my face and I have no leaks. My question is with the machine on when I breath out where does the spent air go? When I ask this question I get dumb answers!
On my masks, the used air comes out of tiny holes where the tube attaches to the mask.
Are you a clinician or medical professional of any kind?
Thanks for the advice.
I've been buggering around with my settings so much I'm thinking of setting it back to my initial specialists' settings and starting again. I've gotten the the stage it seems I cannot sleep longer that 2.5 hrs without waking all nite.
It's doing hell for my sleep and Im so exhausted. I often find myself slipping my mask off and getting an additional 5hrs sleep uninterrupted without the mask.
I'm at a loss...
I have exactly the same problem so I totally understand we’re your coming from need an expert to sort this out for me
I guess my question would be my events tend to be under 3 fairly consistent but I'm still always tired when I wake up. I believe my setting on the resmed 11 is 6 to 15. How can I improve on that? Also my oxygen levels are generally below 90. Typically around 85.
Hey mate, it's very hard to provide advice without seeing any data or breathing however you're likely tired because of those low O2 levels and normally increasing EPAP will improve oxygenation. I'd also work on your sleeping position. Do your best to stay off your back and sleeping on a slight angle will also help. Cheers
@@CPAPReviews yes I sleep on my right side
Yes the resmed app is pretty useless other than AHI number
Is it better to refine it down to just 1 CPAP pressure, or to just have a narrow APAP pressure range?
With fixed pressure, you either settle for a pressure that gives you less than 100% control, or you pick a higher pressure that gives you 100% control but is more than you need for most of the night and may be uncomfortable. I suspect APAP with an intelligently chosen range would be the best, but most patients don't get the quality of care for that and have to seek it on their own.
For example, I sometimes wake up with very high pressure. I reset the machine and go back to sleep. Would it be better to set a lower max so I don't wake up all the way, but at the price of having a few uncontrolled events? I don't know. I may think about experimenting on myself.
@@StrongDreamsWaitHere
Hey, I'm not a sleep tech, but just with my own experience . . .
Yes, you should reduce your max pressure. If it's waking you up, then it's counter-productive. Your goal should NOT be 0 events, it should be a low AHI (below 5 for sure and ideally below 2 or so, I'd say) and a restful night's sleep.
Most folks have good control of apnea at about 10cm, and the machine will go to 20cm. My advice, without knowing anything about you or seeing your sleep data, would be to set your max pressure at 15cm as a trial and watch your AHI numbers every day. As long as your numbers are below 5 for a few days, drop the pressure by 1cm and watch for a few days again. If your AHI increases, then go back up a cm or two. Ideally you will find the lowest top pressure that will keep you apnea controlled. And DO give each setting a few days to a week. A single night's AHI is not a good indicator, it can bounce around a bit.
Again, I'm not any kind of expert, If anyone here thinks I'm giving bad advice, please share.