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Whilst we may not expect it to make any real difference, giving 10 a go for a night or two may be worth the experiment.
Once you have AHI under control as you do, one of the main remaining things to attempt managing are arousals. All we have is pressure to keep the airway open, so sometimes a wee bit more is all it takes. Of course, sometimes it does the exact opposite, but until you try we will never know.
Something like:
Min pressure 10
Max pressure 15
EPR 3 full-time
Note that it may totally ruin a nights sleep, so be prepared. Worst case, you turn it back to where it was before. Best case, we see a smoother flow rate and work from there.
I use Pad a Cheeks (or similar from an online artsy crafty website) to make my mask straps more comfortable. I no longer have marks on my face or a dent in the back of my head. They might be worth a try?
2 more nights, tried 10cm last night without adjusting the mask. Not sure what happened with the leaks but this was the first hot day of the year and think it made it very hard to get some good sleep (no AC..). think i'll try a 2nd night but this looks a bit of a mess? but not sure it means anything since the leaks were pretty bad!