Andrew Valenzuela, MD — triple board-certified in sleep medicine, obesity medicine, and pediatrics. Root-cause evaluation of the airway and the metabolism that shapes it, for adults and children, by telemedicine with testing that comes to your door.
Treating them in separate offices is why so many people plateau. A narrowed airway drives metabolic dysfunction; visceral fat narrows the airway further. You have to work both ends at once.
Full-spectrum diagnosis and treatment for adults and children — beginning with a home study, not a waitlist for a lab bed.
Board-certified medical weight management aimed at the mechanism — not just the number on the scale.
Preventive care for people who would rather understand their physiology than guess at it.
Dentists build the appliance. Physicians diagnose the disease, prove the appliance worked, and manage everything the appliance does not address. When those halves stay separate, patients end up with a device and no objective evidence it is doing anything.
I have spent years on both sides of this — as national medical director for a dental network spanning 40-plus states, and as the physician reading the studies that decide whether an appliance is actually working. I co-manage the medical side so your patients get a real diagnosis, documented titration, and post-treatment testing that stands up to a payer.
Your patient is evaluated for sleep-disordered breathing, comorbidities, and candidacy for oral appliance therapy.
Home sleep apnea test shipped to the patient. Interpreted and documented before any appliance is fabricated.
A written diagnosis and treatment recommendation back to your office — the documentation medical necessity requires.
You build and titrate. I stay available for medical questions, comorbidity management, and patients who need more than an appliance.
Repeat objective testing with the appliance in place. Proof of efficacy for the patient, the chart, and the payer.
Four different front doors. The path is different for each.
A full airway and sleep history, review of anything you have already tried, and a decision about testing. If a home sleep study makes sense, it ships to your door before we speak again.
Cash-pay practice. Telemedicine available only in states where the physician holds an active license.
I'll reply personally, usually within one business day, with availability and pricing for the visit type that fits.
Since I began training, the same airway problems kept showing up time after time. Predictable issues leading to predictable complications. A child with a narrow palate becomes an adult with a collapsible one. An adult carrying visceral fat has an airway that closes under less pressure. So I decided to make this a lifelong passion — helping people of all ages and walks of life achieve their maximum potential through restful sleep and craniofacial health, with an emphasis on wellness and longevity.
Most of my patients arrive having been told their exhaustion is normal, or that they should lose weight first and come back. Usually neither is true, and both cost them years.
So Somnara is built to treat the whole mechanism — and to work alongside the dentists and surgeons who handle the structural half of it. Testing comes to your house. I read your study myself.
Telemedicine law follows the patient, not the physician — I have to hold an active license in the state where you are physically located at the time of the visit. I hold licenses across a number of states and the list changes as new ones come through. Email me with where you live and I will tell you straight away.
Somnara is a cash-pay practice. I do not bill insurance, which means no prior authorizations, no visit-length limits set by a payer, and no one but you deciding what gets addressed. You will receive documentation you can submit to your insurer for out-of-network reimbursement if your plan allows it, though reimbursement is never guaranteed. Pricing is discussed before you book — never after.
It ships to your home. You wear it for one to three nights in your own bed, which is a more honest picture of your sleep than a lab night wired to twenty sensors. You return it in prepaid packaging, I interpret the study personally, and we go through the results together.
No — it is one of the most common reasons people come here. PAP intolerance usually means the pressure, the mask, or the underlying anatomy was never properly matched to you. Options include oral appliance therapy co-managed with an airway dentist, positional therapy, metabolic treatment to lower the pressure your airway needs, and surgical referral where anatomy warrants it.
Absolutely. Obesity is a multifactorial disease process. We find the root cause and tackle it, while focusing on overall wellness.